Effect of telenursing on self-efficacy among diabetic patients: A systematic review

Abstract

This systematic review aimed to investigate the impact of telenursing on self-efficacy among patients who have experienced myocardial infarctions. The study conducted a comprehensive search of international electronic databases, including Scopus, PubMed, and Web of Science, spanning from the earliest available records to September 15, 2023. The search used keywords derived from Medical Subject Headings, specifically "telenursing", "self-efficacy", and "myocardial infarction". Additionally, Iranian databases such as Iranmedex and Scientific Information Database were consulted. The quality assessment of included studies, which consisted of randomized controlled trials (RCTs) and quasi-experimental studies, was performed using the Joanna Briggs Institute's (JBI) critical assessment checklist. The review included a total of five studies involving 478 diabetic patients. Among these patients, 74.32% were female, and 52.00% were allocated to the intervention group. The average age of the participants was 48.76 (SD=7.48) years. The mean duration of the studies and their respective follow-up periods were 32.80 and 12.80 weeks, respectively. Furthermore, the average duration of the telenursing intervention was 23.33 minutes. The findings of this review indicated that telenursing can be an effective method for enhancing self-efficacy among patients. The study suggests that healthcare managers and policymakers should consider establishing a platform that not only incorporates telenursing via phone calls but also incorporates alternative methods like video calls. This approach should aim to balance the costs associated with these different methods to ensure accessibility for all individuals. Consequently, alongside traditional telephone-based telenursing, other modalities can be integrated to promote self-efficacy.