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Telenursing and Self-Efficacy in Heart Failure
Farhanaz Narimisa1, Shahrbanoo Karbakhsh, Shiva Pouradeli
1Author Affiliation: Clinical Research Development Unit, Shafa Hospital, Kerman University of Medical Sciences, Kerman, Iran (Ms Narimisa, Ms Karbakhsh and Dr Pouradeli); Cancer Prevention Research Center, Isfahan University of Medical Sciences, Isfahan, Iran (Dr Pouradeli).
Critical Care Nursing Quarterly
|February 25, 2026
Summary
Telenursing, via telephone support, significantly boosted self-efficacy in chronic heart failure patients. This intervention improved self-management and reduced key symptoms like fatigue and weakness.
Area of Science:
- Cardiology
- Nursing Science
- Health Management
Background:
- Chronic heart failure (CHF) diminishes patient quality of life and self-management capabilities.
- Improving self-efficacy is vital for enhancing treatment adherence and health outcomes in CHF patients.
- Telenursing offers a potential solution for remote patient support and education.
Purpose of the Study:
- To assess the impact of telenursing, specifically telephone-based training and follow-up, on the self-efficacy of patients with chronic heart failure.
- To evaluate the effectiveness of structured remote interventions in managing CHF symptoms.
Main Methods:
- A quasi-experimental study involving 55 chronic heart failure patients at Shafa Hospital, Kerman, Iran.
- Intervention included weekly telephone follow-up calls by trained nurses for self-care guidance and support.
- Pre- and post-intervention assessments utilized the Sullivan Cardiac Self-Efficacy Scale.
Main Results:
- A significant increase in self-efficacy was observed, with high self-efficacy rising from 3.6% to 90.9% (P < .0001).
- The proportion of patients with low self-efficacy decreased from 21.8% to 1.8% post-intervention.
- Significant reductions in clinical symptoms, including weakness (P = .016) and fatigue (P = .031), were reported.
Conclusions:
- Structured telephone follow-up and education via telenursing effectively enhance self-efficacy in chronic heart failure patients.
- Telenursing interventions can lead to a significant reduction in CHF-related symptoms.
- This study highlights the potential of telenursing as a valuable tool in chronic care management for heart failure.
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