Effect of Tele-nursing about lifestyle Modification on Health Outcomes of Patients with Rheumatic Heart Disease during COVID-19 Pandemic

Abstract

As the entry point to contemporary nursing care, tele-nursing is regarded as one of the mostsignificant technological developments of the late (twentieth) century. By removing geographicobstacles, tele-nursing aims to increase patient safety, care quality, and is regarded as a quick accessto nursing care. Aim: The study aims to determine the effect of tele-nursing about life stylemodification on health outcomes of patients with rheumatic heart disease during COVID-19pandemic. Design: This study employed a quasi-experimental research design. (Two groups studyand control). Setting: The study was conducted at Sohag University Hospital in Egypt. Subjects:Based on the population, 60 patients were chosen as the sample size was divided in to two groups,control (30 patients) and study (30 patients). Tools:1) A Self-administered Questionnaire (pre/post-tests), (2 Mini Nutritional Assessment short-form (MNA®-SF) (pre/post-test), (3 The ExerciseAdherence Rating Scale (EARS) and (4 Deep venous thrombosis risk assessment tool. Results:There were a statistically highly significant differences between both groups regarding knowledgelevel, proper nutrition, exercise adherence with (P≤ 0.001).There was a positive correlation betweenbody mass index and prevention of deep venous thrombosis among study group patients post-implementing of tele-nursing during COVID-19 with (r= .580 at P≤ 0.01). Conclusion: it is aneffective strategy; telenursing has been proven to give positive result for improving health outcomesof patients with rheumatic heart disease. Recommendations: Replication of the study using largeprobability sampling. Enhance telenursing use in nursing practice and Use telenursing via follow-up phone services to improve patient adherence to a healthy regimen.