سامانه همایش های دانشگاه آزاد اسلامی واحد نجف آباد

صفحه اصلی / اولین همایش بین المللی تحول خدمات سلامت: تلفیق مراقبت، درمان، بازتوانی و امیدبخشی

Effectiveness of Digital Technology-Based Telenursing on Self-Care, Treatment Adherence, and Quality of Life in Patients with Type 2 Diabetes: A Systematic Review

نویسندگان :

Alireza Keshavrz¹ Amin Mahdi Majidi²

1- Bachelor of Nursing Student, Student Research and Technology Committee, School of Nursing and Midwifery, Bam University of Medical Sciences, Bam, Iran 2- Bachelor of Nursing Student, Student Research and Technology Committee, School of Nursing and Midwifery, Bam University of Medical Sciences, Bam, Iran

کلمات کلیدی :

Telenursing،Type 2 Diabetes Mellitus،Digital Health،Self-care،Treatment Adherence،Quality of Life

چکیده :

Background: Type 2 diabetes mellitus (T2DM) is a chronic condition requiring continuous self-management, treatment adherence, and long-term behavioral changes. Digital technology-based telenursing has emerged as a potential approach to provide continuous nursing support beyond conventional clinical settings. This systematic review aimed to evaluate the effectiveness of digital technology-based telenursing interventions on self-care, treatment adherence, and quality of life among patients with T2DM. Methods: This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA 2020) guidelines. PubMed, Scopus, Web of Science, Embase, and Cochrane Library were searched for relevant studies published between January 2020 and June 2026. Randomized controlled trials and quasi-experimental studies investigating nurse-led digital interventions, including telephone follow-up, mobile applications, text messaging, telemonitoring, and video-based nursing consultations, in adults with T2DM were considered eligible. Studies had to report at least one of the following outcomes: self-care, treatment adherence, or quality of life. Following duplicate removal, title and abstract screening, and full-text assessment, relevant data were extracted and methodological quality was evaluated. Results: A total of 214 records were identified, of which 156 remained after removal of duplicates. Following title and abstract screening, 24 articles were assessed in full text, and 8 studies met the eligibility criteria. The included studies indicated that digital technology-based telenursing was generally associated with improvements in diabetes self-care behaviors and adherence to recommended treatment regimens. Improvements were particularly reported in medication adherence, dietary behaviors, blood glucose monitoring, and follow-up attendance. Several studies also reported improvements in health-related quality of life, although the magnitude and consistency of these effects varied across interventions. Differences in intervention duration, digital platforms, nursing strategies, outcome measurement tools, and patient characteristics limited direct comparison between studies. Conclusion: Digital technology-based telenursing appears to be a promising complementary approach for strengthening self-care and treatment adherence among patients with T2DM and may contribute to improvements in quality of life. However, heterogeneity among interventions and outcome measures limits definitive conclusions regarding its comparative effectiveness. Future studies should focus on standardized nurse-led digital interventions, longer follow-up periods, patient-centered outcomes, and implementation in diverse clinical and community settings.