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Vol. 11 No. 3 (2023): Jurnal Keperawatan Padjadjaran

Application of telenursing as a nursing care delivery model in improving treatment adherence and glycemic control: A scoping review

September 21, 2022


Background: Diabetes mellitus is one of the chronic diseases that cause  the highest mortality and high medical costs;, therefore medication adherence and glycemic control are important  in disease management, one of which is through telenursing. Purpose: To determine the telenursing model to improve medication adherence and glycemic control in patients with type 2 diabetes mellitus. Methods: This study was designed a scoping review. The databases used are CINAHL, PubMed, ScienceDirect and Google Scholar. Articles published from 2016-2022 with appropriate inclusion and exclusion criteria. Thematic analysis was used based on study design, telenursing communication model, telenursing process, duration of telenursing and results. Results: There were 12 relevant articles out of 2112 articles. We found a telephone call follow up is the most common method used for delivery of telenursing intervention. Telenursing intervention is implemented from at least 3 months until 12 months, and includes the assessment of current disease conditions, assessment of adherence to the prescribed treatment plan, treatment plan information, and solutions or follow-up to current issue. Conclusion: Telenursing can be used as a nursing care delivery model  in the diabetes mellitus type 2 patients because it is proven to reduce glycemic control, improve treatment adherence, reduce body mass index (BMI), glycosylated hemoglobin (HbA1c), and cholesterol, and improve diet adherence, physical exercise and self-management.

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