Effect of telenursing on self-efficacy of patients undergoing coronary artery bypass grafting surgery: A systematic review

This systematic review aimed to investigate the impact of telenursing on the self-efficacy of patients undergoing coronary artery bypass grafting surgery. International electronic databases such as Scopus, PubMed, and Web of Science were systematically searched from their inception to November 1, 2023. The search utilized keywords derived from Medical Subject Headings including "Telenursing", "Self-Efficacy", and "Coronary artery bypass grafting". Furthermore, Iranian databases like Iranmedex were consulted. The quality of randomized controlled trials and quasi-experimental studies was assessed using the Joanna Briggs Institute's critical assessment checklist. The review included a total of four studies encompassing 311 enrolled patients. Among the patient population, 69.17% were male, and 53.05% belonged to the intervention group. The average age of participants was 69.17 (SD=8.33) years. Additionally, the mean duration of study follow-up was 3.75 weeks. Also, the average duration of the intervention was 30.00 minutes. It was shown that nurses can use telenursing to increase the level of self-efficacy. It is recommended that managers and health policymakers create a platform where, in addition to using telenursing through phone calls, other methods can be used, such as video calls. In such a way that the costs of using methods other than telephone calls are balanced so that everyone can use these methods. As a result, in addition to telephone calls and DVDs, other telenursing methods can be used to increase self-efficacy.