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All Journal Journal Of Nursing Practice Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Jurnal Keperawatan Malang (JKM) Medical-Surgical Journal of Nursing Research Jurnal Keperawatan PPNI Jawa Barat Jurnal Abdimas Sains
Nurdina, Gina
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Education Health Professions Medicine & Pharmacology Nursing Physics Public Health Veterinary Other

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Effect of Telemonitoring and Nurse-Led Collaboration on Self-Management and Quality of Life in Heart Failure Patients in West Java Lindayani, Linlin; Nurdina, Gina; Anggraini, Dian; Herdiman, Herdiman; Darmawati, Irma; Mutiar, Astri
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 1 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i1.808

Abstract

Aims: This study aimed to assess the combined effects of telemonitoring and nurse-led collaborative care on self-management, medication adherence, QoL, and hospital readmission rates among HF patients in West Java, Indonesia. Methods: A randomized controlled trial (RCT) was conducted with 120 HF patients randomized into an intervention group (telemonitoring and nurse-led collaborative care) and a control group (standard education). The intervention included health education, telemonitoring of clinical parameters, and regular nurse follow-ups. The primary and secondary outcomes—hospital readmissions, self-management, medication adherence, and QoL—were measured using validated instruments. Data analysis was performed using multivariate regression and chi-square tests. Results: Participants in the intervention group demonstrated significant improvements in self-management (mean score increased from 62.4 to 78.3), medication adherence (mean core increased from 4.3 to 6.8), and QoL (mean score decreased from 51.8 to 38.4) compared to the control group (p < 0.001). Additionally, the 180-day hospital readmission rate was significantly lower in the intervention group (30.0%) compared to the control group (60.0%, p < 0.001). Telemonitoring and nurse-led care independently reduced the odds of readmission by 3.8 times (OR: 3.8, 95% CI: 1.9–7.4, p < 0.001). Conclusion: This scalable and effective model for HF management highlights the importance of culturally tailored interventions in low- and middle-income countries, offering a practical approach to overcoming resource limitations.
Co-Authors Agustian, Riza Sukma Agustina, Tri Hapsari Retno Astuti, Rika Puji Darmawati, Irma Darmawati, Irma Dewi Marfuah Dian Anggraini Dwi Yulianto Hayati, Suci Noor Hendra, Agus Herdiman Herdiman, Herdiman Hilda Novyanda Ibrahim, Masdum Juniarni, Lia Lindayani, Linlin Mariam, Nina Mutiar, Astri Noviyanti, Winia Purnama, Heni Puspasari, Susy Putri, Tri Antika Kusuma Putri, Tri Antika Rizki Kusuma Sudrajat, Diwa Agus