{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T07:56:17Z","timestamp":1791186977411,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Self\u2010care and medication adherence are key factors in the management of patients with myocardial infarction (MI), but many patients face challenges in these areas and require novel care approaches. This study, based on a self\u2010care program, aimed to determine the effect of telenursing on self\u2010efficacy and adherence to medication in patients with MI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study was a randomized clinical trial with two intervention and control groups. Sixty\u2010two patients with MI were randomly assigned. The intervention group received an in\u2010person session (30\u201360\u2009min), telephone follow\u2010up (8 calls in a month), and educational text messages, and the control group received routine care only.<\/jats:p>\n                    <jats:p>The research tools included the Abbreviated Mental Test (AMT) for cognitive screening and specific questionnaires administered before and 4 weeks after the intervention. Data were analyzed using a paired t\u2010test, chi\u2010square, and ANCOVA by SPSS version 26.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At the posttest measurement, results of the ANCOVA showed significantly higher self\u2010efficacy scores for the intervention group compared to the control group after adjusting for the pretest scores (F\n                      <jats:sub>(1,52)<\/jats:sub>\n                      \u2009=\u200967.31,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001, \u03b7\n                      <jats:sup>2<\/jats:sup>\n                      <jats:sub>P<\/jats:sub>\n                      \u2009=\u20090.564). A similar result was obtained for medication adherence (F(1, 52)\u2009=\u200977.39,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001, \u03b7\n                      <jats:sup>2<\/jats:sup>\n                      <jats:sub>P<\/jats:sub>\n                      \u2009=\u20090.598). The effect sizes, calculated using partial eta squared, were 0.564 and 0.598, which are considered to be large.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Telenursing based on a self\u2010care program significantly increases self\u2010efficacy and medication adherence in MI patients, and it is recommended that telenursing programs be expanded in healthcare systems to promote self\u2010care and medication adherence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Trial Registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/irct.behdasht.gov.ir\/user\/trial\/76806\/view\">https:\/\/irct.behdasht.gov.ir\/user\/trial\/76806\/view<\/jats:ext-link>\n                      . IrCTR registry, IRCT20240416061511N1\/Registration Date: 2024\u201005\u201023.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.73110","type":"journal-article","created":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T20:14:00Z","timestamp":1789848840000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of Telenursing on Patients With Myocardial Infarction Based on a Self\u2010Care Program: A Randomized Clinical Trial"],"prefix":"10.1002","volume":"9","author":[{"given":"Arian","family":"Mobasheri","sequence":"first","affiliation":[{"name":"Zeynab (P.B.U.H) School of Nursing and Midwifery Guilan University of Medical Sciences Rasht Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9927-5861","authenticated-orcid":false,"given":"Parand","family":"Pourghane","sequence":"additional","affiliation":[{"name":"Zeynab (P.B.U.H) School of Nursing and Midwifery Guilan University of Medical Sciences Rasht Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fereshteh","family":"Besharati","sequence":"additional","affiliation":[{"name":"Zeynab (P.B.U.H) School of Nursing and Midwifery Guilan University of Medical Sciences Rasht Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5794-3876","authenticated-orcid":false,"given":"Saman","family":"Maroufizadeh","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Epidemiology, School of Health Guilan University of Medical Sciences Rasht Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,26]]},"reference":[{"key":"e_1_2_16_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19020874"},{"key":"e_1_2_16_3_1","first-page":"1","article-title":"Public Health: Healthy Ageing and 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