{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T19:01:55Z","timestamp":1782846115437,"version":"3.54.5"},"reference-count":28,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Nursing"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec sec-type=\"background\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The majority of patients with diabetic wounds living in Mae Chan District, Chiang Rai Province face challenges such as a shortage of nurses, limited access to health care, and insufficient resources. Strategies such as specialist networks, patient monitoring, and online care platforms are crucial to improving diabetic wound management in the community.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"objective\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aims to develop telenursing guidelines for caring for patients with diabetic wounds and foot ulcers, and to investigate the effects of telenursing on wound healing among patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Participatory action research was conducted in three cycles: (1) assessing the current situation and feasibility of telenursing; (2) evaluating telenursing guidelines for wound healing; and (3) examining the effects of telenursing on wound healing, amputation rates, and patient satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean diabetic wound severity scores decreased after receiving telenursing care at weeks 2, 4, 6, and 8 (\n                      <jats:italic>P<\/jats:italic>\n                      &lt;.001). No patients were found to have foot or leg amputations. The patients in the group who received telenursing care showed that their wounds healed in an average of 8.6 (SD 4.3) weeks. The satisfaction score for telenursing care was 4.7 out of 5 (SD 0.2).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Telenursing guidelines were developed to enhance access to wound care, reduce amputation rates, and promote wound healing, resulting in a significant reduction in wound severity and the absence of amputations. The study further demonstrated that telenursing not only expedited healing times but also reduced health care costs and improved patient satisfaction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/74228","type":"journal-article","created":{"date-parts":[[2025,12,28]],"date-time":"2025-12-28T21:50:06Z","timestamp":1766958606000},"page":"e74228-e74228","source":"Crossref","is-referenced-by-count":0,"title":["Development of Telenursing Guidelines to Improve the Quality of Services in Diabetic Wound Care in a Hospital in Thailand: Case Study"],"prefix":"10.2196","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-2726-0195","authenticated-orcid":false,"given":"Chonlada","family":"Darayon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1514-5360","authenticated-orcid":false,"given":"Paralee","family":"Opasanant","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1868-8061","authenticated-orcid":false,"given":"Siriporn","family":"Sangsrijan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3273-2756","authenticated-orcid":false,"given":"Waraporn","family":"Pattaramungkhunkat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8720-7490","authenticated-orcid":false,"given":"Panpimol","family":"Sukwong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,2,9]]},"reference":[{"issue":"24","key":"R1","doi-asserted-by":"publisher","first-page":"2367","DOI":"10.1056\/NEJMra1615439","article-title":"Diabetic foot ulcers and their recurrence","volume":"376","author":"Armstrong","journal-title":"N Engl J Med"},{"issue":"1","key":"R2","doi-asserted-by":"publisher","first-page":"209","DOI":"10.2337\/dci22-0043","article-title":"Etiology, epidemiology, and disparities in the burden of diabetic foot ulcers","volume":"46","author":"McDermott","journal-title":"Diabetes Care"},{"issue":"3","key":"R3","doi-asserted-by":"publisher","first-page":"375","DOI":"10.1111\/iwj.13540","article-title":"Clinical and economic burden of diabetic foot ulcers: a 5-year longitudinal multi-ethnic cohort study from the tropics","volume":"18","author":"Lo","journal-title":"Int Wound J"},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k3115","article-title":"Diagnosis and management of venous leg ulcers","volume":"362","author":"Lim","journal-title":"BMJ"},{"issue":"4","key":"R5","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.38123","article-title":"Venous, arterial, and neuropathic leg ulcers with emphasis on the geriatric population","volume":"15","author":"Mayrovitz","journal-title":"Cureus"},{"issue":"1","key":"R6","first-page":"104","volume":"22","author":"Seenil","journal-title":"Vajirasarn Nurs J"},{"key":"R7","unstructured":"Institute of Medical Research and Technology Assessment. Clinical Practice Guideline: Prevention and Management of Diabetic Foot Complications. The Agriculture Co-Operative Federation of Thailand; 2013. URL: https:\/\/diabeticfootthailand.com\/wp-content\/uploads\/2021\/08\/DM-foot-2556.pdf [Accessed 03-01-2026] ISBN: 9786161116378"},{"key":"R8","unstructured":"Sindhu S . Wound and Wound Care. Thailand Nursing and Midwifery Council; 2022. URL: https:\/\/uctal.thailis.or.th\/bibitem?bibid=b03252322 [Accessed 03-01-2026] ISBN: 9786168012161"},{"key":"R9","unstructured":"International best practice guidelines: wound management in diabetic foot ulcers. Wounds International; 2013. URL: https:\/\/legsmatter.org\/wp-content\/uploads\/2018\/04\/dfubestpracticeforweb.pdf"},{"key":"R10","unstructured":"Thailand Nursing and Midwifery. Tele-nursing. Royal Gazette; 2021. 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URL: https:\/\/books.google.co.in\/books?id=hD7W095U66cC&pg=PR5&source=gbs_selected_pages&cad=1#v=onepage&q&f=false [Accessed 03-01-2026] ISBN: 9781412957564"},{"issue":"7A Suppl","key":"R13","first-page":"80S","volume":"41","author":"Bates-Jensen","journal-title":"Ostomy Wound Manage"},{"issue":"10","key":"R14","doi-asserted-by":"publisher","DOI":"10.3390\/medicina57101072","article-title":"Diabetic wound-healing science","volume":"57","author":"Burgess","journal-title":"Medicina (Kaunas)"},{"issue":"1","key":"R15","first-page":"58","volume":"16","author":"Houghton","journal-title":"Wound Care Can"},{"issue":"9498","key":"R16","doi-asserted-by":"publisher","first-page":"1736","DOI":"10.1016\/S0140-6736(05)67700-8","article-title":"Wound healing and its impairment in the diabetic foot","volume":"366","author":"Falanga","journal-title":"Lancet"},{"issue":"2","key":"R17","doi-asserted-by":"publisher","first-page":"193","DOI":"10.4103\/0970-0358.101277","article-title":"Wound bed preparation from a clinical perspective","volume":"45","author":"Halim","journal-title":"Indian J Plast Surg"},{"issue":"9","key":"R18","doi-asserted-by":"publisher","first-page":"496","DOI":"10.1089\/wound.2021.0039","article-title":"From chronic wounds to scarring: the growing health care burden of under- and over-healing wounds","volume":"11","author":"desJardins-Park","journal-title":"Adv Wound Care (New Rochelle)"},{"issue":"2","key":"R19","doi-asserted-by":"publisher","DOI":"10.5812\/jjcdc.84379","article-title":"Tele-nursing in chronic disease care: a systematic review","volume":"8","author":"Ghoulami-Shilsari","journal-title":"Jundishapur J Chronic Dis Care"},{"key":"R20","doi-asserted-by":"publisher","DOI":"10.1177\/21501327211030817","article-title":"The effectiveness of telenursing for self-management education on cardiometabolic conditions: a pilot project on a remote Island of \u014csakikamijima, Japan","volume":"12","author":"Moriyama","journal-title":"J Prim Care Community Health"},{"key":"R21","doi-asserted-by":"publisher","DOI":"10.1155\/2023\/4729430","article-title":"The effect of telenursing on disease outcomes in people with type 2 diabetes mellitus: a narrative review","volume":"2023","author":"AkbariRad","journal-title":"J Diabetes Res"},{"key":"R22","unstructured":"Sriprasert K Aungwattana S Tamdee D . Effect of tele-nursing-based self-management program on health behaviors of persons with uncontrolled diabetes mellitus in the community [Master\u2019s Thesis]. Chiang Mai University; 2023. 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Digital health strategy, ministry of public health (2021-2025). Ministry of Public Health; URL: https:\/\/surl.lt\/tlxigx [Accessed 01-01-2026]"},{"key":"R28","unstructured":"Global strategy on digital health 2020-2027. World Health Organization. 2025. URL: https:\/\/iris.who.int\/server\/api\/core\/bitstreams\/a64d584f-015b-471f-9d86-9ea263cfb516\/content [Accessed 03-01-2026]"}],"container-title":["JMIR Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/nursing.jmir.org\/2026\/1\/e74228","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T18:05:22Z","timestamp":1782842722000},"score":1,"resource":{"primary":{"URL":"https:\/\/nursing.jmir.org\/2026\/1\/e74228"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,9]]},"references-count":28,"URL":"https:\/\/doi.org\/10.2196\/74228","relation":{},"ISSN":["2562-7600"],"issn-type":[{"value":"2562-7600","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,9]]},"article-number":"v9i24e74228"}}