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Dergiler / Sakarya Üniversitesi Holistik Sağlık Dergisi / 2026 / Volume: 9 Issue: 1

The Effect of Tele-Nursing Education on LDL Levels of Coronary Heart Disease Patients: A Quasi-experimental Study

Gül Miliazim Memet(CANAKKALE ONSEKIZ MART UNIVERSITY, ÇANAKKALE HEALTH ACADEMY)0000-0003-2714-0751
Gülnur Akkaya(Çanakkale Onsekiz Mart Üniversitesi Sağlık Bilimleri Fakültesi Hemşirelik Bölümü)0000-0002-4176-2154
Sayfa
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Yayın Tarihi
2026-04-30
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Conclusions: Telenursing education was effective in reducing LDL-C levels in patients in the intervention group.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Objective: This study was done to determine the effect of telenursing education on LDL levels of patients with coronary heart disease.
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Temel Bulgular & Veri:Results: 52 patients with coronary artery disease and high LDL-C levels who applied to the cardiology outpatient clinic of a university hospital were included in the study.
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Sonuç & Katkı:Conclusions: Telenursing education was effective in reducing LDL-C levels in patients in the intervention group.
🔬Tür:Research Article
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Coronary Artery Disease · Education · Tele-Nursing

Abstract

Objective: This study was done to determine the effect of telenursing education on LDL levels of patients with coronary heart disease. Methods: The study is a quasi-experimental, non-randomized study. Results: 52 patients with coronary artery disease and high LDL-C levels who applied to the cardiology outpatient clinic of a university hospital were included in the study. Patients in the experimental group were first given an education brochure. The telenurse training lasted 3 months, with patients contacting them by phone (average duration 10 minutes) or via WhatsApp twice a week, depending on their availability. LDL-C levels of the patients in the intervention and control groups were measured before and three months after the training. The initial LDL measurement in the control group was 128.09 and the final LDL value was 136.57. While the initial LDL level of the experimental group was 155.32, the final value was 120.31. The final LDL measurement showed a decrease in LDL levels in the intervention group, while the control group showed an increase. Conclusions: Telenursing education was effective in reducing LDL-C levels in patients in the intervention group.

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Bu Makaleye Atıf Yap

Memet, G. M., Akkaya, G. (2026). The Effect of Tele-Nursing Education on LDL Levels of Coronary Heart Disease Patients: A Quasi-experimental Study. Sakarya Üniversitesi Holistik Sağlık Dergisi, Volume: 9 Issue: 1. https://doi.org/10.54803/sauhsd.1817682

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Kaynakça (35)

  1. World Health Organization. Cardiovascular diseases (CVDs). https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases (Access date: Jul 14, 2025).
  2. Civek S, Akman M. Frequency and risk Assessment of cardiovascular diseases in the world and Turkey. J Turk Fam Physician. 2022;13(1):21-8. doi:10.15511/tjtfp.22.00121.
  3. Sanhia AM, Pangemanan DH, Engka JN. Gambaran kadar kolesterol low density lipoprotein (LDL) pada masyarakat perokok di pesisir pantai. eBiomedik. 2015;3(1).
  4. Türk Kardiyoloji Derneği. TEKHARF 2017. https://file.tkd.org.tr/PDFs/TEKHARF-2017.pdf (Access date: Dec 15, 2021).
  5. Koplay M, Erol C. Coronary artery disease. Tur Radiol Semin. 2013;1(1):57-69. doi:10.5152/trs.2013.007.
  6. Onat A, Kaya A, Şimşek TA, Şimşek B, Tosun E, Karadeniz Y, et al. Twenty-five years of the TARF study. Turk Kardiyol Dern Ars. 2016;44(5):365-70. doi:10.5543/tkda.2016.87400.
  7. Laukkanen JA, Kunutsor SK. Revascularization versus medical therapy for the treatment of stable coronary artery disease: A meta-analysis of contemporary randomized controlled trials. Int J Cardiol. 2021;1(324):13-21. doi:10.1016/j.ijcard.2020.10.016.
  8. Dougherty CM, Spertus JA, Dewhurst TA, Nichol WP. Outpatient nursing case management for cardiovascular disease. Nurs Clin North Am. 2000;35(4):993-1003. doi:10.1016/S0029-6465(22)02653-6.
  9. Johannesen CDL, Mortensen MB, Nordestgaard BG, Langsted A. Discordance analyses comparing LDL cholesterol, non-HDL cholesterol, and apolipoprotein B for cardiovascular risk estimation. Atherosclerosis. 2025;403:119139. doi:10.1016/j.atherosclerosis.2025.119139.
  10. Karagiannis AD, Mehta A, Dhindsa DS, Virani SS, Orringer CE, Blumenthal RS, et al. How low is safe? The frontier of very low (<30 mg/dL) LDL cholesterol. Eur Heart J. 2021;42(22):2154-69. doi:10.1093/eurheartj/ehaa1080.
  11. Jackson EJ, Willard KE, Ballantyne CM. LDL cholesterol management simplified in adults—lower for longer is better: guidance from the National Lipid Association. J Clin Lipidol. 2025;19(5):1200-7. doi:10.1016/j.jacl.2025.06.002.
  12. Pinero de Plaza MA, Gulyani A, Bulto LN, Allande-Cussó R, Pearson V, Lange B, et al. Telehealth as a care solution for homebound people: systematic review and meta‐analysis of healthcare utilization, quality of life, and well‐being outcomes. Health Soc Care Community. 2025;2025(1):1-32. doi:10.1155/hsc/7224151.
  13. Liddy C, Dusseault JJ, Dahrouge S, Hogg W, Lemelin J, Humbert J. Telehomecare for patients with multiple chronic illnesses. Can Fam Physician. 2008;54(1):58-65.
  14. Thokala P, Baalbaki H, Brennan A, Pandor A, Stevens JW, Gomersall T, et al. Telemonitoring after discharge from hospital with heart failure: cost-effectiveness modelling of alternative service designs. BMJ Open. 2013;3(9):1-9. doi:10.1136/bmjopen-2013-003250.
  15. Liang HY, Lin LH, Chang CY, Wu FM, Yu S. Effectiveness of a nurse-led tele-homecare program for patients with multiple chronic illnesses and a high risk for readmission: a randomized controlled trial. J Nurs Scholarsh. 2021;53(2):161-70. doi:10.1111/jnu.12622.
  16. Chen DYM, Wu XV, Chan EY, Goh SY. Nurse-led tele-coaching on modifiable cardiovascular risk factors in people with type 2 diabetes mellitus: a systematic review and meta-analysis. Worldviews Evid Based Nurs. 2019;16(6):424-32. doi:10.1111/wvn.12409.
  17. American Heart Association. Prevention and treatment of high cholesterol (hyperlipidemia). https://www.heart.org/en/health-topics/cholesterol/prevention-and-treatment-of-high-cholesterol-hyperlipidemia (Access date: Oct 5, 2019).
  18. Kumsar AK, Yılmaz FT. The role of the nurse in the prevention of cardiovascular disease risk factors. OTJHS. 2017;2(4):18–27. doi:10.26453/otjhs.338014.
  19. National Clinical Guideline Centre (UK). Lipid modification: cardiovascular risk assessment and the modification of blood lipids for the primary and secondary prevention of cardiovascular disease. London: National Institute for Health and Care Excellence (UK); 2014 Jul. PMID: 25340243.
  20. Kumar S. Introduction to telenursing. In: Kumar S, editor. Telenursing. London: Springer; 2011. p. 1-3.
  21. Ersoy S, Yıldırım Y, Aykar FŞ, Fadıloğlu Ç. Innovative field in nursing: telenursing and telehealth in home care. Acibadem Univer J Health Sci. 2015;(4):194-201. https://izlik.org/JA68WZ28HY
  22. Rushton M, Howarth M, Grant JM, Astin F. Person-centred discharge education following coronary artery bypass graft: a critical review. J Clin Nurs. 2017;26(23-24):5206-15. doi:10.1111/jocn.14071.
  23. Zhang Y, Cheng HY, Zang Y, Choi CK, Chair SY. Food frequency questionnaire for dietary assessment among adults at a risk of coronary heart disease: a mixed-methods study. J Clin Nurs. 2023;32(7-8):1327-42. doi:10.1111/jocn.16298.
  24. Xu Y, Ye H, Zhu Y, Du S, Xu G, Wang Q. The efficacy of mobile health in alleviating risk factors related to the occurrence and development of coronary heart disease: a systematic review and meta-analysis. Clin Cardiol. 2021;44(5):609-19. doi:10.1002/clc.23596.
  25. Trivedi R, Elshafie S, Tackett R, Young H, Sattler ELP. Effectiveness and feasibility of telehealth-based dietary interventions targeting cardiovascular disease risk factors: systematic review and meta-analysis. J Med Internet Res 2024; 26:e49178. doi:10.2196/49178.
  26. Hu Y, Ding K, Wu G, Li X, Li J, Shang Z. The effect of technology-based home cardiac rehabilitation on risk factor modifications in coronary heart disease patients. a systematic review and meta-analysis. Rev Cardiovasc Med. 2024 Feb 5;25(2):59. doi:10.31083/j.rcm2502059.
  27. Shen Q, He P, Wen M, Yu J, Chen Y, Li J, et al. Secondary prevention of coronary heart disease: The effect of a nursing intervention using Cox's interaction model of client health behaviour. J Adv Nurs. 2021;77(10):4104-19. doi:10.1111/jan.14930.
  28. Nurmeksela A, Pihlainen V, Kettunen T, Laukkanen J, Peltokoski, J. Nurse-led counseling for coronary artery disease patients: a 1-year follow-up study. Nurs Health Sci. 2021;23(3):678-87. doi:10.1111/nhs.12852.
  29. Wong EML, Leung DYP, Tam LH, Ko SH, Leung AYM, Lam SC, et al. Effectiveness of a nurse-led support programme using a mobile application versus phone advice on patients at risk of coronary heart disease – a pilot randomized controlled trial. Risk Manag Healthc Policy. 2022;8:15:597-610. doi:10.2147/RMHP.S355554.
  30. Calvo E, Izquierdo S, Castillo R, César E, Domene G, Gómez AB, et al. Can an individualized adherence education program delivered by nurses improve therapeutic adherence in elderly people with acute myocardial infarction?: a randomized controlled study. Int J Nurs Stud. 2021;120:103975. doi:10.1016/j.ijnurstu.2021.103975.
  31. Awoke MS, Baptiste DL, Davidson P, Roberts A, Dennison-Himmelfarb C. A quasi-experimental study examining a nurse-led education program to improve knowledge, self-care, and reduce readmission for individuals with heart failure. Contemp Nurse. 2019;55(1):15-26. doi:10.1080/10376178.2019.1568198.
  32. Yıldırım Dİ, Eryılmaz MA. Evaluation of patient profile and training effectiveness applying to obesity center. Ankara Med J. 2020;(2):327-36. doi:10.5505/amj.2020.90217.
  33. Kotseva K, De Backer G, De Bacquer D, Rydén L, Hoes A, Grobbee D, et al. Primary prevention efforts are poorly developed in people at high cardiovascular risk: a report from the European Society of Cardiology EURObservational Research Programme EUROASPIRE V survey in 16 European countries. Eur J Prev Cardiol. 2021;28(4):370-79. doi:10.1177/2047487320908698.
  34. Chong MS, Sit JWH, Karthikesu K, Chair SY. Effectiveness of technology-assisted cardiac rehabilitation: a systematic review and meta-analysis. Int J Nurs Stud. 2021;124:104087. doi:10.1016/j.ijnurstu.2021.104087.
  35. The International Council of Nurses. Revised ICN code of ethics for nurses reflects lessons learned from the COVID-19 pandemic. https://www.icn.ch/news/revised-icn-code-ethics-nurses-reflects-lessons-learned-covid-19-pandemic (Access date: May 10, 2022).