Telenursing as a Follow-Up Strategy for Patients with Traumatic Wounds: A Comparative Study
DOI:
https://doi.org/10.12707/RVI25.39.41290Keywords:
telenursing, wounds and injuries, patient satisfaction, nursing careAbstract
Background: Follow-up telenursing is recommended as an effective strategy for reducing hospital admissions and associated costs. A telenursing service was implemented in an outpatient clinic to monitor patients with traumatic wounds.
Objective: To compare satisfaction and healthcare utilization among patients with traumatic wounds who received follow-up telenursing and those who did not.
Methodology: A descriptive-comparative study was conducted. The experimental group (n = 33) received follow-up telenursing in addition to conventional care, while the control group (n = 35) received conventional care only. The study was conducted between May and July 2022, with data collected via questionnaire and analyzed using SPSS® software. Ethical standards were observed.
Results: Males predominated in both groups, with a mean age of 40 years. The experimental group reported higher satisfaction with nursing care and lower use of in-person services (p = 0.05).
Conclusion: Telenursing contributed to health improvements, supporting its potential as an effective tool for monitoring patients with traumatic wounds.
Downloads
References
Associação dos Enfermeiros de Sala de Operações Portugueses. (2012). Enfermagem perioperatória: Da filosofia à prática dos cuidados. Lusodidacta.
Associação Portuguesa de Cirurgia de Ambulatório. (2014). Recomendações para anestesia regional em cirurgia ambulatória. https://www.apca.com.pt/documentos/recomendacoes/recomendacoesAnestesiaRegional.pdf
Autoridade para as Condições do Trabalho. (2023). Estatísticas de acidentes de trabalho: Acidentes de trabalho graves. https://portal.act.gov.pt/Pages/acidentes_de_trabalho_graves.aspx
Blanco, E., Samuels, S., Kimball, R., Patel, D., Citty, S., & Spader, H. (2020). Impact of telephone follow-up on patient satisfaction in a pediatric neurosurgery clinic. Journal of Patient Experience, 7(6), 1255–1259. https://doi.org/10.1177/2374373520919210
Carvalho, S. (2021). Satisfação de médicos e doentes com a teleconsulta [Dissertação de mestrado, Universidade do Porto]. Repositório Aberto do Instituto de Ciências Biomédicas Abel Salazar da Universidade do porto. https://repositorio-aberto.up.pt/bitstream/10216/134732/2/481941.pdf
Direção-Geral da Saúde. (2022). Guias da saúde: Teleconsulta. https://www.sns24.gov.pt/guia/teleconsulta/
Fagan, S. K. (2021). Post-discharge phone calls in the emergency department: Do follow-up calls increase patient satisfaction and reduce post-discharge complications? [Projeto de doutoramento, University of South Carolina]. https://scholarcommons.sc.edu/dnp_projects
Gimenez, V. C., Almeida, G. M., Cyrino, C. M., Lemos, C. S., Favoretto, C., & Avila, M. A. G. (2024). Telenursing in the postoperative period: A scoping review. Revista Brasileira de Enfermagem, 77(3), e20240066. https://doi.org/10.1590/0034-7167-2024-0066
Hodgins, M. J., Ouellet, L. L., Pond, S., Knorr, S., & Geldart, G. (2008). Effect of telephone follow-up on surgical orthopedic recovery. Applied Nursing Research, 21(4), 218–226. https://doi.org/10.1016/j.apnr.2007.01.008
Jensen, B. T., Kristensen, S. A., Christensen, S. V., & Borre, M. (2011). Efficacy of tele-nursing consultations in rehabilitation after radical prostatectomy: A randomised controlled trial study. International Journal of Urological Nursing, 5, 123–130. https://doi.org/10.1111/j.1749-771X.2011.01130.x
Keckley, P. H., & Coughlin, S. (2012). Deloitte 2012 survey of US health care consumers: The performance of the health care system and health care reform. Deloitte Center for Health Solutions. https://www2.deloitte.com/content/dam/Deloitte/us/Documents/life-sciences-health-care/us-lshc-2012-survey-of-us-consumers-health-care.pdf
McVey, C. (2023). Telenursing: A concept analysis. CIN: Computers, Informatics, Nursing, 41(5), 275–280. https://doi.org/10.1097/CIN.0000000000000973
Miller, A., Barton, K., & Hassn, A. (2012). Nurse-led telephone follow-up after day case surgery. Journal for Nurse Practitioners, 8(5), e7. https://doi.org/10.1016/j.nurpra.2011.09.005
Ordem dos Enfermeiros. (2020). Guia de recomendações para consultas de enfermagem à distância: Telenfermagem (Versão 1). https://www.ordemenfermeiros.pt/media/20833/recomendac-o-es-telenfermagem-src-oe_emcp.pdf
Ordem dos Enfermeiros. (2021). Parecer do conselho de enfermagem
Record, J. D., Niranjan-Azadi, A., Christmas, C., Hanyok, L. A., Rand, C. S., Hellmann, D. B., & Ziegelstein, R. C. (2015). Telephone calls to patients after discharge from the hospital: An important part of transitions of care. Medical Education Online, 20, 26701. http://dx.doi.org/10.3402/meo.v20.26701
Sebastià, N. A., & Martínez, O. N. (2024). Telenursing as a tool in emergencies and disasters: A systematic review. International Emergency Nursing, 75, 101478. https://doi.org/10.1016/j.ienj.2024.101478
Shuen, J., Wilson, M., Kreshak, A., Mullinax, S., Brennan, J., Castillo, E., Hinkle, C., & Vilke, G. (2018). Telephoned, texted, or typed out: A randomized trial of physician–patient communication after emergency department discharge. The Journal of Emergency Medicine, 55, 573–581. https://doi.org/10.1016/j.jemermed.2018.07.023
Tan, M., & Lang, D. (2014). Effectiveness of nurse leader rounding and post-discharge telephone calls on patient satisfaction: A systematic review protocol. JBI Database of Systematic Reviews and Implementation Reports, 12(1), 23–32. https://doi.org/10.11124/jbisrir-2014-1256
Elm, V. E., Altman D. G., Egger, M, Pocock, S. J., Gøtzsche, P. C., Vandenbroucke, J. P. (2008). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol, 61(4), 344-9. https://doi.org/10.1016/j.jclinepi.2007.11.008
Watanabe, É. M., Almeida, V. F., Ottunes, A. F., Dessunti, E. M., Pieri, F. M., Martins, E., & Kerbauy, G. (2015). Impacto das infecções relacionadas à assistência à saúde em pacientes acometidos por trauma. Semina: Ciências Biológicas e da Saúde, 36, 89–98. https://doi.org/10.5433/1679-0367.2014v35n2p89
Woods, C. E., Jones, R., O’Shea, E., Grist, E., Wiggers, J., & Usher, K. (2019). Nurse-led postdischarge telephone follow-up calls: A mixed study systematic review. Journal of Clinical Nursing, 28(19–20), 3386–3399. https://doi.org/10.1111/jocn.14951
