ArticleBMC nursing2026
The Effect of Tele-nursing Education on Medication Adherence and Health Literacy in COPD patients.
Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimChronic obstructive pulmonary disease (COPD) is one of the most common chronic conditions that requires effective management through medication adherence and improved health literacy. Tele-nursing, as a modern educational method, can play a significant role in enhancing these outcomes. This study aimed to investigate The Effect of Tele-nursing Education on Medication Adherence and Health Literacy in COPD patients.
methodsIn this quasi-experimental study with a pre-test-post-test design, 70 patients with COPD who referred to teaching hospitals in Zahedan in 2024 were selected through convenience sampling and randomly assigned by coin toss into intervention and control groups (35 patients each). The intervention group used a researcher-developed mobile application called "Hamdam-e-Salamat" for one month. This app included educational videos, medication reminders, and the ability to record vital signs. Data collection tools included the Morisky Medication Adherence Questionnaire and the TOFHLA Health Literacy Questionnaire, which were completed by both groups before and one month after the intervention. Data were analyzed using SPSS version 27 with Chi-square, paired t-test, and independent t-test.
resultsThe majority of patients were male. The mean age in the intervention group was 68.82 ± 6.88, and in the control group, 69.97 ± 4.23. The mean score of medication adherence before the intervention was 3.91 ± 1.63 in the intervention group and 3.74 ± 1.22 in the control group. After the intervention, this score changed to 1.11 ± 0.86 in the intervention group and 3.68 ± 1.25 in the control group. Tele-nursing education led to a 2-point reduction in medication nonadherence score in the intervention group, which was statistically significant compared to the control group (p < 0.001). Additionally, the mean health literacy score in the intervention group increased from 49.25 ± 4.97 before the intervention to 56.02 ± 4.94 after the intervention, which was statistically significant (p < 0.001), while this change in the control group was not significant (p = 0.37).
conclusionTele-nursing education can be an effective method for improving medication adherence and enhancing health literacy in patients with COPD. It is recommended that this educational approach be incorporated into care programs for patients with chronic illnesses.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.