Tele-Nursing in Post-Operative Care: Expanding Accessibility and Reducing Readmission Ratesh

Catur Budi Susilo (1), Siri Lek (2), Pong Krit (3)
(1) Poltekkes Yogyakarta, Indonesia,
(2) Silpakorn University, Thailand,
(3) Rangsit University, Thailand

Abstract

Post-operative care is critical for ensuring optimal recovery, preventing complications, and reducing hospital readmission rates. Traditional follow-up methods often face limitations, including geographic barriers, limited access to healthcare providers, and resource constraints, which can compromise patient outcomes. Tele-nursing offers a promising solution by delivering remote monitoring, education, and guidance, thereby enhancing accessibility and supporting continuity of care. This study investigates the effectiveness of tele-nursing interventions in post-operative care, focusing on patient outcomes, adherence to care protocols, and readmission rates. A mixed-methods approach was employed, integrating quantitative analysis of clinical metrics and readmission data with qualitative assessments of patient and nurse experiences. Data were collected from 180 post-operative patients across multiple surgical departments who received tele-nursing support over a 90-day period. Results indicated that tele-nursing significantly reduced 30-day readmission rates, improved adherence to post-operative care instructions, and increased patient satisfaction. Nurses reported enhanced ability to monitor patient recovery, provide timely interventions, and offer personalized education remotely. The study concludes that tele-nursing is an effective strategy to expand access to post-operative care, improve patient outcomes, and reduce healthcare system burden. Implementation of structured tele-nursing protocols and integration with conventional care pathways can optimize benefits while ensuring patient safety and continuity of care.

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References

Arad, M., Goli, R., Parizad, N., Vahabzadeh, D., & Baghaei, R. (2021). Do the patient education program and nurse-led telephone follow-up improve treatment adherence in hemodialysis patients? A randomized controlled trial. BMC Nephrology, 22(1). Scopus. https://doi.org/10.1186/s12882-021-02319-9

Arikan, B., Sardag?, E., & Erdem, C. (2025). Information needs of kidney transplant patients on social media: A qualitative study. BMC Nephrology, 26(1). Scopus. https://doi.org/10.1186/s12882-025-04331-9

Baiges, M., Iglesias, D., Persentili, S., Jiménez, M., Ortega, P., & Bordas-Martinez, J. (2025). A Pragmatic Tele-Nursing Program Improves Satisfaction of Patients with Pulmonary Fibrosis and Their Caregivers—A Pilot Study. Medicina (Lithuania), 61(8). Scopus. https://doi.org/10.3390/medicina61081385

Ba?o?lu, S., & Polat, Ü. (2024). The Effect of Education and Monitoring via Tele-Nursing to Elderly Cancer Patients Using Oral Anticancer Agents on Self-efficacy and Medication Adherence: A Randomized Controlled Trial. Seminars in Oncology Nursing, 40(5). Scopus. https://doi.org/10.1016/j.soncn.2024.151692

Bektas, H., Ço?kun, H. S., Arikan, F., Özcan, K., Tekeli, A., Kondak, Y., Sezgin, M. G., Yangec, E., & Kalav, S. (2022). Development and evaluation of the efficacy of a web-based education program among cancer patients undergoing treatment with systemic chemotherapy: A randomized controlled trial. Supportive Care in Cancer, 30(7), 6021–6033. Scopus. https://doi.org/10.1007/s00520-022-07039-w

Berbon, C., Augusto, S., Bouchon, L., Comte, M., da Costa, F., Poly, M., Takeda, C., Soto, M., & Bezombes, V. (2021). Tele-nursing: An innovation in geriatrics. Soins Gerontologie, 26(152), 20–22. Scopus. https://doi.org/10.1016/j.sger.2021.08.005

Celesti, A., De Falco, I., Pecchia, L., & Sannino, G. (2021). Guest Editorial Enabling Technologies for Next Generation Telehealthcare. IEEE Journal of Biomedical and Health Informatics, 25(12), 4240–4242. Scopus. https://doi.org/10.1109/JBHI.2021.3126034

Danesh, H., Nazari, M., Ismaili, A., Nomiri, F., & Barari, V. (2022). Medical Investigation of the Use of Telenursing in Covid 19 Pandemic: A Mini-Review Study. Journal of Medicinal and Chemical Sciences, 5(2), 162–170. Scopus. https://doi.org/10.26655/JMCHEMSCI.2022.2.3

Dehkordi, S. M., Okhovat, F., & Karimiankakolaki, Z. (2021). Designing a Clinical Trial Protocol about the Impact of Family-Based Multimedia Education Based on Telephone Tracking (Tele Nursing) to Improve the Quality of Life and Self-Efficacy in Patients with Myocardial Infarction. International Journal of Surgery Protocols, 25(1), 92–97. Scopus. https://doi.org/10.29337/ijsp.146

del Pilar Valenzuela Vidal, M., Quinteros, A. E. A., Toffoletto, M. C., & Ossandon, D. E. M. (2021). Assessment of the suitability of mock teleconsultation as a training tool for Nursing. Metas de Enfermeria, 24(8), 49–55. Scopus. https://doi.org/10.35667/MetasEnf.2021.24.1003081811

Ebrahimabadi, M., Rafiei, F., & Nejat, N. (2021). Can tele-nursing affect the supportive care needs of patients with cancer undergoing chemotherapy? A randomized controlled trial follow-up study. Supportive Care in Cancer, 29(10), 5865–5872. Scopus. https://doi.org/10.1007/s00520-021-06056-5

Eskici ?lgin, V. E., Erda?? Oral, S. E., Gürkan, Z., & Özer, N. (2024). Effects of telephone nursing education and counselling on discharge satisfaction level and self-care strength of patients after coronary artery bypass grafting. ANZ Journal of Surgery, 94(10), 1768–1775. Scopus. https://doi.org/10.1111/ans.19175

Firouzkohi, M., Abdollahimohammad, A., Arulappan, J., Nouraei, T., & Farzi, J. (2021). Challenges and opportunities of using tele-nursing during COVID-19 pandemic: An integrative review. Frontiers in Health Informatics, 10. Scopus. https://doi.org/10.30699/fhi.v10i1.332

Gómez-Flores, M. I., Landeros-Olvera, E., & Villa-Rueda, A. A. (2022). Effect of a tele-nursing intervention on condom use in adolescents. Index de Enfermeria, 31(2). Scopus. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85134052822&partnerID=40&md5=c22fb027485a8937a80f91af70917b51

Hosseini Moghadam, S. M., Babaie, M., Nourian, M., Mahdavi, M., Nasiri, M., & Varzeshnejad, M. (2024). Impact of Tele-Nursing on Adherence to Treatment Regimen and Quality of Life in Pediatric Patients Undergoing Heart Transplantation Surgery. Health Education and Health Promotion, 12(4), 675–682. Scopus. https://doi.org/10.58209/hehp.12.4.675

Ibarra, E. M. (2021). Knowledge, practice and perception of tele-nursing in Argentina. Salud, Ciencia y Tecnologia, 1. Scopus. https://doi.org/10.56294/saludcyt202133

Imani, E., Khodami, A., & Jamhiry, R. (2023). Comparison the effect of self-care training program in two methods of multi-media education and tele-nursing on social isolation in patients with COVID-19 in Bandar Abbas. Medical Journal of Tabriz University of Medical Sciences, 45(4), 337–352. Scopus. https://doi.org/10.34172/mj.2023.037

Knoll, K., Leiter, S. M., Rosner, S., Trenkwalder, T., Erben, A., Kloss, C., Bregenhorn, P., Schunkert, H., & Reinhard, W. (2022). Impact of Tele-Coaching During the COVID-19 Pandemic on Risk-Reduction Behavior of Patients with Heart Failure. Telemedicine and E-Health, 28(6), 823–831. Scopus. https://doi.org/10.1089/tmj.2021.0324

Lin, T.-C., Unni Krishnan, A. U., & Li, Z. (2022). Intuitive, Efficient and Ergonomic Tele-Nursing Robot Interfaces: Design Evaluation and Evolution. ACM Transactions on Human-Robot Interaction, 11(3). Scopus. https://doi.org/10.1145/3526108

Mondol-Hernández, D., & Solano López, A. L. (2024). Humanized oncology nursing care in a person with gastric cancer: A case report. Enfermeria Clinica, 34(3), 224–231. Scopus. https://doi.org/10.1016/j.enfcli.2024.03.005

Moreno-Tochihuitl, M., Cruz-Rivera, C., Cruz-Rivera, R., Ricardez-Ramirez, M. D. R., Ramos-Sánchez, L. L., & Block, L. J. (2024). Family Care in Members with COVID-19 Using Telenursing (G. Strudwick, N. R. Hardiker, G. Rees, R. Cook, R. Cook, & Y. J. Lee, Eds.; Vol. 315, pp. 251–255). IOS Press BV; Scopus. https://doi.org/10.3233/SHTI240147

Okten, Ç., & Gündo?an, S. (2022). The Effect of Education and Follow-up Provided via Tele-nursing on the Quality of Life of Patients With COVID-19. Journal of Continuing Education in Nursing, 53(8), 365–371. Scopus. https://doi.org/10.3928/00220124-20220706-07

Ozbek, M. N., & Seyhan Ak, E. (2025). The Effect of Preoperative Tele-nursing Counseling on Anxiety and Patient Satisfaction in Day Surgery: A Randomized Controlled Trial. Journal of Perianesthesia Nursing, 40(4), 852–860. Scopus. https://doi.org/10.1016/j.jopan.2024.09.006

Ramo, M. A. (2025). Effect of Technology on Teaching Exclusive Breastfeeding to First-Time Mothers. Revista Espanola de Nutricion Comunitaria, 31(1). Scopus. https://www.scopus.com/inward/record.uri?eid=2-s2.0-105002130785&partnerID=40&md5=61927df5cd81403dc5bdf8e8c260d877

Sara, S. A. M., Heneka, N., Chambers, S. K., Dunn, J., & Terry, V. R. (2025). Acceptability of a nurse-led survivorship intervention for men with prostate cancer receiving androgen deprivation therapy: A qualitative exploratory study. European Journal of Oncology Nursing, 75. Scopus. https://doi.org/10.1016/j.ejon.2025.102836

Seif, M., Khodahakhshi, M. R., Roozbahani, R., Dehghani, M., Hakimi, H., Ranjbar, H., & Fayyazi, A. (2025). Impact of tele-nursing on maternal self-efficacy and anxiety in post-discharge epilepsy care: An quasi-experimental study. European Journal of Pediatrics, 184(5). Scopus. https://doi.org/10.1007/s00431-025-06111-x

Sheikhi, R. A., Heidari, M., Noorbakhsh, S., & Sarpiri, M. R. (2025). The COVID-19 Pandemic and the Role of Tele-Nursing in Reducing Bed Occupancy: A Systematic Review. Florence Nightingale Journal of Nursing, 33(1). Scopus. https://doi.org/10.5152/FNJN.2025.24210

Solati, H., Sahebalzamani, M., & Adhami-Moghadam, F. A. (2021). Effect of family-based care training by tele-nursing on emotional reactions in mothers of children with bone marrow transplantation. Journal of Mazandaran University of Medical Sciences, 31(192), 156–161. Scopus.

Valiton, A., Baez, H., Harrison, N., Roy, J., & Li, Z. (2021). Active Telepresence Assistance for Supervisory Control: A User Study with a Multi-Camera Tele-Nursing Robot. 2021-May, 3722–3727. Scopus. https://doi.org/10.1109/ICRA48506.2021.9561361

Wei, W., Gao, J., Luo, X., Gong, X., & Dong, L. (2025). A scoping review of the applications of augmented reality in nursing. BMC Nursing, 24(1). Scopus. https://doi.org/10.1186/s12912-025-03750-1

Authors

Catur Budi Susilo
catur.bs@poltekkesjogja.ac.id (Primary Contact)
Siri Lek
Pong Krit
Susilo, C. B., Lek, S., & Krit, P. (2025). Tele-Nursing in Post-Operative Care: Expanding Accessibility and Reducing Readmission Ratesh. Journal of World Future Medicine, Health and Nursing, 3(3), 309–318. https://doi.org/10.70177/health.v3i3.2518

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