The Role of Remote Monitoring as an Innovative Nursing Care Approach in Cardiac Patients

Background: Cardiovascular diseases are a leading cause of morbidity and mortality worldwide, necessitating innovative solutions for patient management. Remote monitoring (RM) has emerged as a promising strategy for continuous, patient-centered cardiac care. Methods: In this cross-sectional interventional study conducted in Urmia, Iran, cardiac patients discharged from hospital were enrolled and provided with wearable monitoring devices and a secure mobile application. Clinical data were transmitted daily to a centralized nursing team for review. Primary outcomes included the rate of unplanned hospitalizations, emergency department visits, and all-cause mortality, with secondary outcomes assessing patient satisfaction, usability, and quality of life. Results: Over ۹۰ days, the RM group exhibited lower rates of unplanned hospitalization (۱۰% vs. ۲۳.۳%) and ED visits (۱۳.۳% vs. ۳۳.۳%) compared to standard care. Patient satisfaction, device usability, and self-management confidence were significantly higher in the RM group. The intervention was well-received, demonstrating feasibility and effectiveness in an Iranian context. Conclusion: Remote monitoring enhances nursing care for cardiac patients by improving outcomes and patient engagement. Adoption of RM strategies can contribute to safer, more efficient, and more personalized cardiac care.

کلیدواژه ها:

Remote monitoring ، Cardiac nursing ، Innovative care ، Patient-centered technology