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Background and aim <p>Chronic 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.</p> Methods <p>In 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.</p> Results <p>The 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 &lt; 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 &lt; 0.001), while this change in the control group was not significant (p = 0.37).</p> Conclusion <p>Tele-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.</p>

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The Effect of Tele-nursing Education on Medication Adherence and Health Literacy in COPD patients

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年8月5日

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  • Zahra Khalilzadeh-Farsangi,
  • Leila Mohammadifard,
  • Hassan Robabi,
  • Samaneh Fallah-Karimi

摘要

Background and aim

Chronic 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.

Methods

In 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.

Results

The 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).

Conclusion

Tele-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.