Effect of Tele-nursing Instructions on Adherence to Therapeutic Regimen and Improving Symptoms for Patients with Peptic Ulcer

Document Type : Original Article


1 Assistant Professor of Medical - Surgical Nursing, Faculty of Nursing, Assiut University, Egypt

2 Lecturer of Medical- Surgical Nursing , Faculty of Nursing , Assiut University, Egypt.

3 Professor of Tropical Medicine and Gastroenterology, Faculty of Medicine, Assiut University, Egypt.

4 Assistant Professor of Gernotological Nursing, Faculty of Nursing, Assiut University, Egypt.


Back ground:Peptic ulcer is an excavation that forms in the mucosal wall of the stomach,
pylorus, duodenum and in the esophagus. Tele-nursing has a great contribution to ensuring
continuity of care for patients following hospitalization. Aim: To evaluate effect of tele-nursing
instructions on adherence to therapeutic regimen and improving symptoms for patients with peptic
ulcer.Patients and Methods: Research design: Aquasi experimental research design (study and
control). Setting: Tropical Medicine and Gastroenterology department at El - Rajhi liver Hospital at
Assuit University hospital .Sample:A purposive sample of 60 male and female patients diagnosed
with peptic ulcer.Tools: Tool (I):Patient's assessment sheet.Tool II: Morisky Medication
Adherence Scale (MMAS-8).Results: Statistically significant difference in adherence level of study
group before and after telenursing instructions (2.03±1.67&6.93±0.91) respectively. While in
control group there was no statistically significant difference in adherence level (2.13±1.38&
3.6±1.43).Also , there was improving in symptoms for patients with peptic ulcer among study group
than control group after applying tele-nursing instructions.Conclusion:Telenursing instructions
improved adherence level of patients to therapeutic regimen and improved symptoms for patients
with peptic ulcer Recommendations: Further studies aimed at improving patient adherence using
telenursing strategiesf or patients with peptic ulcer should be applied.