Effect of Nurse-Led Telecoaching on Patients With Heart Failure: A Systematic Review and Meta-Analysis.

PURPOSE The current systematic review and meta-analysis aimed to investigate the effect of nurse-led telecoaching on anxiety, depression, heart failure (HF) knowledge, self-care, and quality of life of patients with HF.

METHOD We systematically searched PubMed, Cochrane Library, Scopus, and Web of Science from database inception to April 20, 2025, to identify randomized controlled trials comparing the effect of nurse-led telecoaching on anxiety, depression, HF knowledge, self-care, and quality of life of patients with HF. A random-effects model was adopted to pool data, and the revised RoB2 tool was used to assess risk of bias.

RESULTS Nineteen studies with 2,917 participants were included. Compared to usual care, nurse-led telecoaching significantly improved HF knowledge of patients with HF (standard mean difference [SMD] = 2.09, 95% confidence interval [CI] [0.26, 3.91], I2 = 99.22%), but its effects on depression (SMD = -0.26, 95% CI [-0.54, 0.01], I2 = 72.12%), anxiety (SMD = -0.06, 95% CI [-0.22, 0.1], I2 = 0), self-care (SMD = 0.12, 95% CI [-0.61, 0.85], I2 = 98.17%), and quality of life (SMD = -0.33, 95% CI [-0.84, 0.19], I2 = 96.77%) did not reach statistical significance.

CONCLUSION Findings indicate that compared to usual care, nurse-led telecoaching only improved patients' HF knowledge, but not anxiety, depression, self-care, or quality of life.