International Journal of Research Studies in Management
CollabWritive Special Issue
2025 Volume 13 Issue 7
Available Online: 20 September 2025
Author/s:
Estioko, Edreck
Philippine Heart Center, Philippines
Collong, Katrina Micah*
Philippine Heart Center, Philippines (phcnrc@gmail.com)
Ebajay, Alexis
Philippine Heart Center, Philippines
Benatiro, Dexter
Philippine Heart Center, Philippines
Clarete, Carmina
Philippine Heart Center, Philippines
Manzanades, Jean Rose
Philippine Heart Center, Philippines
Abstract:
Continuity of care is essential to delivering high-quality healthcare, particularly during transitions such as hospital discharge. This study examined the impact of a telehealth intervention—Telephone-Call Assisted Reiteration of Client Education (TeleCARE)—on cardiac patients’ adherence to discharge instructions and key clinical outcomes, including readmission and mortality rates. TeleCARE leverages communication technology to support patients and families in the critical transition from hospital to home. The study was a randomized controlled trial in which consenting participants were assigned to either a control group or an intervention group. Both groups received standard discharge instructions. The intervention group additionally received the TeleCARE protocol, involving two follow-up calls: one within 24 to 72 hours post-discharge to reinforce instructions and schedule check-ups, and another at 30 days to assess compliance and outcomes. The control group received a single follow-up call at 30 days to evaluate adherence to standard discharge instructions. This study demonstrated that the TeleCARE program improved medication adherence and follow-up attendance while achieving high patient satisfaction. The program was accessible and beneficial across diverse demographic and clinical groups, though economic status influenced participation, indicating a need for targeted support. These results align with recent research supporting telehealth’s role in managing chronic diseases. TeleCARE enhances the continuity, quality, and safety of postoperative care by supporting medication adherence, reducing readmission rates, and improving overall patient outcomes.
Keywords: TeleCARE, telenursing, cardiovascular patients, patient care, patient outcomes, specialty hospital
DOI: https://doi.org/10.5861/ijrsm.2025.25103
Cite this article:
Estioko, E., Collong, K. M., Ebajay, A., Benatiro, D., Clarete, C., & Manzanades, J. R. (2025). The effect of TeleCARE nursing on cardiac patients’ adherence to discharge instructions and clinical outcomes: A randomized controlled trial. International Journal of Research Studies in Management, 13(7), 77-88. https://doi.org/10.5861/ijrsm.2025.25103
* Corresponding Author