Rheumatoid arthritis (RA) is autoimmune illness which mostly affects the joints. Access to care and
rheumatic arthritis outcomes and satisfaction may be improved by utilizing the tele-nursing
especially during the outbreak of COVID-19. Aim: To investigate the effect of tele nursing on
health outcomes of children with rheumatic arthritis and satisfaction of their caregivers during
Covid 19 pandemic. Design: A quasi experimental research design. Setting: Three out patients'
clinics of rheumatology were selected from; Menoufia University hospital, Teaching hospital and
school health insurance clinics. Subjects: A purposive sample of 120 students were selected and
divided equally to study and control group. Instruments: Data was collected using The Arabic form
of The Juvenile Arthritis Multidimensional Assessment Report & Client Satisfaction Questionnaire-

Results:The health outcomes of children with RA, including functional abilities, pain intensity,

joint pain and swelling, joint stiffness, medication adherence, disease status and disease course, and
general well-being, showed statistically significant differences between the study group and control
group following the intervention. Moreover, there was a significance improvement in the levels of
the quality of life (physical and psychological) on post intervention among study group than control
group. Additionally, for the study group, there was a statistically significant improvement in the
caregivers' satisfaction with the health services they received. Conclusion: Tele-nursing
intervention is a significant method of health care delivery and has a positive impact on health
outcomes of children with RA and increases the caregivers' satisfaction especially after arising the
era of COVID 19 Pandemic. Recommendations: High-quality researches incorporating other
undiscovered health outcomes and satisfaction are required to establish the benefit of tele-nursing in
enhancing patient care.