As the entry point to contemporary nursing care, tele-nursing is regarded as one of the most
significant technological developments of the late (twentieth) century. By removing geographic
obstacles, tele-nursing aims to increase patient safety, care quality, and is regarded as a quick access
to nursing care. Aim: The study aims to determine the effect of tele-nursing about life style
modification on health outcomes of patients with rheumatic heart disease during COVID-19
pandemic. Design: This study employed a quasi-experimental research design. (Two groups study
and control). Setting: The study was conducted at Sohag University Hospital in Egypt. Subjects:
Based on the population, 60 patients were chosen as the sample size was divided in to two groups,
control (30 patients) and study (30 patients). Tools:1) A Self-administered Questionnaire (pre/post-
tests), (2 Mini Nutritional Assessment short-form (MNA®-SF) (pre/post-test), (3 The Exercise
Adherence Rating Scale (EARS) and (4 Deep venous thrombosis risk assessment tool. Results:
There were a statistically highly significant differences between both groups regarding knowledge
level, proper nutrition, exercise adherence with (P≤ 0.001).There was a positive correlation between
body mass index and prevention of deep venous thrombosis among study group patients post-
implementing of tele-nursing during COVID-19 with (r= .580 at P≤ 0.01). Conclusion: it is an
effective strategy; telenursing has been proven to give positive result for improving health outcomes
of patients with rheumatic heart disease. Recommendations: Replication of the study using large
probability sampling. Enhance telenursing use in nursing practice and Use telenursing via follow-up < /div>
phone services to improve patient adherence to a healthy regimen.