Background

Chronic diseases pose a significant burden in low-resource settings, where limited healthcare access and inadequate monitoring systems hinder effective disease management. Mobile health (mHealth) technologies offer promising solutions to enhance patient care through real-time monitoring and improved accessibility.

Objective

This study aimed to design and implement a mobile health–enabled community nursing framework to improve patient monitoring and care delivery in low-resource settings.

Methods

A quantitative quasi-experimental pre–post intervention study was conducted among 750 patients with chronic conditions. The intervention included a mobile health application, nurse-led monitoring, and patient self-management support. Data were collected at baseline and after six months, and analyzed using descriptive statistics, paired t-tests, and regression analysis.

Results

Significant improvements were observed in clinical outcomes, including reductions in systolic blood pressure and blood glucose levels (p < 0.001). Medication adherence and self-management behaviors also improved substantially. High user engagement and system usability were reported. Regression analysis indicated that mobile app usage and nurse-led interventions were significant predictors of improved outcomes.

Conclusion