Follow-up of patients with type 2 diabetes via cell phone: randomized controlled trial

Year 2013, Volume: 3 Issue: 4, 173 - 183, 30.01.2014

Handan Sezgin , Sezgi Çınar

Abstract

Objective: To evaluate whether diabetes education and nurse follow up via phone call-SMS have an impact on metabolic parameter and social factors of type 2 diabetic patients. 

Method: 120 diabetic patients were randomly selected and formed control, education and short message service (SMS) follow up groups that each contains 40 patients. After giving education to phone call-SMS group, in an attempt to get HbA1c level closer to normal value (<%7), it was planned to give social and cognitive support for 12 weeks. 

Results: At the end of 12 weeks, glycosylated hemoglobin (HbA1c) dropped (1.8%) in intervention, (0.58%) education and (0.59%) in control group. Fasting blood glucose dropped 38 mg/dl in the phone call-SMS group, 36mg/dl in the control group, post prandial glucose dropped in only phone call SMSgroup (52 mg/dl); sistolic pressure dropped both phone call-SMS and education groups. While scores of severity and self efficiency increased in every three groups, scores of support increased only in control group, outcome expectation scores increased both phone call-SMS and education groups.12 weeks. Scores of positive misguided reinforcing behavior dropped only in phone call-SMS group. A positive relationship was found between severity –support and self efficiacy-outcome expectation scores of the groups. 

Conclusion: Follow up and management of diabetic patients by nurse via SMS and mobile phone have given successful result on providing social compliance and optimal glycemic control.

Key words: Advanced nursing practice, cell phone, education, glycosylated hemoglobin, nurse follow-up, patient adherence, short message service, type 2 diabetes

Keywords

Advanced nursing practice, cell phone, education, glycosylated hemoglobin, nurse follow-up, patient adherence, short message service, type 2 diabetes

Tip 2 diyabetli hastaların cep telefonu ile takibi: randomize kontrollü çalışma

Abstract

Amaç: Tip 2 diyabetli hastalarda diyabet eğitiminin ve telefon-kısa mesaj (SMS) ile yapılan uyarı ve takibin bilişsel-sosyal faktörlere ve metabolik değişkenler üzerine etkisi olup olmadığını değerlendirmektir. 

Yöntem: 120 diyabetli birey randomize seçilerek 40’ar kişilik kontrol, eğitim ve telefonla takip-SMS grupları oluşturuldu. Eğitim sonrası telefon-SMS ile girişim grubunun kan glukoz konsantrasyonunu normale (HbA1c<%7) yaklaştırmak için sosyal ve bilişsel destek verilmesi 12 hafta süreli olarak planlandı. 

Bulgular: 12 hafta sonra HbA1c’de SMS (-%1.8), eğitim (-%0.58) ve kontrol (-%0.59) gruplarında düştü. Açlık kan şekeri SMS (-38mg/dl) ve kontrol (-36mg/dl), Tokluk kan şekeri sadece SMS (-52mg/dl), sistolik kan basıncı SMS ve eğitim gruplarında düştü. Üç grubun da ciddiyet ve özyeterlilik puanı artarken, destek puanı sadece kontrol grubunda, sonuç beklentisi puanı SMS ve eğitim gruplarında arttı. Yanlış yönlendirmeye dayalı destek ve engel puanları ise sadece SMS grubunda düştü. Grupların ciddiyet ve destek ile özyeterlilik ve sonuç beklentisi puanları arasında pozitif ilişki bulundu.

Sonuç: Cep telefonu-SMS ile hemşire tarafından diyabetli bireylerin takibi ve yönetimi optimal glisemik kontrolü ve bilişsel-sosyal hasta uyumu sağlanmasında başarılı olmuştur.

Anahtar Kelimeler : cep telefonu, eğitim, glikolize hemoglobin, gelişmiş hemşirelik uygulamaları, hasta uyumu, hemşire takibi, kısa mesaj servisi, tip 2 diyabet

Keywords

cep telefonu, eğitim, glikolize hemoglobin, gelişmiş hemşirelik uygulamaları, hasta uyumu, hemşire takibi, kısa mesaj servisi, tip 2 diyabet

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