Nesari Maryam, Zakerimoghadam Masoumeh, Rajab Asadollah, Bassampour Shiva, Faghihzadeh Soghrat
Department of Internal Medicine, Amiralam Hospital, Tehran, Iran.
Jpn J Nurs Sci. 2010 Dec;7(2):121-8. doi: 10.1111/j.1742-7924.2010.00146.x.
To determine whether a nurse telephone follow-up service could improve the level of adherence to a diabetes therapeutic regimen for patients with type 2 diabetes.
A total of 61 patients attended a 3 day diabetes self-care program at the Iranian Diabetes Society. They were randomly assigned to one of the experimental or control groups. A telephone follow-up program was applied to the experimental group for 3 months, twice per week for the first month and weekly for the second and third months. The data-collection instruments included a data sheet to record the glycosylated hemoglobin (HbA1c) level and a questionnaire. The data were collected at baseline and after 12 weeks.
There were significant differences between the control and the experimental groups in their adherence to a diabetic diet, exercise, foot care, blood glucose monitoring, and medication-taking. Also, the HbA1c levels differed significantly between the two groups after 3 months.
A nurse-led telephone follow-up was effective in enhancing the level of adherence to a diabetes therapeutic regimen, such that the HbA1c level decreased.
确定护士电话随访服务是否能提高2型糖尿病患者对糖尿病治疗方案的依从性。
共有61名患者参加了伊朗糖尿病协会为期3天的糖尿病自我护理项目。他们被随机分配到实验组或对照组。对实验组实施电话随访项目，为期3个月，第一个月每周两次，第二个月和第三个月每周一次。数据收集工具包括记录糖化血红蛋白（HbA1c）水平的数据表和一份问卷。在基线期和12周后收集数据。
对照组和实验组在糖尿病饮食、运动、足部护理、血糖监测和服药依从性方面存在显著差异。此外，3个月后两组的HbA1c水平也有显著差异。
由护士主导的电话随访能有效提高对糖尿病治疗方案的依从性，从而使HbA1c水平降低。
