Zolfaghari Mitra, Mousavifar Seyedeh A, Pedram Shadan, Haghani Hamid
Nursing and Midwifery Care Research Center, Nursing and Midwifery School, Tehran University of Medical Sciences, Tehran, Iran.
J Clin Nurs. 2012 Jul;21(13-14):1922-31. doi: 10.1111/j.1365-2702.2011.03951.x. Epub 2012 Jan 13.
To compare the effectiveness of two methods of follow-up: short message service and telephone follow-up on type 2 diabetes adherence for three months.
Using telemedicine approaches may preserve appropriate blood glucose levels and may improve adherence to diabetes control recommendations in diabetic patients.
A quasi-experimental, two-group, pretest and post-test design was used in this study to evaluate the effectiveness of nurse's follow-up via cellular phones and telephones.
The sample consisted of 77 patients with type 2 diabetes that randomly were assigned to two groups: telephone follow-up (n = 39) and short message service (n = 38). Telephone interventions were applied by a researcher for three months; twice a week for the first month and every week for the second and third month. For three successive months, the short message service group that received messages about adherence to therapeutic regimen was examined. The data gathering instrument included data sheets - to record glycosylated haemoglobin - and the questionnaire related to adherence therapeutic regimen. Data gathering was carried out at the beginning of the study and after three and six months. The data were analysed using descriptive and inferential statistic methods with SPSS version 11.5.
Results showed that both interventions had significant mean changes in glycosylated haemoglobin. For the telephone group (p < 0.001), a mean change of -0.93 and for the short message service group (p < 0.001), a mean change of -1.01. There was no significant difference in diet adherence (p = 0.000), physical exercise (p = 0.000) and medication taking (p = 0.000) adherence in either groups.
Intervention using short message services of cellular phones and nurse-led-telephone follow-up improved HbA1c levels and adherence to diabetes therapeutic regimen for three months in type 2 diabetic patients.
Both of follow-up intervention uses in this study can decrease HbA1c levels and escalate adherence to diabetes control recommendations in people with type 2 diabetes for three months.
比较两种随访方法（短信服务和电话随访）对2型糖尿病患者三个月依从性的效果。
采用远程医疗方法可能维持适当的血糖水平，并可能提高糖尿病患者对糖尿病控制建议的依从性。
本研究采用准实验性、两组、前测和后测设计，以评估通过手机和电话进行护士随访的效果。
样本包括77例2型糖尿病患者，随机分为两组：电话随访组（n = 39）和短信服务组（n = 38）。由一名研究人员进行为期三个月的电话干预；第一个月每周两次，第二个月和第三个月每周一次。连续三个月对接收治疗方案依从性信息的短信服务组进行检查。数据收集工具包括数据表（用于记录糖化血红蛋白）和与治疗方案依从性相关的问卷。在研究开始时以及三个月和六个月后进行数据收集。使用SPSS 11.5版的描述性和推断性统计方法对数据进行分析。
结果显示，两种干预措施的糖化血红蛋白平均变化均有显著意义。电话随访组（p < 0.001）的平均变化为-0.93，短信服务组（p < 0.001）的平均变化为-1.01。两组在饮食依从性（p = 0.000）、体育锻炼（p = 0.000）和服药依从性（p = 0.000）方面均无显著差异。
使用手机短信服务和护士主导的电话随访干预可改善2型糖尿病患者三个月内的糖化血红蛋白水平和对糖尿病治疗方案的依从性。
本研究中使用的两种随访干预措施均可降低2型糖尿病患者三个月内的糖化血红蛋白水平，并提高其对糖尿病控制建议的依从性。
