Department of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
J Clin Nurs. 2013 Jan;22(1-2):32-8. doi: 10.1111/j.1365-2702.2012.04200.x. Epub 2012 Aug 21.
To determine the impact of electronic education on metabolic control indicators in patients with diabetes who were insulin dependent.
Education can play an important role in controlling diabetes. Electronic (web-based, telehealth) education may be an efficient way to improve the patients' ability to control this disease.
Randomised clinical control study.
The participants in this clinical study were 48 insulin-dependent patients referred to diabetes centres in Shiraz, Iran. Serum concentrations of haemoglobin A(1C) , fasting blood sugar, triglycerides and high-density and low-density lipoprotein cholesterol were measured. Then the participants were divided randomly into control and experimental groups (n = 24). Participants in the experimental group received a specially designed electronic education programme for twelve weeks. The main components of the programme were a consultation service, quick answers to patients' questions, contact with the healthcare team and educational materials. At the end of the intervention period, all serum values were measured again in both groups. The data were compared using spss v 13·5 software.
Serum concentrations of haemoglobin A(1C) (p < 0·001) and low-density lipoprotein cholesterol (p < 0·002) were significantly lower in the intervention group.
The electronic education programme was useful in lowering two metabolic indicators of diabetes.
Electronic education can be associated with increased health and patient satisfaction, and can eliminate the need to train personnel.
旨在确定电子教育对依赖胰岛素的糖尿病患者代谢控制指标的影响。
教育在控制糖尿病方面可以发挥重要作用。电子（基于网络的、远程医疗）教育可能是提高患者控制疾病能力的有效途径。
随机临床对照研究。
本临床研究的参与者为 48 名来自伊朗设拉子糖尿病中心的依赖胰岛素的患者。测量了血红蛋白 A1C、空腹血糖、甘油三酯以及高密度和低密度脂蛋白胆固醇的血清浓度。然后，参与者被随机分为对照组和实验组（n = 24）。实验组接受为期 12 周的专门设计的电子教育计划。该计划的主要内容包括咨询服务、快速解答患者问题、与医疗团队的联系以及教育材料。在干预期结束时，再次测量两组的所有血清值。使用 spss v 13·5 软件比较数据。
实验组的血红蛋白 A1C（p < 0·001）和低密度脂蛋白胆固醇（p < 0·002）血清浓度显著降低。
电子教育计划有助于降低糖尿病的两项代谢指标。
电子教育可以提高健康和患者满意度，并消除培训人员的需要。
