Zamanzadeh Vahid, Zirak Mohammad, Hemmati Maslakpak Masomeh, Parizad Naser
Department of Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Medical Surgical Nursing, Maternal and Childhood Obesity Research Center, Urmia University of Medical Sciences, Urmia, Iran.
Diabetes Metab Syndr. 2017 Nov;11 Suppl 1:S247-S251. doi: 10.1016/j.dsx.2016.12.039. Epub 2016 Dec 21.
Diabetes is one of the biggest problems in healthcare systems and kills many people every year. Diabetes management is impossible when only utilizing medication. So, patients must be educated to manage their diabetes. This study aims to assess the effect of education by telephone and short message service on empowering patients with type 2 diabetes (primary outcome).
A single-blind randomized controlled trial was conducted in the Urmia diabetes association in Iran. Sixty six participants with definitive diagnosis of type 2 diabetes entered into the study. Patients with secondary health problems were excluded. Patients were selected by simple random sampling then allocated into intervention (n=33) and control (n=33) groups. The intervention group received an educational text message daily and instructive phone calls three days a week for three months along with usual care. The Diabetes Empowerment Scale (DES) with confirmed validity and reliability was used for collecting data. Data was analyzed using SPSS V6.1. Independent t-test, paired t-test and chi-square were used to analyze the data.
The empowerment of the intervention group compared with the control group significantly improved after three months of distance education (p<0.00, EF=1. 16).
The study findings show that the distance education has a significant effect on empowering patients with type 2 diabetes. Therefore, using distance education along with other diabetes management intervention is highly effective and should be part of the care in diabetes treatment.
糖尿病是医疗保健系统面临的最大问题之一，每年导致许多人死亡。仅使用药物无法实现糖尿病管理。因此，必须对患者进行教育以管理其糖尿病。本研究旨在评估通过电话和短信服务进行教育对增强2型糖尿病患者能力的效果（主要结果）。
在伊朗乌尔米糖尿病协会进行了一项单盲随机对照试验。66名确诊为2型糖尿病的参与者进入研究。排除有继发性健康问题的患者。通过简单随机抽样选择患者，然后将其分为干预组（n = 33）和对照组（n = 33）。干预组除接受常规护理外，还连续三个月每天收到一条教育短信，每周三天接到指导性电话。使用具有确认效度和信度的糖尿病赋权量表（DES）收集数据。使用SPSS V6.1分析数据。采用独立t检验、配对t检验和卡方检验分析数据。
经过三个月的远程教育，干预组与对照组相比，其赋权情况有显著改善（p < 0.00，EF = 1.16）。
研究结果表明，远程教育对增强2型糖尿病患者的能力有显著影响。因此，将远程教育与其他糖尿病管理干预措施结合使用非常有效，应成为糖尿病治疗护理的一部分。
