Maternal and Childhood Obesity Research Center, Urmia University of Medical Sciences, Urmia, Iran.
Department of Medical Surgical Nursing, Urmia University of Medical Sciences, Urmia, Iran.
J Diabetes Res. 2017;2017:8404328. doi: 10.1155/2017/8404328. Epub 2017 Nov 22.
Education of patients and their families is the cornerstone of effective diabetes care. The present study aimed to compare the effects of a face-to-face and telephone-based family-oriented educational program on self-care behavior and patient outcomes in type 2 diabetes patients.
In the present randomized controlled trial, 90 type 2 diabetes patients were randomly divided into three groups of 30 participants: a face-to-face education group, a telephone-based education group, and a control group. The educational program lasted for 3 months. Outcomes evaluated included self-care, fasting blood sugar, hemoglobin A1c, cholesterol, and triglyceride.
The overall self-care scores in the intervention groups were significantly higher than that in the control group ( = 0.0001). In addition, lipid profiles significantly improved in the interventions compared to the control ( < 0.05). Comparing the two interventions showed better results for the face-to-face group regarding dietary adherence and physical activity, but the latter group had comparable results in blood glucose monitoring, foot care, and cholesterol level.
This study shows the beneficiary effects of a family-oriented education on self-care and patient outcomes. It also shows the potential value of low-cost telephone technology in delivering effective diabetes care.
对患者及其家属进行教育是有效糖尿病护理的基石。本研究旨在比较面对面和基于电话的面向家庭的教育计划对 2 型糖尿病患者的自我护理行为和患者结局的影响。
在这项随机对照试验中，将 90 名 2 型糖尿病患者随机分为 3 组，每组 30 名参与者：面对面教育组、基于电话的教育组和对照组。教育计划持续 3 个月。评估的结果包括自我护理、空腹血糖、糖化血红蛋白、胆固醇和甘油三酯。
干预组的总体自我护理评分明显高于对照组（ = 0.0001）。此外，与对照组相比，干预组的血脂谱显著改善（ < 0.05）。与对照组相比，面对面组在饮食依从性和体育活动方面的结果更好，但后者在血糖监测、足部护理和胆固醇水平方面的结果相当。
本研究表明面向家庭的教育对自我护理和患者结局有有益的影响。它还表明，低成本的电话技术在提供有效的糖尿病护理方面具有潜在价值。
