Document Type : Original Article

Authors

1 Isfahan Endocrine and Metabolism Research Center

2 Department of Biostatic and Epidemiology, Faculty of Health, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Introduction: Patient education plays an important role in the control of diabetes. Nonattendance
education, enabling elimination of limitations caused by time and space and facilitating the relationship
between patient and care liaison is an effective, simple, and cheap method. The aim of this study
is determination of the effects of nonattendance information therapy on the control of glycosylated
hemoglobin (HbA1
C) in type2 diabetic patients in Isfahan. Materials and Methods: The present study
was an interventional semi experimental study with pretest and post‑test and control groups. Statistical
population were type 2 diabetics patients of the Isfahan Endocrine and Metabolism Research Center,
of whom 64 people were randomly selected and divided into intervention and control groups. First, the
preliminary data were collected using the HbA1
c test in patients. Then, the intervention group received
training package and Short Message Service (SMS) for eight weeks. After one‑month incubation
period, HbA1
c was again determined in both groups. Data were analyzed using t‑test, paired t‑test
and Mann–Whitney U and Chi‑square tests. Results: Results showed that diabetes patients’ HbA1
c
in the intervention group was significantly lower after the intervention through training packages
and SMS service compared to before the intervention (P < 0.001). Comparison of the two groups
showed that there was a significant difference in the HbA1
C between the intervention and control
groups (P = 0.048). Conclusion: Follow‑up of education of patients with type 2 diabetes through
training packages and SMS services had significant effects on the control of the patients’ HbA1
C.
Also due to the low cost and high effectiveness of this method, it is recommended to health‑care
providers and treatment groups. This study also showed that having medical librarians along with
treatment group can have a positive effect on the type 2 diabetic patients’ health.

Keywords

1. Villegas R, Gao YT, Yang G, Li HL, Elasy TA, Zheng W, et al. Legume
and soy food intake and the incidence of type 2 diabetes in the
Shanghai Women’s Health Study. Am J Clin Nutr 2008;87:162‑7.
2. Patel A, Joshi R, de Galen B. Trials of cardiovascular risk factor
management in type 2 diabetes. Curr Opin Cardiol 2009;24:288‑94.
3. Shabbidar S, Fathi B. Effects of nutrition education on knowledge
and attitudes of type 2 diabetic patients. J Birjand Univ Med Sci
2006;14:31‑7.
4. Crosson JC, Heisler M, Subramanian U, Swain B, Davis GJ, Lasser N,
et al. Physicians’ Perceptions of Barriers to Cardiovascular Disease
Risk Factor Control among Patients with Diabetes: Results from the
Translating Research into Action for Diabetes (TRIAD) Study. J Am
Board Fam Med 2010;23:171‑8.
5. Carter P, Khunti K, Davies MJ. Dietary Recommendations for the
Prevention of Type 2 diabetes: What Are They Based on?. J Nutr
Metab 2012;2012:847202.
6. Azizi F, Guoya MM, Vazirian P, Dolatshati P, Habbibian S. Screening
for type 2 diabetes in the Iranian national programme: A preliminary
report. East Mediterr Health J 2003;9:1122‑7.
7. Javanbakht M, Baradaran HR, Mashayekhi A, Haghdoost AA,
Khamseh ME, Kharazmi E, et al. Cost‑of‑illness analysis of type 2
diabetes mellitus in Iran. PLoS One 2011;6:e26864.
8. Amini M, Esmaillzadeh A, Sadeghi M, Mehvarifar N, Amini M,
Zare M. The association of hypertriglyceridemic waist phenotype
with type 2 diabetes mellitus among individuals with first relative
history of diabetes. J Res Med Scis 2011;16:156‑64.
9. Golozar A, Khademi H, Kamangar F, Poutschi H, Islami F, Abnet CC,
et al. Diabetes Mellitus and Its Correlates in an Iranian Adult
Population. PLoS One 2011;6:e26725.
10. Mir LM. Health warning: Work together in health. Charity of Hazrat
Abolfazl; For kidney and heart Patients of Isfahan. Isfahan 2012.
11. Mitchell DJ. Toward a definition of information therapy. Proc
Annu Symp Comput Appl Med Care 1994;5-9(Symposium
Supplement):71-5.
12. Mitchell DJ. A model of information therapy: Definition and empirical
application. Ann Arbor: Univ North Texas; 1999.
13. Moutzouri E, Tsimihodimos V, Rizos E, Elisaf M. Prediabetes: To
treat or not to treat? Eur J Pharmacol 2011;672:9‑19.
14. Nardi BA, O’Day VL. Information Ecologies: Using Technology with
Heart. Cambridge: MIT Press; 1999.
15. Gavgani VZ. Information Therapy (Ix) and patients’ preference. Int
J Comput Models Algorithms Med 2011;2:42‑50.
16. Gavgani VZ. Role of Medical Librarians in Informati on Therapy (Ix):
Study of problems and prospects in Iran and India. Hyderabad,
India: Osmania University; 2009.
17. Afshar M, Izadi F. Evaluation of the effect of teaching on blood
glucose in patients with Diabetes Mellitus. Kaums Journal (FEYZ)
2005;8:58‑62.
18. MasoudiAlavi N, Ghofranipour F, Bagher L, Ahmadi F, Rajab A,
Babaei G. Investigation of the effectiveness of community‑based
care interventions to control diabetes mellitus in Tehran in 2002.
Iranian Journal of Diabetes and Lipid Disorders 2004;3:185‑93.
19. Zakerimoghadam M, Bassampour S, Rjab A, Faghihzadeh S,
Nesari M. Effect of Nurse‑led Telephone Follow ups (Tele‑Nursing)
on Diet Adherence among Type 2 Diabetic Patients. Hayat
2009;14:63‑71.
20. Hemmati‑Maslakpak M, Parizad N, Khalkhali H. The effect of
Tele‑Education by telephone and short message service on
glycaemic control in patient with type 2 diabetes. J Uremia Nur
Midw 2012;10.
21. Ö zer E, Sengül AM, Gedik S, Salman S, Salman F, Sargin M, et al.
Diabetes education: A chance to improve well‑being of Turkish
people with type 2 diabetes. Patient Educ Couns 2003;51:39‑44.
22. Adolfsson ET, Walker‑Engström ML, Smide B, Wikblad K. Patient
education in type 2 diabetes‑A randomized controlled 1‑year
follow‑up study. Diabetes Res Clin Pract 2007;76:341‑50.
23. Rygg LØ, Rise M, Grønning K, Steinsbekk A. Efficacy of ongoing
group based diabetes self‑management education for patients with
type 2 diabetes mellitus: A randomized controlled trial. Patient Educ
Couns 2012;86:98‑105.
24. Al‑Khawaldeha OA, Al‑Hassan MA, Sivarajan FE. Self‑efficacy,
self‑management, and glycemic control in adults with type 2
diabetes mellitus. J Diabetes Complications 2012;26:10‑6.
25. Sharifirad GH, Kamran A, Entezari MH. The Effect of Diet Education
on FBS and BMI of Diabetic type 2 Patients. J Ardabil Uni Med Sci
2006;7:375‑80.
26. Najimi A, Sharifirad G, Hassanzadeh A, Azadbakht L. The effect of
nutrition education based on BASNEF model on dietary behaviors
and indices of glycemic control in elderly patients with type 2
diabetes. Jims 2012;155:1389‑400.
27. Wong FK, Mok MP, Chan T, Tsang MW. Nurse follow‑up of
patients with diabetes: Randomized controlled trail. J Adv Nurs
2005;50:391‑402.
28. Maljanian R, Grey N, Staff I, Conroy L. Intensive telephone follow‑up
to a hospital‑based disease management model for patients with
diabetes mellitus. Dis Manag 2005;8:15‑25.