Document Type : Original Article


1 Isfahan Endocrine and Metabolism Research Center

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


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
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
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.


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