Abstract
BackgroundTo investigate and to compare the effectiveness of a nurse short message service (SMS) by cellular phone and telephone follow-up by nurse on Glycosylated hemoglobin (HbA1c) levels in people with type 2 diabetes.MethodsSemi experimental study consisted of 77 patients with type 2 diabetes that randomly assigned to two groups: telephone follow-up (n = 39) and short message service (n = 38). Telephone interventions were applied by researcher for 3 months. SMS group that received message daily for 12 weeks. Data gathering instrument include data sheet to record HbA1c and questionnaire that consisted of demographic characteristics. Data gathering was performed at two points: initial the study and after 12 weeks. Data analyzed using descriptive and inferential statistics methods with SPSS version 11.5.ResultsDemographic variables were compared and all of them were homogenous. Results of this study showed that both interventions had significant mean changes in HbA1c; for the telephone group (p = 0.001), with a mean change of −0.93% and for the SMS group (p = 0.001), with a mean change of −1.01%.ConclusionFinding of this research showed that intervention using SMS via cellular phone and nurse-led-telephone follow up improved HbA1c for three months in type 2 diabetic patients and it can consider as alternative methods for diabetes control.
Highlights
The prevalence of diabetes has been alarmingly increasing [1]
7 million people are diagnosed with the disease, and every 10s, a person dies from diabetesrelated causes [1]
The present study evaluated and compared whether an intervention using the short message service (SMS) of cellular phone by a nurse and nurse-led telephone follow up could improve HbA1c levels in patients with type-2 diabetes mellitus
Summary
7 million people are diagnosed with the disease, and every 10s, a person dies from diabetesrelated causes [1]. The National Survey of Risk Factors for Non-Communicable of Iran, which was conducted in 2005, demonstrated that the prevalence of diabetes mellitus in Iranian citizens aged 25–64 years was 7.7% (2 million individuals) [3], among whom half are undiagnosed [4]. If current trends continue, based on the World Health Organization forecast for Iran, there will be 5.2 million Iranians with diabetes mellitus in 2025[3].This high prevalence of diabetes in working aged adults is an ominous sign for this developing nation [4]. As the relatively young Iranian population ages in the future, and urbanization continues or accelerates, the prevalence of diabetes will likely escalate [4]. To investigate and to compare the effectiveness of a nurse short message service (SMS) by cellular phone and telephone follow-up by nurse on Glycosylated hemoglobin (HbA1c) levels in people with type 2 diabetes
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