Effect of telephone follow‐up on adherence to a diabetes therapeutic regimen |
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Authors: | Maryam NESARI Masoumeh ZAKERIMOGHADAM Asadollah RAJAB Shiva BASSAMPOUR Soghrat FAGHIHZADEH |
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Affiliation: | 1. Department of Internal Medicine, Amiralam Hospital;2. Faculty of Nursing and Midwifery, Tehran University of Medical Science;3. Iranian Diabetes Society;4. Department of Biostatistics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran |
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Abstract: | Aim: To determine whether a nurse telephone follow‐up service could improve the level of adherence to a diabetes therapeutic regimen for patients with type 2 diabetes. Methods: A total of 61 patients attended a 3 day diabetes self‐care program at the Iranian Diabetes Society. They were randomly assigned to one of the experimental or control groups. A telephone follow‐up program was applied to the experimental group for 3 months, twice per week for the first month and weekly for the second and third months. The data‐collection instruments included a data sheet to record the glycosylated hemoglobin (HbA1c) level and a questionnaire. The data were collected at baseline and after 12 weeks. Results: There were significant differences between the control and the experimental groups in their adherence to a diabetic diet, exercise, foot care, blood glucose monitoring, and medication‐taking. Also, the HbA1c levels differed significantly between the two groups after 3 months. Conclusion: A nurse‐led telephone follow‐up was effective in enhancing the level of adherence to a diabetes therapeutic regimen, such that the HbA1c level decreased. |
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Keywords: | adherence diabetes nurse telephone follow‐up |
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