Effect of telephone follow‐up on adherence to a diabetes therapeutic regimen

作者：Maryam Nesari, Masoumeh Zakerimoghadam, Asadollah Rajab, Shiva Sadat Bassampour, Soghrat Faghihzadeh · 发表于：Japan Journal of Nursing Science · 年份：2010 · DOI：10.1111/j.1742-7924.2010.00146.x · 被引用次数：104 · 研究领域：Diabetes Management and Education、Medication Adherence and Compliance、Mobile Health and mHealth Applications

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.