THE COMPARATIVE EFFECT OF INSULIN TRAINING WITH AND WITHOUT PHONE CALLS FOLLOW-UP, ON THE AMOUNT OF GLYCOSYLATED HEMOGLOBIN IN PEOPLE WITH TYPE 2 DIABETES

Patient education is one of the most important roles of nurses and has an important role in diabetes control. Tele-nursing is effective, due to the elimination of­­ both space and time limitation and establishing an effective relationship with client care. Half of people with diabetes-inject insulin; do not have good information on how to inject insulin. The purpose of this study was to investigate the effect of nurse telephone calls on glycemic parameters HbA1C and adherence to diabetes control recommendations.
This study was a randomized clinical trial Double-blind in patients with diabetes treated with insulin, on 64 patients with diabetes treated with insulin, in the intervention group (n = 32) and control (n = 32). Intervention group received insulin injection education, followed by telephone and short message control, for 12 weeks(The first month, twice a week and the second and third months, once a week for 10 minutes). Control group received only insulin injection education. To assess the intervention, before and after the intervention of A1C hemoglobin and Fasting blood sugar measured in the two groups were compared. Data were analyzed using SPSS 16 and descriptive and inferential statistical testes.
The results showed that the intervention was not statistically significant effect on HbA1c level after intervention, but intervention has been the FBS level after intervention only in the fourth week (P=0.04) and fifth (P = 0.007) after the treatment effect is statistically significant.
Telephone follow-up and tele-education by nurse has important effects on patient's hemoglobin A1C and fasting blood sugar control in people type 2 diabetes.