Handan SEZGİN, Sezgi ÇINAR

2616

Tip 2 diyabetli hastaların cep telefonu ile takibi: randomize kontrollü çalışma

Amaç: Tip 2 diyabetli hastalarda diyabet eğitiminin ve telefon-kısa mesaj (SMS) ile yapılan uyarı ve takibin bilişsel-sosyal faktörlere ve metabolik değişkenler üzerine etkisi olup olmadığını değerlendirmektir. Yöntem: 120 diyabetli birey randomize seçilerek 40’ar kişilik kontrol, eğitim ve telefonla takip-SMS grupları oluşturuldu. Eğitim sonrası telefon-SMS ile girişim grubunun kan glukoz konsantrasyonunu normale (HbA1c<%7) yaklaştırmak için sosyal ve bilişsel destek verilmesi 12 hafta süreli olarak planlandı. Bulgular: 12 hafta sonra HbA1c’de SMS (-%1.8), eğitim (-%0.58) ve kontrol (-%0.59) gruplarında düştü. Açlık kan şekeri SMS (-38mg/dl) ve kontrol (-36mg/dl), Tokluk kan şekeri sadece SMS (-52mg/dl), sistolik kan basıncı SMS ve eğitim gruplarında düştü. Üç grubun da ciddiyet ve özyeterlilik puanı artarken, destek puanı sadece kontrol grubunda, sonuç beklentisi puanı SMS ve eğitim gruplarında arttı. Yanlış yönlendirmeye dayalı destek ve engel puanları ise sadece SMS grubunda düştü. Grupların ciddiyet ve destek ile özyeterlilik ve sonuç beklentisi puanları arasında pozitif ilişki bulundu.Sonuç: Cep telefonu-SMS ile hemşire tarafından diyabetli bireylerin takibi ve yönetimi optimal glisemik kontrolü ve bilişsel-sosyal hasta uyumu sağlanmasında başarılı olmuştur.
Anahtar Kelimeler:

cep telefonu, eğitim, glikolize hemoglobin, gelişmiş hemşirelik uygulamaları, hasta uyumu, hemşire takibi, kısa mesaj servisi, tip 2 diyabet

Follow-up of patients with type 2 diabetes via cell phone: randomized controlled trial

Objective: To evaluate whether diabetes education and nurse follow up via phone call-SMS have an impact on metabolic parameter and social factors of type 2 diabetic patients. Method: 120 diabetic patients were randomly selected and formed control, education and short message service (SMS) follow up groups that each contains 40 patients. After giving education to phone call-SMS group, in an attempt to get HbA1c level closer to normal value (<%7), it was planned to give social and cognitive support for 12 weeks. Results: At the end of 12 weeks, glycosylated hemoglobin (HbA1c) dropped (1.8%) in intervention, (0.58%) education and (0.59%) in control group. Fasting blood glucose dropped 38 mg/dl in the phone call-SMS group, 36mg/dl in the control group, post prandial glucose dropped in only phone call SMSgroup (52 mg/dl); sistolic pressure dropped both phone call-SMS and education groups. While scores of severity and self efficiency increased in every three groups, scores of support increased only in control group, outcome expectation scores increased both phone call-SMS and education groups.12 weeks. Scores of positive misguided reinforcing behavior dropped only in phone call-SMS group. A positive relationship was found between severity –support and self efficiacy-outcome expectation scores of the groups. Conclusion: Follow up and management of diabetic patients by nurse via SMS and mobile phone have given successful result on providing social compliance and optimal glycemic control.
Keywords:

Advanced nursing practice, cell phone, education, glycosylated hemoglobin, nurse follow-up, patient adherence, short message service, type 2 diabetes,

PDF

___

  • Wild S, Roglic G, Green A, Sicree R, King H. Global Prevalance of Diabetes. Estimates for The year 2000 and projections for 2030. Diabetes Care. 2004; 27(5): 1047-1053.
  • American Diabetes Association (ADA). Total Prevalence of Diabetes. Data From the National Diabetes Fact Sheet. 2011; released Jan. 26.
  • International Diabetes Federation (IDF). (2006). Diabetes Atlas. 3rd edition. Brussels: International Diabetes Federation Publ. Available from: www.idf.org/pdf
  • Satman I. Diabetes Mellitus Epidemiyolojisi. İmamoğlu ve C. Ersoy (Eds.), Diabetes Mellitus 2009. 2. Baskı, İstanbul: Deomed Medikal Yayıncılık; 2009; s:11-35.
  • Satman I, Yılmaz T, Şengül A, Salman S, Salman F, Uygur S, Bastar I, Tütüncü Y, Sargın, M, Dinççağ N, Karşidağ K, Kalaça S, Özcan C, King H. Population-based study of diabetes and risk characteristics in Turkey: results of the turkish diabetes epidemiology study (TURDEP). Diabetes Care. 2002; 25(9):1551-1556.
  • The Diabetes Control and Complications Trial Research Group (DCCT). The relationship of glycemic exposure (HbA1c) to the risk of development and progression of retinopathy in the diabetes control and complications trial. Diabetes Care. 1995; 44: 968-983.
  • UKPDS Group. Intensive blood glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). Lancet. 1998; 352(9131): 837-853.
  • Norris S, Engelgau M, Narayan K. Effectiveness of self- management training in type 2 diabetes. Diabetes Care. 2001; 24(3): 561-585.
  • American Diabetes Association (ADA). Standarts of medical care in diabetes. Diabetes Care. 2005; 28(1): 54-536.
  • American Diabetes Association (ADA). Standarts of medical care in diabetes. Diabetes Care. 2013; 36 (Suppl. 1): 11-66.
  • Diabetes Control and Complications trial research Group. (DCCT) Lifetime benefits and costs of intensive therapy as practiced in the diabetes control and complications trial. JAMA. 1996; 276(17): 140914
  • Kim HS. A randomized controlled trial of a nurse short-message service by cellular phone for people with diabetes. Int J Nurs Stud. 2007; 44(5): 687-692.
  • Kim HS, Oh JA. Adherence to diabetes control recommendations: impact of nurse telephone calls. JAdv Nurse. 2003; 44(3):256-261.
  • Kwon HS, Cho JH, Kim HS, Song BR, Ko SH, Lee JM, Kim SR, Chang SA, Kim HS, Cha BY, Lee KW, Son HY, Lee JH, Lee WC, Yoon KH. Establishment of blood glucose monitoring system using the internet. Diabetes Care. 2004; 27(2): 478-483.
  • Gagliardino JJ, González C, Caporale JE. “Diabetes Education Study Group of Argentina. The Diabetes Related Attitudes of Health Care Professionals and Persons with Diabetes in Argentina”. Rev Panam Salud Publica. 2007; 22(5): 304-307. Available from: www.scielosp.org/ pdf
  • Faridi Z, Liberti L, Shuval K, Northrup V, Ali A, Katz DL. Evaluating the impact of mobile telephone technology on type 2 diabetic patients’ self-management: the NICHE pilot study. Journal of Evaluation in Clinical Practice. 2008; 14(3): 465-469.
  • Blake H. Innovation in practice: mobile phone technology in patient care. BJN. 2008; 12(4): 160-165.
  • Durso SC, Wendel I, Letzt AM, Lefkowitz J, Kaseman DF, Seifert RF. Older adults using cellular telephones for diabetes management: a pilot study. Medsurg Nursing. 2003; 12: 313-317.
  • Balas E, Krishna A, Kretscmer S, Cheek RA, Lobach TR, Boren SA. Computerized knowledge management in diabetes care. Medical Care. 2004; 42: 610-621.
  • Warsi A, Wang PS, LaValley MP, Avorn J, Solomon DH. Selfmanagement education programs in chronic disease. A Systematic Review And Methodological Critique of the Literature. Arch Intern Med. 2004; 164: 1641-1649.
  • American Diabetes Association. Standards of medical care in diabetes. Diabetes Care. 2008; 31(Suppl. 1): 12-54.
  • Alasaarela E, Oliver NS. Wireless solutions for managing diabetes: A review and future prospects. Technol Health Care. 2009; 17(5-6): 3533
  • Car J, Gurol-Urganci I, de Jongh T, Vodopivec-Jamsek V, Atun R. Mobile phone messaging reminders for attendance at healthcare appointments. Cochrane Database Syst Rev. JNC. 2012; 21(13-14): 1922-1931.
  • Farmer A, Gibson OJ, Tarassenko L, Neil A. A systematic review of telemedicine interventions to support blood glucose self- monitoring in diabetes. UK. Diabetic Medicine. 2005; 22: 1372-1378.
  • Talbot F, Nouwen A, Gingras J, Gosselin M, Audet J. The assessment of diabetes-related cognitive and social factors: The multidimensional diabetes questionnaire, J Behav Med. 1997; 20(3): 291-312.
  • Coşansu G, Erdoğan S. Çok boyutlu diyabet anketi Türkçe formunun geçerlik ve güvenirlik çalışması. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2010; 13(4).
  • Lim S, Kang SM, Shin H, Lee HJ, Yoon JW, Yu SH, Kim SY, Yoo SY, Jung HS, Park, Jun Oh Ryu KS, Jang HC. Improved glycemic control without hypoglycemia in elderly diabetic patients using the ubiquitous healthcare service, A New Medical Information System. Diabetes Care. 2011; 34: 308-313.
  • Piette JD, Weinberger M, Kraemer FB, McPhee SJ. Impact of automated calls with nurse follow-up on diabetes treatment outcomes in a department of veterans affairs health care systema randomized controlled trial. Diabetes Care. 2001; 24(2): 202-208.
  • Kim HS, Jeong HS. A nurse short message service by cellular phone in type-2 diabetic patients for six months. J Clin Nurs. 2007; 16(6): 108210
  • Yoon KH, Kim HS. A short message service by cellular phone in type 2 diabetic patients for 12 months. Diabetes Res Clin Pract. 2008; 79(2): 256-2
  • Menenghini LF, Albisser AM, Goldberg RB, Mintz DH. An electronic case manager for diabetes control. Diabetes Care. 1998; 21(4): 5915
  • Arora S, Peters AL, Agy C, Menchine M. A mobile health intervention for inner city patients with poorly controlled diabetes: proof-ofconcept of the TEXT-MED program. Diabetes Technol Ther. 2012; 14(6): 492-496.
  • Zolfaghari M, Mousavifar AS, Pedram S, Haghani H. The impact of nurse short message services and telephone follow-ups on diabetic adherence: which one is more effective. JCN. 2012; 21: 1922-1931.
  • Kim HS, Kim NC, Ahn SH. Impact of a nurse short message service intervention for patients with diabetes. J Nurs Care Qual. 2006; 21(3): 266-2
  • Kim S, Kim HS. Effectiveness of mobile and internet intervention in patients with obes type2 diabetes. I J Med. 2008; 77(6): 399-404.
  • Krishna S, Boren SA, Balas EA. Healthcare via Cell Phones: A Systematic Review. Telemedicine and e-Health. 2009; 15(3): 231-240.
  • Liang X, Wang Q, Yang X, Cao J, Chen J, Mo X, Huang J, Wang L, Gu D. Effect of mobile phone intervention for diabetes on glycaemic control: a meta-analysis. Diabetic Medicine. 2011; 28(4): 455-463.
  • Faridi Z, Liberti L, Shuval K, Northrup V, Ali A, Katz DL. Evaluating the impact of mobile telephone technology on type 2 diabetic patients’ self-management: the NICHE pilot study. Journal of Evaluation in Clinical Practice. 2008; 14(3): 465-469.
  • Türkiye Endokrinoloji ve Metabolizma Derneği (TEMD) Diabetes Mellitus Çalışma ve Eğitim Grupları. Diabetes Mellitus ve Komplikasyonlarının Tanı, Tedavi ve İzlem Kılavuzu-2011, Türkiye Diyabet Vakfı, 5. Baskı. İstanbul: Eos Ajans ve Yayıncılık, 2011. ISBN 978-975-98038-2-7.
  • Paula M, Trief PM , Teresi JA, Eimicke JP, Shea S, Weinstock RS. Improvement in diabetes self-efficacy and glycaemic control using telemedicine in a sample of older, ethnically diverse individuals who have diabetes: the IDEATel Project. Age and Ageing. 2009; 38(2): 2192
  • Çınar Fİ, Akbayrak N, Çınar M, Karadurmuş N, Şahin N, Doğru T, Sönmez A, Tosun N, Kılıç S. The Effectiveness of Nurse-led Telephone Follow-up in Patients with Type 2 Diabetes Mellitus. Turk Jem. 2010; 14: 1Günal A, Başkurt F, Başkurt Z, Parpucu T, Yücekaya B. Tip II diyabetli yaşlı hastalarda engel algısı ve fonksiyonel yetersizlik ilişkisinin incelenmesi. S.D.Ü Sağlık Enstitüsü Dergisi. 2012; 3(1): 31-35.
  • Shelagh A, Mulvaney C. Improving patient problem solving to reduce barriers to diabetes self management. Clinical Diabetes. 2009; 27(3): 99Toljamo M, Hentinen M. Adherence to self-care and social support. JCN. 2001; 10: 618-627.
Clinical and Experimental Health Sciences-Cover
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2011
  • Yayıncı: Marmara Üniversitesi
Arşiv
Sayıdaki Diğer Makaleler

Sağlık hizmetleri meslek yüksekokulu öğrencilerinde akran desteği ile akademik başarı arasındaki ilişkinin değerlendirilmesi

Fidan KÜDÜR ÇIRPAN, Sezgi ÇINAR

Tip 2 diyabetli hastaların cep telefonu ile takibi: randomize kontrollü çalışma

Handan SEZGİN, Sezgi ÇINAR

Bir İlköğretim Okulu 4, 5, ve 6. Sınıf Öğrencilerinin Saldırganlık Düzeylerinin Anne Baba Tutumları ve Bazı Değişkenler İle İlişkisi

Ayşe SEZER, Nurcan KOLAÇ, Saime EROL

Bazı antibiyotiklerin Tip 2 diabetes mellitus’lu hastaların polimorfonüklear lökosit (PNL) fonksiyonları ve PNL’lerin miyeloperoksidaz aktivitesi, glutatyon ile malondialdehit düzeyleri üzerine in vitro etkisi

Pervin RAYAMAN, Erkan RAYAMAN, Adile ÇEVİKBAŞ, Refik DEMİRTUNÇ, A. Özer ŞEHİRLİ, ̈ümran SOYOĞUL GÜRER

Doğal bir antioksidan olarak skualenin medikal kullanımı

Fatma Esra Güneş