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糖尿病志工電話提醒對糖尿病患者實施健康行爲及血糖控制的成效探討

The Effect of Telephone Reminders on Health Behaviors and Glycemic Control in Diabetic Patients

摘要


Objective: To assess the effects of telephone reminders on glycemic control among diabetic patients. Methods: In this randomized clinical trial, we recruited 100 patients who visited the diabetic clinic of a medical center in central Taiwan between January 2003 and May 2003. After an initial consultation, patients were randomly assigned to a study or a control group. Members of the study group were telephoned by volunteers once per week to remind them to follow the instructions they received from physicians and nursing specialists. Members of the control group only received the initial consultation. During the study, the fasting blood sugar and HbA1c of the patients were measured, and data on their exercise, medication, dietary regimens, and follow-up rates were collected by questionnaire. Results: For members of the study group, the mean of fasting blood glucose decreased from 227 mg/dl to 159 mg/dl (30%), a significantly higher decrease than that found in the control group (p<.05). Furthermore, adherence to exercise, medication, and dietary regimes was also higher in the study group than in the control group. Conclusion: The telephone reminder program was effective in improving the glycemic level of diabetic patients as well as their adherence to exercise, medication, and dietary regimes.

並列摘要


Objective: To assess the effects of telephone reminders on glycemic control among diabetic patients. Methods: In this randomized clinical trial, we recruited 100 patients who visited the diabetic clinic of a medical center in central Taiwan between January 2003 and May 2003. After an initial consultation, patients were randomly assigned to a study or a control group. Members of the study group were telephoned by volunteers once per week to remind them to follow the instructions they received from physicians and nursing specialists. Members of the control group only received the initial consultation. During the study, the fasting blood sugar and HbA1c of the patients were measured, and data on their exercise, medication, dietary regimens, and follow-up rates were collected by questionnaire. Results: For members of the study group, the mean of fasting blood glucose decreased from 227 mg/dl to 159 mg/dl (30%), a significantly higher decrease than that found in the control group (p<.05). Furthermore, adherence to exercise, medication, and dietary regimes was also higher in the study group than in the control group. Conclusion: The telephone reminder program was effective in improving the glycemic level of diabetic patients as well as their adherence to exercise, medication, and dietary regimes.

被引用紀錄


沈珊如(2008)。衛教手冊合併電話護理諮詢對冠心病高危險群防治之認知、健康信念、預防行為及生化指標之改善成效〔碩士論文,臺北醫學大學〕。華藝線上圖書館。https://doi.org/10.6831/TMU.2008.00106
陳巧雲(2017)。『糖尿病看圖對話』衛教工具介入第2型糖尿病個案之用藥遵從度及血糖管理成效彰化護理24(1),2-4。https://doi.org/10.6647/CN.24.01.02
竇文思(2014)。運動應用程式對糖尿病患者身體活動量與血液生化值之影響〔碩士論文,國立屏東科技大學〕。華藝線上圖書館。https://doi.org/10.6346/NPUST.2014.00227
黃信揚(2009)。地區醫院家庭醫學科之糖尿病照護成效橫斷性結果指標與連續性結果指標之比較研究〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU.2009.02860
徐郁雯(2005)。病人積極度測量之發展,及其與病人行為間關係之研究-以糖尿病病人為例〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU.2005.02581

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