Volume 13, Issue 7 (Mehr 2015)                   Nursing and Midwifery Journal 2015, 13(7): 620-629 | Back to browse issues page

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Sheikh Abumasoudi R, Hashemi Fesharaki M, Salarvand S, Karimi T, Atashi V, Kashani F et al . THE EFFECT OF ELECTRONIC EDUCATION AND SHORT MESSAGE SERVICE ON HEMOGLOBIN A1C, INTERDIALYTIC WEIGHT GAIN AND BLOOD PRESSURE IN DIABETIC PATIENTS UNDERGOING HEMODIALYSIS. Nursing and Midwifery Journal 2015; 13 (7) :620-629
URL: http://unmf.umsu.ac.ir/article-1-2218-en.html
1- school, Isfahan university medical science, Isfahan, Iran.
2- nursing of Isfahanuniversity medical science, Department of Critical Care, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran (Corresponding Author) , mshf201252@yahoo.com
3- lorestan university medical sciences, Hepatitis research center, Khorramabad, Iran
4- PhD candidate in nursing, Department of Nursing, Najafabad Branch, Islamic Azad University, Isfahan, Iran.
5- Isfahan university medical science, Isfahan, Iran
6- Isfahan university medical science, Department of medical- surgical, School of Nursing and Midwifery, Nurse office in deputy of treatment, Isfahan, Iran
7- faculty member of nursing and midwifery school, Islamic Azad University Najafabad, Isfahan, Iran.
Abstract:   (6799 Views)
Background & Aims: Interdialytic weight gain control and reaching dry weight is a critical issue for patients undergoing hemodialysis. Lack of reaching to the desired dry weight of the patient leads to consequences, such as hypertension, acute pulmonary edema, congestive heart failure, left ventricular hypertrophy, and increased complications during dialysis, resulting in increased mortality of the patients.In diabetic patients good control of diabet lead to better control of interdialytic weight gain. Education is an important issue to self-care and control of diabet .So this study was done to determine the effect of electronic education and Short Message Service on hemoglobin A1C, interdialytic weight gain and blood pressure in diabetic patients undergoing hemodialysis. Materials & Methods: This was a quasi-experimental study. 100 eligible patients entered the study via convenient sampling. The patients were randomly assigned to two groups: control and intervention group. For control group, routine education and for intervention group electronic education for three months was applied. Before and after the intervention, fasting blood sugar and HbA1c, interdialytic weight gain and blood pressure were measured in two groups .A questionnaire was used to collect data. Data analysis was performed using paired t-test, student’s independent t-test, descriptive statistics, and SPSS software version 20. . Results: Patients in the two groups regarding quantitative variables (age, duration of hemodialysis) and qualitative variables (gender, type of vascular access, and antihypertensive drugs) did not have a statistically significant difference in the two groups, and they were similar (P > 0.05). Fasting blood sugar, HbA1c, interdialytic weight gain and systolic blood pressure significantly decreased in intervention group (P < 0.001). In the control group, there was no significant change in fasting blood sugar and HbA1c, interdialytic weight gain and blood pressure (P > 0.05). Mean diastolic blood pressure in the two groups did not have a statistically significant difference (P = 0. 808). Conclusion: Electronic education improve the self-care of diabetic patients in the intervention group after education, this improved the mean fasting blood sugar and HbA1c, interdialytic weight gain and systolic blood pressure. Based on the benefits of electronic education and Short Message Service, using and planning of this method is highly recommended
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Type of Study: Research | Subject: پرستاری

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