These findings match with our study, although in present study we identify complete adherence effects to treatment plan including diet, exercise and drug use components. Nevertheless there are some evidence that show adverse results, for example in pietti study after self-care education to diabetic patients through telephone calls and follow-up every 2 week for 12 month, in experiment group a better adherence to treatment were observed but there is no significant change for Hb A1c compare to before intervention.[14] Also in the study of Wong and colleagues with aim of examining nurse- telephone follow up effects on diabetic patients, results showed no statistically significant reduction in level of Hb A1c and only significant improvement in exercise adherence score but not for diet or drug adherence scores.[10] According to two recent study results, nurse- telephone follow-up could not show acceptable change on blood sugar level and have controversial effects on adherence scores in diabetic patients.
These findings match with our study, although in present study we identify complete adherence effects to treatment plan including diet, exercise and drug use components. Nevertheless there are some evidence that show adverse results, for example in pietti study after self-care education to diabetic patients through telephone calls and follow-up every 2 week for 12 month, in experiment group a better adherence to treatment were observed but there is no significant change for Hb A1c compare to before intervention.[14] Also in the study of Wong and colleagues with aim of examining nurse- telephone follow up effects on diabetic patients, results showed no statistically significant reduction in level of Hb A1c and only significant improvement in exercise adherence score but not for diet or drug adherence scores.[10] According to two recent study results, nurse- telephone follow-up could not show acceptable change on blood sugar level and have controversial effects on adherence scores in diabetic patients.
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