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IRCT20130428013152N3 IRCT 2021-05-22 Gonabad University of Medical Sciences Evaluation the nurse follow - up plan and its effect on self-care and metabolic control indices in diabetic patients Evaluation the nurse follow - up plan and its effect on self-care and metabolic control indices in diabetic patients 2021-07-23 anticipated 65 Complete https://irct.ir/trial/56229 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Health service research, Other design features: The follow-up nurse project is being piloted at two medical universities, Randomization description: Randomization by stratified random replacement blocks. Classes are based on three age groups (less than or equal to 45 years, 46 to 64 years, 65 years and more) and gender (male and female) that are created in a set of 6 classes. Randomization within each floor is done in the style of random replacement blocks with sizes 2 and 4. The list will be determined by the web analytics. In order to privatize the properties, opaque envelopes will be stamped using a random sequence. N/A Diabetes. Intervention 1: Control group: Routine hospital care including discharge from the hospital and training during discharge by the patient nurse and return to the self-care clinic after 3 months. Intervention 2: Intervention group: Follow-up nurse care plan including: performing safe discharge steps, introducing the patient to the follow-up nurse and sending his case summary. The patient's number is called the day after discharge. After contacting the patient and introducing yourself, based on the relevant checklist, the necessary follow-up is done and in any case where the patient needed further and supplementary training, recommendations are given. Also, if the patient needs support resources such as diabetes clinic, hospital self-care clinic, health centers, psychologist, addiction and smoking cessation centers, nutrition counselor and home care centers and referral until complete reassurance, the necessary follow-ups are done with the mentioned institutions. Frequency of follow-up is determined based on the severity of the disease and danger signs according to the instructions from three days to one year after discharge as follows: 1. Green area: Follow-up frequency of patients in the green area should be done twice as a fish. 2. Yellow area Frequent follow-up of patients in the yellow area should be done once a week. Red area: While advising to go to the hospital emergency room immediately, a follow-up should be done by phone up to 6 hours later. Follow-up of these patients is done twice a week after discharge from the hospital until they are in the green area. Yes - There is a plan to make this available What will be shared: All data related to the main consequences can be shared. When: 6 months after printing the results To whom: Data will be available to all researchers Conditions: The data will be usable for further studies and improving patient care Where to obtain: Elham Saberi Noghabi saberi.e@gmu.ac.ir How to obtain: 6 months after the publication of the results of the study, the applicant can submit a valid letter of introduction from an organization to the e-mail of Ms. Elham Saberi Noghabi and can request the data and the data file will be provided to her within two weeks. Comments:
public Elham Saberi Noghabi
Parstar Ave., Gonabad University of Medical Sciences
gonabad Iran (Islamic Republic of) 9691793718 +98 51 5722 3028 saberi.e@gmu.ac.ir Gonabad University of Medical Sciences scientific Elham Saberi Noghabi
Parstar St., Gonabad University of Medical Sciences
Gonabad Iran (Islamic Republic of) 9691793718 009685157223028 saberi.e@gmu.ac.ir Gonabad University of Medical Sciences Iran (Islamic Republic of) Definitive diagnosis of diabetes by a specialist doctor Discharged from the hospital and referred to the self-care and follow-up unit of the hospital Age over 18 years Informed consent Access to phone or mobile No speech, hearing and vision disorders and the ability to understand and answer questions Resident of Gonabad city No history of mental illness 18 years no limit Both E08 Diabetes mellitus due to underlying condition N/A Rehabilitation Control group: Routine hospital care including discharge from the hospital and training during discharge by the patient nurse and return to the self-care clinic after 3 months Intervention group: Follow-up nurse care plan including: performing safe discharge steps, introducing the patient to the follow-up nurse and sending his case summary. The patient's number is called the day after discharge. After contacting the patient and introducing yourself, based on the relevant checklist, the necessary follow-up is done and in any case where the patient needed further and supplementary training, recommendations are given. Also, if the patient needs support resources such as diabetes clinic, hospital self-care clinic, health centers, psychologist, addiction and smoking cessation centers, nutrition counselor and home care centers and referral until complete reassurance, the necessary follow-ups are done with the mentioned institutions. Frequency of follow-up is determined based on the severity of the disease and danger signs according to the instructions from three days to one year after discharge as follows: 1. Green area: Follow-up frequency of patients in the green area should be done twice as a fish. 2. Yellow area Frequent follow-up of patients in the yellow area should be done once a week. Red area: While advising to go to the hospital emergency room immediately, a follow-up should be done by phone up to 6 hours later. Follow-up of these patients is done twice a week after discharge from the hospital until they are in the green area. Self-care. Timepoint: Before intervention and 3 months after intervention. Method of measurement: Diabetes Self-Care Questionnaire (F-SCODI). Fasting blood sugar. Timepoint: Before intervention and 3 months after intervention. Method of measurement: Laboratory Kit. Cholesterol. Timepoint: Before intervention and 3 months after intervention. Method of measurement: Laboratory Kit. Triglyceride. Timepoint: Before intervention and 3 months after intervention. Method of measurement: Laboratory Kit. Glycosylated hemoglobin. Timepoint: Before intervention and 3 months after intervention. Method of measurement: Laboratory Kit. Gonabad University of Medical Sciences Approved 2021-05-08 Ethics committee of Gonabad University of Medical Sciences Gonabad University of Medical Sciences, Parastar Ave, Gonabad Town Gonabad Razavi Khorasan Iran (Islamic Republic of)