| Summary: | 碩士 === 慈濟大學 === 護理學系碩士班 === 101 === This study was conducted based on the transtheoretical model (known as TTM). Through telephone counseling and health education brochure, the researcher intervened both the subjects’ cognition of self-monitoring of blood glucose (known as SMBG) and the conditions of subjects’ behavioral changes. The researcher applied randomized clinical trial (known as RCT) as the research method. The study subjects were adult patients of a diabetes outpatient clinic at a hospital in Hualien County; those patients were recruited in a project known as Diabetes Shared Care. The researcher adopted the pretest-posttest design as the experimental design of this study. Participants were randomly assigned to telephone counseling (n=37), health education brochure (n=35) and control (n=35) groups, respectively by using random numbers table. Participants of the telephone counseling group were provided telephone counseling services on the first, sixth and twelfth weeks; TTM processes of change was applied during the process of telephone counseling. Participants of the health education brochure group were given a modified version of the SMBG booklet and were advised how to use it. A posttest was conducted twelve weeks after the study started. A posttest on the group of comparison was conducted on the twelfth week after the study started as well. All data were collected within the period of July 2012 and September 2012. After all of the collected data were coded, statistical results were analyzed by using SPSS 17.0.
The study results pointed out that both demographic variables and disease attributes had a high level of homogeneity among subjects of all three groups. As regards subjects of the SMBG cognition group, the statistical results indicated that the cognition variance of health education brochure group was significantly higher than both the group of telephone counseling and the group of comparison (p<.05); the study results also proved that the health education brochure could effectively promote subjects’ cognition of SMBG. As the stage of behavioral changes, the findings gained from regular monitoring showed an 11.40% increase in the health brochure education group and a 10.80% increase in the comparison group (p<.05); nevertheless, the number of patients did not change significantly along with the intervention done by telephone counseling. Furthermore, on the topic of the behavioral scale of the SMBG group, subjects of the telephone counseling group showed a better performance of SMBG. The study results suggested providing appropriate health education brochures for SMBG patients could effectively promote SMBG patients’ cognition as well as their action of self-monitoring. The study findings also suggested that the correlation between telephone counseling and strategies of behavioral changes could be further studied by future researchers.
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