THE EFFECT OF ELECTRONIC EDUCATION AND SHORT MESSAGE SERVICE ON HEMOGLOBIN A1C, INTERDIALYTIC WEIGHT GAIN AND BLOOD PRESSURE IN DIABETIC PATIENTS UNDERGOING HEMODIALYSIS

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