Razi Journal of Medical Sciences

Background: Glycated hemoglobin is an important indicator of long-term control of blood glucose is an important indicator of clinical research. There is a direct correlation between glycosylated hemoglobin and diabetes. The aim of this study was to evaluate the effect of BASNEF-based blended educational program on diabetes control among type 2 diabetic patients.

Methods: This study is a prospective, semi-experimental study, in which 164 eligible patients were selected after the pre-test by random allocation in intervention and control groups. Questionnaire based on BASNEF structure was used for data collection. Before the intervention, demographic and health related information, disease, and check list of foot care was taken. Then, the intervention group participated in program of foot care principles using combinatorial training strategy designed based on the BASNEF’s structures. The control group continued the routine clinic education, and individually, without contacting the intervention group, completed the questionnaire and the check list. Post-test was administered at three and six months after the intervention. Data were analyzed using SPSS v.11.5 and descriptive and inferential statistical tests. Significance level was considered less than 0.05.

Results: Demographic variables were not significantly different between two groups (P<0.05). HbA1c in the intervention group was statistically significant (p<0.001), but this analysis was not significant in the comparison group (p=0.18, f = 1/83). Also, in regard to blood sugar controlling behaviors the intervention group were better than the comparison group, three months and six months after the training, such that HbA1c levels of %69.8± %2.27 before training changed to %7.50 ±%1.42 three months later, and %7.44± %1.34, six months after the training and showed significant difference (p<0.001).

Conclusion: The results of the study showed that blended educational training increased the awareness in regard to controlling blood sugar levels, thus decreasing the HbA1c levels in diabetic type 2 patients.