بررسی تاثیر مداخله آموزشی ترکیبی بر کاهش فشارخون و بهبود شاخص HbA1C در بیماران دیابتی نوع 2 مبتلا به پرفشاری خون

 Background: Hypertension increases the risk of macrovascular complications and is one of the most important and common problems among patients with diabetes. This study aimed at assessing the impacts of blended educational intervention program on decreasing blood pressure and HbA1c among patients with type 2 diabetes and hypertension.    Methods: Two hundred patients with type 2 diabetes and hypertension were randomized in an educational intervention study in two groups in 2013-2014. The intervention group attended in a six sixty minutes educational sessions including lecturing, group discussion educational film for intervention group, in addition to the regular care presented for both groups. To collect information about demographic characteristics, diabetes related variables, a self-designed questionnaire was used. Data were analyzed using  X2, independent t- test and paired t test through SPSS v. 16. A p value of less than 0.05 was considered as statistically significant. Results: Blood pressure and HbA1c had no significant relation in both groups (p>0.05). Paired t- test revealed blood pressure (p<0.001) and HbA1c (p<0.001) before and after educational program had significant relation in intervention group. Also, after a six-month educational program, blood pressure (p=0.54) and HbA1c (p=0.83) had not significant association in control group. Conclusion: It seems that educational program can be effective on decreasing high blood pressure among type 2 diabetic patients. Therefore, implementation of educational program in diabetes clinic is suggested.