Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
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School Nurses' Management for Children and Adolescents with Diabetes

보건교사의 당뇨병 아동 관리 현황

  • Kang, Heesook (Department of Integrative Health Science, Inha University) ;
  • Ahn, Youngmee (Department of Nursing, Inha University) ;
  • Lee, Ji Eun (Department of Pediatrics, Inha University Graduate School of Medicine, Inha University Hospital) ;
  • Sohn, Min (Department of Nursing, Inha University)
  • 강희숙 (인하대학교 융합건강과학) ;
  • 안영미 (인하대학교 간호학과) ;
  • 이지은 (인하대학교 의학전문대학원 소아청소년과) ;
  • 손민 (인하대학교 간호학과)
  • Received : 2015.03.02
  • Accepted : 2015.04.22
  • Published : 2015.04.30
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Abstract

Purpose: The study purposes were to explore school nurses' experience, perceived barriers, and education needs in diabetes management at school. Methods: This study was a cross sectional study and the study participants were recruited conveniently at continuing education seminars for school nurses at Incheon Metropolitan City. Results: Data for 101 school nurses were analyzed. The nurses were all women and their mean age was $46.9{\pm}9.3$ years. About 66% of them had experience with children with diabetes at school. The school nurses reported that 74.6% of the students tested their blood glucose by themselves, the school clinic was the most common place for blood glucose tests (47.8%) and insulin injections (50.8%) and the nurses knew students' diagnosis through the student health survey (58.2%). About half of the nurses (53.7%) reported that glucagon should be available at school and 49.2% were willing to inject glucagon when necessary. The most frequently reported barrier in diabetes management was role confusion ($6.0{\pm}1.3$) and the most common educational need was emergency responses ($5.9{\pm}1.4$). Conclusions: School health policy for diabetes management and diabetes resources are necessary to minimize role confusion of school nurses, improve emergency response, and facilitate health promotion activities in diabetes management.

Keywords

References

  1. Allen, K., Henselman, K., Laird, B., Quinones, A., & Reutzel, T. (2012). Potential life-threatening events in schools involving rescue inhalers, epinephrine autoinjectors, and glucagon delivery devices: Reports from school nurses. The Journal of School Nursing, 28(1), 47-55. http://dx.doi.org/10.1177/1059840511420726
  2. Bobo, N., Kaup, T., McCarty, P., & Carlson, J. P. (2011). Diabetes management at school: Application of the healthy learner model. The Journal of School Nursing, 27(3), 171. http://dx.doi.org/10.1177/1059840510394190
  3. Donaghue, K. C., Chiarelli, F., Trotta, D., Allgrove, J., & Dahl-Jorgensen, K. (2009). Microvascular and macrovascular complications associated with diabetes in children and adolescents. Pediatric Diabetes, 10(Suppl 12), 195-203. https://doi.org/10.1111/j.1399-5448.2009.00576.x
  4. Incheon Metropolitan Office of Education. (2014). Annual plan for school health and sex education. Retrieved March 1, 2015 from http://kl.ice.go.kr/icepart/05/edupds.asp?mode= view&page=1&idx=223744&bid=J03
  5. Joshi, A., Komlodi, A., & Arora, M. (2008). School nurses' perceived barriers to diabetes Knowledge, communication and management in children with type 1 diabetes. School Nurse News, 25(3), 24-29.
  6. Kang, N., Ahn, Y., Lee, J. E., & Sohn, M. (2014). Effect of self-care education at a diabetes camp on diabetes management behaviors, knowledge and self-efficacy in children with type 1 diabetes. Child Health Nursing Research, 20(3), 168-175. http://dx.doi.org/10.4094/chnr.2014.20.3.168
  7. Klingensmith, G., Kaufman, F., Schatz, D., & Clarke, W. (2003). American Diabetes Association. Care of children with diabetes in the school and day care setting. Diabetes Care, 26(Suppl 1), S131-S135. https://doi.org/10.2337/diacare.26.2007.S131
  8. Korea Diabetes Association. (2012). Diabetes fact sheet in Korea 2012. Retrieved March 1, 2015 from http://www.diabetes.or.kr/general/index.html
  9. Korea Diabetes Association. (2013). Diabetes education guide. Retrieved March 1, 2015 from http://www.diabetes.or.kr/pro/publish/guide_2013.php?mode=list
  10. Korean Educational Statistics Service. (2010). National statistics of teachers. Retrieved March 1, 2015 from https://kess.kedi.re.kr/mobile/stats/school?menuCd=0101&cd=257&survSeq=2010&itemCode=01&menuId =m_010103_04_01010405&uppCd1=01010304&uppCd2=01010405&flag=A
  11. Ly, T. T., Maahs, D. M., Rewers, A., Dunger, D., Oduwole, A., & Jones, T. W. (2014). ISPAD clinical practice consensus guidelines: Assessment and management of hypoglycemia in children and adolescents with diabetes. Pediatric Diabetes, 15(Suppl 20), 180-192. http://dx.doi.org/10.1111/pedi.12174
  12. Moon, K. N., Jung, J. H., Pae, H. S., Seo, B. S., & Joo, D. J. (2010). Child health behaviors and health education about atopic dermatitis in Ulsan area. The Journal of Korea Health Education, 11, 135-148
  13. Newbould, J., Francis, S. A., & Smith, F. (2007). Young people's experiences of managing asthma and diabetes at school. Archives of Disease in Childhood, 92, 1077-1081. http://dx.doi.org/10.1136/adc.2006.110536
  14. Oh, O. W. (2005). School nurses' knowledge, educational needs and providing education about internet addiction. Child Health Nursing Research, 11, 405-414.
  15. Park, S. H., Kang, H. S., Hwang, S. Y., Sun, Y. L., & Lee, J. Y. (2013). Insulin self-injection in school by children with type 1 DM. Annals of Pediatric Endocrinology & Metabolism, 17, 224-229.
  16. Seo, H. J., & Lee, W. Y. (2009). Pilot and feasibility study of a management program for elementary school students with asthma. The Journal of Korean Society of School Health, 22(1), 1-16.
  17. Shin, S. R., Lee, C. O., & Jeong, G. C. (2013). Effect of a smoking cessation motivational program for adolescents. Child Health Nursing Research, 19(2), 130-139. http://dx.doi.org/10.4094/chnr.2013.19.2.130
  18. Swift, P. G. (2009). Diabetes education in children and adolescents. Pediatric Diabetes, 10, 51-57. http://dx.doi.org/10.1111/j.1399-5448.2009.00570.x
  19. Texas Diabetes Council. (2005). Guidelines for training school employees who are not licensed healthcare professionals. Retrieved March 1, 2015 from http://www.texasdiabetescouncil.org
  20. Wang, Y. L., Brown, S. A., & Horne, S. D. (2010). School-based lived experiences of adolescents with type 1 diabetes: A preliminary study. Journal of Nursing Research, 18(4), 258-265. http://dx.doi.org/10.1097/JNR.0b013e3181fbe107

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