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보건교사의 당뇨병 아동 관리 현황

School Nurses’ Management for Children and Adolescents with Diabetes

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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±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±1.3) and the most common educational need was emergency responses (5.9±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.

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±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±1.3) and the most common educational need was emergency responses (5.9±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.

참고문헌 (20)

  1. Allen, K., "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), pp.47~55 (2012)[DOI]
  2. Bobo, N., "Diabetes management at school : Application of the healthy learner model", Journal of School Nursing, 27(171) (2011)[DOI]
  3. Donaghue, K. C., "Microvascular and macrovascular complications associated with diabetes in children and adolescents", Pediatric Diabetes, 10(Suppl 12), pp.195~203 (2009)
  4. "Annual plan for school health and sex education" (2014)[URL]
  5. Joshi, A., "School nurses’ perceived barriers to diabetes Knowledge, communication and management in children with type 1 diabetes", School Nurse News, 25(3), pp.24~29 (2008)
  6. 강나래, "당뇨병 캠프의 자가간호 교육이 제1형 당뇨병 아동의 당뇨관리행위, 당뇨지식 및 당뇨관리 자아효능감에 미치는 영향", Child Health Nursing Research, 20(3), pp.168~175 (2014), 한국아동간호학회[DOI]
  7. Klingensmith, G., "American Diabetes Association. Care of children with diabetes in the school and day care setting", Diabetes Care, 26(Suppl 1), pp.131~135 (2003)
  8. "Diabetes fact sheet in Korea 2012" (2012)[URL]
  9. "Diabetes education guide" (2013)[URL]
  10. "National statistics of teachers" (2010)[URL]
  11. Ly, T. T., "ISPAD clinical practice consensus guidelines : Assessment and management of hypoglycemia in children and adolescents with diabetes", Pediatric Diabetes, 15(Suppl 20), pp.180~192 (2014)[DOI]
  12. 문기내, "울산지역 초등학생들의 아토피 피부염과 천식 관련 생활습관과 보건교육 실태", 한국학교·지역보건교육학회지, 11(1), pp.135~148 (2010), 한국학교·지역보건교육학회
  13. Newbould, J., "Young people‘s experiences of managing asthma and diabetes at school", Archives of Disease in Childhood, 92, pp.1077~1081 (2007)[DOI]
  14. 오원옥, "보건교사의 인터넷 중독에 대한 지식, 교육요구 및 개입실태", Child Health Nursing Research, 11(4), pp.405~414 (2005), 한국아동간호학회
  15. 박소현, "제 1형 당뇨병 소아 청소년의 학교 내 인슐린 자가 주사 실태 조사", Annals of Pediatirc Endocrinology & Metabolism, 17(4), pp.224~229 (2012), 대한소아내분비학회
  16. 서혜진, "우리나라에서 학교 중심의 소아천식관리사업의 적용가능성과 발전 방향: 일부 학교의 시범사업 평가결과를 중심으로", 한국학교보건학회지, 22(1), pp.1~16 (2009), 한국학교보건학회
  17. 신성례, "흡연 청소년을 위한 금연동기화 프로그램의 효과", Child Health Nursing Research, 19(2), pp.130~139 (2013), 한국아동간호학회[DOI]
  18. Swift, P. G., "Diabetes education in children and adolescents", Pediatric Diabetes, 10, pp.51~57 (2009)[DOI]
  19. "Guidelines for training school employees who are not licensed healthcare professionals" (2005)[URL]
  20. Wang, Y. L., "School-based lived experiences of adolescents with type 1 diabetes : A preliminary study", Journal of Nursing Research, 18(4), pp.258~265 (2010)[DOI]

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