Child Health Nurs Res.  2015 Apr;21(2):176-182. 10.4094/chnr.2015.21.2.176.

School Nurses' Management for Children and Adolescents with Diabetes

• Kang H
• Ahn Y
• Lee JE
• Sohn M

• KMID: 2271222
• DOI: http://doi.org/10.4094/chnr.2015.21.2.176

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.

Keyword

Child; Type 1 diabetes mellitus; School nursing; Disease management

MeSH Terms

Adolescent*
Blood Glucose
Child*
Diabetes Mellitus, Type 1
Diagnosis
Disease Management
Education
Education, Continuing
Emergencies
Female
Glucagon
Health Promotion
Health Surveys
Humans
Incheon
Insulin
School Health Services
School Nursing
Blood Glucose
Glucagon
Insulin