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보건교사의 당뇨병 아동 관리 현황

 School Nurses’ Management for Children and Adolescents with Diabetes

아동간호학회지 2015년 21권 2호 p.176 ~ 182
KMID : 0606120150210020176
강희숙 ( Kang Hee-Sook ) - 인하대학교 융합건강과학

안영미 ( Ahn Young-Mee ) - 인하대학교 간호학과
이지은 ( Lee Ji-Eun ) - 인하대학교 의학전문대학원 소아청소년과
손민 ( Sohn Min ) - 인하대학교 간호학과

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.
KeyWords

Child, Type 1 diabetes mellitus, School nursing, Disease management
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학술진흥재단(KCI) KoreaMed