Diabetes management in Swedish schools: a national survey of attitudes of parents, children, and diabetes teams
Diabetes management in Swedish schools: a national survey of attitudes of parents, children, and diabetes teams
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DOI：
10.1111/pedi.12133
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发表时间：
2014-12-01
影响因子：
3.4
通讯作者：
Forsander, G.
中科院分区：
文献类型：
--
作者：
Sarnblad, S.;Berg, L.;Forsander, G.
背景1型糖尿病儿童的父母经常在上学期间抱怨自我护理支持。本研究的目的是调查的态度，糖尿病护理在学校报告的儿童与1型糖尿病，他们的父母，和他们的糖尿病teams.Methods儿童谁完成了学前班或至少一个年级的9年制义务教育系统被邀请参加。使用针对儿童及其父母的单独问卷收集数据。此外，糖尿病小组的成员回答了一份单独的问卷。所有的儿科糖尿病中心在瑞典被邀请参加研究。结果所有的瑞典儿童和青少年糖尿病治疗的儿科糖尿病中心。在44个合格的中心中，41个能够参与。调查问卷由317名儿童和青少年以及323名家长完成。平均年龄为11.4 ± 2.7岁，血红蛋白A1 c（HbA 1c）为61.8 ± 12.4mmol/mol（7.8 ± 1.1%）。对于57%的儿童，学校没有主要负责支持糖尿病自我护理的工作人员。60%的儿童有针对低血糖的书面行动计划。百分之二十一的父母经常给胰岛素比他们计算将需要在早餐，因为害怕低血糖在schooltime.Conclusions虽然瑞典立法强调糖尿病护理的具体需要在学校，这项全国性的研究表明，在自我保健管理的支持不足。
Background Parents of children with type 1 diabetes often raise complaints about self-care support during school time. The aim of this study was to investigate attitudes to diabetes care in school reported by children with type 1 diabetes, their parents, and their diabetes teams.Methods Children who had completed preschool class or at least one grade in the 9-yr compulsory school system were invited to participate. Data were collected using separate questionnaires for the children and their parents. In addition, the members of the diabetes team answered a separate questionnaire. All pediatric diabetes centers in Sweden were invited to participate in the study.Results All Swedish children and adolescents with diabetes are treated at pediatric diabetes centers. Out of 44 eligible centers, 41 were able to participate. The questionnaires were completed by 317 children and adolescents and 323 parents. The mean age was 11.42.7 yr and hemoglobin A1c (HbA1c) was 61.8 +/- 12.4mmol/mol (7.8 +/- 1.1%). For 57% of the children, there was no member of staff at the school with principal responsibility to support diabetes self-care. A written action plan for hypoglycemia existed for 60% of the children. Twenty-one percent of the parents regularly gave less insulin than they calculated would be needed at breakfast because of fear of hypoglycemia during school time.Conclusions Although Sweden has legislation underlining the specific need for diabetes care in school, this nationwide study demonstrates deficiencies in the support of self-care management.