Teachers' Perspectives on Children With Type 1 Diabetes in German Kindergartens and Schools.
Teachers' Perspectives on Children With Type 1 Diabetes in German Kindergartens and Schools.
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DOI：
10.2337/ds19-0054
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发表时间：
2020-05-01
期刊：
影响因子：
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通讯作者：
In-Albon, Tina
中科院分区：
文献类型：
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作者：
Gutzweiler, Raphael Florian;Neese, Marlies;In-Albon, Tina
患有1型糖尿病的儿童人数正在增加，这些儿童必须在幼儿园或学校的白天管理他们的糖尿病。共有678名德国幼儿园和学校教师（89%为女性）参加了一个结构化的培训计划，以支持1型糖尿病儿童的糖尿病管理。教师完成了关于他们处理糖尿病的能力的整体自我感知和支持1型糖尿病儿童的机构因素的问卷调查。在这些教师中，251名目前正在与1型糖尿病儿童一起工作的教师进一步了解了糖尿病儿童在学校和幼儿园的经历。教师报告赤字在三个领域：糖尿病和糖尿病管理的知识，机构的支持，并与家长和卫生专业人员的沟通。平均而言，他们对自己的糖尿病知识（5分制为3.60 ± 1.10）和帮助儿童进行糖尿病管理的能力（3.67 ± 1.09）都给予了公平的评价。虽然几乎一半的机构（43%）提供了关于支持1型糖尿病儿童的一般信息，但体育（30%），课外活动（如实地考察）（20%）或包括过夜在内的活动（16%）的具体学校政策很少。据报告，教师、家长和卫生专业人员之间沟通不畅。幼儿园和学校教师指出的这些缺陷强调了关于1型糖尿病的结构化培训和书面政策的重要性，以改善学校和幼儿园1型糖尿病儿童的状况。
The number of children with type 1 diabetes is rising, and these children must manage their diabetes during the day while in kindergarten or school. A total of 678 German kindergarten and school teachers (89% female) attended a structured training program for supporting children with type 1 diabetes in their diabetes management. The teachers completed questionnaires on their overall self-perception of their ability to handle diabetes and institutional factors supporting children with type 1 diabetes. Of these teachers, 251 who were currently working with a child with type 1 diabetes provided further insight into the experiences of children with diabetes in school and kindergarten. Teachers reported deficits in three areas: knowledge about diabetes and diabetes management, institutional support, and communication with parents and health professionals. On average, they gave themselves only fair ratings on both their knowledge about diabetes (3.60 ± 1.10 on a 5-point scale) and their ability to assist children with their diabetes management (3.67 ± 1.09). Whereas general information about supporting children with type 1 diabetes seemed to have been provided by almost half of the institutions (43%), specific school policies for sports (30%), extracurricular activities such as field trips (20%), or activities including sleepovers (16%) were rare. Poor communication between teachers, parents, and health professionals was reported. These deficits indicated by kindergarten and school teachers underline the importance of structured trainings and written policies on type 1 diabetes to improve the status of children with type 1 diabetes in school and kindergarten.