Practical approach to the care of Type-2 diabetes children from case finding to maintain diabetes regimen

本研究的目的是探讨我们在2003-2004年的科学研究中开发的学校人员糖尿病护理手册的有用性，并找到有效的策略来帮助学龄儿童糖尿病。向学校护士、岩手县教育委员会成员和儿童糖尿病专业人员发送了300份糖尿病护理手册和评价问卷，以获得对手册的意见。访问芬兰，收集儿童糖尿病护理信息。利用这些结果对手册进行了修订，并出版成书。10名学校护士，曾有糖尿病学生，在同意的情况下完成了为期1年的学校生活护理计划的试用。欢迎电话和电子邮件咨询，并在试验期间举行了两次关于护理计划和记录的研究会议。因此，他们能够帮助学生和家长尊重他们的感情和要求。此外，他们发现需要提供有关糖尿病护理的信息和咨询服务。10所学校的团队方法表明，在糖尿病生命开始时，患者、家庭、医生、学校护士和学校教师开会的重要性。各校卫生保健队对糖尿病学生入学有帮助。所有学校工作人员都应增加对儿童2型糖尿病的认识。本研究之学校护理人员愿意与二型糖尿病学生合作维持糖尿病治疗方案.比较了美国、芬兰和日本学校护士在糖尿病护理中的作用。日本在学校尿检制度和学校护士在每所学校的配置方面处于上级优势，但在糖尿病护理的学校护士资源和支持系统方面处于劣势。提供社区资源和支持系统将是改善学龄儿童糖尿病护理的有效策略。

The purpose of this study was to examine the usefulness of the diabetes care manual for school personnel which had been developed by our previous study on scientific research in 2003-2004, and to find effective strategies to help school age children with diabetes.1. 300 copies of the diabetes care manual with an evaluation questionnaire were sent to school nurses, members of educational board of Iwate Prefecture, and professionals of childhood diabetes to obtain comments on the manual. Visited Finland to gather information on childhood diabetes care. The manual was revised using those results and was published as a book.2. 10 school nurses, who had students with diabetes, completed 1-year trial use of school life care plan with consent. Telephone and email consultation were welcomed and two study meetings on care plans and recordings were held during the trial period. As a result, they were able to help the students and parents with respect for their feelings and demands. Also, they found the need for information and consultation services on diabetes care.3. Team approach at the 10 schools showed the importance of a meeting of the patient, family, physician, school nurse and school teacher at the beginning of the diabetes life. Health care team of each school was helpful to accept students with diabetes at the entrance to school. All school personnel should increase their knowledge about type-2 diabetes in childhood. The school nurses in this study were willing to work with students with type-2 diabetes to maintain diabetes regimen.4. The role of school nurses in diabetes care was compared internationally, USA, Finland and Japan. Japan is superior in school urine testing system and school nurse's placement in each school, but is inferior in resources and support system for school nurses in diabetes care. Providing community resources and support system will be an effective strategy to improve diabetes care for school children.