Studies on diabetes teaching program for children and their families, and on nursing referral systems

本研究旨在为糖尿病儿童及其家庭从童年到青春期的教育寻找有用的工具和材料，并为他们找到有效的护理转诊系统。研究结果如下：(1)在千叶大学医院和千叶县儿童医院的糖尿病儿科门诊对60例胰岛素依赖型糖尿病(IDDM)儿童进行了为期3年的观察。研究结果如下：(1)转学、转业后生活方式的变化及其对糖尿病自我保健行为和血糖控制的影响；(2)学校生活中存在的问题及医院、家庭和学校教师之间的合作需求。(3)糖尿病儿童及其家庭在IDDM发病后的适应过程和遇到的问题；(4)IDDM儿童和学龄前儿童的问题；(5)糖尿病儿童兄弟姐妹的需求；(6)入学时的学习问题；(7)向朋友、学校老师和邻居解释关于IDDM的情况。(2)和(3)在千叶大学医院的儿科糖尿病门诊使用视频和计算机辅助教学，并发现其有效性。(4)编写了《糖尿病儿童与家庭生活》小册子。(5)寻求患者及家属支持小组的功能。(6)调查了日本医院儿科护士在糖尿病儿童护理中的活动，指出了开展教育项目的必要性。

The studies were intended to find useful tools and materials for teaching diabetic children and their families from childhood through adolescent, and also to find effective nursing referral systems for them. The results are the following.(1) About 60 children with insulin dependent diabetes mellitus(IDDM) were observed for 3 years at pediatric diabetic clinics of Chiba University Hospital and Chiba Prefectural Children's Hospital. Findings are: (1)Changes of life styles and their effects on diabetes self-care behaviors and blood sugar control after the change of school and start working , (2) Problems in school life and the needs for cooperation between hospital personnel, families and school teachers. (3) Adaptation processes and problems encountered by diabetic children and their families after the onset of IDDM, (4) Problems among toddlers and preschoolers with IDDM, (5) Needs of siblings of diabetic children, (6) Problems while studying for entrance examination, (7) Explanation about IDDM to friends, school teachers and neighbors.(2)&(3) Videos and CAI were used at the pediatric diabetes clinic of Chiba University Hospital, and their usefulness was found. (4) A booklet, Life of Diabetic Children and Families, was written. (5) The function of patient and family support group was sought. (6) The activities of pediatric nurses for diabetic children in hospitals in Japan were investigated, and the need for educational programs was indicated.