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

本研究的目的是检验我们在2003-2004年的科学研究中开发的糖尿病护理手册对学校工作人员的有用性，并寻找有效的策略来帮助学龄糖尿病儿童。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份附有评估问卷的糖尿病护理手册，以获得对手册的评论。访问芬兰，收集儿童糖尿病护理方面的信息。使用这些结果修订了手册，并以书的形式出版。10名有糖尿病学生的学校护士，经同意完成了为期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录音的研究会议。因此，他们能够在尊重学生和家长的感受和需求的情况下帮助他们。此外，他们还发现对糖尿病护理信息和咨询服务的需求。这10所学校的团队方法表明，在糖尿病生活开始时，患者、家庭、医生、学校护士和学校老师开会的重要性。各学校的卫生保健团队乐于在学校入口处接纳糖尿病学生。所有学校工作人员都应该增加儿童2型糖尿病的知识。本研究中，学校护士愿意帮助2型糖尿病学生维持糖尿病治疗方案。比较美国、芬兰和日本等国学校护士在糖尿病护理中的作用。日本在学校尿液检测制度和学校护士在各学校的安置方面处于优势地位，但在学校护士在糖尿病护理方面的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.