An Analysis of Support for Diabetic School Children by Yogo Teachers since the Adoption of Intensive Treatment: Investigation in Saitama Prefecture

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  • 強化インスリン療法以降の糖尿病児童生徒に対する養護教諭の支援に関する現状分析：埼玉県における調査から
  • キョウカ インスリン リョウホウ イコウ ノ トウニョウビョウ ジドウ セイト ニ タイスル ヨウゴ キョウユ ノ シエン ニ カンスル ゲンジョウ ブンセキ : サイタマケン ニ オケル チョウサ カラ

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Abstract

Objective: To analyze the current situation of school support for diabetic children since the adoption of intensive treatment, and to obtain some insight into nursing practice.<br> Method: A questionnaire created by the researchers was given to 997 Yogo teachers (school nurses) in Saitama Prefecture. Included were (1) knowledge questions about diabetes, and how to judge the hypoglycemic risk, (2) how the school administration supports those children, and (3) the level of cooperation between schools and local hospitals. There were 451 valid responses. 204 Yogo teachers had experienced supporting diabetic children who had had intensive treatment.<br> Results: 1) While there was a basic understanding about diabetes, knowledge about long-term complications and hemoglobin- A1c (HbA1c) was insufficient. 2) Yogo teachers with proper expert knowledge and experience had made an accurate judgment to the hypoglycemic risk. 3) Yogo teachers and hospital nurses had rarely communicated with each other. 4) The proportion of Yogo teachers who had medical care treatment requested of them was 11-15%, and some of them consented to the request. 5) The cooperation of hospital nurses and Yogo teachers is believed to have led to the improvement of the quality of school nursing practices.

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