1型糖尿病患儿在学校安全吗？审视家长的看法。
Are children with type 1 diabetes safe at school? Examining parent perceptions.
作者信息
Driscoll Kimberly A, Volkening Lisa K, Haro Heidi, Ocean Gesnyr, Wang Yuxia, Jackson Crystal Crismond, Clougherty Marilyn, Hale Daniel E, Klingensmith Georgeanna J, Laffel Lori, Deeb Larry C, Siminerio Linda M
机构信息
Department of Behavioral Sciences and Social Medicine, Florida State University College of Medicine, Tallahassee, FL, USA.
Genetics and Epidemiology Section, Joslin Diabetes Center, Boston, MA, USA.
出版信息
Pediatr Diabetes. 2015 Dec;16(8):613-20. doi: 10.1111/pedi.12204. Epub 2014 Sep 30.
OBJECTIVE
To describe parent perceptions of children's diabetes care at school including: availability of licensed health professionals; staff training; logistics of provision of care; and occurrence and treatment of hypo- and hyperglycemia; and to examine parents' perceptions of their children's safety and satisfaction in the school environment.
RESEARCH DESIGN AND METHODS
A survey was completed by parents of children with type 1 diabetes from permissive (trained, non-medical school personnel permitted to provide diabetes care; N = 237) and non-permissive (only licensed health care professionals permitted to provide diabetes care; N = 198) states.
RESULTS
Most parents reported that schools had nurses available for the school day; teachers and coaches should be trained; nurses, children, and parents frequently provided diabetes care; and hypo- and hyperglycemia occurred often. Parents in permissive states perceived children to be as safe and were as satisfied with care as parents in non-permissive states.
CONCLUSIONS
Training non-medical staff will probably maximize safety of children with diabetes when a school nurse is not available.
目的
描述家长对孩子在学校接受糖尿病护理的看法，包括：有执照的健康专业人员的可获得性；工作人员培训；护理提供的后勤保障；低血糖和高血糖的发生及治疗情况；并考察家长对孩子在学校环境中的安全性和满意度的看法。
研究设计与方法
来自允许（受过培训的非医疗学校人员可提供糖尿病护理；N = 237）和不允许（仅允许有执照的医疗保健专业人员提供糖尿病护理；N = 198）两种状态下的1型糖尿病患儿的家长完成了一项调查。
结果
大多数家长报告说，学校在上课日有护士；教师和教练应接受培训；护士、孩子和家长经常提供糖尿病护理；低血糖和高血糖经常发生。允许状态下的家长认为孩子同样安全，并且对护理的满意度与不允许状态下的家长相同。
结论
当学校没有护士时，培训非医务人员可能会最大限度地提高糖尿病患儿的安全性。
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