Seton Hall University, South Orange, NJ, USA.
J Sch Nurs. 2021 Aug;37(4):230-240. doi: 10.1177/1059840519870314. Epub 2019 Aug 19.
Adolescents with Type 1 diabetes (T1D) experience unique self-management challenges, which can lead to poor glycemic control and sequelae. School nurses may impact student self-efficacy behaviors for T1D management in adolescents. The purpose of this study was to determine the relationships among school nurse staffing patterns, measured by school nurse to student ratios, self-efficacy, and glycemic control in adolescents with T1D. The sample consisted of 89 parent-adolescent dyads. Adolescents aged 10-16 years old with T1D completed the Self-Efficacy for Diabetes Self-Management (SEDM) Scale. Parents completed a demographic questionnaire. Higher school nurse to student ratios correlated with better glycemic control and older age. Higher SEDM scores correlated with older age, and females scored significantly higher. Findings contribute new knowledge to the paucity of literature on school nursing and adolescents with T1D, with implications for nursing practice, education, research, and policy.
青少年 1 型糖尿病（T1D）患者面临独特的自我管理挑战，这可能导致血糖控制不佳和并发症。学校护士可能会影响青少年 T1D 管理的学生自我效能行为。本研究的目的是确定学校护士人员配备模式（以学校护士与学生的比例衡量）、自我效能感和青少年 T1D 患者的血糖控制之间的关系。该样本由 89 对家长-青少年组成。年龄在 10-16 岁的患有 T1D 的青少年完成了糖尿病自我管理自我效能感量表（SEDM）。家长完成了一份人口统计问卷。更高的学校护士与学生的比例与更好的血糖控制和更大的年龄相关。更高的 SEDM 分数与更大的年龄相关，而女性得分显著更高。这些发现为有关学校护理和青少年 T1D 的文献不足提供了新知识，对护理实践、教育、研究和政策具有启示意义。
