Institute of Public Health, Faculty of Health Sciences, Jagiellonian University Collegium Medicum, Krakow, Poland.
Foundation, European Diabetes Clinic, Poland.
Pediatr Endocrinol Diabetes Metab. 2020;26(4):205-210. doi: 10.5114/pedm.2020.98998.
Type 1 diabetes in the paediatric population is becoming a serious social problem affecting an increasing number of families with small, dependent children. Polish educational institutions are not prepared to provide care for students with diabetes. There are no nurses who, by law, are responsible for taking care for diabetic children. Teachers are not trained to provide care for pupils with diabetes and there is no system of obligatory, standardized training in this field.
The aim of the study was to examine parents' opinions of the quality of care for diabetic students in educational institutions and compare the results obtained in 2013 and 2020.
The research, in the form of a questionnaire containing closed and open questions, was conducted in 2013 (n = 602) and 2020 (n = 604).
There has been a slight positive change in providing the right care for children with type 1 diabetes in school facilities. In 2013 parents rated the quality of diabetic care as: bad - 13%, insufficient - 68%, sufficient - 14%, good - 5%, and in 2020 as: bad - 11%, insufficient - 54%, sufficient - 25.5%, good - 10.5%. However, the problem of the lack of appropriate legal regulations and absence of nurses in educational institutions has deepened. Systematic training of staff financed from public funds has still not been provided.
It is necessary to solve the problem systematically, introduce mandatory, standardized training, clarify the responsibilities of teachers taking care of children with diabetes, introduce appropriate legislative changes and regulate the currently omitted preschool children.
在儿科人群中,1 型糖尿病正成为一个严重的社会问题,影响着越来越多的有年幼、依赖子女的家庭。波兰的教育机构没有做好为糖尿病学生提供护理的准备。没有护士依法负责照顾糖尿病儿童。教师也没有接受过为糖尿病患儿提供护理的培训,而且在这一领域也没有强制性、标准化培训的制度。
本研究旨在调查家长对教育机构中糖尿病学生护理质量的看法,并比较 2013 年和 2020 年的结果。
该研究采用问卷调查的形式,包括封闭式和开放式问题,于 2013 年(n=602)和 2020 年(n=604)进行。
为患有 1 型糖尿病的儿童在学校设施中提供正确护理方面略有积极变化。2013 年,家长对糖尿病护理质量的评价为:差-13%,不足-68%,足够-14%,良好-5%,而 2020 年为:差-11%,不足-54%,足够-25.5%,良好-10.5%。然而,缺乏适当的法律规定和教育机构缺乏护士的问题却加深了。还没有提供由公共资金资助的工作人员系统培训。
有必要系统地解决这个问题,引入强制性、标准化的培训,明确照顾糖尿病儿童的教师的责任,引入适当的立法改革,并规范目前被忽视的学龄前儿童。