Family & Community Medicine Joint Program, Hail, Saudi Arabia.
Health Affairs, Hail Region, Saudi Arabia.
J Prev Med Hyg. 2021 Sep 15;62(3):E673-E680. doi: 10.15167/2421-4248/jpmh2021.62.3.2064. eCollection 2021 Sep.
Saudi Arabia ranks the 4th country in the world in incidence rate of Type 1 Diabetes (T1D), which is usually diagnosed in children and teens. Managing T1D at school is important for children's short- and long-term health. Little is known about how much teachers are compatible to support students with diabetes in schools in northern Saudi Arabia. The aim of this study was to assess factual knowledge about T1D among teachers in public female elementary schools.
This was a cross-sectional survey conducted in 18 elementary schools in Hail region, during October 16, 2019 to January 23, 2020. A structured self- administered questionnaire approached all school teachers and other school staff caring students (n = 600).
A total of 504 questionnaires received completed (84.0% response rate). Overall, 220 (43.7%) teachers reported having had or currently having a student/s with T1D. Only a small percentage (10.8%) who stated that they had received training to support students with T1D. Participant attained an overall fair knowledge score (13.20 ± 3.81 on 20-point scale; 66.0%), however, only 27.3% who attained good score (≥ 80%) compatible with being an effective support person for students with diabetes. The multivariate logistic regression model, revealed that: (1) received training [adjusted Odds Ratio (aOR: 3.38; p < 0.001); (2) have/ever had diabetic student/s (aOR: 2.02; p = 0.002); (3) teacher himself is diabetic or have a near contact diabetic person (aOR: 2.35; p = 0.001); (4) family history of diabetes (aOR: 1.84; p = 0.015); and (5) teacher's capacity to inject insulin (aOR: 1; p = 0.003), were factors that predicted teacher's good knowledge.
Teachers in female elementary schools in our region need to improve their knowledge about diabetes in children, especially recognizing and management of diabetic emergencies. Training programs are crucially needed to empower teachers with knowledge and self-confidence in helping students with diabetes.
沙特阿拉伯是世界上第 4 个 1 型糖尿病（T1D）发病率最高的国家，这种疾病通常在儿童和青少年中确诊。在学校管理 T1D 对儿童的短期和长期健康都很重要。在沙特阿拉伯北部，关于教师在学校支持糖尿病学生的能力，我们知之甚少。本研究的目的是评估公立女校教师对 T1D 的实际知识。
这是 2019 年 10 月 16 日至 2020 年 1 月 23 日在哈伊勒地区的 18 所小学进行的横断面调查。采用结构化的自我管理问卷，调查了所有学校教师和其他照顾学生的学校工作人员（n=600）。
共收到 504 份完整的问卷（84.0%的应答率）。总的来说，220 名（43.7%）教师报告说曾有或目前有 T1D 学生。只有一小部分（10.8%）表示他们接受过支持 T1D 学生的培训。参与者的总体知识得分良好（20 分制得分为 13.20±3.81；66.0%），但只有 27.3%的人得分良好（≥80%），符合成为糖尿病学生有效支持人员的要求。多变量逻辑回归模型显示：（1）接受过培训[调整优势比（aOR：3.38；p<0.001）]；（2）有/曾经有过糖尿病学生（aOR：2.02；p=0.002）；（3）教师本人患有糖尿病或有密切接触糖尿病患者（aOR：2.35；p=0.001）；（4）糖尿病家族史（aOR：1.84；p=0.015）；和（5）教师注射胰岛素的能力（aOR：1；p=0.003），这些因素预测了教师的良好知识。
我们地区女校的教师需要提高他们对儿童糖尿病的认识，特别是对糖尿病急症的识别和管理。迫切需要培训计划，使教师具备帮助糖尿病学生的知识和自信。
