Division of Internal and Pediatric Nursing, Institute of Nursing and Midwifery, Faculty of Health Sciences with the Institute of Maritime and Tropical Medicine, Medical University of Gdansk, 80-211 Gdansk, Poland.
Department of Pediatric Surgery, Marciniak Hospital, 50-041 Wroclaw, Poland.
Int J Environ Res Public Health. 2022 Dec 9;19(24):16576. doi: 10.3390/ijerph192416576.
School nurses should participate in the care of children with type 1 diabetes mellitus. The aim of this study was to assess the level of knowledge of school nurses about the basic principles of self-control and the treatment of type 1 diabetes mellitus and to attempt to determine the factors that influence this level of knowledge. A cross-sectional survey was conducted among school nurses from October 2018 to November 2019 in the Pomeranian Voivodeship. The study was conducted using a self-constructed questionnaire. The survey included questions about the sociodemographic characteristics of the respondents, and a test of the knowledge and skills regarding the principles of self-control and the treatment of type 1 diabetes mellitus (16 test questions). This study included 168 Polish school nurses (mean age ± SD = 55.1 ± 8.9 years). Most of the nurses had a secondary education (81%), worked in a municipal educational institution (78.6%), and provided care to more than one student with type 1 diabetes mellitus at school (70.2%). The average level of knowledge of school nurses was 12.5 ± 2.0 points (maximum 16). The nurses working in a village school and those who worked only in one school had lower levels of knowledge. Only 85.7% of nurses reported that they could independently perform a blood glucose measurement with a glucometer, and as many as 56.5% were unable to determine the level of ketone bodies in the urine with Keto-Diastix test strips. Only 62.5% of nurses had a glucometer and glucometer strips in their nursing office. A total of 19.6% of nurses did not have glucagon (1 mg GlucaGen HypoKit, Novo Nordisk A/S, Bagsværd, Denmark) or an ampoule with 20% glucose for an intravenous administration. The knowledge of school nurses about the principles of self-control and the treatment of type 1 diabetes mellitus is insufficient. Due to the strong increase in the incidence of type 1 diabetes mellitus among children and adolescents, it is important to organize permanent, continuous, and mandatory training on the principles of self-control and the treatment of type 1 diabetes mellitus for school nurses. The equipment in Polish school nurses' offices should be supplemented with a working glucometer and blood glucose test strips, and the set of obligatory medications in the school nurse's office should be supplemented with glucagon for students with type 1 diabetes mellitus.
学校护士应参与 1 型糖尿病患儿的护理。本研究旨在评估学校护士对 1 型糖尿病自我管理和治疗基本原理的知识水平，并试图确定影响该知识水平的因素。2018 年 10 月至 2019 年 11 月，在波兰波美拉尼亚省对学校护士进行了横断面调查。研究使用自行设计的问卷进行。调查包括有关受访者社会人口统计学特征的问题，以及关于自我管理和 1 型糖尿病治疗原则的知识和技能测试（16 个测试问题）。本研究包括 168 名波兰学校护士（平均年龄±标准差=55.1±8.9 岁）。大多数护士接受过中等教育（81%），在市立教育机构工作（78.6%），并在学校为不止一名 1 型糖尿病学生提供护理（70.2%）。学校护士的平均知识水平为 12.5±2.0 分（满分 16 分）。在乡村学校工作和只在一所学校工作的护士知识水平较低。只有 85.7%的护士报告说他们可以独立使用血糖仪进行血糖测量，多达 56.5%的护士无法使用 Keto-Diastix 测试条确定尿液中的酮体水平。只有 62.5%的护士在护士办公室备有血糖仪和血糖仪试纸。共有 19.6%的护士没有胰高血糖素（1 毫克 GlucaGen HypoKit，诺和诺德公司， Bagsværd，丹麦）或 20%葡萄糖静脉注射用安瓿。学校护士对 1 型糖尿病自我管理和治疗原则的了解不足。由于儿童和青少年 1 型糖尿病发病率的急剧增加，有必要为学校护士组织关于 1 型糖尿病自我管理和治疗原则的持续、持续和强制性培训。波兰学校护士办公室的设备应补充工作血糖仪和血糖试纸，学校护士办公室的必备药物应补充 1 型糖尿病学生用胰高血糖素。
