Chen Xiaochun, Dai Yangli, Zheng Yan, Yuan Ting, Dong Guanping, Wu Wei, Huang Ke, Yuan Jinna, Fu Junfen, Chen Xuefeng
Department of Endocrinology, School of Medicine, The Children's Hospital Zhejiang University, Hangzhou, Zhejiang, China.
Iran J Public Health. 2022 Sep;51(9):2017-2026. doi: 10.18502/ijph.v51i9.10556.
The prevalence of Type 1 Diabetes is increasing in pediatrics and diabetes education plays one of the most important role in the management of diabetes, especially in children. However, the related evidence concerned diabetes education is rare in children and adolescents. Therefore, we aimed to investigate the status of diabetes education in hospital, which could help us know the reality of diabetes education.
We choose a nurse who is mainly responsible for diabetes education and management in each hospital to fill out the questionnaire. Overall, 98 nurses were enrolled from tertiary children's specialized hospitals and pediatric wards of general tertiary hospitals from Jan 2018 to Dec 2019.
Of 98 nurses enrolled, 61 (63.3%) nurses from 98 hospitals responded, 39 (63.9%) of them received specialized training in diabetes. There were no differences in education characteristics among regions of China. There were 26(42.6%) hospitals have a full-time nurse for diabetes education or nurses with endocrinology training increased with the number of cases/year (=0.02 and =0.009). The use of game-based education, knowledge assessment at discharge did not vary among hospital volumes, and the presence of a psychiatrist (=0.41, =0.65, and =0.85, respectively). Diet management education is the most common (23.0%) difficulty in children diabetes education.
The level of diabetes education in children and adolescents varied among hospitals, but not among regions in China. There was a lack of resources provided for children and adolescents diabetes education in terms of training and specialized services.
1型糖尿病在儿科中的患病率正在上升，糖尿病教育在糖尿病管理中起着最重要的作用之一，尤其是在儿童中。然而，有关儿童和青少年糖尿病教育的相关证据很少。因此，我们旨在调查医院中糖尿病教育的现状，这有助于我们了解糖尿病教育的实际情况。
我们选择每家医院中主要负责糖尿病教育和管理的一名护士填写问卷。总体而言，2018年1月至2019年12月期间，从三级儿童专科医院和三级综合医院的儿科病房招募了98名护士。
在招募的98名护士中，来自98家医院的61名（63.3%）护士做出了回应，其中39名（63.9%）接受了糖尿病方面的专业培训。中国各地区之间的教育特征没有差异。有26家（42.6%）医院有一名全职糖尿病教育护士或接受内分泌学培训的护士数量随每年病例数增加（分别为=0.02和=0.009）。基于游戏的教育、出院时的知识评估在不同医院规模之间没有差异，并且精神科医生的配备情况也无差异（分别为=0.41、=0.65和=0.85）。饮食管理教育是儿童糖尿病教育中最常见的（23.0%）困难。
中国儿童和青少年糖尿病教育水平在不同医院之间存在差异，但在各地区之间没有差异。在培训和专业服务方面，儿童和青少年糖尿病教育缺乏资源。
