Gomber Apoorva, Wentzell Katherine, Higgins Laurie A, Volkening Lisa K, Laffel Lori M
Pediatric, Adolescent, and Young Adult Section, Joslin Diabetes Center, Boston MA.
Division of Global Health Equity, Brigham and Women's Hospital, Boston, MA.
Diabetes Spectr. 2023 Summer;36(3):205-210. doi: 10.2337/ds22-0056. Epub 2023 Mar 2.
School nurses are integral to optimizing diabetes management for students with type 1 diabetes. The aim of this study was to describe the use of diabetes technology in schools over time and assess school nurses' comfort level performing diabetes management tasks.
From 2012 to 2019, school nurses who attended a diabetes education program completed a survey about their experience and comfort level with diabetes management.
A total of 1,796 school nurses completed the survey; 56% had at least 5 years of school nursing experience. Most (86%) had at least one student with type 1 diabetes. Among school nurses with at least one student with type 1 diabetes, 73% had at least one student using insulin pump therapy, and 48% had at least one student using continuous glucose monitoring (CGM). There was no change in pump use over time, but the percentage of nurses who had a student using CGM increased significantly from 24% in 2012 to 86% in 2019 ( <0.001). School nurses' comfort level using pumps remained stable over time. Overall, 47% reported being mostly/very comfortable giving boluses using a pump, and 17% reported being mostly/very comfortable troubleshooting problems with a pump. However, there was a significant increase in school nurses reporting feeling mostly/very comfortable working with CGM devices, increasing from 9% in 2012 to 44% in 2019 ( <0.001).
School nurses are an important part of diabetes management for school-aged youth with type 1 diabetes. There is a need for additional diabetes education and support to build their confidence with diabetes management and technology, especially with further technological advancements in management.
学校护士对于优化1型糖尿病学生的糖尿病管理至关重要。本研究的目的是描述随着时间推移糖尿病技术在学校中的使用情况，并评估学校护士执行糖尿病管理任务时的舒适度。
2012年至2019年期间，参加糖尿病教育项目的学校护士完成了一项关于他们糖尿病管理经验和舒适度的调查。
共有1796名学校护士完成了调查；56%的人有至少5年的学校护理经验。大多数（86%）有至少一名1型糖尿病学生。在有至少一名1型糖尿病学生的学校护士中，73%有至少一名学生使用胰岛素泵治疗，48%有至少一名学生使用持续葡萄糖监测（CGM）。随着时间推移，泵的使用没有变化，但有学生使用CGM的护士比例从2012年的24%显著增加到2019年的86%（<0.001）。学校护士使用泵的舒适度随着时间保持稳定。总体而言，47%的人报告在使用泵进行大剂量注射时大多/非常舒适，17%的人报告在解决泵的问题时大多/非常舒适。然而，报告在使用CGM设备时大多/非常舒适的学校护士显著增加，从2012年的9%增加到2019年的44%（<0.001）。
学校护士是1型糖尿病学龄青少年糖尿病管理的重要组成部分。需要额外的糖尿病教育和支持，以增强他们在糖尿病管理和技术方面的信心，特别是随着管理方面进一步的技术进步。
