Olejniczak Dominik, Tworzydlak Vivienne, Kurowska Aleksandra, Blaszka Karolina, Swakowska Katarzyna, Staniszewska Anna
Department of Public Health, Medical University of Warsaw, 02-091 Warsaw, Poland.
Clinic of Pediatric Diabetology and Pediatrics, Polikarp Brudzinski Independent Public Children's Clinical Hospital in Warsaw, 02-091 Warsaw, Poland.
Healthcare (Basel). 2025 Jan 8;13(2):109. doi: 10.3390/healthcare13020109.
Type 1 diabetes mellitus (T1DM) is a chronic metabolic disorder primarily managed through insulin therapy, which is crucial for achieving optimal glycemic control in children and adolescents. Therapeutic education is essential, equipping patients and their families with the knowledge and skills necessary for effective self-management. This familial support plays a critical role in the success of therapy and in fostering an environment conducive to the child's self-management of the condition. A core objective of therapeutic education is the prevention of complications associated with T1DM. Children and adolescents are made aware of the importance of consistent disease management by receiving information about the potential consequences of prolonged metabolic dysregulation. The study employed a diagnostic survey method with a proprietary questionnaire consisting of a demographic section and 28 closed-ended questions. The survey was conducted between February and May 2024 at the Pediatric Diabetes and Pediatrics Clinical Department of the Polikarp Brudziński Independent Public Children's Clinical Hospital in Warsaw. A total of 100 valid responses were included. Data were analyzed using frequency analysis for categorical variables, descriptive statistics for quantitative data, and Pearson's Chi-squared test for relationship analysis. Most parents (76%) initiated knowledge acquisition in diabetology departments. Group and individual training sessions were attended by 58% of respondents. Training frequency was predominantly daily (88%), and 92% of parents stressed the importance of consistent education. The vast majority (96%) of participants rated the training as well prepared, with 100% affirming that the education was adapted to their needs. Therapeutic education for children with T1DM is highly effective, particularly when integrating individual and group training sessions. Regular daily exercise is associated with higher levels of knowledge and skills in diabetes management. This emphasizes the importance of structured and frequent educational programs to optimize disease control, enhance familial support, and prevent complications, ultimately improving patient outcomes.
1型糖尿病（T1DM）是一种慢性代谢紊乱疾病，主要通过胰岛素治疗来管理，这对于儿童和青少年实现最佳血糖控制至关重要。治疗教育必不可少，它能让患者及其家人具备有效自我管理所需的知识和技能。这种家庭支持在治疗成功以及营造有利于孩子自我管理病情的环境方面发挥着关键作用。治疗教育的一个核心目标是预防与T1DM相关的并发症。通过了解长期代谢失调的潜在后果，儿童和青少年意识到持续疾病管理的重要性。该研究采用了诊断性调查方法，使用了一份专有问卷，问卷包括人口统计学部分和28个封闭式问题。调查于2024年2月至5月在华沙波利卡尔普·布鲁津斯基独立公共儿童临床医院的儿科糖尿病和儿科临床科室进行。共纳入100份有效回复。对分类变量使用频率分析、对定量数据使用描述性统计、对关系分析使用Pearson卡方检验进行数据分析。大多数家长（76%）在糖尿病科室开始获取知识。58%的受访者参加了团体和个人培训课程。培训频率主要是每天（88%），92%的家长强调持续教育的重要性。绝大多数（96%）参与者对培训评价为准备充分，100%的人肯定教育符合他们的需求。对T1DM儿童的治疗教育非常有效，特别是将个人和团体培训课程相结合时。定期日常锻炼与更高水平的糖尿病管理知识和技能相关。这强调了结构化和频繁的教育项目对于优化疾病控制、增强家庭支持和预防并发症的重要性，最终改善患者预后。
