School Nurses' Comfort With Diabetes Management and Technology From 2012 to 2019.

Q3 Medicine

Diabetes Spectrum Pub Date : 2023-01-01 Epub Date: 2023-03-02 DOI:10.2337/ds22-0056

Apoorva Gomber, Katherine Wentzell, Laurie A Higgins, Lisa K Volkening, Lori M Laffel

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引用次数: 0

Abstract

Objective: 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.

Study design: From 2012 to 2019, school nurses who attended a diabetes education program completed a survey about their experience and comfort level with diabetes management.

Results: 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 (P <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 (P <0.001).

Conclusion: 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.

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2012 至 2019 年学校护士对糖尿病管理和技术的舒适度。

目的：学校护士是优化 1 型糖尿病学生糖尿病管理不可或缺的一部分。本研究旨在描述学校在不同时期使用糖尿病技术的情况，并评估学校护士执行糖尿病管理任务的舒适度：研究设计：从 2012 年到 2019 年，参加过糖尿病教育项目的校医完成了一项关于他们在糖尿病管理方面的经验和舒适度的调查：共有 1796 名学校护士完成了调查，其中 56% 的人至少有 5 年的学校护理经验。大多数人（86%）至少有一名学生患有 1 型糖尿病。在至少有一名学生患有 1 型糖尿病的学校护士中，73% 的人至少有一名学生使用胰岛素泵治疗，48% 的人至少有一名学生使用持续葡萄糖监测 (CGM)。随着时间的推移，胰岛素泵的使用率没有变化，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%（P P 结论）：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，以建立他们对糖尿病管理和技术的信心，尤其是随着管理技术的进一步发展。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetes Spectrum Medicine-Internal Medicine

CiteScore

2.70

自引率

0.00%

发文量

期刊介绍： The mission of Diabetes Spectrum: From Research to Practice is to assist health care professionals in the development of strategies to individualize treatment and diabetes self-management education for improved quality of life and diabetes control. These goals are achieved by presenting review as well as original, peer-reviewed articles on topics in clinical diabetes management, professional and patient education, nutrition, behavioral science and counseling, educational program development, and advocacy. In each issue, the FROM RESEARCH TO PRACTICE section explores, in depth, a diabetes care topic and provides practical application of current research findings.