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. 2018 Jun 21;57(3):166-174.
doi: 10.2478/sjph-2018-0021. eCollection 2018 Jun.

The Role of a School Nurse in the Care of a Child with Diabetes Mellitus Type 1 - The Perspectives of Patients and their Parents: Literature Review

Anna Stefanowicz  1 , Joanna Stefanowicz  2
Affiliations

The Role of a School Nurse in the Care of a Child with Diabetes Mellitus Type 1 - The Perspectives of Patients and their Parents: Literature Review

Anna Stefanowicz et al. Zdr Varst. .

Abstract
in English, Slovenian

Introduction: The aim of this literature review was to explore the views of parents and children with type 1 diabetes mellitus regarding having a school nurse.

Methods: Six databases were selected for the analysis. The research strategy was based on the PICO model. The research participants were children with type 1 diabetes mellitus and/or their parents.

Results: The present review of research papers includes 12 publications. The majority of works deal with the perspectives of children with type 1 diabetes and their parents on various aspects related to the role of a school nurse in the care of a child with type 1 diabetes:the presence of a school nurse;the role of a school nurse in the prevention and treatment of hypoglycaemia, in performing the measurements of blood glucose, and in insulin therapy;the role of a nurse in improving metabolic control of children with type 1 diabetes;a nurse as an educator for children with type 1 diabetes, classmates, teachers, teacher's assistants, principals, administrators, cafeteria workers, coaches, gym teachers, bus drivers, and school office staff;a nurse as an organiser of the care for children with type 1 diabetes.

Conclusions: According to parents and children with type 1 diabetes mellitus, various forms of school nurse support (i.e., checking blood glucose, giving insulin, giving glucagon, treating low and high blood glucose levels, carbohydrate counting) are consistently effective and should have an impact on the condition, improvement of metabolic control, school activity and safety at school.

Uvod: Namen tega sistematičnega pregleda literature je raziskati vlogo šolske medicinske sestre pri negi otrok s sladkorno boleznijo tipa 1 in pri podpori njihovih staršev.

Metode: Za analizo je bilo izbranih šest podatkovnih zbirk. Strategija raziskave je temeljila na modelu PICO. Zajeti so bili članki z opisi raziskav, v katerih so sodelovali otroci s sladkorno boleznijo tipa 1 in/ali njihovi starši.

Rezultati: Pregled literature vključuje 12 člankov. Večina se jih ukvarja s pogledom otrok s sladkorno boleznijo tipa 1 in njihovih staršev na vlogo šolske medicinske sestre pri negi otroka s sladkorno boleznijo tipa 1:prisotnost šolske medicinske sestre;vloga šolske medicinske sestre pri preprečevanju in oskrbi hipoglikemije, izvajanju merjenja glukoze v krvi in inzulinski terapiji;vloga šolske medicinske sestre pri izboljšanju nadzora presnove otrok s sladkorno boleznijo tipa 1;šolska medicinska sestra kot vzgojitelj otrok s sladkorno boleznijo tipa 1, sošolcev, učiteljev, pomočnikov učiteljev, ravnateljev, administratorjev, zaposlenih v kuhinji in jedilnici, trenerjev, učiteljev telovadbe, voznikov avtobusa in ostalega šolskega osebja;šolska medicinska sestra kot organizator nege otrok s sladkorno boleznijo tipa 1.

Zaključki: Po mnenju otrok s sladkorno boleznijo tipa 1 in njihovih staršev je podpora šolske medicinske sestre (tj. preverjanje vrednosti glukoze v krvi, dovajanje inzulina in glukagona, obravnava nizkih in visokih ravni glukoze, štetje ogljikovih hidratov) konsistentno učinkovita in vpliva na stanje, izboljšanje nadzora presnove, šolske dejavnosti in varnost otrok s sladkorno boleznijo tipa 1 v šoli.

Keywords: children; diabetes mellitus type 1; nurses; schools.

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Conflict of interest statement

Conflicts of interest: The authors declare that no conflicts of interest exist.

Figures

Figure 1
Figure 1
PRISMA Flow diagram (type 1 diabetes mellitus & perception) (34).
See this image and copyright information in PMC

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