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Self-Care Behavior of Diabetic Children and Its Practice in School Life Midori Kuniyoshi 1 , Michiko Gushiken 1 , Kozue Miyagi 2 , Saori Gajya 3 1School of Health Sciences, Faculty of Medicine, University of the Ryukyus 2University of the Ryukyus Hospital 3Chatan-Cho Office Keyword: 1型糖尿病 , 療養行動 , 学校生活 , Type 1 diabetes , Self-care behavior , School life pp.107-114
Published Date 2003/9/15
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 This study aims to clarify the self-care behavior of diabetic children as they practice it in school life in order to contribute to an assessment of current nursing support and establishing training for such support in the future. The subjects were 24 children with Type 1 diabetes who received medical examinations in prefectural medical facilities or who participated in a diabetes summer camp. Their ages ranged from 9 to 18 years. We surveyed the self-care behaviors of subjects with a questionnaire, in which they were asked to write the answers in their own words. We used the questionnaire developed by Kanematsu, et al., as well as our own questionnaire about school life. For analysis, Pearson's correlation was used for self-care behavior and one-way layout ANOVA was used for comparison among 3 age groups. The results showed a significantly positive correlation between total scores and dietary therapy, insulin treatment, self-monitoring of blood glucose, method of coping with hypoglycemia, and exercise (p<0.05). When the average scores for self-care behavior among the 3 age groups were compared, a significantly higher score for “comprehension of parents and families”was obtained for primary school children compared with junior and senior high school students (p<0.05). For“ability of subject him/herself to treat hypoglycemia”, however, a significantly lower score was obtained for primary school children. Primary school children had higher average scores for the items of self-care behavior in relation to parents. Junior and senior high school students had higher average scores of independence. For insulin injection before lunch time in school life, all the primary school children did so in the school infirmary. On the other hand, junior and senior high school students injected insulin either in the rest room or on the school veranda, or both. Our results might indicate that nursing support is necessary for primary school children in making the transfer from parent management to self-management and that for junior and senior high school students, emotional nursing support appropriatefor adolescent characters would be necessary in order to strengthen their self-confidence.


Copyright © 2003, Japan Academy of Diabetes Education and Nursing. All rights reserved.

基本情報

電子版ISSN 2432-3713 印刷版ISSN 1342-8497 日本糖尿病教育・看護学会

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