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EVALUATION OF THE AWARENESS OF TEACHERS AND SCHOOL-AGE CHILDREN LIVING IN ISTANBUL TOWARDS TYPE-1 DIABETES MELLITUS BEFORE AND AFTER GIVING AN EDUCATION TO TEACHERS: A COMMUNITY-BASED, PROSPECTIVE COHORT STUDY

Yıl 2019, Cilt 5, Sayı 1, 32 - 43, 27.01.2019

Öz

Type-1 Diabetes Mellitus (T1DM) is the most frequent endocrinological disease that has very serious complications and in recent prevalence studies it has been reported that the frequency of the disease has been increasing. There is a need to increase awareness of the disease in children diagnosed with T1DM and their families and teachers with whom they spend most of their times. The aim of this study was to investigate the effects of T1DM education on awareness of the teachers towards the disease. 203 primary-secondary and high schools in different regions of Istanbul were reviewed for the year 2009 and a total of 1006 teachers and 114 students diagnosed with Type-1 DM were included in the first part of study. The participants were asked to fill in a form that included several questions to assess the awareness about the disease. Afterwards the teachers were included in a training program conducted by two pediatricians. In the second part of the study the same teachers and different 67 students diagnosed with type-1 DM from the same schools were asked to fill in the same form in 2013. It was observed that educating the teachers about DM reduced the risk of comatose situations caused by the disease and the rates of insulin injections in class, eating snacks at school and self-monitoring of blood glucose at school and home were affected significantly positively. In addition, the number of children using carbohydrate counting and the frequency of giving permission for micturition during lessons also significantly increased after the education. The present study shows that educating teachers at primary-secondary and high schools about Type-1 DM might affect the progression of the disease in a positive manner. 

Kaynakça

  • 1. Fox DA, Islam N, Sutherland J, Reimer K, Amed S. Type 1 diabetes incidence and prevalence trends in a cohort of Canadian children and youth. Pediatr Diabetes. 2017. Epub 2017/09/01.
  • 2. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2009;32 Suppl 1:S62-7. Epub 2009/01/06.
  • 3. Hsieh A, Twigg SM. The enigma of the dead-in-bed syndrome: challenges in predicting and preventing this devastating complication of type 1 diabetes. J Diabetes Complications. 2014;28(5):585-7. Epub 2014/06/29.
  • 4. Akesen E, Turan S, Guran T, Atay Z, Save D, Bereket A. Prevalence of type 1 diabetes mellitus in 6-18-yr-old school children living in Istanbul, Turkey. Pediatr Diabetes. 2011;12(6):567-71. Epub 2011/03/23.
  • 5. Patterson CC, Dahlquist GG, Gyurus E, Green A, Soltesz G. Incidence trends for childhood type 1 diabetes in Europe during 1989-2003 and predicted new cases 2005-20: a multicentre prospective registration study. Lancet. 2009;373(9680):2027-33. Epub 2009/06/02.
  • 6. Kumar KM, Saboo B, Rao PV, Sarda A, Viswanathan V, Kalra S, et al. Type 1 diabetes: Awareness, management and challenges: Current scenario in India. Indian J Endocrinol Metab. 2015;19(Suppl 1):S6-8. Epub 2015/05/06.
  • 7. Alotaibi M, Alibrahim L, Alharbi N. Challenges associated with treating children with diabetes in Saudi Arabia. Diabetes Res Clin Pract. 2016;120:235-40. Epub 2016/09/14.
  • 8. Berger B, Sethe D, Hilgard D, Martin D, Heusser P. Design of a Self-Management Program for Children Aged 6-12 Years with Type 1 Diabetes Mellitus at the Community Hospital Herdecke, Germany. Complement Med Res. 2017;24(4):255-63. Epub 2017/08/30.
  • 9. Kanungo A. Myths about type 1 diabetes: Awareness and education. Indian J Endocrinol Metab. 2015;19(Suppl 1):S24-5. Epub 2015/05/06.
  • 10. Abdel Gawwad ES. Teacher's Knowledge, Attitudes and Management Practices about Diabetes Care in Riyadh's Schools. J Egypt Public Health Assoc. 2008;83(3-4):205-22. Epub 2008/01/01.
  • 11. Hinton D, Kirk S. Teachers' perspectives of supporting pupils with long-term health conditions in mainstream schools: a narrative review of the literature. Health Soc Care Community. 2015;23(2):107-20. Epub 2014/03/29.
  • 12. American Diabetes Association Clinical Practice Recommendations 2001. Diabetes Care. 2001;24 Suppl 1:S1-133. Epub 2001/06/14.
  • 13. Aycan Z, Onder A, Cetinkaya S, Bilgili H, Yildirim N, Bas VN, et al. Assessment of the knowledge of diabetes mellitus among school teachers within the scope of the managing diabetes at school program. J Clin Res Pediatr Endocrinol. 2012;4(4):199-203. Epub 2012/10/04.
  • 14. Nichols PJ, Norris SL. A systematic literature review of the effectiveness of diabetes education of school personnel. Diabetes Educ. 2002;28(3):405-14. Epub 2002/06/19.
  • 15. Gormanous M, Hunt A, Pope J, Gerald B. Lack of knowledge of diabetes among Arkansas public elementary teachers: implications for dietitians. J Am Diet Assoc. 2002;102(8):1136-8. Epub 2002/08/13.
  • 16. Nabors L, Lehmkuhl H, Christos N, Andreone TL. Children with diabetes: perceptions of supports for self-management at school. J Sch Health. 2003;73(6):216-21. Epub 2003/08/06.
  • 17. Gesteland HM, Sims S, Lindsay RN. Evaluation of two approaches to educating elementary schoolteachers about insulin-dependent diabetes mellitus. Diabetes Educ. 1989;15(6):510-3. Epub 1989/11/01.
  • 18. Smith CT, Chen AM, Plake KS, Nash CL. Evaluation of the impact of a diabetes education curriculum for school personnel on disease knowledge and confidence in caring for students. J Sch Health. 2012;82(10):449-56. Epub 2012/09/08.
  • 19. Jarret L, Hillam K, Bartsch C, Lindsay R. The Effectiveness of Parents Teaching Elementary School Teachers About Diabetes Mellitus.Diabetes educ. 1993;19:193-197
  • 20. Vanelli M, Chiari G, Ghizzoni L, Costi G, Giacalone T, Chiarelli F. Effectiveness of a prevention program for diabetic ketoacidosis in children. An 8-year study in schools and private practices. Diabetes Care. 1999;22(1):7-9. Epub 1999/05/20.

İSTANBUL'DA YAŞAYAN ÖĞRETMEN VE OKUL ÇAĞINDAKI ÇOCUKLARIN ÖĞRETMENLERE EĞİTİM VERİLMESİNDEN ÖNCE VE SONRA TIP-1 DIYABETES MELLITUS'A YÖNELIK FARKINDALIĞININ DEĞERLENDİRİLMESI: TOPLUM TEMELLİ BIR PROSPEKTIF KOHORT ÇALIŞMASI

Yıl 2019, Cilt 5, Sayı 1, 32 - 43, 27.01.2019

Öz

Tip-1 Diyabetes Mellitus (T1DM) ciddi komplikasyonları olan, en sık görülen endokrinolojik hastalıktır. Son prevalans çalışmalarında hastalığın sıklığının artmakta olduğu bildirilmektedir. Hastaların zamanlarının çoğunu birlikte geçirdikleri aileleri ve öğretmenlerinin T1DM farkındalığının artırılması gereklidir. Bu çalışmanın amacı, T1DM eğitiminin, öğretmenlerin hastalık konusundaki farkındalıkları üzerindeki etkilerini araştırmaktır. İstanbul'un farklı bölgelerinde bulunan 203 ilkokul, ortaokul ve lise 2009 yılı için gözden geçirilmiş ve söz konusu okullarda görev yapan 1006 öğretmen ile T1DM tanısı alan 114 öğrencileri çalışmanın ilk bölümüne dâhil edilmiştir. Katılımcılardan hastalıkla ilgili farkındalıklarını değerlendirmek amacıyla T1DM ile ilgili soruların yer aldığı bir form doldurmaları istenmiştir. Daha sonra katılımcı öğretmenler iki çocuk doktoru tarafından yürütülen bir eğitim programına dâhil edilmiştir. Araştırmanın ikinci bölümünde katılımcı öğretmenlerin ve aynı okullardan T1DM tanısı alan farklı 67 öğrencilerinin 2013 yılında aynı formu doldurmaları istenmiştir. Öğretmenlerin DM konusunda eğitilmesinin, hastalığın neden olduğu komatöz durumların görülme riskini azalttığı ayrıca sınıfta insülin enjeksiyonu yapılması oranlarını, okulda atıştırmalık tüketilmesini ve hem okulda hem de evde kan şekeri ölçülmesini önemli ölçüde olumlu etkilediği gözlenmiştir. Ek olarak, karbonhidrat sayımı yapan çocukların sayısı ve dersler sırasında hasta öğrencilerin miksiyon için tuvalete gitmelerine izin verme sıklığı da eğitimden sonra önemli ölçüde artmıştır. Bu çalışma, ilkokul ortaokul ve liselerde görev yapan öğretmenlere T1DM ile ilgili eğitim verilmesinin hastalığın seyrini olumlu yönde etkileyebileceğini göstermektedir.

Kaynakça

  • 1. Fox DA, Islam N, Sutherland J, Reimer K, Amed S. Type 1 diabetes incidence and prevalence trends in a cohort of Canadian children and youth. Pediatr Diabetes. 2017. Epub 2017/09/01.
  • 2. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2009;32 Suppl 1:S62-7. Epub 2009/01/06.
  • 3. Hsieh A, Twigg SM. The enigma of the dead-in-bed syndrome: challenges in predicting and preventing this devastating complication of type 1 diabetes. J Diabetes Complications. 2014;28(5):585-7. Epub 2014/06/29.
  • 4. Akesen E, Turan S, Guran T, Atay Z, Save D, Bereket A. Prevalence of type 1 diabetes mellitus in 6-18-yr-old school children living in Istanbul, Turkey. Pediatr Diabetes. 2011;12(6):567-71. Epub 2011/03/23.
  • 5. Patterson CC, Dahlquist GG, Gyurus E, Green A, Soltesz G. Incidence trends for childhood type 1 diabetes in Europe during 1989-2003 and predicted new cases 2005-20: a multicentre prospective registration study. Lancet. 2009;373(9680):2027-33. Epub 2009/06/02.
  • 6. Kumar KM, Saboo B, Rao PV, Sarda A, Viswanathan V, Kalra S, et al. Type 1 diabetes: Awareness, management and challenges: Current scenario in India. Indian J Endocrinol Metab. 2015;19(Suppl 1):S6-8. Epub 2015/05/06.
  • 7. Alotaibi M, Alibrahim L, Alharbi N. Challenges associated with treating children with diabetes in Saudi Arabia. Diabetes Res Clin Pract. 2016;120:235-40. Epub 2016/09/14.
  • 8. Berger B, Sethe D, Hilgard D, Martin D, Heusser P. Design of a Self-Management Program for Children Aged 6-12 Years with Type 1 Diabetes Mellitus at the Community Hospital Herdecke, Germany. Complement Med Res. 2017;24(4):255-63. Epub 2017/08/30.
  • 9. Kanungo A. Myths about type 1 diabetes: Awareness and education. Indian J Endocrinol Metab. 2015;19(Suppl 1):S24-5. Epub 2015/05/06.
  • 10. Abdel Gawwad ES. Teacher's Knowledge, Attitudes and Management Practices about Diabetes Care in Riyadh's Schools. J Egypt Public Health Assoc. 2008;83(3-4):205-22. Epub 2008/01/01.
  • 11. Hinton D, Kirk S. Teachers' perspectives of supporting pupils with long-term health conditions in mainstream schools: a narrative review of the literature. Health Soc Care Community. 2015;23(2):107-20. Epub 2014/03/29.
  • 12. American Diabetes Association Clinical Practice Recommendations 2001. Diabetes Care. 2001;24 Suppl 1:S1-133. Epub 2001/06/14.
  • 13. Aycan Z, Onder A, Cetinkaya S, Bilgili H, Yildirim N, Bas VN, et al. Assessment of the knowledge of diabetes mellitus among school teachers within the scope of the managing diabetes at school program. J Clin Res Pediatr Endocrinol. 2012;4(4):199-203. Epub 2012/10/04.
  • 14. Nichols PJ, Norris SL. A systematic literature review of the effectiveness of diabetes education of school personnel. Diabetes Educ. 2002;28(3):405-14. Epub 2002/06/19.
  • 15. Gormanous M, Hunt A, Pope J, Gerald B. Lack of knowledge of diabetes among Arkansas public elementary teachers: implications for dietitians. J Am Diet Assoc. 2002;102(8):1136-8. Epub 2002/08/13.
  • 16. Nabors L, Lehmkuhl H, Christos N, Andreone TL. Children with diabetes: perceptions of supports for self-management at school. J Sch Health. 2003;73(6):216-21. Epub 2003/08/06.
  • 17. Gesteland HM, Sims S, Lindsay RN. Evaluation of two approaches to educating elementary schoolteachers about insulin-dependent diabetes mellitus. Diabetes Educ. 1989;15(6):510-3. Epub 1989/11/01.
  • 18. Smith CT, Chen AM, Plake KS, Nash CL. Evaluation of the impact of a diabetes education curriculum for school personnel on disease knowledge and confidence in caring for students. J Sch Health. 2012;82(10):449-56. Epub 2012/09/08.
  • 19. Jarret L, Hillam K, Bartsch C, Lindsay R. The Effectiveness of Parents Teaching Elementary School Teachers About Diabetes Mellitus.Diabetes educ. 1993;19:193-197
  • 20. Vanelli M, Chiari G, Ghizzoni L, Costi G, Giacalone T, Chiarelli F. Effectiveness of a prevention program for diabetic ketoacidosis in children. An 8-year study in schools and private practices. Diabetes Care. 1999;22(1):7-9. Epub 1999/05/20.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Bilimleri ve Hizmetleri
Bölüm Araştırma Makalesi
Yazarlar

Halil Ugur HATİPOGLU> (Sorumlu Yazar)
UNIVERSITY OF HEALTH SCIENCES ISTANBUL TRAINING AND RESEARCH HOSPİTAL
0000-0002-7393-677X
Türkiye


Eda SUNNETCİ SİLİSTRE> (Sorumlu Yazar)
UNIVERSITY OF HEALTH SCIENCES ISTANBUL TRAINING AND RESEARCH HOSPİTAL
Türkiye

Yayımlanma Tarihi 27 Ocak 2019
Başvuru Tarihi 19 Aralık 2018
Kabul Tarihi 16 Ocak 2019
Yayınlandığı Sayı Yıl 2019, Cilt 5, Sayı 1

Kaynak Göster

APA Hatipoglu, H. U. & Sunnetci Silistre, E. (2019). EVALUATION OF THE AWARENESS OF TEACHERS AND SCHOOL-AGE CHILDREN LIVING IN ISTANBUL TOWARDS TYPE-1 DIABETES MELLITUS BEFORE AND AFTER GIVING AN EDUCATION TO TEACHERS: A COMMUNITY-BASED, PROSPECTIVE COHORT STUDY . International Anatolia Academic Online Journal Health Sciences , 5 (1) , 32-43 . Retrieved from https://dergipark.org.tr/tr/pub/iaaojh/issue/41030/499667

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