7-12 Yaş Tip 1 Diyabetli Çocukların Okul Yaşantısını Etkileyen Faktörlerin Belirlenmesi: Bir Üniversite Hastanesi Örneği

Öz

Amaç: Bu araştırmanın amacı Tip 1 diabetes mellitus tanılı çocukların okul yaşantısını etkileyen faktörlerin incelenmesidir. Gereç ve Yöntemler: Tanımlayıcı ve kesitsel tipteki çalışma, Tip 1 Diyabet tanılı 7-12 yaşındaki 100 çocukla yürütüldü. Araştırma verileri “Okulda Diyabet Yönetimi: Çocuk Soru Formu” ile toplandı. Verilerin değerlendirilmesinde tanımlayıcı istatistikler ve ki-kare testleri kullanıldı. Bulgular: Çocukların yaşı ile okulda insülin pompa uygulamasında yardım alma durumu arasında bir ilişki vardır (t=21.782, p<0.05). Çocukların HbA1c düzeyi ile diyabete bağlı okula ara verme/devamsızlık yapma durumları arasında anlamlı bir ilişki yoktu (t=0.410, p>0.05). Çocukların ilk diyabet tanı alma yaşı ile diyabete bağlı okula ara verme / devamsızlık yapma durumları arasında anlamlı bir ilişki vardı (t=5.141, p<0.05). Çocukların HbA1c düzeyi ile diyabete bağlı okulda başarısızlık yaşama durumları arasında anlamlı bir ilişki vardı (t= 16.504, p<0.05). Çocukların ilk diyabet tanı alma yaşı ile diyabete bağlı okulda başarısızlık yaşama durumları arasında anlamlı bir ilişki vardı (t=16.504 (p<0.05). Sonuç: İlk diyabet tanısını 0-5 yaş arasında alanların %50’si diyabete bağlı olarak okula ara verme/devamsızlık yaptığı belirlendi. HbA1c düzeyi kötü olanların ise %75’ inin diyabete bağlı olarak okulda başarısızlık yaşadıkları belirlendi. İlk diyabet tanı alma yaşı beş yaşından daha erken olan çocukların okulda başarısızlık yaşama durumları daha fazla idi. Bu çalışma sonucunda HbA1c değeri ve tanı alma yaşının, çocuğun okula devamsızlık süresini ve okuldaki başarısını etkileyen önemli faktörler olarak belirlenmiştir. Çocuğa, aileye ve okul personellerine eğitim planlanması, eğitim programı ve danışmanlık konularında okul hemşirelerinin aktif rol alması ve eğitim programlarının tanı anından itibaren uygulanması önerilmektedir

Anahtar Kelimeler

• Çocuk
• Tip 1 Diabetes Mellitus
• okul yaşantısı
• hemşirelik

Destekleyen Kurum

There is no sources of support or funding

Etik Beyan

The ethical committee approval and necessary permissions were obtained following the Helsinki Declaration. The process was carried out as follows: The research obtained ethical committee approval on October 31, 2018, with protocol number 2018.183.IRB3.124. Written permission was obtained from the Koç University Hospital Directorate, where the data were collected. The researcher provided detailed information about the research to the children and families who agreed to participate. Written consent was obtained from the children and their families who agreed to participate in the research.

Teşekkür

There was no conflict of interest in this study. There was no financial gain or other interest in a product or distributor of a product. There was no association, consultation, stock ownership or other interest, or patent-licensing arrangement. No funding was required for this research study. The authors are grateful to the children and their parents who spent their time and shared their experiences during the study

Determination of Factors Affecting School Life of Children Aged 7-12 with Type 1 Diabetes: A Sample of a University Hospital

Öz

Aim: This research aims to investigate the factors influencing the school experiences of children with Type 1 Diabetes. Material and Methods: The descriptive and cross-sectional study was conducted with 100 children aged 7-12, diagnosed with Type 1 diabetes mellitus. Research data was collected using the "Diabetes Management at School: Child Questionnaire." Descriptive statistics and chi-square tests were used for data analysis. Results: There is a relationship between children's age and receiving assistance with insulin pump application at school (t=21.782, p<0.05). There was no significant relationship between children's HbA1c levels and missing school due to diabetes-related issues (t=0.410, p>0.05). A significant relationship was found between the age at first diabetes diagnosis and missing school due to diabetesrelated issues (t=5.141, p<0.05). There is a significant relationship between children's HbA1c levels and experiencing failure at school due to diabetes (t= 16.504, p<0.05). A significant relationship exists between children's age at first diabetes diagnosis and experiencing failure at school due to diabetes (t=16.504 (p<0.05). Conclusion: 50% of those diagnosed with diabetes between ages 0-5 had to miss school due to diabetes-related reasons. 75% of those with poor HbA1c levels experienced failure at school due to diabetes. Children diagnosed with diabetes before the age of five experienced more failure at school. This study concludes that HbA1c level and age at diagnosis are significant factors affecting a child's school attendance and performance. Education planning for the child, family, and school personnel, active involvement of school nurses in education planning, and implementing education programs from the time of diagnosis are recommended.

Anahtar Kelimeler

• Child
• Type 1 Diabetes Mellitus
• school experience
• nursing

Kaynakça

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