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Diabetes Education in Children and Adolescents with Type 1 Diabetes in China
Xiaochun Chen1, Yangli Dai1, Yan Zheng1
1Department of Endocrinology, School of Medicine, The Children's Hospital Zhejiang University, Hangzhou, Zhejiang, China.
Insights
Diabetes education for children is crucial due to rising Type 1 Diabetes prevalence. A study found varied education levels and resource gaps in Chinese hospitals, highlighting a need for improved pediatric diabetes management training and specialized services.
Area of Science:
- Pediatric Endocrinology
- Diabetes Management
- Healthcare Education
Background:
- Increasing prevalence of Type 1 Diabetes in pediatric populations necessitates effective diabetes education.
- Limited existing evidence on diabetes education strategies specifically for children and adolescents.
- Understanding the current state of hospital-based diabetes education is vital for improving care.
Purpose of the Study:
- To investigate the current status of diabetes education provided in hospitals for children and adolescents.
- To identify challenges and resource availability in pediatric diabetes education programs.
- To inform strategies for enhancing diabetes management education in pediatric care settings.
Main Methods:
- A questionnaire was administered to nurses primarily responsible for diabetes education and management.
- Data collected from 98 nurses across tertiary children's specialized hospitals and pediatric wards.
- Study conducted between January 2018 and December 2019.
Main Results:
- 63.3% of surveyed hospitals had nurses with specialized diabetes training.
- 42.6% of hospitals had a full-time diabetes educator, with this increasing alongside patient volume.
- Dietary management education was the most frequently cited difficulty (23.0%); regional variations were not significant.
Conclusions:
- Significant variability exists in the quality of diabetes education for pediatric patients across different hospitals in China.
- A notable deficiency in specialized training and dedicated services for pediatric diabetes education was identified.
- Efforts are needed to bolster resources and standardize diabetes education for children and adolescents.
Background:
The prevalence of Type 1 Diabetes is increasing in pediatrics and diabetes education plays one of the most important role in the management of diabetes, especially in children. However, the related evidence concerned diabetes education is rare in children and adolescents. Therefore, we aimed to investigate the status of diabetes education in hospital, which could help us know the reality of diabetes education.
Methods:
We choose a nurse who is mainly responsible for diabetes education and management in each hospital to fill out the questionnaire. Overall, 98 nurses were enrolled from tertiary children's specialized hospitals and pediatric wards of general tertiary hospitals from Jan 2018 to Dec 2019.
Results:
Of 98 nurses enrolled, 61 (63.3%) nurses from 98 hospitals responded, 39 (63.9%) of them received specialized training in diabetes. There were no differences in education characteristics among regions of China. There were 26(42.6%) hospitals have a full-time nurse for diabetes education or nurses with endocrinology training increased with the number of cases/year (P=0.02 and P=0.009). The use of game-based education, knowledge assessment at discharge did not vary among hospital volumes, and the presence of a psychiatrist (P=0.41, P=0.65, and P=0.85, respectively). Diet management education is the most common (23.0%) difficulty in children diabetes education.
Conclusion:
The level of diabetes education in children and adolescents varied among hospitals, but not among regions in China. There was a lack of resources provided for children and adolescents diabetes education in terms of training and specialized services.
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