A study of Knowledge, Attitude, Behavior Intention and Associated Factors Concerning Taking Care of Students with Diabetes by Elementary School Nurses in Taipei
Date Issued
2004
Date
2004
Author(s)
Lee, Hui-fen
DOI
zh-TW
Abstract
The purpose of this study was to explore the level of knowledge, attitude, behavior intention and their related factors concerning taking care of students with diabetes by elementary school nurses in Taipei City and Taipei County. A cross-sectional study design was conducted via structured questionnaire collected by mail. The elementary school nurses were from 360 public and private primary schools in Taipei. Total subjects were 387. Two hundred and eighteen valid questionnaires were returned (56.33%) and used for data analysis. Data were analyzed by descriptive and inferential statistics through the SPSS 11.0 for Window Software.
Significant results were summarized as followed：
1. Among 208 schools that 218 school health nurses came from, the students and nurses were in the average ratio of 1298 to 1. Among 218 school health nurses, 214 nurses have no diabetes and 4 nurses don’t know if they had diabetes or not. 58.72% of study subjects have diabetic family members or friends. 51.0% of them had took care their family members or patients with diabetes directly. 38.99% of them had or had ever had diabetic students when they served in school.
2. The main resource that study subjects got diabetes knowledge was “ nursing education in school ”, ” continuing education or training on-the-job ”, ” books ”, “medical or nursing journals ”.
3. The mean diabetes knowledge score was 14.18 out of a possible 20 (the percentage of correct answer was 70.9). The study subjects scored the highest on “direction for diabetic patients’ every day life”. The lower score that subjects attained was in two categories of “etiology and prevalence of diabetes” and “the acute complication and treatment”. More than 90% of study subjects confused hyperglycemia and ketoacidosis.
4. The mean diabetes attitude score was 75.77 out of a possible 100. On the whole, the attitude tendency of subjects toward the management and caring for school children with diabetes was positive. And the school nurses were willing to provide health consultation and guidance for the diabetic students and their teachers.
5. The mean score of behavior intention scale was 56.35 out of a possible 80. The study subjects scored the higher on ”acquiring and maintaining the knowledge and skills necessary to provide comprehensive care”, “referring and following up properly when finding a suspect case of diabetes” and ”providing health education about complication of diabetes for the diabetic students”. The lower score that subjects attained was in three categories of ”managing the medicine and equipment for diabetes emergencies”, “conducting a case conference of diabetic student” and “communicating with staff of the hospital or institution”.
6. The variables that impacted on the levels of knowledge were “whether or no subjects had attended diabetes seminars in 5 years”. “The highest level of nursing education” and the scores of diabetes knowledge were statistically significantly positive correlated.
7.The variables that impacted on the attitude were ”number of classes in the school”, “ratio of students and nurses”, “the highest level of nursing education” and “whether or no subjects had attended diabetes seminars in 5 years”. The first two were statistically significantly negative correlated with the scores of diabetes attitude, “the highest level of nursing education” was statistically significantly positive correlated with the scores of diabetes attitude.
8.The variables that impacted on the behavior intention were ”number of classes in the school”, “ratio of students and nurses”, “the highest level of nursing education”, “age” and “whether or no subjects had attended diabetes seminars in 5 years”. The first two were statistically significantly negative correlated with the scores of behavior intention scale, “the highest level of nursing education” was statistically significantly positive correlated with the scores of behavior intention scale.
9. There was a significant positive correlation between behavior intention and knowledge. There was a significant positive correlation between behavior intention and attitude. There was no significant correlation between knowledge and attitude.
According to the results of this study, we propose the followings:
1. For school health nurses：expanding opportunities in continuing education actively, taking part in the professional groups of school nursing.
2. For professional groups of school nursing：developing the practicing standards and tools for school diabetes management, directing periodical diabetes seminars for school nurses.
3. For the Administrations of Education and Public health：making a professional license system for specialist nurse of school health, constructing a network of diabetes care resources among schools, medical institution and community.
Subjects
學校護士
知識
行為傾向
態度
糖尿病學童
attitude
knowledge
school children with diabetes
behavior intention
school health nurse
SDGs
Type
other
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