著者

二宮 啓子 今野 美紀 谷 洋江 中村 伸枝 兼松 百合子

出版者

神戸市看護大学

雑誌

神戸市看護大学紀要 (ISSN:13429027)

巻号頁・発行日

vol.3, pp.47-57, 1999-03-31

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The aims of our diabetes summer camp are to provide opportunities : to make friends and have good time with both children and adolescents with IDDM and the camp staff members, to learn that they can do the same social activities as normal children/adolescents if they can manage their diabetes adequately and to gain positive attitude and motivation for diabetes self-management. The diabetes summer camp of 8 days in 1996 was held in August with 49 IDDMs from first grade to twelfth grade and 76 camp staff members per day including 4 pediatricians, 9 nurses, 3 dieticians, 2 educational counsellors and 58 student volunteers. Our intervention to develop autonomy was promoting decision-making on diabetes self-care activities with good understanding. It included three methods : 1) self-recordings using 2 types of cards, 2) encouragement and support, 3) group lessons. Children/adolescents were encouraged to discuss with nurses to make decisions at insulin reactions and all other occasions. Our intervention were evaluated by two types of cards used in the camp, and the checklists for children/adolescents' autonomous behaviors in the camp, which were written by nurses and student nurses after the camp. The following results were obtained : 1) The younger children enjoyed card recordings. In contrast, the older children showed less interests in recordings. 2) 11 out of 49 children under 4th grade and first-time campers could expand injection and blood sampling sites. 3) From nurses' and student nurses' observation, development of autonomy was found in : (1) Preventing and coping with hypoglycemia by taking appropriate kind and amount of snacks. (2) Exercise to decrease blood sugar level. (3) Adjusting insulin dose according to blood sugar level. (4) None of them could develop autonomy in adjustment of diet. These findings suggest that new interventions other than self-recordings using cards will be needed for older children, and developing autonomy in terms of adjusting kind and amount of served food according to blood sugar level will be needed.