Educational Effects on Self Care in Pediatric Type 1 Diabetes: A Systematic Review

Disciplines

Pediatric Nursing

Abstract (300 words maximum)

Abstract

Introduction: Type 1 Diabetes affects people of all ages including children, which requires large amounts of daily care activity by their caregivers until they are able to perform their own self-care. Family members are essential in providing care and maintaining proper Hemoglobin A1c levels in children. The aim of the systematic review was to evaluate the effectiveness of family centered education to improve self-care and self management for children with type 1 diabetes.

Methods: An electronic search was conducted on PubMed and CINAHL using boolean phrases, with an initial search beginning in September 2020.

Results: Thirteen quantitative articles were selected and appraised. Several educational techniques were used to educate about hyperglycemia and hypoglycemia interventions as well as daily maintenance intervention teaching. Generally, A1c levels were unchanged following intervention, but showed short term improvement of glucose control and a decrease in visits to the emergency department, hospital admissions, and length of hospital stay.

Conclusion: This systematic review demonstrated that family or patient centered education in adolescents may be helpful in promoting self management of care in adolescents, but additional research is needed to determine if this intervention may improve overall self-care for children with Type 1 Diabetes.

Keywords: adolescents, children, Diabetes, Type 1 Diabetes, Self management, self-efficacy, self-care, education.

Academic department under which the project should be listed

WCHHS - Nursing

Primary Investigator (PI) Name

Jenna Shackleford

Additional Faculty

Dr. Mary Ramos mramos18@kennesaw.edu

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Educational Effects on Self Care in Pediatric Type 1 Diabetes: A Systematic Review

Abstract

Introduction: Type 1 Diabetes affects people of all ages including children, which requires large amounts of daily care activity by their caregivers until they are able to perform their own self-care. Family members are essential in providing care and maintaining proper Hemoglobin A1c levels in children. The aim of the systematic review was to evaluate the effectiveness of family centered education to improve self-care and self management for children with type 1 diabetes.

Methods: An electronic search was conducted on PubMed and CINAHL using boolean phrases, with an initial search beginning in September 2020.

Results: Thirteen quantitative articles were selected and appraised. Several educational techniques were used to educate about hyperglycemia and hypoglycemia interventions as well as daily maintenance intervention teaching. Generally, A1c levels were unchanged following intervention, but showed short term improvement of glucose control and a decrease in visits to the emergency department, hospital admissions, and length of hospital stay.

Conclusion: This systematic review demonstrated that family or patient centered education in adolescents may be helpful in promoting self management of care in adolescents, but additional research is needed to determine if this intervention may improve overall self-care for children with Type 1 Diabetes.

Keywords: adolescents, children, Diabetes, Type 1 Diabetes, Self management, self-efficacy, self-care, education.