Self-Care among Adolescents with Type 1 Diabetes M ellitus and Nursing Care in Sri Lanka:Review of Literature

Type 1 Diabetes Mellitus (T1DM) is a chronic condition with long term psychological and behavioural implications. Self-care is the cornerstone to adapt into this condition. Sociocultural appropriate self-care practices are vital aspects in nursing care. The article reviews literature on self-care among adolescents with T1DM considering sociocultural context and to discuss existing nursing care and its current issues within the Sri Lankan context. A systematic literature survey was conducted to review empirical studies from 2000 to 2014. Electronic databases PubMed and CINAHL were utilized. Personal interviews and relevant websites were accessed to explore existing nursing care and its current issues in Sri Lanka. PubMed displayed 1,065 articles for the key words‘nursing’ and ‘Type 1 diabetes’while CINAHL displayed 31 articles for the same.‘Perceptions’,‘associated characteristics’, ‘school behaviour’and ‘family behaviour’were identified as main categories in the literature. The nursing oriented articles relevant to self-care’, ‘sociocultural’, ‘Sri Lanka’and ‘Type 1 diabetes’were insufficient in number. Scientific studies pertaining to the field need to optimized. The unavailability of specialized nurse educators for childhood diabetes is a noticeable issue. The implementation of effective nursing interventions considering Sri Lankan sociocultural context is recommended

途上国における看護職者養成支援のための遠隔教育 －スリランカにおけるSkypeを用いた体位変換技術の評価－

【目的】スリランカとの遠隔教育において, 体位変換の看護技術に対する学生による授業評価の内容を考察し, 授業における問題点や課題を明らかにする. 【方法】Skypeを用いてA 大学と接続し, 体位変換の授業を3回で1シリーズとして実施した. 授業終了後, 学生が授業評価および技術評価を行った. 【結果】授業評価(5段階評定) では, あなたが今まで経験した他の国際遠隔授業と比べて,日本からの画像や音声は全体的には同じようなクオリティであった.」, 講師の言語や音声は,聞きとりやすかった.」以外は,全体の平均が4以上の高い評点であった.また,画像の鮮明さは,各授業で差があった.技術評価(3段階評価)では,すべての手順において2以上であった. 【結語】途上国との遠隔授業では, インターネット通信の状態が不安定で,安定した映像や音声の提供が難しいが,Skypeでも学生が授業に対しての興味や満足感を得られることがわかった