儿童原发性肾病综合征社会适应性现状及危险因素

Current status and Risk Factors of Social Adaptability in Children with Primary Nephrotic Syndrome

目的探讨儿童原发性肾病综合征(primary nephrotic syndrome,PNS)社会适应性现状,并分析其危险因素。方法便利抽样法选取2020年7月至2022年12月河南中医药大学第一附属医院收治的126例PNS患儿为研究对象,采用一般资料调查表、重返学习适应性、创伤后成长、心理弹性量表等对患儿进行调查。应用Pearson相关分析重返学习社会适应性评分与创伤后成长、心理弹性之间的相关性;采用多元线性回归分析儿童PNS社会适应性现状的影响因素。结果PNS患儿重返学习适应性总分为(56.71±9.32)分;创伤后成长总分为(38.65±7.48)分;心理弹性总分为(47.92±8.74)分。Pearson相关分析显示:重返学习适应性评分与创伤后成长评分、心理弹性评分均呈正相关(P<0.05)。多元线性回归分析显示:创伤后成长、心理弹性、年龄、病程、父母文化程度均是影响PNS患儿重返学习适应性水平的危险因素(P<0.05)。结论PNS患儿社会适应性水平较低,与创伤后成长、心理弹性、患儿年龄、病程、父母文化程度等多种因素有关。

Objective To explore the current status and risk factors of social adaptability in children with primary nephrotic syn-drome(PNS).Methods A total of 126 children with PNS admitted to the First Affiliated Hospital of Henan University of TCM from July 2020 to December 2022 were selected using convenience sampling method.Then the children were requested to complete general information questionnaire,social adaptation assessment scale for school reintegration,Chinese version of the Post-traumatic Growth In-ventory and Connor-Davidson Resilience scale.Pearson correlation analysis was conducted to discuss the correlation of the social adap-tation scores for school reintegration with post-traumatic growth and psychological resilience,and the multiple linear regression analysis was performed to identify the factors affecting social adaptability in PNS.Results The PNS children scored(56.71±9.32)on social ad-aptation scores for school reintegration,(38.65±7.48)on post-traumatic growth and(47.92±8.74)on psychological resilience.Pear-son correlation analysis revealed that the social adaptation scores for school reintegration was positively correlated with both the post-traumatic growth score and the psychological resilience score(P<0.05).Multiple linear regression analysis denoted that post-traumatic growth,psychological resilience,age,course of disease,and parental literacy were all risk factors for the social adaptation for school reintegration in children with PNS(P<0.05).Conclusion Children with PNS showed low levels of social adaptability,which was related to a variety of factors such as post-traumatic growth,psychological resilience,age,course of disease,and parental literacy.