学校缺勤是儿童功能性胃肠道疾病的预测因素
Seth M Tersteeg1, Stephen M Borowitz1
1Department of Pediatrics, University of Virginia, Charlottesville, VA, United States.
Frontiers in pediatrics
|December 27, 2024
概括
患有功能性胃肠道疾病的孩子比患有有机疾病的孩子多错过了上学的日子. 这凸显了功能障碍对上学和幸福感的重大影响.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 儿童心理学 儿童心理学
- 公共卫生 公共卫生
背景情况:
- 慢性腹部疾病在学龄儿童中很普遍.
- 大多数病例涉及功能性胃肠道疾病 (FGID),而不是有机疾病.
- 学校缺勤是一个已知的问题,但它与FGIDs与有机胃肠道疾病的关联是研究不足的.
研究的目的:
- 调查慢性胃肠道疾病儿童中学校缺勤和功能性胃肠道疾病之间的联系.
- 为了比较被诊断患有FGID的儿童和有机胃肠道疾病的儿童之间的学校缺勤率.
主要方法:
- 这是一项长达一年的前性研究,涉及有胃肠道疾病的学龄儿童.
- 家庭报告了由于症状的每月学校缺勤情况.
- 儿童被跟踪至少六个月的诊断 (FGID与有机疾病).
- 未配对的t测试用于统计比较.
主要成果:
- 与有机胃肠道疾病的儿童相比,患有FGID的儿童的学校缺勤率明显高.
- 缺席>3个学日/月对有机疾病有82%的负预测值.
- 从学校回家预测有机疾病的预测值为88%的负预测值.
- 有机疾病的孩子更有可能上学 (99%的敏感度).
结论:
- 功能性胃肠道疾病与儿童学校缺勤率的增加密切相关.
- 这可能源于症状感知,诊断过程的持续时间和生物心理社会因素.
- 调查结果强调了解决FGIDs的重要性,以改善学校上学率.
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