慢性病儿童的情绪,行为和适应功能:患有慢性病的儿童 (KCAD) 研究
Campbell Drohan1,2, Anita van Zwieten1,2, Kylie-Ann Mallitt1,2
1Centre for Kidney Research, The Children's Hospital at Westmead, Cnr Hainsworth St., Hawkesbury Road, Westmead, Sydney, Australia.
Pediatric nephrology (Berlin, Germany)
|December 3, 2025
概括
患有慢性病 (CKD) 的儿童面临更高的情绪困难和降低适应能力的风险. 置换疗法 (KRT) 进一步增加了这些儿科患者适应能力缺陷的可能性.
科学领域:
- 儿科脏病学 儿科脏病学
- 儿童心理学 儿童心理学
- 慢性疾病管理 慢性疾病管理
背景情况:
- 患有慢性病 (CKD) 的儿童经常遇到心理挑战.
- 这些困难包括由病情及其治疗引起的情绪和行为问题.
- 了解这些挑战对于全面的儿科CKD护理至关重要.
研究的目的:
- 描述患有CKD的儿童的情绪,行为和适应功能.
- 调查CKD阶段与这些功能领域之间的关系.
- 确定与儿科CKD不同阶段相关的特定风险.
主要方法:
- 在所有CKD阶段招募儿科参与者 (6-18岁).
- 使用儿童行为评估系统 (BASC-2) 进行全面评估.
- 采用多变量逻辑回归来分析CKD阶段与结果的关联.
主要成果:
- 53名儿童参与了这项研究,51%的儿童患有1-5阶段的CKD,6%接受透析,42%的儿童接受了移植.
- 与正常人相比,患有CKD的儿童表现出更高的体化,退出,抑郁和社会技能降低的风险.
- 置换疗法 (KRT) 与增加的适应能力缺陷有关 (OR 5.7).
结论:
- 患有CKD的儿童有较高的情绪问题风险,如退出和抑郁症.
- 减少社交技能和日常生活活动在儿科CKD中很常见.
- 适应性技能缺陷在接受KRT的儿童中比较明显,而不是早期的CKD阶段.
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