Motivation is an Adjuvant Therapy for Pediatric Patients with Minimal Change Disease

Abstract

Objectives: There were few publications which concern psychosocial motivation in pediatric patients with idiopathic nephritic syndrome(INS) to evaluated effects of psychological and social motivation on responsiveness of children with INS to steroid therapy and to detect whether there was relation between psychosocial motivation and the outcome of those children. Subjects: This work was conducted as a randomized controlled clinical trial, single blinded study in Tanta university pediatric nephrology outpatient clinic on 172 children with Steroid Sensitive Nephrotic Syndrome (SSNS). They were divided randomly into motivational nephrotic group as Group 1 and a control nephrotic group as Group 2. Their aged 2-10 years and mean disease duration 2.6 ± 2.1 and 2.3 ± 2.1 years in Group 1 and 2 respectively. Methods: Data was collected through a collection of biological, social and psychological data which were formulated, structured for 6 months where their ideas and expectations about disease, the compliance with treatment and follow up visits and frequency of relapses between the two studied patients groups were compared. Results: There was statistically significant decrease in the number of relapses in Group 1 when compared to Group 2. Regarding compliance with follow up visits, there was a highly significant increase in Group 1 compared to control group. There was statistically significant difference after application of psychosocial motivation regarding patients' ideas and expectations about the disease. Conclusions: The psychosocial motivation is significantly highly effective in improving the management of SSNS children, so we recommend all physicians to adopt psychosocial motivation to their nephritic children.