定期血液透析患儿行为障碍的评价

Shooq Khalil, E. Khaled, R. Gouda, Aydah Abdelhameed
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引用次数: 0

摘要

背景:定期进行血液透析的慢性肾脏疾病(CKD)儿童发生行为和心理障碍的风险特别高。目的评价定期血液透析的儿童和青少年CKD患者的行为障碍与CKD之间的关系,并与健康对照进行比较。患者和方法本病例对照研究纳入60例儿童和青少年(30例患者和30例对照),年龄5 ~ 17岁;在扎赫拉大学医院进行了一项研究。病例于2019年4月至2019年9月连续采集。我们用阿拉伯语版儿童行为检查表和康纳斯父母评定量表来评估儿童的行为。结果定期进行血液透析的CKD患儿出现行为障碍的频率(66.7%)高于对照组的30%,且随着血液透析时间的延长,行为障碍的发生率显著增加。与健康对照组相比,定期血液透析的CKD儿童的内化和外化症状以及注意缺陷/多动障碍更为常见。结论定期进行血液透析的CKD患儿存在较高的行为障碍,包括内化和外化症状以及注意缺陷/多动障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of behavioral disorders in children on regular hemodialysis
Background Children with chronic kidney disease (CKD) on regular hemodialysis are particularly at high risk for behavioral and psychological disorders. Aim To evaluate the association between behavioral disorders and CKD in several children and adolescents with CKD on regular hemodialysis to compare these findings with healthy controls. Patients and methods This case–control study included 60 children and adolescents (30 patients and 30 controls), their ages range from 5 to 17 years; a study was carried out at Al-Zahraa University Hospital. Cases were taken consecutively from April 2019 to September 2019. We assessed children’s behavior by the Arabic version of the child behavior checklist and Conners’ parent rating scale. Results There was a high frequency (66.7%) of behavioral disorders in children with CKD on regular hemodialysis compared with 30% in the control group, there was a significant increase in the incidence of behavioral disorders with increasing the duration of hemodialysis. Internalizing and externalizing symptoms and attention-deficit/hyperactivity disorder were more frequent in children with CKD on regular hemodialysis compared with healthy controls. Conclusion There was a high frequency of behavioral disorders among children with CKD on regular hemodialysis, including internalizing and externalizing symptoms and attention-deficit/hyperactivity disorder.
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