ESPN 51th Annual Meeting

ESPN 2018


 
EDUCATION STATUS OF PEDIATRIC DIALYSIS PATIENTS IN TURKEY
Ali Delibaş 1 Mesiha Ekim 2 Zeynep Yürük Yıldırım 3 Ruhan Düşünsel 4 Aslıhan Kara 5 Aytül Noyan 6 Aysun Karabay Bayazıt 7 Seçil Conkar 8 Burcu Özer Yazıcıoğlu 9 Erkin Serdaroğlu 10 Gülşah Kaya Aksoy 11 Nurver Akıncı 12 Dilek Yılmaz 13 Kenan Bek 14 Pelin Ertan 15 Metin Kaya Gürgöze 5 Caner Kabasakal 8 Serra Sürmeli Döven 1 Özde Nisa Türkkan 3 Neslihan Günay 4 Gönül Parmaksız 6 Engin Melek 7 Semra Erdoğan 16 Sevcan Azime Bakkaloğlu Ezgü 9 Lale Sever 17

1- Mersin University Faculty of Medicine, Department of Pediatric Nephrology, Mersin, Turkey
2- Ankara University Faculty of Medicine, Department of Pediatric Nephrology, Ankara, Turkey
3- Istanbul University, Istanbul Faculty of Medicine, Pediatric Nephrology Department, İstanbul, Turkey
4- Erciyes University Faculty of Medicine, Department of Pediatric Nephrology, Kayseri, Turkey
5- Fırat University Faculty of Medicine, Department of Pediatric Nephrology, Elazığ, Turkey
6- Başkent University Faculty of Medicine, Department of Pediatric Nephrology, Adana, Turkey
7- Çukurova University Faculty of Medicine, Department of Pediatric Nephrology, Adana, Turkey
8- Ege University Faculty of Medicine, Department of Pediatric Nephrology,İzmir, Turkey
9- Gazi University Faculty of Medicine, Department of Pediatric Nephrology, Ankara, Turkey
10- Health Science University Dr. Behçet Uz Children Hospital, Department of Pediatric Nephrology, İzmir, Turkey,
11- Akdeniz University Faculty of Medicine, Department of Pediatric Nephrology, Antalya, Turkey
12- Şişli Hamidiye Etfal Education Hospital, Department of Pediatric Nephrology, İstanbul, Turkey
13- Adnan Menderes University Faculty of Medicine, Department of Pediatric Nephrology, Aydın, Turkey
14- Kocaeli University Faculty of Medicine, Department of Pediatric Nephrology, Kocaeli, Turkey
15- Celal Bayar University Faculty of Medicine, Department of Pediatric Nephrology, Manisa, Turkey
16- Mersin University Faculty of Medicine, Department of Biostatistics, Mersin, Turkey
17- Cerrahpasa School of Medicine, Istanbul University, Department of Pediatric Nephrology, İstanbul, Turkey
 
Introduction:

Dialysis patients are at risk of school absence. This study aimed to evaluate the education status of pediatric dialysis patients in Turkey.

 

Material and methods:

A questionnaire including parameters of age, gender, type and duration of dialysis, school type, causes of school absenteeism and school success was applied to pediatric dialysis patients.

 

Results:

A total of 180 patients (92 female) from 16 centers were included in this study. Dialysis type was CAPD in 32  (17.8%), APD in 50 (27.8%), HD in 96 (53.3%) and home-HD in 2 patients (1.1%). Regarding education status of patients, 6 (3.3%) were in preschool, 31 (17.2%) in primary school, 58 (32.2%) in secondary school, 48 (26.7%) in high school and 2 (1.1%) in university. Thirty-one patients (12.75%) never attended a school. Sixty two patients (21.7%) left the school. The number of patients being educated at home was 38 (21.1%). The causes of school absenteeism was different between PD and HD patients (Table1).

 

Table1. Factors associated with school absence in PD and HD patients

Causes of school absenteeism

PD

n:35 (%)

HD

n:53 (%)

P

Mental disability

8 (53.3%)

7 (46.7%)

 

 

 0.026

Physical disability

6 (50.0%)

6 (50.0%)

Frequent hospitalisation

8 (22.9%)

27 (77.1%)

Concerns of getting sick at school

9 (69.2%)

4 (30.8%)

Others

4 (39.8%)

9 (60.2%)

Number of absent days/year

42.3 ± 49.2

120.9 ± 104.9

<0.001

Number of hospitalizations/year

2.7 ± 2.6

3.7 ± 2.8

0.048

Hospital stay time/year (days)

22.2 ± 24.3

36.0 ± 34.1

0.015

 

Conclusions:

Aproximately one fifth of dialysis patients were not going to school. Long and frequent hospitalizations in HD patients and fear from getting sick (parental concern) in PD patients were leading causes of non-attendance. Education of dialysis patients deserves more attention.  Every effort should be made for maintaining school attendance of dialysis patients to the appropriate school grade with peers.