الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Children with chronic kidney disease that there is increased risk for a wide range of delays in motor and cognitive development, particularly for children with end stage of renal disease, most studies have demonstrated lower intelligent quotient (IQ) scores among children with end stage of renal disease than in unaffected siblings, Memory deficits also have been identified children with mild chronic kidney disease as well as end stage of renal disease The study was conducted at outpatient and Hemodialysis Pediatric unit, Medical department of Tanta University hospital. Three tools were used for data collection. Tool I: Assessment questionnaire schedule: it was developed by the researcher after reviewing the related literature to assess Part 1: Socio- demographic characteristic of the children age, sex, birth residence, parent education and degree of relative Part II: Medical history: past and present medical history, previous disease and current disease Tool II: Anthropometric measurement sheet it was used to measure weight, height, chest circumference, skin fold thickness and body mass index (BMI). Chapter (IX) Tool III: Stand Ford –Binet intelligence scale (SBS) it was used in standardized to assess intelligence quotient and cognitive abilities in children. It provides comprehension coverage of five factors of cognitive ability: knowledge quantitative processing, visual spatial processing and working memory. The main results of the present study were found that: - It was observed that nearly half of them (45.0%) ranged from 8 to 10 years while 11.7% of them age ≤ 12 years old with mean ±SD 9,11 ±1,68 year. - It was observed that the mean age and standard deviations of the studied children were 9.11 ± 1.68 year - It was observed that slightly more half of them (53.3%) were male while less than of them were female. - Regarding birth order it was noticed that one third of studied children (21.7%) were in the fourth birth order while 13.3% of them were in the first birth order. - Regarding previous disease, It was obvious that, less than two thirds of the studied, children (60.0%) had renal disease while 40.0% of them had nephrotic syndronme. - It was noticed that there was a statistical significant difference for previous disease in chronic renal failure and congenital nephrotic syndrome children (P = 0.001). - As regards mid arm circumference, 40.0% of studied children had between 20-25 while 3.3% of them had less than 10 cm. Mean mid arm circumference of studied children was 17.73±4.26 cm. - Regarding chest circumference 80% of them had between 50-60 while 3.3% of them had less than 50 cm, mean chest circumference of studied children was 63.00±6.82 cm. - It was found that, mean skin fold of studied children was 3.53±1.40 cm In addition, 61.7% of them had body mass index between 15-20 cm while 5.0% of them had body mass index less than 15 cm. - It was noticed that the mean body mass index of studied children was 19.10±3.20 cm. - It was obvious that the weight of most of them (83.3%) had over 110% kg and their mean of weight of children was 28.500±7.235. - As regards to the height, it was listed slightly more than half of them (51.7%) had more than 120 cm and mean of height was 116.799±19.47. As regarding intelligent quotient of the children, it was observed that more than one third of the studied children (36.7%) had mild retardation and intelligent quotient (IQ) ranged from 55 to 69 while 30.0% of them had retardation and intelligent quotient (IQ) ranged from 70 to 79 with mean SD (74.500±16,47) - It was obvious that mean intelligent quotient (IQ) of studied children was 74.500 ± 16.47 - Regarding to their relation of mean value of anthropometric measurement and intelligent quotient (IQ) among studied children in relation to current disease. It was clear from this table that there were statistically significant differences between chronic renal failure and nephrotic syndrome - -As regarding mean value of weight among studied children as (p=0.020) and skin fold thickness as (p=0.001). It was obvious that mean value of weight among studied children who had chronic renal failure and nephrotic syndrome was 28.500±7.235 and 25.68±7.48 respectively. - Regarding chest circumference, it was shows mean value among studied children who had chronic renal failure and nephrotic syndrome was 63.00 ± 6.82 and 61.89 ± 7.04 respectively. - It was clear that mean value of Skin fold thickness among studied children who had chronic renal failure and nephrotic syndrome was 3.53±1.40 and 4.24 ±1.13 respectively. - Concerning intelligent quotient (IQ), it was shows mean value among studied children who had chronic renal failure and nephrotic syndrome was 73.18±11.39 and 68.00±10.97 respectively. - As regarding manifestations. It was obvious that all of studied children with renal failure and most of children (83.8%) with nephrotic syndrome had malaise, the majority of them (90.9%) with renal failure and 78.9% of them with nephrotic syndrome had abdominal pain. - Regarding manifestations of eye bluffness, It was clear that the majority (93.3 %) of studied children had nephrotic syndrome while 6.6 % of them had renal failure. - Concerning manifestations of hematuria, it was obvious that three quarter (75.0%) of them had renal failure while 16.6 % of them had nephrotic syndrome The study concluded that children with chronic kidney disease have low-average cognitive level and growth retardation observed across academic skills, executive function, and visual and verbal memory and low score in intelligent quotient (IQ). The study recommended that: 1. Health education program should be applied to mothers of school age children with chronic kidney disease regarding physical growth and development and intelligence quotient to improve their knowledge and practice that affect children quality of life. 2. Nurses routinely screening to children with chronic kidney disease to detect any intellectual delay early trough IQ scale. 3. Further studies should be done to investigate and treat causes and then follow-up on the IQ levels by the test later.