School performance of children with sickle cell disease in Basra, Iraq
School performance of children with sickle cell disease in Basra, Iraq
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DOI：
10.4103/ijh.ijh_21_18
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发表时间：
2019-01-01
影响因子：
0.1
通讯作者：
Ahmed, Bahaa Abd Al Hussein
中科院分区：
文献类型：
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作者：
Abid, Falah Hassan;Hassan, Mea'ad Kadhum;Ahmed, Bahaa Abd Al Hussein
背景：患有镰状细胞病 (SCD) 的儿童更有可能出现许多医疗并发症，这些并发症可能使他们面临各种困难的风险，包括学习成绩不佳和认知障碍。 目的：本研究旨在评估患有镰状细胞病的小学学龄患者与年龄和性别匹配的健康学生相比的学校表现，并评估影响这些患者学校表现的因素。 材料和方法：来自 48 所小学和 48 所小学的 68 名 SCD 患者。招募68名年龄7~12岁的健康学生同学（对照组）。以学校考试平均成绩作为学校表现衡量标准，并通过抽签测试评估认知功能。 结果：SCD 患者的学校考试平均成绩和认知功能评分（分别为 82.46 +/- 15.48 和 24.72 +/- 7.48）显着低于同学对照组的相应分数（93.42 +/- 10.02 和 27.84 +/- 7.48）。 7.46），P < 0.05。患有 SCD 的学生缺勤时间 (12.37 +/- 10.57) 明显多于健康学生 (3.18 +/- 3.62)，P < 0.001，并且高中缺勤与 SCD 患者的低学习成绩显着相关，P = 0.027。在 SCD 患者中，Pearson 相关性显示，学校表现与年龄和缺课天数呈负相关（分别为 r = -0.346 和 r = -0.390，P < 0.01），学校表现与母亲受教育程度呈正相关（r = -0.388，P < 0.001）。结论：SCD 患者的学校表现和认知功能显着低于同学，缺课情况和患者年龄也有显着差异。对学校表现产生负面影响。
BACKGROUND: Children with sickle cell disease (SCD) have a greater likelihood of demonstrating many medical complications that may put them at risk for a variety of difficulties, including poor school performance and cognitive impairment.OBJECTIVES: This study was designed to assess the school performance of primary school-aged patients with SCD compared to age- and gender-matched healthy students and to evaluate the factors that influence school performance in these patients.MATERIALS AND METHODS: A total of 68 patients with SCD from 48 primary schools and 68 healthy student classmates (control group), aged 7-12 years, were recruited. The average school examination scores were used as a school performance measure, while cognitive functioning was assessed by using the Draw-A-Person test.RESULTS: The average school examination scores and cognitive function scores of patients with SCD (82.46 +/- 15.48 and 24.72 +/- 7.48, respectively) were significantly lower than the corresponding scores of their classmate control group (93.42 +/- 10.02 and 27.84 +/- 7.46, respectively), P < 0.05. Students with SCD missed significantly more school days (12.37 +/- 10.57) than healthy students (3.18 +/- 3.62), P < 0.001, and high school absence was significantly associated with low school performance among SCD patients, P = 0.027. Among patients with SCD, Pearson correlation revealed a negative association between school performance and age and school absence days (r = -0.346 and r = -0.390, respectively, P < 0.01) and a positive association between school performance and maternal education (r = -0.388, P < 0.001).CONCLUSIONS: School performance and cognitive function were significantly lower among patients with SCD than among their classmates, and school absence and the age of patients had a negative impact on school performance.