Abstract : Nephrotic syndrome
idiopathic (SNI) is a chronic disease requiring steroid treatment
long-term. In other chronic diseases have been studied steroid administration
long term and factors that affect the occurrence of the problem
Objectives. Analyze the relationship of age, sex, level
parental education, socioeconomic status, and cumulative dose of prednisone
the occurrence of psychosocial problems.
Method. The cross sectional study was conducted from January 2013 to
May 2013 involves 26 subjects. Psychosocial problems were assessed by questionnaire
Pediatric Symptom Checklist (PSC) -17. Statistical analysis with chi-square test
and multiple logistic regression.
Results. There are 13 out of 26 subjects experiencing psychosocial problems. Results
bivariable analysis gained age 10-14 years RP 2.56 (IK95% 1.16-5.64);
p = 0.016, female gender RP 2.86 (95% IK 1.02-8.04); p = 0.016,
basic education of parents RP 3.60 (95% IK 1.50-8.62); p = 0.004, status
low family socioeconomic RP 1.25 (IK95% 0.54-2.89); p = 0.001, and dose
cumulative prednisone ≥3.640 mg RP 4,714 (95% IK 1,292-17,201); p = 0.002. Analysis
multivariable obtained age of RP 25,17 (IK95% 1,01-629,71); p = 0.050,
socioeconomic RP 7.80 (IK95% 1.26-48.50); p = 0.032, and the prednisone cumulative dose
RP 39,34 (95% IK 1,89-818,93); p = 0,018.
Conclusion. Factors of age, sex, parental education level,
socioeconomic status, and cumulative dose of prednisone related to the problem
psychosocial patient of SNI. The prednisone cumulative dose is the most important factor
dominant against the occurrence of psychosocial problems of patients of SNI.
Keywords : problem
psychosocial; prednisone; idiopathic nephrotic syndrome
Author : Mahesa Suryanagara,
Dedi Rachmadi, Budi Setiabudiawan
Journal Code: jpkedokterandd140801