Abstract
Children with nephrotic syndrome frequently have a chronic clinical course resulting in various difficulties in both daily and school life. However, few studies discuss these children's school life. Therefore, we studied the level of satisfaction with school life in 45 children with nephrotic syndrome by self-completed questionnaire. Approximately 90% of the children experienced hospitalization after beginning elementary school, but teaching assistance was not always adequate. A generalized linear model showed that high satisfaction level was significantly related to higher age (p=0.04); no concomitant disease or severe adverse effects of treatment (p=0.012); fewer relapses during the preceding year (p=0.05); no immunosuppressant therapy in the preceding year (p=0.003); supplementary study support after discharge (p=0.07); and peer support (p=0.05). High level of satisfaction with school life in children with nephrotic syndrome requires not only better treatment, but appropriate environment and study support appropriate to their disease and particular problems.