BIOPSYCHOSOCIAL MODEL VERSUS BIOLOGICAL MODEL IN MANAGEMENT OF CHILDHOOD NEPHROTIC SYNDROME, SINGLE CENTER EXPERIENCE, EGYPT

There is a shortage in the evidence of application of Biopsychosocial in nephrotic syndrome. Objectives: to design a Biopsychosocial model for steroid sensitive nephrotic syndrome (SSNS) children 2 - 10 years old, in Zagazig university outpatient clinic, imp lement this model on the intervention group and to assess the difference between the Biopsychosocial model and the biological model regarding the outcome in those children. Methods: A Randomized controlled clinical trial - single blinded study was conducted in Zagazig university pediatric nephrology outpatient clinic on 86 child (divided randomly into intervention and control groups) Primary steroid sensitive nephrotic syndrome Aged 2 - 10 years. Data was collected through a sheet of three parts; biological, s ocial and psychological, the Biopsychosocial model was formulated, structured and applied on the intervention group and the biological model on the control group for 6 months where their ideas and expectations about disease, the compliance with treatment a nd follow up visits and frequency of relapses between the two groups were compared. Results: There was statistically significant difference between intervention and control group in the number of relapses and compliance with treatment. Regarding complianc e with follow up visits, there was a highly significant difference between intervention and control group.. There was statistically significant difference after application of the Biopsychosocial model regarding patients' ideas and expectations about the d isease. Conclusion: The Biopsychosocial model is significantly more effective than the biological model in the management of (SSNS) children, so we recommend all physicians to adopt this model.