Hyman Joshua E, Jewetz Shari T, Matsumoto Hiroko, Choe Julie C, Vitale Michael G
Division of Pediatric Orthopaedics, Department of Orthopaedic Surgery, Columbia University, College of Physicians and Surgeons, New York, NY, USA.
J Pediatr Orthop. 2007 Jun;27(4):415-20. doi: 10.1097/01.bpb.0000271329.87104.06.
The purpose of our study is to identify specific factors that affect a child's ability to attend school after an acute orthopaedic injury. One hundred and sixty-four school-aged patients receiving treatment for an acute orthopaedic injury at the Division of Pediatric Orthopaedics were interviewed along with their parents. Most participants were Hispanic, which reflects the population of the Washington Heights section of Manhattan served by our hospital. Follow-up telephone interviews were conducted with those parents whose children were unable to return to school. The parents were asked of both the total number of school absences and whether the child received home instruction. A survey regarding official school attendance policy was mailed to the principals of all the schools attended by the children in our study. Forty-seven percent of the children were unable to return to school immediately after their injuries. Nearly 70% (n = 51) of the children who did not immediately return to school attributed their nonattendance to their school's attendance policy. Only half of the absentees received home instruction. A multivariate analysis showed that both the type of school (public vs private) and the use of crutches were statistically significant risk factors for school absence. The median household income also trended toward significance in predicting school attendance. The responses to our survey regarding official school attendance policy demonstrated considerable variability among the schools. This study indicates that pediatric orthopaedic injuries and their treatment impact the ability of school-aged patients to attend school. Our study shows that children's socioeconomic background influences their ability to attend school while injured.
我们研究的目的是确定影响儿童在急性骨科损伤后上学能力的具体因素。在小儿骨科接受急性骨科损伤治疗的164名学龄患者及其父母接受了访谈。大多数参与者是西班牙裔，这反映了我院所服务的曼哈顿华盛顿高地地区的人口情况。对那些孩子无法返校的家长进行了随访电话访谈。询问家长孩子缺课的总数以及孩子是否接受了家庭辅导。向我们研究中孩子所就读的所有学校的校长邮寄了一份关于学校官方出勤政策的调查问卷。47%的孩子受伤后无法立即返校。在未立即返校的孩子中，近70%（n = 51）将其未上学归因于学校的出勤政策。只有一半的缺课学生接受了家庭辅导。多变量分析表明，学校类型（公立与私立）和使用拐杖都是导致缺课的具有统计学意义的风险因素。家庭收入中位数在预测上学出勤率方面也有显著趋势。我们关于学校官方出勤政策的调查反馈显示，各学校之间存在很大差异。这项研究表明，小儿骨科损伤及其治疗会影响学龄患者的上学能力。我们的研究表明，儿童的社会经济背景会影响他们受伤时的上学能力。
