What factor most affects a child's adjustment to hospitalization due to nephrotic syndrome?

The factor that most affects a child's adjustment to hospitalization due to nephrotic syndrome is the lack of parental visits. Parental presence plays a crucial role in a child's emotional well-being, especially during stressful situations like hospitalization. Children often rely on their parents for comfort, security, and a sense of normalcy. When parents are not available, children may feel more anxious, isolated, and scared, which can hinder their adaptation to the hospital environment and treatment process.

In contrast, while the inability to choose a variety of foods, the response from peers about their appearance, and participation in play activities can impact a child's experience, they typically do not have the same profound effect on emotional adjustment as parental support. The emotional distress from feeling abandoned or unsupported can outweigh other challenges faced during hospitalization, making the presence of a parent or guardian vital for a child's psychological adjustment during this difficult time.