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[Preoperational nutritional status for the children with congenital heart disease and the influential factors]
Chunxiang Qin1, Juan Jiang2, Ying Li2
1Department of Cardiothoracic Surgery, Third Xiangya Hospital; Xiangya Nursing School, Central South University, Changsha 410013, China.
Insights
Poor nutrition is common in children with congenital heart disease, affecting over 25% of those studied. Maternal perception and psychological health significantly impact child nutrition status.
Area of Science:
- Pediatrics
- Nutritional Science
- Cardiology
Background:
- Congenital heart disease (CHD) poses significant health challenges for children.
- Nutritional status is a critical factor in the management and outcomes of pediatric CHD.
- Preoperational nutritional status in CHD patients requires thorough investigation.
Purpose of the Study:
- To assess the nutritional condition of preoperational children diagnosed with congenital heart disease.
- To identify key maternal factors associated with the nutritional status of these children.
Main Methods:
- Utilized World Health Organization (WHO) Z-scores for nutritional assessment.
- Employed questionnaires to gather data on maternal factors including perception, anxiety, and depression.
- Included State-Trait Anxiety Inventory and Self-Rating Depression Scale in the maternal assessment.
Main Results:
- High prevalence of poor nutritional conditions: stunting (28.6%), underweight (25.3%), and wasting (25.3%).
- Maternal accurate perception emerged as a significant protective factor.
- Maternal psychological issues, specifically anxiety and depression, were identified as relevant risk factors.
Conclusions:
- The prevalence of malnutrition in preoperational children with CHD is a serious concern.
- Improving maternal accurate perception through health education is crucial.
- Addressing maternal psychological distress is vital for improving nutritional outcomes in pediatric CHD.
Objective:
To investigate the preoperational nutritional condition for the children with congenital heart disease, and to analyze the relevant factors. Methods: According to the standards of WHO, the Z-scores was used to assess the nutritional condition for the children, and the generational information questionnaire, State-Trait Anxiety Inventory, Self-Rating Depression Scale and Parent Understanding Questionnaire were used to analyze the maternal factors. Results: Stunting, underweighting and wasting represented the poor nutritional conditions, which accounted for 28.6%, 25.3% and 25.3%, respectively. Maternal accurate perception and the psychological problems such as anxiety and depression were the main relevant factors. Conclusion: The poor nutritional condition for the congenital heart disease was serious. It is very important to improve the maternal accurate perception and to relieve the maternal psychological problems for changing the nutritional condition through appropriate health education and effective intervention.
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