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Analysis of Risk Factors and Nursing Intervention Measures Affecting Nutritional Status of Children with Crohn's

Chao Fan1, Jieyu You1, Hongmei Zhao1

  • 1Department of Gastroenterology and Nutrition, Hunan Children's Hospital, No. 86, Ziyuan Road, Yuhua District, Changsha, Hunan 410000, China.

Evidence-Based Complementary and Alternative Medicine : Ecam
|October 21, 2021
PubMed

Insights

Malnutrition impacts pediatric Crohn

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Nutrition
  • Inflammatory Bowel Disease Research

Background:

  • Crohn's disease (CD) incidence is rising in the Asia-Pacific, with earlier onset in children.
  • Disease relapse and chronicity in pediatric CD often lead to malnutrition, impairing treatment and prognosis.
  • Effective nutritional assessment and intervention are crucial for managing pediatric CD.

Purpose of the Study:

  • Identify risk factors for malnutrition in pediatric CD patients.
  • Evaluate the combined diagnostic value of clinical and laboratory markers for nutritional status.
  • Develop targeted nursing interventions to improve nutritional outcomes in pediatric CD.

Main Methods:

  • Retrospective analysis of 180 pediatric CD patients admitted between April 2017 and April 2020.
  • Multivariate analysis to determine independent risk factors for nutritional status.
  • Area Under the Curve (AUC) analysis to assess the combined diagnostic value of selected indicators.

Main Results:

  • Pediatric Crohn's Disease Activity Index (PCDAI), platelet (PLT), hemoglobin (HB), hematocrit (HCT), and albumin (ALB) were identified as independent risk factors for malnutrition.
  • Combined monitoring of PCDAI, PLT, HB, HCT, and ALB demonstrated significant value in assessing nutritional status.
  • Nursing interventions were proposed based on identified risk factors and assessment tools.

Conclusions:

  • Nutritional status in pediatric CD is significantly influenced by PCDAI, PLT, HB, HCT, and ALB levels.
  • Integrated monitoring of these parameters offers a valuable approach for nutritional assessment in pediatric CD.
  • Evidence-based nursing interventions can be developed to improve clinical outcomes for children with CD.

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