患有复杂先天性心脏病的儿童的发育和心理问题:需要查计划
Ashani Mahawattege1, Karina Laohachai1
1Women's and Children's Hospital, Adelaide, Australia.
Journal of paediatrics and child health
|March 7, 2025
概括
与一般人群相比,患有复杂先天性心脏病 (CHD) 的儿童的发育和心理问题比一般人群更高. 常规查至关重要,因为许多受影响的儿童缺乏必要的医疗保健参与.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 发育儿科 发育儿科
- 儿童心理学 儿童心理学
背景情况:
- 复杂的先天性心脏病 (CHD) 与不良的神经发育和心理结果有关.
- 澳大利亚对这些结果和复杂心血管疾病儿童的后续护理数据有限.
研究的目的:
- 确定南澳大利亚患有复杂性心脏病的儿童中发育和心理问题的患病率.
- 评估对这些问题的同时使用医疗保健.
主要方法:
- 一项涉及55名患有复杂心脏病的儿童 (3-7岁11个月) 的横截面研究.
- 使用了经过验证的查工具:父母对发育状态的评估 (PEDS),PEDS-发育里程碑 (PEDS:DM) 和优势和困难问卷 (SDQ).
- 通过问卷和医疗记录收集人口,心脏,并发症和医疗保健数据.
主要成果:
- 发育方面的高患病率:57% (PEDS) 和70% (PEDS:DM),明显超过澳大利亚人口率 (22%).
- 心理问题占比28%,高于澳大利亚人口数据 (10%).
- 几乎一半的担忧儿童缺乏与相关医疗保健专业人员的当前接触.
结论:
- 查显示,与澳大利亚普通人口相比,患有复杂心血管疾病的儿童的发育和心理问题比例显著更高.
- 发现有问题的儿童中,很大一部分没有得到积极的跟进,这凸显了对常规查计划的需要.
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