[先天性心脏病患儿术前营养状况及影响因素]

[Preoperational nutritional status for the children with congenital heart disease and the influential factors].

作者信息

Qin Chunxiang, Jiang Juan, Li Ying, Wang Dianjun, Chen Jiarui, Tang Siyuan

机构信息

Department of Cardiothoracic Surgery, Third Xiangya Hospital; Xiangya Nursing School, Central South University, Changsha 410013, China.

Department of Pediatrics, Third Xiangya Hospital, Central South University, Changsha 410013, China.

出版信息

Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2017 Sep 28;42(9):1066-1071.

PMID:28989153

Abstract

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.

摘要

调查先天性心脏病患儿术前营养状况，并分析相关因素。方法：按照世界卫生组织标准，采用Z评分评估患儿营养状况，使用世代信息问卷、状态-特质焦虑量表、自评抑郁量表及家长理解问卷分析母亲因素。结果：发育迟缓、体重不足和消瘦代表营养状况不佳，分别占28.6%、25.3%和25.3%。母亲的准确认知以及焦虑和抑郁等心理问题是主要相关因素。结论：先天性心脏病患儿营养状况不佳情况严重。通过适当的健康教育和有效干预，提高母亲的准确认知并缓解其心理问题对于改善营养状况非常重要。