Qin Chunxiang, Li Ying, Wang Dianjun, Shi Zeya, Yao Rui, Wang Dan, Tang Siyuan
Obstetric Department, Third Xiangya Hospital, Xiangya School of Nursing, Third Xiangya Hospital, Central South University, Changsha, China.
Neonatology Department, Third Xiangya Hospital, Central South University, Changsha, China.
Jpn J Nurs Sci. 2019 Jan;16(1):37-46. doi: 10.1111/jjns.12211. Epub 2018 Mar 23.
The preoperative poor nutrition of children with congenital heart disease (CHD) impacts the postoperative rehabilitation process of pediatric CHD cases. The factors of these children's preoperative poor nutrition, excluding the disease, have been underreported. The aim was to investigate the preoperative nutritional status of children with CHD who required a simple surgical repair and to analyze the maternal characteristics that are associated with poor nutrition in these sick children.
This was a cross-sectional survey. The weight and height of the children were measured, maternal data were collected via a questionnaire and a univariate analysis and multivariate logistic regression were used to analyze the association between maternal factors and the preoperative poor nutrition of the children with CHD.
A total of 119 children with simple CHD were recruited to the study. The prevalence of poor nutrition was higher in the children with CHD ("cases") than in the healthy children ("controls"). An increased risk of poor nutrition was associated with lower mothers' perception, education level, understanding of the disease, and higher anxiety.
Paying attention to maternal anxiety, depression, and knowledge and providing interventions for the mothers of children with CHD are important in order to promote the nutritional status of these children.
先天性心脏病（CHD）患儿术前营养状况不佳会影响小儿CHD病例的术后康复进程。除疾病因素外，这些患儿术前营养状况不佳的其他影响因素鲜有报道。本研究旨在调查需进行简单手术修复的CHD患儿的术前营养状况，并分析与这些患病儿童营养状况不佳相关的母亲特征。
这是一项横断面调查。测量患儿的体重和身高，通过问卷调查收集母亲的数据，并采用单因素分析和多因素逻辑回归分析母亲因素与CHD患儿术前营养状况不佳之间的关联。
本研究共纳入119例患有简单CHD的患儿。CHD患儿（“病例组”）的营养不良患病率高于健康儿童（“对照组”）。母亲认知度较低、教育水平较低、对疾病的了解较少以及焦虑程度较高与营养不良风险增加相关。
关注母亲的焦虑、抑郁和知识水平，并对CHD患儿的母亲进行干预，对于改善这些儿童的营养状况至关重要。
