Department of Nursing and Midwifery, College of Health Sciences, Woldia University, Woldia, Ethiopia.
School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
BMC Pediatr. 2021 Dec 2;21(1):538. doi: 10.1186/s12887-021-03023-1.
Children with congenital heart disease are at risk for poor growth and under-nutrition compared with healthy children. The aim of this study was to assess the nutritional status of children with congenital heart disease and associated factors in selected governmental hospitals and cardiac center Addis Ababa, Ethiopia.
Institutional based cross sectional study among 373 children aged under15 years was conducted from February to March; 2021G.c. Data was collected using structured questionnaire and chart review. Z-scores based on WHO reference ranges were used. Anthropometric z-scores based on WHO 2007 reference ranges were generated for each child. Weight-for-age z-scores for children 0-10 years and height-for-age and BMI-for-age z-scores for all children. Binary logistic regression was used for associated factors.
A total of 373 children were participated in this study. The prevalence of wasting and stunting was 144(38.6%) and 134(35.9%) respectively. The prevalence of underweight and malnutrition in children under 10 years was 143(43.1%). Most of the children were diagnosed with VSD (36.7%). Children age group of 13 months-5 years were associated with wasting and underweight [AOR = 0.434, 95%CI: (0.231, 0.816)] and [AOR = 0.360, 95%CI: (0.183, 0.711)] respectively. Children diagnosed with PAH were 1.885 times more likely to be underweight [AOR = 1.885, 95%CI: (1.094, 3.246)]. When the hemoglobin level increases by every unit per g/dl the chance to be wasting and underweight decreases by 13.1 and 18.6%[AOR = 0.869, 95%CI: (0.792, 0.955)] and [AOR = 0.869, 95%CI: (0.792, 0.955)] respectively. The level of SPO2 is associated with stunting and underweight [AOR = 0.970, 95%CI: (0.943, 0.998)] and [AOR = 0.970, 95%CI: (0.943, 0.998)] respectively.
The prevalence of malnutrition in children with CHD is pretty high. Decreased level of hemoglobin and SPO was found to be associated factors for malnutrition in this case. There need to be a new strategy about including different health professional while care giving.
与健康儿童相比，患有先天性心脏病的儿童生长和营养状况不良的风险更高。本研究的目的是评估埃塞俄比亚亚的斯亚贝巴选定政府医院和心脏中心患有先天性心脏病儿童的营养状况及其相关因素。
这是一项 2021 年 2 月至 3 月在 373 名 15 岁以下儿童中进行的基于机构的横断面研究。使用结构化问卷和图表审查收集数据。使用基于世卫组织参考范围的 Z 分数。根据世卫组织 2007 年参考范围为每个儿童生成基于体重的年龄 Z 分数、所有儿童的身高年龄 Z 分数和 BMI 年龄 Z 分数。使用二元逻辑回归分析相关因素。
共有 373 名儿童参与了这项研究。消瘦和发育迟缓的患病率分别为 144（38.6%）和 134（35.9%）。10 岁以下儿童中体重不足和营养不良的患病率为 143（43.1%）。大多数儿童被诊断为室间隔缺损（VSD）（36.7%）。13 个月至 5 岁的儿童年龄组与消瘦和体重不足有关[AOR=0.434，95%CI：（0.231，0.816）]和[AOR=0.360，95%CI：（0.183，0.711）]。被诊断为肺动脉高压的儿童体重不足的可能性是未患肺动脉高压儿童的 1.885 倍[AOR=1.885，95%CI：（1.094，3.246）]。血红蛋白水平每增加 1 克/分升，消瘦和体重不足的几率就会降低 13.1%和 18.6%[AOR=0.869，95%CI：（0.792，0.955）]和[AOR=0.869，95%CI：（0.792，0.955）]。血氧饱和度水平与发育迟缓及体重不足有关[AOR=0.970，95%CI：（0.943，0.998）]和[AOR=0.970，95%CI：（0.943，0.998）]。
先天性心脏病儿童的营养不良患病率相当高。研究发现，血红蛋白和血氧饱和度水平下降是营养不良的相关因素。在提供护理时，需要制定一项新的策略，包括不同的卫生专业人员。
