Department of Nursing, Child Health and Diseases Nursing, Çukurova University, Faculty of Health Sciences, Adana, Turkey.
Curr Probl Cardiol. 2024 Jul;49(7):102567. doi: 10.1016/j.cpcardiol.2024.102567. Epub 2024 Apr 8.
This study investigated the effectiveness of individualized nutrition training for mothers of children who underwent congenital heart disease (CHD) surgery on their children's growth and development.
The researchers conducted a randomized controlled trial at Çukurova University Medical Faculty Balcalı Hospital in Adana, Turkey, between January 20th, 2021, and June 30th, 2021. They recruited 42 children with CHD and their families. Researchers used a personal information form, growth parameter measurements, and the Ankara Developmental Screening Inventory to assess the children. Participants were randomly divided into three groups. Control group, received standard care. Experimental group 1 (orally fed), received family-centered care and individualized nutrition training focused on age-appropriate food content, preparation methods, and meeting children's caloric needs. Experimental group 2 (orally and nutritionally fed), received the same interventions as group 1. The training programs for the experimental groups included information on strengthening breast milk and additional nutritional nutrition support. The training programs for the experimental groups likely addressed feeding challenges specific to children with CHD.
The study found a statistically significant difference in weight gain between the first and third follow-ups within the training group (children who received individualized nutrition education). This suggests that the training may have positively impacted weight gain. Additionally, the children in the training groups who were breastfed for longer than 12 months had better growth parameters and developmental scores compared to those with shorter breastfeeding durations.
This study suggests that individualized nutrition training for mothers of children with CHD surgery may support their children's growth and development, particularly when combined with prolonged breastfeeding.
本研究旨在探讨针对先天性心脏病（CHD）术后患儿母亲的个体化营养培训对其子女生长发育的效果。
研究者在土耳其阿达纳Çukurova 大学医学院 Balcalı 医院进行了一项随机对照试验，时间为 2021 年 1 月 20 日至 2021 年 6 月 30 日。他们招募了 42 名 CHD 患儿及其家庭。研究人员使用个人信息表、生长参数测量和安卡拉发育筛查量表对儿童进行评估。参与者被随机分为三组。对照组接受标准护理。实验组 1（口服喂养）接受以家庭为中心的护理和个体化营养培训，重点是适龄食物内容、准备方法和满足儿童热量需求。实验组 2（口服和营养喂养）接受与组 1 相同的干预措施。实验组的培训计划包括关于强化母乳和额外营养支持的信息。实验组的培训计划可能针对 CHD 患儿的特定喂养挑战。
研究发现，在训练组（接受个体化营养教育的儿童）中，体重在首次和第三次随访之间有显著差异。这表明培训可能对体重增加产生了积极影响。此外，在训练组中，母乳喂养时间超过 12 个月的儿童的生长参数和发育评分优于母乳喂养时间较短的儿童。
本研究表明，针对 CHD 术后患儿母亲的个体化营养培训可能有助于支持其子女的生长发育，尤其是与延长母乳喂养相结合时。
