Analysis of the prevalence and influencing factors of malnutrition in 156 children with congenital heart disease
Objective To investigate the prevalence and influencing factors of malnutrition in children with congenital heart disease.Methods A total of 156 children with congenital heart disease admitted to Shaanxi Forest Industry Staff Hospital from June 2019 to July 2021 were selected.The nutritional status of children was evaluated with Z-score method,and they were divided into malnutrition group and normal group according to their nutritional status.The general data of the two groups of children were compared,and the in-fluencing factors of malnutrition in patients with congenital heart disease were analyzed by multivariate regression.Results The inci-dence of malnutrition in 156 children with congenital heart disease was 58.97%,including 26.92%of acute malnutrition and 30.05%of chronic malnutrition.The proportion of patients with complex conditions in the malnutrition group(57.61%vs.34.37%),the proportion of families with low economic income(45.65%vs.21.88%),the proportion of mothers with inaccurate disease perception(57.61%vs.35.94%),the proportion of low birth weight infants(38.04%vs.23.44%),the proportion of heart enlargement(21.74%vs.9.37%),the proportion of patients with symptoms before treatment(73.91%vs.34.38%),the proportion of patients diagnosed≥1 year(68.48%vs.29.69%),the proportion of hospitalizations>4 times(33.70%vs.12.50%),the proportion of infections(70.65%vs.29.69%),and the pro-portion of patients from rural areas(63.04%vs.40.62%)were higher than those in the normal nutrition group(P<0.05).There were sig-nificant differences in the complexity of the disease,family income,mother's perception of the disease,birth weight,heart size,whether there were symptoms before treatment,time of diagnosis,number of hospitalizations,whether there was infection,and family origin(P<0.05).Logistic regression analysis showed that the complexity of the condition,family economic income,birth weight,diagnosis time,hospitalization frequency,and infection were independent risk factors for malnutrition in children with congenital heart disease(P<0.05).Conclusion The complexity of illness,birth weight,hospitalization times and family origin are independent risk factors for mal-nutrition in children with congenital heart disease.
万方数据
维普
