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.
维普
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