Objective To evaluate the incidence of postoperative malnutrition in children with congenital heart disease(CHD), and to analyze the influencing factors of malnutrition as well as its effect on postoperative quality of life. Methods From July 2016 to July 2020, a total of 312 children aged 2-12 years with previous cardiac surgery were selected from the Department of Cardiac Surgery, Department of Primary Cardiology and Department of Pediatrics in the General Hospital of the Northern Theater Command. Whether the subjects had malnutrition or not was assessed, and the general data of the children were collected to analyze the influencing factors of malnutrition. The Chinese PedsQLTM3.0 Cardiology Module Scale and the PedsQL4.0 Universal Core Scale were used to evaluate the postoperative quality of life of CHD children aged 2 to 12 years. Results 1) The incidence of postoperative malnutrition in CHD children was 17.9%. 2) Multivariate Logistic regression analysis showed that the independent risk factors for postoperative malnutrition in CHD children included younger age, complex type of heart disease, surgical treatment, poor family economic status, family residence in rural areas, parents with primary or junior high school education (P<0.05). 3) The scores of heart problems and symptoms, perceived physical appearance, treatment anxiety and cognitive psychological problems in the PedsQLTM3.0 Scale in the malnutrition group were all lower than those in the non-malnutrition group (P<0.05). The score of physiological function of children aged 2 to 4 years in the PedsQL4.0 Scale of malnutrition group was lower than that of the non-malnutrition group (P<0.05). The scores of four subscales and total scores of PedsQL4.0 quality of life in children aged 5 to 12 years in the malnutrition group were lower than those in the non-malnutrition group (P<0.05). Conclusion Children with CHD have high probability of malnutrition and poor quality of life, which are affected by many factors, and should be paid more attention to.
Key words
congenital heart disease /
nutritional evaluation /
quality of life
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