Systematic review of influencing factors of malnutrition in children with congenital heart disease
10.3760/cma.j.cn115682-20210707-02988
- VernacularTitle:先天性心脏病患儿营养不良影响因素的系统评价
- Author:
Ping NI
1
;
Xiuli WANG
;
Yujia CHEN
;
Wenyi LUO
Author Information
1. 上海交通大学医学院附属上海儿童医学中心心胸外科，上海 200127
- Keywords:
Child;
Congenital heart disease;
Malnutrition;
Influencing factors;
System review
- From:
Chinese Journal of Modern Nursing
2022;28(8):1013-1019
- CountryChina
- Language:Chinese
-
Abstract:
Objectives:To systematically analyze the influencing factors of malnutrition in children with congenital heart disease and provide theoretical reference for the intervention of malnutrition in children with congenital heart disease.Methods:PubMed, Embase, Cochrane Library, CNKI, Wanfang Database, VIP and Chinese Biomedical literature database were searched for literatures on the influencing factors of malnutrition in children with congenital heart disease. The retrieval period was from the establishment of the databases to April 8, 2021. Two researchers independently screened the literature, extracted data and evaluated the risk of bias. RevMan 5.3 software was used for Meta-analysis of influencing factors, and descriptive analysis was used for factors that were too heterogeneous or could not be combined.Results:A total of 11 literatures were included, including 6 454 children. Meta-analysis results showed that the influencing factors of growth retardation in children with congenital heart disease included pulmonary hypertension [ OR=3.73, 95% CI (2.25-6.18) , P<0.000 01], low birth weight [ OR=2.69, 95% CI (1.25-5.77) , P=0.01] and parental height [ OR=3.88, 95% CI (1.86-8.10) , P=0.000 3]. The influencing factors of low body weight in children with congenital heart disease were pulmonary hypertension [ OR=3.21, 95% CI (2.21-4.66) , P<0.000 01] and low birth weight [ OR=2.75, 95% CI (1.83-4.14) , P < 0.000 01]. The influencing factor of weight loss in children with congenital heart disease was pulmonary hypertension [ OR=3.51, 95% CI (2.21-5.58) , P<0.000 01].In addition, caregivers' emotions, disease cognition and behavior, and children's age and disease were also influencing factors of malnutrition in children with congenital heart disease ( P<0.05) . Conclusions:There are many influencing factors of malnutrition in children with congenital heart disease and pulmonary hypertension and low birth weight are the most common influencing factors. It is suggested that future studies should improve the rigor of design, adopt unified measurement standards, standardize the quality of reports and provide clearer guidance for clinical practice.
