Analysis influencing factors of nutritional status changes in pediatric liver transplant patients and nursing revelation
10.3761/j.issn.0254-1769.2025.09.014
- VernacularTitle:肝移植患儿术后营养状况变化的影响因素分析及护理启示
- Author:
Jing YANG
1
;
Huafen WANG
;
Fangyan LU
;
Ruijie BAO
;
Li ZHU
Author Information
1. 310003 杭州市 浙江大学医学院附属第一医院护理部
- Publication Type:Journal Article
- Keywords:
Liver Transplantation;
Nutritional Evaluation;
Root Cause Analysis;
Pediatric Nursing
- From:
Chinese Journal of Nursing
2025;60(9):1113-1119
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand the changing trend of nutritional status of children undergoing liver transplantation within 6 months after discharge,and to explore its influencing factors,in order to provide guidance for the clinical formulation of personalized nutritional intervention programs.Methods By the convenient sampling method,153 children undergoing liver transplantation admitted to the liver transplantation center of a tertiary A hospital in Hangzhou from January 2023 to January 2024 were selected as the research subjects.Their basic and clinical data were collected.The nutritional status at the 1 day before surgery and 1 month,3 months,and 6 months after discharge was evaluated by the standard deviation evaluation method of children's nutritional status.According to the changing trend of their nutritional status,they were grouped.Univariate and multivariate Logistic regression were used to analyze the influencing factors of the changing trend of nutritional status in children undergoing liver transplantation.Results A total of 144 children who underwent liver transplantation were ultimately included in the study.The incidence of malnutrition at 1 month,3 months,and 6 months after discharge was 66.0％,54.9％,and 53.5％,respectively.According to the changing trend of nutritional status of children undergoing liver transplantation,they were divided into 3 groups:54 cases(37.5％)in the good nutritional status group,24 cases(16.7％)in the fluctuating nutritional status group,and 66 cases(45.8％)in the poor nutritional status group.The results of multivariate Logistic regression analysis showed that birth weight,feeding method within 6 months after birth,age of caregivers and learning situation of nutritional knowledge were the influencing factors of the changing trend of nutritional status in children undergoing liver transplantation(P＜0.05).Conclusion The incidence of malnutrition in children undergoing liver transplantation is high within 6 months after discharge;medical staff should closely collaborate with families to formulate and implement staged personalized nutritional intervention measures based on the specific conditions and influencing factors of the children to effectively improve the nutritional status of the children after transplantation.
