Growth and Development in Children with Congenital Heart Disease
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Abstract
This comparative descriptive study aimed to evaluate and compare the growth and development of children with congenital heart disease, between acyanotic and cyanotic groups, and of children with congenital heart disease in healthy children aged 1-3 years. The sample consisted of 68 children with congenital heart disease who followed-up at a clinic or were admitted in a pediatric ward in one tertiary hospital, Songkhla, and 76 healthy children in a university child-development center, Hat Yai District. Research instruments included a questionnaire, growth chart, and Denver II test form. Descriptive statistics and chi-square test were used for data analysis.
The findings indicated that children with acyanotic and cyanotic congenital heart disease had significantly different growth in every criterion (weight for age, height for age, and weight for height) (p< .05). Comparing children in acyanotic and cyanotic groups, underweight was identified in 34.8% and 72.7%, stunting was 41.3% and 68.2%, and wasting was 28.3% and 54.5%, respectively. However, development was not different in both groups (p> .05). Suspected delayed development was identified in 41.3% and 63.6% among the acyanotic and cyanotic groups, respectively. When compared to the healthygroup, children with congenital heart disease had significantly different growth and development (p< .001).
Based on the findings, nurses’ roles in child growth and developmental surveillance should be encouraged, and developmental screening should be regularly performed among children with congenital heart disease.
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References
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