The Impact of pre-transplant nutrient intake on growth and development in children with Biliary atresia awaiting liver transplant

2.50
Hdl Handle:
http://hdl.handle.net/10755/163424
Category:
Abstract
Type:
Presentation
Title:
The Impact of pre-transplant nutrient intake on growth and development in children with Biliary atresia awaiting liver transplant
Author(s):
Fallkenstein, Kathleen P.
Author Details:
Kathleen P. Fallkenstein, Phd, CPNP, Assistant Professor, Drexel University Nursing, Philadelphia, Pennsylvania, USA, email: kf33@drexel.edu
Abstract:
Purpose: To examine the affects of nutrition on growth and development in children with liver disease. The subjects were 24 children with biliary atresia who were awaiting liver transplant. Theoretical Framework: Integrating the literature on psychosocial and developmental care of the child with chronic disease and its reciprocal impact on the child and family provides the basis for the theoretical rationale for this study. Methods (Design, Sample, Setting, Measures, Analysis): 24 children with biliary atresia who were awaiting liver transplant. These children were divided into two groups; N=24 Group 1=12 on orally feeding alone and group 2=12 receiving oral feedings as well as NGfeedings A convenience sample, repeated measure design. Anthropometrics growth measurements of length, SDS scores for height (SDS), weight, HC, MAC, TSF, and nutritional assessment were recorded bimonthly from baseline evaluation to 6 months post evaluation. Children served as their own controls. Developmental evaluation using the Mullen Scales were performed at baseline evaluation and 6 months after baseline. A family assessment to evaluate the affects of chronic illness on the family was performed at 6 months after baseline. Results: Repeated measures for anthropometrics in the oral feeding group height (p < .001), weight (p < .02), HC (p < .001) MAC(p < .02). Repeated measures for anthropometrics in the NG height (p < .001 ), weight (p < .008), HC (p < .001), MAC (p < .007). T-test results for the Mullen NS for oral group but NG group expressive language (p < .03), visual reception (p < .007), receptive language (p < .03).T-test utilizing the Stein Impact on family tool found NS between groups (p < .52). Conclusions and Implications: Standards of care should be designed on the national level to promote early recognition and management of malnutrition and growth failure in this group of children.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
18th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Cherry Hill, New Jersey
Description:
�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jersey
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleThe Impact of pre-transplant nutrient intake on growth and development in children with Biliary atresia awaiting liver transplanten_GB
dc.contributor.authorFallkenstein, Kathleen P.en_US
dc.author.detailsKathleen P. Fallkenstein, Phd, CPNP, Assistant Professor, Drexel University Nursing, Philadelphia, Pennsylvania, USA, email: kf33@drexel.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/163424-
dc.description.abstractPurpose: To examine the affects of nutrition on growth and development in children with liver disease. The subjects were 24 children with biliary atresia who were awaiting liver transplant. Theoretical Framework: Integrating the literature on psychosocial and developmental care of the child with chronic disease and its reciprocal impact on the child and family provides the basis for the theoretical rationale for this study. Methods (Design, Sample, Setting, Measures, Analysis): 24 children with biliary atresia who were awaiting liver transplant. These children were divided into two groups; N=24 Group 1=12 on orally feeding alone and group 2=12 receiving oral feedings as well as NGfeedings A convenience sample, repeated measure design. Anthropometrics growth measurements of length, SDS scores for height (SDS), weight, HC, MAC, TSF, and nutritional assessment were recorded bimonthly from baseline evaluation to 6 months post evaluation. Children served as their own controls. Developmental evaluation using the Mullen Scales were performed at baseline evaluation and 6 months after baseline. A family assessment to evaluate the affects of chronic illness on the family was performed at 6 months after baseline. Results: Repeated measures for anthropometrics in the oral feeding group height (p < .001), weight (p < .02), HC (p < .001) MAC(p < .02). Repeated measures for anthropometrics in the NG height (p < .001 ), weight (p < .008), HC (p < .001), MAC (p < .007). T-test results for the Mullen NS for oral group but NG group expressive language (p < .03), visual reception (p < .007), receptive language (p < .03).T-test utilizing the Stein Impact on family tool found NS between groups (p < .52). Conclusions and Implications: Standards of care should be designed on the national level to promote early recognition and management of malnutrition and growth failure in this group of children.en_GB
dc.date.available2011-10-27T11:07:20Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:07:20Z-
dc.conference.date2006en_US
dc.conference.name18th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationCherry Hill, New Jerseyen_US
dc.description�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jerseyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.