engleski

Intellectual development of children with congenital heart disease

The aims of our study were to establish the intellectual development of schoolchildren and adolescents with congenital heart disease, and to establish the social maturity Patients and methods: The study subjects comprised 153 children with congenital heart disease, (median age 11, 92 years), 88 female (58%) and 65 male (42%), who lived to their school age or adolescence. The survey excluded all patients with congenital heart disease related to syndrome disease which include mental deficiency. The control group consists of 153 healthy schoolchildren and adolescents who are of the same age and sex as the patients involved in the study. For evaluation of cognitive functions of a child following tests were used: a) progressive colour matrix (Raven), in which is by choice of the coincident shapes determined capability of visual perception as a measure of QI, and b) scale of social maturity by Doll, by which is social age evaluated and compared with chronologic age and so determines quotient of social maturity. Results: The mental status (QI) of children with congenital heart disease who have become chronic patients, significantly differs for the whole group (QIh : QIp=99.24, P<0.01), as well for both sexes (men OImh=105.6 : QImp=99.25, P<0.01), (female: QIfh=106.25 : QIfp=99.82, P<0.01). The coefficient of social age (SA) of chronic patients with congenital heart disease is significantly different for the whole group (SAh=13.43 : SAp=10.24, P<0.01), and each of the genders (SAmh=13.11 : SAmp=9.63, P<0.01), (SAfh=13.67 : SAfp, P<0.01). Chronic patients, due to congenital heart disease, have significantly lower social quotient (SQ) compared with the healthy children, applies to the whole group (SQh=114.59:SQp=89.29, P<0.01), as well as for both sexes (SQmh=114.46:SQmp=86.77, P<0.01), (SQfh=115.48:SQfp=90.53, P<0.01). Conclusion: Teamwork of all the subjects involved - paediatricians, cardiologists, cardio-surgeons, psychologists, social workers, psychoterapeutists, nurses and parents - is essential if we are to solve this problem. Congenital heart diseases are public health problem due to the fact that an increasing number of these children become chronic patients in adult age, proven by study

intellectual development; congenital heart disease; social maturity

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