School of Medicine

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Browsing School of Medicine by Subject "abnormal behavior"

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    Assessment of Behavioral Abnormalities among children with congenital heart disease aged 4-14 years attending follow-up at Pediatric cardiac Clinic in Tikur Anbessa Specialized Hospital and cardiac center between October 2023-March 2024, Addis Ababa, Ethiopia
    (Addis Ababa University, 2024) Yak,Acheng; Ahmed, Hayat(Ass.Prof.)
    Background:Congenital heart disease (CHD)is a gross structural abnormality of the heart or intrathoracic great vessels that is actually or potentially of functional significance. Congenital heart disease is one of the most frequently diagnosed congenital disorders affecting approximately 0.8% of live births worldwide.(Liu et al., 2019) Children with CHD are experiencing challenges throughout their development. They can be affected by several circumstances that may contribute to serious behavioral problems, which interfere with their normal development, socialization, or future life (Dahlawi et al., 2020). Objectives:The purpose of this study is to assess behavioral abnormalities among children with congenital heart disease aged 4-14 years on follow up at the Pediatric cardiac Clinic in Tikur Anbessa Specialized Hospital, Addis Ababa, from October 2023 to March 2024. Methods:A hospital based cross sectional study design was conducted among children with congenital heart disease aged 4-14 years attending cardiac clinic at TASH and their primary caretakers. A total of 231 selected patient were studied, pre- test questionnaire was used to assess socio-demographic characteristics, and Strengths and Difficulties Questionnaire (SDQ), was used to assess the behavioral problems, data were collected through ODK and analyzed using SPSS version 27 software package. Mean, median, mode and standard deviation were used to describe Continuous data; and frequency and percentage were used to describe categorical data. To identify factors associated with behavioral abnormalities Bivariable and Multivariable binary logistic regression analyses were done. Statistical significance was considered at level of significance of 5% (p-value 0.05). Adjusted odds ratio (AOR) with 95% confidence interval (CI) was used to present the estimates of the strength of the association. Result: the over all prevalence of behavioral abnormalities was 61% with a 95% CL. The prevalence of emotional symptoms was 17.7%, conduct problems 9.5%, hyperactivity 2.6% and peer problems was 38.5%. first birth order (AOR = 1.4, 95% CL, (1.15,8.72) , family size (1-4) ( AOR = 10.8 , 95% CL , ( 4.94 , 23.68) , cyanotic CHD ( AOR = 1.8 , 95% CL , ( 1.37, 2.88), present of pulmonary hypertension (AOR = 1.5 , 95% CL, ( 1.17 , 2.81) and if the child has a history of hospitalization or history of heart failure(AOR = 8.4 ,95% CL , (3.82 , 18.74) were more likely to have any form of behavioral disorder than their counterparts. Conclusion: the magnitude of behavioral abnormalities among children with congenital heart disease is significant. children with cyanotic CHD, present of pulmonary hypertension and previous history of hospitalization or history of heart failure are more likely to suffer from a behavioral and mental abnormality. we recommend children with congenital heart disease especially cyanotic CHD should be provided with better counseling services.