Modeling a Caring Approach towards Children with Fallot’s Tetralogy Repair: A Focus on the Child’s Profile


Authors : Dr Kiyung Victor Momah; Pr Sara Horton-Deutsch; Pr Sah Tatsing Félix Désiré

Volume/Issue : Volume 9 - 2024, Issue 6 - June

Google Scholar : https://tinyurl.com/59r9jvjj

Scribd : https://tinyurl.com/487fnd59

DOI : https://doi.org/10.38124/ijisrt/IJISRT24JUN006

Abstract : Children with Tetralogy of Fallot (TOF) continue to be on the rise in Africa. More research is needed to improve caring approach towards children with surgically corrected TOF. The consequences of surgical correction of TOF remains an important area of research interest as children with TOF repair run the high risk of increase mortality resulting from acute cardiopulmonary problems. Yet little or no research published focused on investigating which clinical or para-clinical profile of children going in for surgical correction could be the cause of morbidity or mortality amongst children with TOF repair. The aim of the study was to determine the association between the profiles of children visiting the Surgical Heart Center for consultation with Tetralogy of Fallot (TOF) on the healing process after surgical repair. It was a descriptive quantitative study in which 303 nurses were issued questionnaires. Data was collected using convenient sampling technique and analyzed using multiple corresponding analysis in SPSS software version 21.0. The results showed that the clinical symptoms, clinical history, para-clinical characteristics, and postoperative complications identified three groups of children operated on for TOF: children with unstable hemodynamics; children who usually have symptoms such as systolic thrill, oppression in chest, tachycardia, and heart murmur; and finally children with symptoms of failure to thrive and heart murmur.

Keywords : Tetralogy of Fallot, Caring Approach, Child Profile.

References :

  1. Ali, L. A., Lurz, P., Ripoli, A., Rossi, G., Kister, T., Aquaro, G. D., ... & Festa, P. (2019). Implications of atrial volumes in surgical corrected Tetralogy of Fallot on clinical adverse events. International Journal of Cardiology283, 107-111.
  2. Animasahun, B. A., Madise-Wobo, A. D., Falase, B. A., & Omokhodion, S. I. (2016). The burden of Fallot’s tetralogy among Nigerian children. Cardiovascular Diagnosis and Therapy6(5), 453.
  3. Basse, I., Fall, A. L., Sow, A., Léye, M. C., Affangla, A., Diakhaté, N., ... & Diaby, F. (2020). Congenital Heart Disease-A Retrospective Study of 156 Cases in Senegal. Journal of Pediatrics, Perinatology and Child Health4(4), 111-116.
  4. Bedair, R., & Iriart, X. (2019). Educational series in congenital heart disease: Tetralogy of Fallot: diagnosis to long-term follow-up. Echo Research & Practice, 6(1), R10-R24
  5. Callow, L., Rummell, M.,& Frederick, A.(2016). Tetralogy of Fallot: What the Nurse Caring for a Patient with CHD Neepds to Know. Peaditric Heart Resource. 1-15
  6. Cools, E., & Missant, C. (2014). Junctional ectopic tachycardia after congenital heart surgery. Acta Anaesthesiol Belg65(1), 1-8.
  7. Elassal, A. A., Al-Radi, O. O., Debis, R. S., Zaher, Z. F., Abdelmohsen, G. A., Faden, M. S., ... & Dohain, A. M. (2022). Neonatal congenital heart surgery: contemporary outcomes and risk profile. Journal of Cardiothoracic Surgery17(1), 80.
  8. Ismail, M. F., Arafat, A. A., Hamouda, T. E., El Tantawy, A. E., Edrees, A., Bogis, A., ... & Jamjoom, A. A. (2018). Junctional ectopic tachycardia following tetralogy of fallot repair in children under 2 years. Journal of Cardiothoracic Surgery13, 1-7.
  9. Kirsch, R. E., Glatz, A. C., Gaynor, J. W., Nicolson, S. C., Spray, T. L., Wernovsky, G., & Bird, G. L. (2014). Results of elective repair at 6 months or younger in 277 patients with tetralogy of Fallot: a 14-year experience at a single center. The Journal of thoracic and cardiovascular surgery147(2), 713-717
  10. Paluszek, C., Brenner, P., Pichlmaier, M., Haas, N. A., Dalla-Pozza, R., Hagl, C., & Hakami, L. (2019). Risk factors and outcome of post Fallot repair junctional ectopic tachycardia (JET). World Journal for Pediatric and Congenital Heart Surgery10(1), 50-57.
  11. Rajput, R. S., Das, S., Makhija, N., & Airan, B. (2014). Efficacy of dexmedetomidine for the control of junctional ectopic tachycardia after repair of tetralogy of Fallot. Annals of Pediatric Cardiology7(3), 167-172.
  12. Talwar, S., Divya, A., Choudhary, S. K., Gupta, S. K., Ramakriahnan, S., Kothari, S. S., ... & Airan, B. (2017). Mid-term results of correction of Tetralogy of Fallot with absent pulmonary valve. Indian heart journal, 69(6), 767-771.
  13. Villafane J. et al., (2013) Hot Topics in Tetralogy of Fallot. Journal of American College of Cardiology 62(23):2156-2166
  14. Waqar, T., Riaz, M. U., & Mahar, T. (2017). Tetralogy of Fallot repair in patients presenting after Infancy: A single surgeon experience. Pakistan journal of medical sciences33(4), 984.
  15. Worku, D., & Allen, R. (2020). Tetralogy of Fallot: Origins, management and outcomes. European Journal of Experimental Biology, 10(3), 10.
  16. Llamosas-Falcón, L., Bermejo-Sánchez, E., Sánchez-Díaz, G., Villaverde-Hueso, A., Posada De la Paz, M., & Alonso-Ferreira, V. (2019). Tetralogy of Fallot in Spain: a nationwide registry-based mortality study across 36 years. Orphanet journal of rare diseases, 14, 1-8.
  17. Momah, V.K, Horton-Deutsch, S., & Sah Tatsing, F.D (2023) An essence of authentic presence as a means of caring for children with Tetralogy of Fallot after surgical repair. International Journal of Innovative Science and Technology 8 (12) :p 1698-1706. www.ijisrt.com, https://doi.org/10.5281/zendo. 10453196

Children with Tetralogy of Fallot (TOF) continue to be on the rise in Africa. More research is needed to improve caring approach towards children with surgically corrected TOF. The consequences of surgical correction of TOF remains an important area of research interest as children with TOF repair run the high risk of increase mortality resulting from acute cardiopulmonary problems. Yet little or no research published focused on investigating which clinical or para-clinical profile of children going in for surgical correction could be the cause of morbidity or mortality amongst children with TOF repair. The aim of the study was to determine the association between the profiles of children visiting the Surgical Heart Center for consultation with Tetralogy of Fallot (TOF) on the healing process after surgical repair. It was a descriptive quantitative study in which 303 nurses were issued questionnaires. Data was collected using convenient sampling technique and analyzed using multiple corresponding analysis in SPSS software version 21.0. The results showed that the clinical symptoms, clinical history, para-clinical characteristics, and postoperative complications identified three groups of children operated on for TOF: children with unstable hemodynamics; children who usually have symptoms such as systolic thrill, oppression in chest, tachycardia, and heart murmur; and finally children with symptoms of failure to thrive and heart murmur.

Keywords : Tetralogy of Fallot, Caring Approach, Child Profile.

Never miss an update from Papermashup

Get notified about the latest tutorials and downloads.

Subscribe by Email

Get alerts directly into your inbox after each post and stay updated.
Subscribe
OR

Subscribe by RSS

Add our RSS to your feedreader to get regular updates from us.
Subscribe