Influência do ambiente domiciliar no desenvolvimento neuropsicomotor de crianças com cardiopatia congênita

Abstract

Objective: To provide an association between the opportunities offered in the school world with congenital heart diseases. Methods: A cross-sectional study was performed with 31 infants diagnosed with congenital heart disease. The infants were found in a routine outpatient clinic of infantile cardiology and were 0 to 18 months old. The following instruments were used: Bayley Scales Infant and Toddler Development - Third Edition, Brazil Economic Classification Criteria, Affordances in the Home Environment for Motor Development – Infant Scale, Child's book and report of hospital discharge. Results: We evaluated 28 studies that met the criteria of the study, of which the majority of the female sex (57.1%). The average of the BSID-III scales were below average for the large motor scale (M = 80.18, SD = 18.06), fine motor skill substation (M = 6.82, SD = 3.54), and gross motor (M = 6.57, SD = 3.11); Statistical significance for motor-scale tasks with maternal age (p-value = 0.04) and speech-language pathology (p-value = 0.04); The language scale associated with speech therapy (p-value =0.01) and the socio-dependent range of physiotherapy (p-value = 0.04) and gestational age (p-value = 0.003) also showed statistical significance. It was a significant sample between a socio-emotional subscale and a variety of home outcomes (p-value = 0.007 and r = 0.49). Conclusion: Stimulation at home is not enough for the adequate development of infants with congenital heart disease.