Children with disabilities are the ones who need additional care training and protection. Across the cerebral palsy spectrum poor nutrition status is caused by distinct pathways ranging from inadequate food intake,oral dysphagia,oral pharyngeal dysphagia,gastro esophageal reflux,chronic aspiration and behavioural etiologies.Some patients with oral pharyngeal dysphagia and gastroesophageal reflux are also at risk for recurrent aspiration,which can lead to chronic pulmonary disease. Hence it is important  to give appropriate feeding intervention for children with cerebral palsy and to build the knowledge and skills of their primary caregiver in feeding children with cerebral palsy . In this study an intervention package was used to manipulate the knowledge and practice  of primary caregivers and Wilcoxon Signed rank test was used to analyze the effectiveness. The obtained Z value (4.80) and (3.75) was statistically significant at 0.05 level. So it was concluded that intervention package was effective in increasing the knowledge and and practice of primary caregivers in feeding cerebral palsy children.

Keywords: Intervention package, Knowledge Practice, Primary caregiver, Cerebral palsy

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1. https://www.cdc.gov/ncbddd/cp/data.html
2. https://data.unicef.org/topic/child-disability/nutrition/
3. Sarah Polack¹, Mel Adams², DavidO'banion³, Marjolein Baltussen⁴, Sandra Asante⁵, MarkoKerac ^. Children with cerebral palsy in Ghana: malnutrition, feeding challenges, and caregiver quality of life.dev medicine and child neurology.2018 Sep;60(9):914-921
4. Amirtha Lourdu Mary. I.. Effectiveness of Nursing Intervention on Knowledge and Practice of Feeding Among Caregivers of Cerebral Palsy Children. Asian J. Nur. Edu. and Research 1(4): Oct-Dec. 2011; Page 109-112.
5. Riya Goyal, Radhamohan Rana, Hitesh Bhatia& Jaya Shankar Kaushik. Nutritional Status of Indian Children with Cerebral Palsy: A Cross-sectional Study. The Indian Journal of Pediatrics volume 87, page225 (2020).
6. Ghai OP. Essentials of paediatrics, 7thedition,New Delhi; CBS publishers(2010)pp no.559
7. Gisel EG,Patric T.Identification of children with cerebral palsy,unable to maintain a normal nutritional state.Journal of paediatrics[internet]1991[cited on 1998 february]47(1)1-6.
8. Kathrine A,Keely A.Ill effects of malnutrition.Developmental medicine and child neurology[internet]2009[cited on 2012 january]52(12):877-882.
9. Sherna Reilly,David Skew,Ximena Poblete.Severity feeding problem and oromotor dysfunction in children with cerebral palsy.Journal of paediatric.[internet]1994[cited on 1996 december]129(6):877-882.
10. Dorothy M.Text book of pediatric nursing .6^thNew Delhi:Elsevier publication:200

Children with disabilities are the ones who need additional care training and protection. Across the cerebral palsy spectrum poor nutrition status is caused by distinct pathways ranging from inadequate food intake,oral dysphagia,oral pharyngeal dysphagia,gastro esophageal reflux,chronic aspiration and behavioural etiologies.Some patients with oral pharyngeal dysphagia and gastroesophageal reflux are also at risk for recurrent aspiration,which can lead to chronic pulmonary disease. Hence it is important  to give appropriate feeding intervention for children with cerebral palsy and to build the knowledge and skills of their primary caregiver in feeding children with cerebral palsy . In this study an intervention package was used to manipulate the knowledge and practice  of primary caregivers and Wilcoxon Signed rank test was used to analyze the effectiveness. The obtained Z value (4.80) and (3.75) was statistically significant at 0.05 level. So it was concluded that intervention package was effective in increasing the knowledge and and practice of primary caregivers in feeding cerebral palsy children.

Keywords: Intervention package, Knowledge Practice, Primary caregiver, Cerebral palsy

🔒 This is a subscription article

Full text is available to subscribers and institutional members. Please choose an option below to access it.

1. https://www.cdc.gov/ncbddd/cp/data.html
2. https://data.unicef.org/topic/child-disability/nutrition/
3. Sarah Polack¹, Mel Adams², DavidO'banion³, Marjolein Baltussen⁴, Sandra Asante⁵, MarkoKerac ^. Children with cerebral palsy in Ghana: malnutrition, feeding challenges, and caregiver quality of life.dev medicine and child neurology.2018 Sep;60(9):914-921
4. Amirtha Lourdu Mary. I.. Effectiveness of Nursing Intervention on Knowledge and Practice of Feeding Among Caregivers of Cerebral Palsy Children. Asian J. Nur. Edu. and Research 1(4): Oct-Dec. 2011; Page 109-112.
5. Riya Goyal, Radhamohan Rana, Hitesh Bhatia& Jaya Shankar Kaushik. Nutritional Status of Indian Children with Cerebral Palsy: A Cross-sectional Study. The Indian Journal of Pediatrics volume 87, page225 (2020).
6. Ghai OP. Essentials of paediatrics, 7thedition,New Delhi; CBS publishers(2010)pp no.559
7. Gisel EG,Patric T.Identification of children with cerebral palsy,unable to maintain a normal nutritional state.Journal of paediatrics[internet]1991[cited on 1998 february]47(1)1-6.
8. Kathrine A,Keely A.Ill effects of malnutrition.Developmental medicine and child neurology[internet]2009[cited on 2012 january]52(12):877-882.
9. Sherna Reilly,David Skew,Ximena Poblete.Severity feeding problem and oromotor dysfunction in children with cerebral palsy.Journal of paediatric.[internet]1994[cited on 1996 december]129(6):877-882.
10. Dorothy M.Text book of pediatric nursing .6^thNew Delhi:Elsevier publication:200