Lipman T H, McKnight H J
University of Pennsylvania School of Nursing, 420 Guardian Dr, Philadelphia, PA 19104, USA.
Nurse Pract Forum. 2000 Mar;11(1):26-31.
Growth assessment is crucial in the evaluation of all children. The growth of children with chronic conditions is often inadequately assessed by subspecialty services because of the following beliefs: (1) short stature is secondary to the disorder and therefore the cause is known, (2) poor growth is caused by a syndrome and is untreatable, and (3) growth is assessed adequately by the children's primary care providers. In reality, growth failure in children with chronic conditions may be caused by other factors and may be treatable. In addition, growth is often inadequately assessed by primary health care providers. Growth abnormalities should never be ignored or minimized in populations of children having other significant health care problems.
生长评估对于所有儿童的评估至关重要。慢性病患儿的生长情况往往未得到专科服务的充分评估，原因如下：（1）身材矮小是该疾病的次要表现，因此病因已知；（2）生长发育不良是由一种综合征引起的，无法治疗；（3）儿童的初级保健提供者已对生长情况进行了充分评估。实际上，慢性病患儿的生长发育迟缓可能由其他因素引起，且可能是可治疗的。此外，初级卫生保健提供者对生长情况的评估往往也不充分。在患有其他重大健康问题的儿童群体中，生长异常绝不应被忽视或轻视。
