Oncology Unit, Alder Hey Children's NHS Foundation Trust, Eaton Road, Liverpool L12 2AP, UK.
Eur J Oncol Nurs. 2010 Dec;14(5):439-46. doi: 10.1016/j.ejon.2010.04.004. Epub 2010 May 23.
The maintenance of an adequate nutritional intake is vital for the child or young person undergoing treatment for cancer. Inability to maintain nutrition can lead to poor tolerance of treatment, increased risk of infectious complications and a potential poorer overall outcome. Good nutritional support is vital however there does not appear to be a national or consistent approach to either nutritional support or assessment.
The Paediatric Oncology Nurses Forum of the Royal College of Nursing and the Paediatric Oncology Dieticians Interest Group surveyed practice in the 21 Children Cancer and Leukaemia Group Centres in the United Kingdom and Ireland with the express aim of reviewing current practice as a first stage towards developing national guidance for nutritional management.
Questionnaires designed to review nutritional assessment and nutritional interventions were distributed to both a nurse and dietician in each CCLG centre. The results were analysed using descriptive statistics.
There was a 100% return rate from nurses and 66% from dieticians. The results showed an inconsistent approach in both assessment methods and approaches to nutritional intervention for this group of patients.
It is recognised that there is a need to adequately assess and provide appropriate nutrition for children and young people receiving cancer therapies. This survey highlights the inconsistencies in practice today as well as the need for consistent and useful guidance especially in the area of nutritional assessment and management of potential malnutrition.
对于正在接受癌症治疗的儿童或青少年来说，维持充足的营养摄入至关重要。无法维持营养会导致治疗耐受性差、感染并发症风险增加以及整体预后潜在恶化。良好的营养支持至关重要，但似乎没有全国性或一致的营养支持或评估方法。
皇家护理学院儿科肿瘤护士论坛和儿科肿瘤营养师兴趣小组对英国和爱尔兰的 21 个儿童癌症和白血病组中心进行了实践调查，其明确目的是审查当前的实践，作为制定国家营养管理指南的第一步。
为评估营养状况和营养干预设计的问卷分发给每个 CCLG 中心的护士和营养师。使用描述性统计方法分析结果。
护士的回复率为 100%，营养师的回复率为 66%。结果表明，在评估方法和针对这组患者的营养干预方法方面存在不一致的情况。
人们认识到需要充分评估并为接受癌症治疗的儿童和青少年提供适当的营养。这项调查突出了当前实践中的不一致之处，以及对一致和有用的指导的需求，特别是在营养评估和潜在营养不良管理领域。
