Geurden Bart, Franck Erik, Van Looy Luc, Weyler Joost, Ysebaert Dirk
Centre for Research and Innovation in Care (CRIC), University of Antwerp, Wilrijk, Belgium.
Int J Nurs Pract. 2012 Oct;18(5):509-17. doi: 10.1111/j.1440-172X.2012.02066.x.
Screening patients' nutritional status on admission to hospital is recommended by evidence-based guidelines on malnutrition. In practice, self-reported values for body weight and height are often used by nurses and dieticians. This study assessed the accuracy of self-reported body weight and height and whether these self-reported values might be influenced by the nature of the health-care worker involved. Patients (n = 611) on admission reported their body weight and height to a nurse and a dietician. Reported values were analysed and compared with the measured values. Self-reported values for body weight and height on admission are not always accurate. Patients do report different values to different health-care workers. Self-reported values for body weight to nurses were more accurate as compared with dieticians. Self-reported values for body weight and height are subject to observer bias and should be used with caution in nutritional screening and multi-professional nutritional care.
营养不良的循证指南建议，在患者入院时对其营养状况进行筛查。在实际操作中，护士和营养师经常使用患者自行报告的体重和身高数值。本研究评估了自行报告的体重和身高的准确性，以及这些自行报告的数值是否可能受到相关医护人员性质的影响。611名患者在入院时向一名护士和一名营养师报告了他们的体重和身高。对报告的数值进行了分析，并与测量值进行了比较。入院时自行报告的体重和身高数值并不总是准确的。患者向不同的医护人员报告的数值确实有所不同。与营养师相比，患者向护士报告的体重数值更准确。自行报告的体重和身高数值存在观察者偏差，在营养筛查和多专业营养护理中应谨慎使用。
