1 Susan Kelly-Weeder, PhD, FNP-BC, FAANP, Boston College, Chestnut Hill, MA, USA.
2 Meredith Kells, MSN, RN, CPNP, Boston College, Chestnut Hill, MA, USA.
J Am Psychiatr Nurses Assoc. 2018 May/Jun;24(3):241-246. doi: 10.1177/1078390317717790. Epub 2017 Jul 28.
Weight assessment is a key component of nursing care for individuals with the acute illness of anorexia nervosa (AN). However, there is little data to guide protocols and procedures regarding weight assessment.
To describe institutional practices regarding weight assessment of individuals during acute illness of AN.
Treatment facilities ( N = 24) completed a survey about written protocols and procedures regarding weight assessment and disclosure of weight to patients.
The majority of facilities ( n = 22; 92%) have written protocols for weight assessment. Weight assessments occurred mostly in the morning ( n = 23; 95.8%), in hospital gowns ( n = 21; 87.5%), and after voiding ( n = 14; 58.3%). Respondents described mixed practices for disclosing weight to patients.
Results indicate widespread variability in weight assessment and disclosure of weight. Further research is necessary to help develop evidence-based guidelines about weighing practices during acute illness for individuals with AN.
对于患有神经性厌食症(AN)的个体,体重评估是护理的关键组成部分。然而,几乎没有数据可以指导针对 AN 急性发作期间体重评估的方案和程序。
描述机构中针对 AN 急性发作期间个体体重评估的实践情况。
治疗机构(n=24)完成了一项关于书面方案和程序的调查,内容涉及体重评估和向患者披露体重。
大多数机构(n=22;92%)都有体重评估的书面方案。体重评估大多在早上(n=23;95.8%)、穿着病号服(n=21;87.5%)和排空后(n=14;58.3%)进行。受访者描述了向患者披露体重的混合实践。
结果表明,体重评估和向患者披露体重的做法存在广泛差异。需要进一步研究来帮助制定针对 AN 患者急性发作期间体重评估的循证指南。