Cirillo Dianne M, Hart Sarah K, Reich Richard R, Mason Tina M
H. Lee Moffitt Cancer Center and Research Institute.
Clin J Oncol Nurs. 2018 Oct 1;22(5):529-533. doi: 10.1188/18.CJON.529-533.
Height measurement is a key clinical component to measure body mass index and body surface area used for patient care, including calculating chemotherapy doses. Some patients cannot feasibly or safely stand for height measurement because of a number of diseases and disabilities. The literature is unclear regarding alternatives to standing height for patients unable to stand.
The purpose of this research study was to test equivalence of a number of measurements to find a reliable alternative to standing height for ambulatory oncology clinic patients who are unable to or cannot safely stand.
A repeated-measures design was used to measure the height of 60 volunteer adult participants using a convenience sample of 30 men and 30 women. Standing height was compared to self-reported height, recumbent length, arm span, half-arm span, demispan, and knee height measurements.
Results indicated that demispan was equivalent to standing height with a mean difference of -0.69. A practice change to use demispan in patients who cannot stand has been proposed and accepted at the authors' organization. The use of demispan was a feasible alternative to standing height in cost of supply and technique.
身高测量是用于患者护理（包括计算化疗剂量）的测量体重指数和体表面积的关键临床组成部分。由于多种疾病和残疾，一些患者无法切实可行或安全地站立进行身高测量。关于无法站立的患者替代站立身高测量的方法，文献尚无定论。
本研究的目的是测试多种测量方法的等效性，以找到一种可靠的替代方法，用于无法站立或不能安全站立的门诊肿瘤患者的身高测量。
采用重复测量设计，对60名成年志愿者参与者（30名男性和30名女性的便利样本）进行身高测量。将站立身高与自我报告身高、卧位长度、臂展、半臂展、半侧臂展和膝高测量值进行比较。
结果表明，半侧臂展与站立身高等效，平均差值为-0.69。作者所在机构已提出并接受一项实践变更，即对无法站立的患者使用半侧臂展进行测量。在供应成本和技术方面，使用半侧臂展是站立身高测量的可行替代方法。
