Lulloff Amanda J, Vessey Judith A, Bashore Lisa, Gregas Matt
1 Blank Children's Hospital, Des Moines, IA, USA.
2 Boston College, Chestnut Hill, MA, USA.
J Pediatr Oncol Nurs. 2019 Sep/Oct;36(5):352-360. doi: 10.1177/1043454219844233. Epub 2019 Apr 26.
Children with a cancer diagnosis have risk factors leading to unique nutritional challenges. Malnutrition in this population is correlated with worse patient outcomes. Nurses are responsible for providing holistic care to their patients; however, the quality of nutritional assessments by pediatric oncology nurses is unknown. The purpose of this study was to investigate staff nurses' clinical decision making regarding nutritional assessment of children with cancer. A web-based survey composed of a demographic form, vignettes of patients with diverse nutritional status and the New General Self-Efficacy Scale, was distributed to members of the Association of Pediatric Hematology Oncology Nurses. Participants were also asked to rate their confidence in responses as well as select key nutritional cues. Nurses were significantly more likely to under-rate the nutritional status and select far fewer cues than the experts. Further research regarding nutritional assessment is warranted. Evidenced-based guidelines for nutritional assessment of children with cancer should be developed to ensure the highest quality of care is provided to this patient population.
被诊断患有癌症的儿童存在导致独特营养挑战的风险因素。这一人群中的营养不良与更差的患者预后相关。护士有责任为患者提供全面护理；然而，儿科肿瘤护士进行营养评估的质量尚不清楚。本研究的目的是调查注册护士在对癌症患儿进行营养评估方面的临床决策。一项基于网络的调查问卷，包括一份人口统计学表格、不同营养状况患者的病例 vignettes 以及新的一般自我效能量表，被分发给儿科血液肿瘤护士协会的成员。参与者还被要求对他们回答的信心进行评分，并选择关键的营养线索。与专家相比，护士显著更有可能低估营养状况，并且选择的线索要少得多。有必要对营养评估进行进一步研究。应该制定基于证据的癌症患儿营养评估指南，以确保为这一患者群体提供最高质量的护理。
