在接受化疗治疗的儿科瘤患者中,营养查工具的比较
Buket Meral1, Melda Kangalgil2, Erol Erduran3
1Department of Child Health and Diseases Nursing, Faculty of Health Sciences, Karadeniz Technical University, Trabzon, Turkey.
Journal of pediatric nursing
|November 30, 2024
概括
儿童约克希尔营养不良评分 (PYMS) 是确定儿童癌症患者营养不良风险的最有效工具. 与其他常见的查方法相比,它表现出更高的特异性和灵敏性.
科学领域:
- 儿科瘤学 儿科瘤学
- 临床营养学 临床营养学
- 医疗查工具 医疗查工具
背景情况:
- 营养不良是儿科瘤学的一个重大挑战,目前尚不清楚最佳查方法.
- 现有的一般儿科营养不良查工具可能不适合这个人群.
研究的目的:
- 为了比较四种营养查工具在识别儿童癌症患者营养不良风险方面的有效性.
- 具体来说,评估营养状况和成长风险查工具 (StrongKids),儿科约克希尔营养不良评分 (PYMS),儿童营养不良评估查工具 (STAMP) 和儿童癌症营养查工具 (SCAN).
主要方法:
- 一项涉及92名接受化疗的儿科患者 (年龄在2-18岁) 的横截面研究.
- 营养风险使用SCAN,StrongKids,PYMS,STAMP和人类计量测量进行了评估.
- 计算了灵敏度,特异性和工具之间的一致性.
主要成果:
- 在SCAN中,在69.6%的患者中发现了营养风险.
- 营养风险的流行率为43.5% (强健儿童),56.5% (PYMS) 和64.1% (STAMP).
- PYMS表现出最佳的特异性 (96.4%) 和灵敏度 (79.7%),与SCAN有很大的一致性.
结论:
- 儿童约克希尔营养不良评分 (PYMS) 是最有效的查工具,用于识别儿童癌症患者的营养不良风险,根据SCAN验证.
- 人口特定或高度敏感的查工具,以及人体测量,对于准确的营养不良风险评估至关重要.
相关概念视频
Nursing Ethical Principles II
920
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
920
Cancer Survival Analysis
328
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
328
Comparing the Survival Analysis of Two or More Groups
152
Survival analysis is a cornerstone of medical research, used to evaluate the time until an event of interest occurs, such as death, disease recurrence, or recovery. Unlike standard statistical methods, survival analysis is particularly adept at handling censored data—instances where the event has not occurred for some participants by the end of the study or remains unobserved. To address these unique challenges, specialized techniques like the Kaplan-Meier estimator, log-rank test, and...
152


