PDF(Pubmed)
Abstract：
UNASSIGNED: Caregiver self-efficacy in providing nutritional support to pediatric hematopoietic stem cell transplantation (HSCT) patients has been little studied despite the increased risk of these children potentially being over- or under-nourished after HSCT, and nutritional status could possibly affect treatment outcomes. The current study aimed to describe caregiver dietary self-efficacy and its associated psychosocial factors and barriers to following dietary recommendations.
UNASSIGNED: Caregivers completed questionnaires pre-HSCT and 30 days, 100 days, and one year post-HSCT. A subset provided a 24-h recall of food intake.
UNASSIGNED: Results showed generally high caregiver confidence and low difficulty supporting their child nutritionally. However, lower confidence was associated with higher caregiver depression, anxiety, and stress 30 days post-HSCT. Further, higher difficulty at various time points was correlated with lower income, higher depression and anxiety, stress, and miscarried helping (i.e., negative caregiver-child interactions surrounding eating), as well as child overweight status and failure to meet protein intake guidelines. Nutritional criteria for protein, fiber, added sugar, and saturated fat were met by 65%, 0%, 75%, and 75%, respectively. Caregiver attitudes and child behavior were the most frequently reported barriers to healthy eating.
UNASSIGNED: Results suggest that directing resources to caregivers struggling emotionally, economically, or transactionally could support pediatric patients undergoing HSCT in maintaining optimal nutritional status.
UNASSIGNED: Caregivers completed questionnaires pre-HSCT and 30 days, 100 days, and one year post-HSCT. A subset provided a 24-h recall of food intake.
UNASSIGNED: Results showed generally high caregiver confidence and low difficulty supporting their child nutritionally. However, lower confidence was associated with higher caregiver depression, anxiety, and stress 30 days post-HSCT. Further, higher difficulty at various time points was correlated with lower income, higher depression and anxiety, stress, and miscarried helping (i.e., negative caregiver-child interactions surrounding eating), as well as child overweight status and failure to meet protein intake guidelines. Nutritional criteria for protein, fiber, added sugar, and saturated fat were met by 65%, 0%, 75%, and 75%, respectively. Caregiver attitudes and child behavior were the most frequently reported barriers to healthy eating.
UNASSIGNED: Results suggest that directing resources to caregivers struggling emotionally, economically, or transactionally could support pediatric patients undergoing HSCT in maintaining optimal nutritional status.
摘要：
照顾者在为儿童造血干细胞移植（HSCT）患者提供营养支持方面的自我效能感很少被研究，尽管这些儿童在HSCT后可能过度或营养不良的风险增加，和营养状况可能会影响治疗结果。本研究旨在描述护理人员的饮食自我效能感及其相关的心理社会因素和遵循饮食建议的障碍。
■护理人员在HSCT前和30天完成了问卷调查，100天,HSCT后一年。一个子集提供了24小时的食物摄入召回。
■结果显示，总体上照顾者的信心很高，在营养上支持孩子的难度较低。然而,较低的信心与较高的照顾者抑郁有关，焦虑,HSCT后30天的压力。Further,不同时间点的高难度与低收入相关，更高的抑郁和焦虑，压力，和流产的帮助(即，围绕饮食的负面照顾者与儿童的互动)，以及儿童超重状态和不符合蛋白质摄入指南。蛋白质的营养标准，纤维,加糖,饱和脂肪达到65%，0%,75%,75%,分别。照顾者的态度和儿童行为是最常见的健康饮食障碍。
■结果表明，将资源引导给在情感上挣扎的护理人员，经济上,或在事务上可以支持接受HSCT的儿科患者维持最佳营养状况。
■护理人员在HSCT前和30天完成了问卷调查，100天,HSCT后一年。一个子集提供了24小时的食物摄入召回。
■结果显示，总体上照顾者的信心很高，在营养上支持孩子的难度较低。然而,较低的信心与较高的照顾者抑郁有关，焦虑,HSCT后30天的压力。Further,不同时间点的高难度与低收入相关，更高的抑郁和焦虑，压力，和流产的帮助(即，围绕饮食的负面照顾者与儿童的互动)，以及儿童超重状态和不符合蛋白质摄入指南。蛋白质的营养标准，纤维,加糖,饱和脂肪达到65%，0%,75%,75%,分别。照顾者的态度和儿童行为是最常见的健康饮食障碍。
■结果表明，将资源引导给在情感上挣扎的护理人员，经济上,或在事务上可以支持接受HSCT的儿科患者维持最佳营养状况。
