Study on the consistency between self-report of nutrition related symptoms and nursing records of pancreatic cancer inpatients during perioperative period
Objective To investigate and explore the consistency between the perioperative self-report of nutrition-related symptoms and nursing records of pancreatic cancer patients.Methods 90 patients with pancreatic cancer who underwent surgical treatment in a tumor hospital from January 2022 to December 2022 were selected by convenient sampling method.Before surgery and before discharge,general information and self-reported nutrition related symptoms of patients were collected via questionnaires,and compared with the content related to patient nutrition in the hospital's medical record system nursing records.The Kappa test was used to analyze the consistency between patient self-report and nursing records.Results The incidence of self-reported decreased appetite,decreased food intake,nausea and vomiting,decreased muscle strength,continuous weight loss,fatigue,and abdominal distension in preoperative patients was significantly higher than that in nursing records( P<0.05) .The occurrence of diarrhea was consistent with nursing records,while other items such as nausea and vomiting,fatigue,decreased food intake,and awareness of normal albumin levels,were inconsistent with nursing records.The incidence of self-reported decreased appetite,decreased food intake,nausea and vomiting,decreased muscle strength,continuous weight loss,fatigue,and abdominal distension in patients before discharge after surgery was significantly higher than that in nursing records(P<0.05),and the consistency with nursing records was poor.Conclusions At the two time points—before surgery and before discharge—the self-report of pancreatic cancer patients on their nutrition related symptoms during the perioperative period were inconsistent with the nursing records.The nursing records underestimated the incidence of nutrition related symptoms,which affected the accuracy of NRS2002 nutrition risk assessment and patients' subjective global nutrition-related symptoms scale.As a result,the risk of malnutrition in patients could not be identified early and timely,leding to delays in nutrition support treatment and affecting postoperative recovery.Therefore,patient self-report should be valued and used as a source for nursing observation and evaluation.
Pancreatic cancerHospitalized patientsPerioperative periodNutritional related symptomsSelf reportingNursing records
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