ArticleMedicine2026
Clinical nurses'self-assessed knowledge, beliefs, and practice in nutritional management of chronic disease patients: A cross-sectional survey in Zhejiang Province.
Article in Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Malnutrition among hospitalized chronic disease patients is a global concern, with studies showing that nearly 30 to 50% of chronic disease patients experience disease-related malnutrition (DRM) during hospitalization. DRM can significantly affect patients'recovery, increase the length of hospital stay, and lead to higher mortality rates. To assess the current state of nutritional management implementation among clinical nurses in Zhejiang Province and determine the factors that influence their self-assessed knowledge, beliefs, and practices concerning nutritional support for chronic disease patients. A cross-sectional study was conducted from October 31, 2024 to December 31, 2024, involving 1561 nurses from 40 hospitals in Zhejiang Province. A questionnaire was distributed via a quick response code, covering general information of respondents and hospitals, nutritional management models, and nutritional support self-assessed knowledge, beliefs, and practice. Descriptive statistics, χ2 tests, t-tests, analysis of variance, rank sum tests, and regression analyses were performed using SPSS 27.0. Most departments had established nutritional management procedures (69.63%), systems (67.01%), and training plans (69.25%) for chronic disease patients, and 80.85% had formed multidisciplinary nutrition support teams. However, only 57.98% conducted regular follow-ups on nutritional status after discharge. Factors influencing self-assessed knowledge of nutritional support included age, job title, being a nutrition support specialist nurse, and the presence of nutritional management systems. Beliefs about nutritional support were mainly affected by regular assessment of nutritional management, emergency plans for adverse events, and post-discharge follow-up. The implementation of nutritional support was influenced by regular assessment, protocols for handling enteral nutrition complications, and post-discharge follow-up. Most hospital departments have made progress in the foundational aspects of nutritional management for chronic diseases but improvements are needed in practice and management. Our results provide a basis for enhancing nurses' participation and effectiveness in chronic disease nutrition management.
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