目的 了解河北省肿瘤专业护理人员的营养知识 - 态度 - 行为现状，为进行肿瘤营养教育培训提供依据。方法 采用多阶段随机抽样法抽取河北省内 23 家医院中的 652 名肿瘤专业护理人员进行营养知识、态度、行为问卷调查，对所得 结果进行统计学分析。结果 河北省肿瘤专业护理人员总体营养知识得分为（16.38±9.19）分，及格率与优秀率均为0.00%； 营养态度得分为（77.34±11.56）分，及格率与优秀率分别为95.74% 和 17.02%；营养行为得分为（51.81±14.16）分，及 格率与优秀率分别为27.66% 和 4.26%。分工作年限比较，营养态度得分在不同工作年限之间存在显著性差异（F=3.804， P=0.030），营养工作年限在10~15 年者的营养态度得分最高；而营养知识（F=0.698，P=0.503）、行为得分（F=1.542， P=0.225）未表现出明显差异。获取营养知识的途径前3位分别为工作实践中摸索积累（79.37%）、在学校时学习（71.43%） 和参加会议和培训（57.14%）。结论  河北省肿瘤专业护理人员对营养治疗有着积极的态度，但是在营养知识和行为方面有 待加强，亟需进行有效的肿瘤营养教育培训。

Objective To understand the status of nutritional K-A-P of tumor nursing staffs in Hebei Province and provide the basis for the training of tumor nutrition education. Methods A total of 652 tumor nursing staffs from 23 hospitals in Hebei Province were randomly selected to conduct a questionnaire survey on nutritional knowledge, attitudes and behaviors, and then analyzed the results systematiclly. Results The score of nutritional knowledge of nursing staffs was 16.38±9.19, and the passing rate and the excellent rate were both 0%. The score of nutritional attitude was 77.34±11.56, and the passing rate and the excellent rate were 95.74% and 17.02%, respectively. The score of nutritional behavior was 51.81±14.16, and the passing rate and the excellent rate were 27.66% and 4.26%, respectively. Compared to the years of work, there was a significant difference in the score of nutritional attitude between nursing staffs of different working years (F=3.804, P=0.030). Among them, nurses who have been working for 10-15 years have the highest nutritional attitude score. While the nutritional knowledge (F=0.698, P=0.503) and practice (F=1.542, P=0.225) score showed no significant difference. The top three approaches to obtaining knowledge of nutrition were groping for accumulation in work practice (79.37%), learning in school (71.43%), attending conferences and training (57.14%). Conclusions The tumor nursing staffs have a positive attitude towards nutrition therapy, but it is necessary to strengthen their skills of nutrition knowledge and practice. It is urgent to organize effective nutrition trainings for tumor nursing staffs.