为了了解肿瘤护士对癌症患者骨健康知识的认知状况、障碍因素和管理信心，并为建立肿瘤护士骨健康知识培训体系和指导他们管理癌症患者骨健康提供参考，通过整群抽样选择了河北省6家医院的602名从事肿瘤护理的护士，并向河北省癌症预防与控制协会的肿瘤护士发送了在线匿名调查问卷。调查问卷由研究团队编制，共分为4个部分，包括一般信息、护士的角色与工作职责、骨相关事件（SREs）和癌症治疗引起的骨丢失（CTIBL）知识以及对骨健康管理的理解和信心，共计33个问题。37％的肿瘤护士接受过骨健康和其他相关内容的培训；40.48％的肿瘤护士在管理骨转移或CTIBL患者时使用国内外指南。只有约三分之一的肿瘤护士对管理骨转移和骨修饰药物的副作用以及识别CTIBL和骨折风险患者有信心；只有33.04％的肿瘤护士相信负重运动可以预防骨丢失；不到50％的肿瘤护士相信芳香化酶抑制剂治疗、卵巢压制疗法、雄激素阻断疗法和体重过低是骨质疏松性骨折的风险因素。妨碍肿瘤护士优化骨转移患者管理、了解预防措施和骨丢失风险因素的原因主要包括缺乏相关知识培训、对有效干预措施缺乏了解以及专科护士培训和专业性不足，包括发展时间不足和临床护理实践指南不足。管理人员必须不断完善肿瘤护士的培训体系，丰富癌症患者骨健康相关培训内容，制定临床护理实践指南，并给予肿瘤护士更多的专业发展时间。© 2023年。作者

To understand the knowledge status, obstacle factors, and management confidence of oncology nurses on the bone health of cancer patients, and in addition to provide reference for establishing bone health knowledge training system for oncology nurses and guiding them to manage bone health of cancer patients.A total of 602 nurses engaged in oncology nursing in 6 hospitals in Hebei Province were selected by cluster sampling, and an online anonymous survey was conducted by sending questionnaires to oncology nurses from the Hebei Cancer Prevention and Control Association. The questionnaire was developed by the study team. There are 4 parts, namely general information, nurses' role and job responsibilities, knowledge of skeletal-related events (SREs) and cancer treatment-induced bone loss (CTIBL), and understanding and confidence in bone health management, for a total of 33 questions.Thirty-seven percent of oncology nurses received training on bone health and other related contents; 40.48% of oncology nurses used domestic and foreign guidelines when managing patients with bone metastases or CTIBL. Only approximately one-third of oncology nurses had confidence in managing the side effects of bone metastases and bone modification drugs and identifying patients at risk of CTIBL and fracture; only 33.04% of oncology nurses believed that weight-bearing exercise can prevent bone loss; less than 50% of oncology nurses believed that aromatase inhibitor therapy, ovarian suppression therapy, androgen deprivation therapy, and low body weight were risk factors for pathological fractures. The reasons that hindered oncology nurses from optimizing the management of patients with bone metastases and understanding the preventive measures and risk factors for bone loss mainly included lack of relevant knowledge training, lack of understanding of effective intervention measures, and lack of training and professionalism of specialized nurses, including insufficient development time and guidelines for clinical nursing practice.Managers must continuously improve the training system of oncology nurses, enrich the content of training pertaining to bone health for cancer patients, formulate clinical nursing practice guidelines, and give oncology nurses more time for professional development.© 2023. The Author(s).