摘要
目的系统评价成人肿瘤患者跌倒发生率及影响因素,为早期识别和预防跌倒发生提供证据支持。方法计算机检索PubMed、中国知网等8个英文和中文数据库,检索时间为数据库建立至2024年1月,纳入以成人肿瘤患者跌倒发生率和(或)影响因素为结局的横断面研究、队列研究和病例对照研究。由2名研究者独立筛选文献、文献质量评价、提取数据后,使用RevMan 5.4进行Meta分析。结果共计纳入19篇文献,样本量总计70508例。结果显示,成人肿瘤患者跌倒的合并发生率为23.0%(95%CI 0.23,0.24)。年龄、女性、低文化程度、跌倒史、跌倒恐惧、肿瘤中晚期、肿瘤种类(乳腺癌、生殖系统肿瘤、前列腺癌)、共病、化疗、放疗、多重用药(n≥5)、药物(抗抑郁药、抗精神病药、镇静催眠药)、相关症状(发热、周围神经病变、疲乏、抑郁)、营养不良、低体重、认知功能障碍、平衡障碍、步态异常、低日常生活能力是成人肿瘤患者跌倒的影响因素。结论肿瘤专业医护人员应早期识别跌倒发生的影响因素并采取针对性措施来减少跌倒发生。
Objective To systematically evaluate the incidence and influencing factors of falls in adult cancer patients,and provide evidence support for early identification and prevention of falls.Methods Eight Chinese and English databases,including PubMed,Embase,CNKI,and Wanfang Database,were searched by computer.The databases were established until January 2024 and included in cross-sectional,cohort,and case-control studies based on the incidence and/or influencing factors of falls in adult cancer patients.Two researchers independently screened and reviewed literature,evaluated literature quality,and extracted data before conducting meta-analysis using RevMan 5.4 software.Results A total of 19 articles were incorporated into the research,with a total sample population size of 70508 cases.The results showed that the incidence of comorbid falls in adult tumor patients was 23.0%(95%CI0.23,0.24).Age,female,low education level,fall history,fall fear,middle and late stage of tumor,tumor type(breast cancer,reproductive system tumor,prostate cancer),comorbidity,chemotherapy,radiotherapy,multiple drugs(n≥5),drugs(antidepressants,antipsychotics,sedatives and hypnotics),related symptoms(fever,peripheral neuropathy,fatigue,depression),malnutrition,low weight,cognitive dysfunction,balance disorders,gait abnormalities,and low ability of daily living were the influencing factors for falls of adult tumor patients.Conclusion Cancer professionals should identify the influencing factors of falls early and take targeted measures to reduce the occurrence of falls.
作者
杨诗瑶
杨艳霞
杨海银
董勇
苗金虎
朱悦熙
关琼瑶
YANG Shiyao;YANG Yanxia;YANG Haiyin;DONG Yong;MIAO Jinhu;ZHU Yuexi;GUAN Qiongyao(Department of Nursing,The Third Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650118;Department of Pulmonary and Critical Care Medicine People’s Hospital of Dali Bai Autonomous Prefecture,Dali Yunnan 671000)
出处
《昆明医科大学学报》
2025年第5期101-109,共9页
Journal of Kunming Medical University
基金
云南省教育厅科学研究基金(2024J0359)
昆明医科大学研究生教育创新基金(2024S031)。
关键词
肿瘤
跌倒
发生率
影响因素
系统评价
Tumor
Fall
Incidence
Influencing factors
Systematic evaluation
