摘要
目的 系统评价维持性血液透析(MHD)患者跌倒发生率及其影响因素。方法 检索PubMed、CINAHL、EMbase、万方数据库、中国知网、维普数据库关于MHD患者跌倒发生率及其影响因素的研究,检索时限为建库至2021年12月。由2名研究者按照标准独立进行文献筛选、资料提取和文献质量评价,采用Stata12.0软件对跌倒发生率和影响因素进行Meta分析。结果 共纳入13篇文献,包括3517例研究对象。Meta分析结果显示,跌倒发生率为27.00%[95%CI(0.21~0.33),P<0.001];年龄(≥65岁)、衰弱、透析中低血压、糖尿病是MHD患者跌倒的主要影响因素(P<0.05)。结论 MHD患者跌倒发生率高且影响因素较多,应针对跌倒发生的危险因素,实施综合护理干预,早期预防MHD患者跌倒发生,减少由于跌倒给患者带来的伤害。
Objective To systematically evaluate the incidence of falls and its influencing factors in maintenance hemodialysis(MHD)patients.Methods PubMed,CINAHL,EMbase,Wanfang database,CNKI and VIP database were searched for studies on the incidence of falls and its influencing factors in MHD patients from the establishment of the database to December 2021.Two researchers independently conducted literature screening,data extraction and literature quality evaluation according to the criteria.Stata 12.0 software was used to conduct a Meta-analysis of the incidence and influencing factors of falls.Results A total of 13 articles were included,including 3517 subjects.The results of Meta-analysis showed that the incidence of falls was 27.00%[95%CI(0.21-0.33),P<0.001];age(≥65 years old),frailty,intradialytic hypotension and diabetes were the main influencing factors of falls in MHD patients(P<0.05).Conclusion The incidence of falls in MHD patients is high and there are many influencing factors.Comprehensive nursing intervention should be carried out according to the risk factors of falls,so as to prevent falls in MHD patients at an early stage and reduce the harm caused by falls.
作者
赵智芳
邓菲菲
吴绪红
ZHAO Zhi-fang;DENG Fei-fei;WU Xu-hong(Department of Nephrology,Affiliated People's Hospital of Chongqing Three Gorges Medical College,Chongqing 404000,China;Nursing School of Chongqing Three Gorges Medical College,Chongqing 404000,China)
出处
《医学信息》
2024年第5期44-49,共6页
Journal of Medical Information
关键词
维持性血液透析
跌倒
透析中低血压
糖尿病
Maintenance hemodialysis
Fall
Hypotension during dialysis
Diabetes mellitus
