摘要
目的了解维持性血液透析患者的跌倒恐惧现状,并分析其影响因素。方法采用便利抽样法,选取2022年8—10月南京医科大学附属明基医院收治的维持性血液透析患者为研究对象。采用一般资料调查表、修订版跌倒效能量表、衰弱量表、Braden活动能力分量表对患者进行调查。结果共发放问卷219份,回收有效问卷219份,问卷有效回收率为100.00%。219例维持性血液透析患者中,96例存在跌倒恐惧,跌倒恐惧发生率为43.84%。二项Logistic回归分析结果显示,年龄、肾病类型、跌倒史和FRAIL得分是维持性血液透析患者跌倒恐惧的影响因素(P<0.05)。结论维持性血液透析患者跌倒恐惧发生率处于较高水平,年龄、糖尿病肾病、有跌倒史及衰弱是维持性血液透析患者跌倒恐惧发生的危险因素。医护人员可根据危险因素为维持性血液透析患者制定针对性的干预措施,以降低跌倒恐惧水平。
Objective To understand the current status of fear of falling in patients receiving maintenance hemodialysis and analyze the influencing factors.Methods The convenient sampling method was used to select maintenance hemodialysis patients admitted to BenQ Hospital Affiliated to Nanjing Medical University from August to October 2022 as the research objects.A survey was conducted on patients using the general information questionnaire,modified falls efficacy scale(MFES),fatigue,resistance,ambulation,illness,loss of weight(FRAIL),and Braden Mobility Subscale.Results A total of 219 questionnaires were sent out,and 219 were effectively collected,with an effective recovery rate of 100.00%.Among 219 patients with maintenance hemodialysis,96 had fear of falling,and the incidence of fear of falling was 43.84%.Binary logistic regression analysis showed that age,type of kidney disease,fall history,and score of FRAIL were the influencing factors of fear of falling in patients with maintenance hemodialysis(P<0.05).Conclusions The incidence of fear of falling in patients with maintenance hemodialysis is relatively high.Age,diabetic nephropathy,history of falls,and frailty are the risk factors for fear of falling in patients with maintenance hemodialysis.Medical staff can develop targeted intervention measures for maintenance hemodialysis patients based on risk factors to reduce their fear of falling.
作者
付雨欣
许会青
潘奎静
夏宁宁
刘静
Fu Yuxin;Xu Huiqing;Pan Kuijing;Xia Ningning;Liu Jing(School of Nursing,Nanjing Medical University,Nanjing 211166,China;Department of Nursing,BenQ Hospital Affiliated to Nanjing Medical University,Nanjing 210019,China)
出处
《中华现代护理杂志》
2024年第24期3232-3236,共5页
Chinese Journal of Modern Nursing
基金
江苏省自然科学基金(BK20190128)
南京医科大学科技发展基金项目(NMUB2018185)。
关键词
血液透析
终末期肾病
跌倒恐惧
影响因素
Hemodialysis
End stage renal disease
Fear of falling
Influencing factor
