Chinese Journal of Blood Purification ›› 2018, Vol. 17 ›› Issue (11): 780-784.doi: 10.3969/j.issn.1671-4091.2018.11.015

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Investigation on the incidence of fall and its related factors in 224 patients with maintenance hemodialysis

  

  • Received:2018-07-16 Revised:2018-09-03 Online:2018-11-12 Published:2018-11-13

Abstract: 【Abstract】Objectives To understand the incidence of fall, its characteristics and influence factors in maintenance hemodialysis (MHD) patients in order to provide a reference for nursing strategies. Methods A total of 224 MHD patients treated in the blood purification center of a grade Ⅲ hospital from May 2017 to
April 2018 and recruited by convenience sampling method were enrolled in this study. A survey was made to investigate fall number in a year, place, main cause and site of the fall(s), injuries due to the falls, and recovery information. The incidence was calculated and the influence factors were analyzed by multivariate regression. Results The incidence of fall was 20% within a year. The fall occurred frequently in street, at home or in toilet room. The falls may cause severe injuries. The influence factors for falls included older age, longer dialysis period, intradialytic hypotention and lower hemoglobin level. Conclusion The incidence of fall was higher in MHD patient. The falls may cause severe injuries. The assessment and prevention of fall and the nursing for falls should be intensified for the MHD patients with older age, longer dialysis period, intradialytic hypotention and lower hemoglobin level

Key words: Hemodialysis, Fall, Incidence, Influence factor