成年癌症幸存者跌倒的危险因素：一项综合综述。
Risk Factors for Falls in Adult Cancer Survivors: An Integrative Review.
作者信息
Campbell Grace, Wolfe Rachel A, Klem Mary Lou
出版信息
Rehabil Nurs. 2018 Jul/Aug;43(4):201-213. doi: 10.1097/rnj.0000000000000173.
Abstract
PURPOSE
The aim of the study was to identify risk factors for falls among cancer survivors.
DESIGN
Integrative literature review.
METHODS
We searched PubMed, Embase, CINAHL, Cochrane Central Register of Controlled Trials, and PEDro for studies investigating fall risk in cancer. Reports of randomized controlled trials, descriptive studies (quantitative and qualitative), and theoretical papers meeting predetermined criteria were included. Quality ratings of included studies were done, and data were extracted and compiled by two independent reviewers.
FINDINGS
Twenty-nine articles met inclusion criteria. Literature quality was moderate (median quality score: 1.67 out of 3 possible points). Heterogeneity of statistics and reporting methods precluded calculation of summary effect sizes, but physical function, cognitive function, balance/gait, and certain medication types appear to increase fall risk.
CONCLUSIONS AND CLINICAL RELEVANCE
Modifiable risk factors, such as those identified in this review, represent tangible intervention targets for rehabilitation professionals for decreasing the risk of falls among cancer survivors.
摘要
目的
本研究旨在确定癌症幸存者跌倒的风险因素。
设计
综合文献综述。
方法
我们在PubMed、Embase、CINAHL、Cochrane对照试验中央注册库和PEDro中检索了调查癌症患者跌倒风险的研究。纳入了符合预定标准的随机对照试验报告、描述性研究（定量和定性）以及理论论文。对纳入研究进行质量评级，由两名独立评审员提取和汇总数据。
结果
29篇文章符合纳入标准。文献质量中等（质量评分中位数：满分3分，得1.67分）。统计数据和报告方法的异质性使得无法计算汇总效应量，但身体功能、认知功能、平衡/步态以及某些药物类型似乎会增加跌倒风险。
结论及临床意义
本综述中确定的可改变风险因素，是康复专业人员降低癌症幸存者跌倒风险的切实可行的干预目标。
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