Universidad Complutense de Madrid, Facultad de Enfermería, Fisioterapia y Podología, Madrid, Madrid, Spain.
Hospital Universitario Infanta Leonor, Servicio de Nefrología, Madrid, Madrid, Spain.
Rev Lat Am Enfermagem. 2021 Nov 19;29:e3505. doi: 10.1590/1518-8345.5300.3505. eCollection 2021.
to identify possible associations between a higher probability of falls among hemodialysis patients and laboratory values, comorbidities, pharmacological treatment, hemodynamic changes, dialysis results and stabilometric alterations.
this was a retrospective case-control study with hemodialysis patients. Patients in a hemodialysis unit who had suffered one or more falls were included in the case group. Patients from the same unit who had not suffered falls were the controls. Data were gathered from the patients' clinical history and also from the results of a balance test conducted six months before the study.
thirty-one patients were included (10 cases and 21 controls). Intradialytic body weight change was significantly greater among cases (p <0.05). Patients in the case group also presented greater lateral instability after dialysis (p <0.05). Other factors such as high blood pressure, antihypertensives, beta-blockers, and lower heart rates were also associated with falls.
a greater intradialytic weight change was associated with an increase in risk of falls. Nursing staff can control these factors to prevent the incidence of falls in dialysis patients.
确定血液透析患者更高的跌倒概率与实验室值、合并症、药物治疗、血液动力学变化、透析结果和平衡测量变化之间可能存在的关联。
这是一项血液透析患者的回顾性病例对照研究。将在血液透析单元中遭受一次或多次跌倒的患者纳入病例组。来自同一单元中未跌倒的患者为对照组。数据来自患者的临床病史，以及研究前六个月进行的平衡测试结果。
共纳入 31 名患者（10 例病例和 21 例对照）。病例组的透析过程中体重变化明显更大（p<0.05）。透析后，病例组患者的横向稳定性也更大（p<0.05）。其他因素，如高血压、降压药、β受体阻滞剂和较低的心率，也与跌倒有关。
透析过程中体重变化更大与跌倒风险增加有关。护理人员可以控制这些因素，以防止透析患者跌倒的发生。
