Leicester Diabetes Centre, University Hospitals of Leicester NHS Trust, Leicester LE5 4PW, UK.
Department of Respiratory Sciences, University of Leicester, Leicester LE1 7RH, UK.
Int J Environ Res Public Health. 2022 Mar 24;19(7):3873. doi: 10.3390/ijerph19073873.
The prevalence of falls is high in people receiving haemodialysis (HD). This study aimed to explore the experiences of people receiving HD who had fallen in the last six months. A qualitative study, informed by constructivist grounded theory, used semi-structured interviews in combination with falls diaries. Twenty-five adults (mean age of 69 ± 10 years, 13 female, 13 White British) receiving HD with a history of at least one fall in the last six months (median 3, IQR 2-4) participated. Data were organised within three themes: (a) participants' perceptions of the cause of their fall(s): poor balance, weakness, and dizziness, exacerbated by environmental causes, (b) the consequences of the fall: injuries were disproportionate to the severity of the fall leading to loss of confidence, function and disruptions to HD, (c) reporting and coping with falls: most did not receive any specific care regarding falls. Those who attended falls services reported access barriers. In response, personal coping strategies included avoidance, vigilance, and resignation. These findings indicate that a greater focus on proactively identifying falls, comprehensive assessment, and timely access to appropriate falls prevention programmes is required to improve care and outcomes.
在接受血液透析 (HD) 的人群中，跌倒的发生率很高。本研究旨在探讨在过去六个月内跌倒过的接受 HD 治疗的人群的体验。这是一项基于建构主义扎根理论的定性研究，采用半结构式访谈结合跌倒日记的方法。25 名成年人（平均年龄 69 ± 10 岁，13 名女性，13 名白种英国人）参与了研究，他们都有至少一次在过去六个月内跌倒的病史（中位数为 3，四分位距为 2-4）。数据组织在三个主题内：（a）参与者对跌倒原因的看法：平衡不良、虚弱和头晕，环境因素加剧，（b）跌倒的后果：受伤与跌倒的严重程度不成比例，导致信心丧失、功能障碍和 HD 中断，（c）跌倒的报告和应对：大多数人没有接受任何专门针对跌倒的护理。那些参加跌倒服务的人报告了访问障碍。作为回应，个人应对策略包括回避、警惕和听天由命。这些发现表明，需要更加关注主动识别跌倒、全面评估以及及时获得适当的跌倒预防计划，以改善护理和结果。
