血液透析的终末期肾病患者中跌倒恐惧与跌倒史之间的关联。
Association between fear of falling and a history of falls in patients with end-stage renal disease on hemodialysis.
作者信息
de Jesus Luciana Angélica da Silva, Pinheiro Bruno Valle, de Oliveira Ana Carla, Suassuna Lucas Fernandes, Silva Bárbara Lima, de Paula Rogério Baumgratz, Lucinda Leda Marília Fonseca, Oliveira Cristino Carneiro, Reboredo Maycon Moura
机构信息
Pulmonary and Critical Care Division, University Hospital of Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil.
Department of Internal Medicine, School of Medicine, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil.
出版信息
Ther Apher Dial. 2023 Apr;27(2):264-269. doi: 10.1111/1744-9987.13927. Epub 2022 Sep 21.
INTRODUCTION
Hemodialysis patients have complications that increase fear of falling (FOF). This study evaluated the association between FOF and a retrospective history of falls in hemodialysis patients and investigated the ability of the Fall Efficacy Scale-International (FES-I) to discriminate fallers from nonfallers.
METHODS
A retrospective study was conducted with 183 patients to investigate the history of falls in the last 12 months and to evaluate FOF by the FES-I.
RESULTS
The univariate linear regression model showed that the FES-I score was significantly associated with a history of falls (p = 0.01). After adjustment for potential confounders, this association remained significant (R = 0.19, p < 0.001). The FES-I score showed an area under the curve of 0.660 with a cutoff point of 25 (sensitivity-61.8%; specificity-62.2%).
CONCLUSION
FOF was associated with a history of falls in the 12-month period in hemodialysis patients, and FOF assessed by the FES-I was able to discriminate fallers from nonfallers.
引言
血液透析患者存在一些并发症，这些并发症会增加其跌倒恐惧（FOF）。本研究评估了血液透析患者的跌倒恐惧与既往跌倒史之间的关联，并调查了国际跌倒效能量表（FES-I）区分跌倒者与未跌倒者的能力。
方法
对183例患者进行回顾性研究，以调查过去12个月内的跌倒史，并通过FES-I评估跌倒恐惧。
结果
单变量线性回归模型显示，FES-I评分与跌倒史显著相关（p = 0.01）。在对潜在混杂因素进行调整后，这种关联仍然显著（R = 0.19，p < 0.001）。FES-I评分的曲线下面积为0.660，临界值为25（敏感性-61.8%；特异性-62.2%）。
结论
血液透析患者的跌倒恐惧与12个月内的跌倒史相关，通过FES-I评估的跌倒恐惧能够区分跌倒者与未跌倒者。
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