Lu Wenwen, Xu Na, Zhuo Qiyun, Wang Huixian, Huang Bihong, Cao Yanpei
Hemodialysis Center, Huashan Hospital Affiliated to Fudan University, Shanghai, China.
Nursing Department, Huashan Hospital Affiliated to Fudan University, Shanghai, China.
Ther Apher Dial. 2025 Apr;29(2):210-219. doi: 10.1111/1744-9987.14208. Epub 2024 Sep 16.
This cross-sectional study analyzed the fear of falling (FOF) and associated influencing factors in patients undergoing maintenance hemodialysis (MHD).
Patients on MHD (n = 131) were assessed using the short Falls Efficacy Scale International, Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, Perceived Social Support Scale, and Barthel Index questionnaires.
The total FOF score was positively correlated with total anxiety and depression scores but negatively correlated with the total score of activities of daily living. There were significant differences in FOF among different age groups, employment status, the use of walkers, living arrangements (living alone), and having a history of falling in the past year. Age, employment status, history of falls in the past year, and anxiety score were significant risk factors for FOF in MHD patients.
FOF in MHD patients is strongly associated with age, employment status, history of falls in the past year, and anxiety level.
本横断面研究分析了维持性血液透析（MHD）患者的跌倒恐惧（FOF）及其相关影响因素。
使用简短国际跌倒效能量表、广泛性焦虑障碍-7问卷、患者健康问卷-9、感知社会支持量表和巴氏指数问卷对131例MHD患者进行评估。
FOF总分与焦虑和抑郁总分呈正相关，但与日常生活活动总分呈负相关。不同年龄组、就业状况、助行器使用情况、居住安排（独居）以及过去一年有无跌倒史的患者在FOF方面存在显著差异。年龄、就业状况、过去一年的跌倒史和焦虑评分是MHD患者FOF的显著危险因素。
MHD患者的FOF与年龄、就业状况、过去一年的跌倒史和焦虑水平密切相关。
