A Systematic Evaluation of Incidence and Influencing Factors of Falls in Adult Cancer Patients

Shiyao YANG; Yanxia YANG; Haiyin YANG; Yong DONG; Jinhu MIAO; Yuexi ZHU; Qiongyao GUAN

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Shiyao YANG, Yanxia YANG, Haiyin YANG, Yong DONG, Jinhu MIAO, Yuexi ZHU, Qiongyao GUAN. A Systematic Evaluation of Incidence and Influencing Factors of Falls in Adult Cancer Patients[J]. Journal of Kunming Medical University.

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A Systematic Evaluation of Incidence and Influencing Factors of Falls in Adult Cancer Patients

1.
Dept. of Nursing，The 3rd Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650118
2.
People’s Hospital of Dali Bai Autonomous Prefecture，Dali Yunnan 671000，China

Received Date: 2024-07-05

Abstract

Abstract

Objective To systematically evaluate the incidence and influencing factors of falls in adult cancer patients, and provide evidence support for early identification and prevention of falls. Methods Eight Chinese and English databases, including PubMed, Embase, CNKI, and Wanfang Database, were searched by computer. The databases were established until January 2024 and included in cross-sectional, cohort, and case-control studies based on the incidence and/or influencing factors of falls in adult cancer patients. Two researchers independently screened and reviewed literature, evaluated literature quality, and extracted data before conducting meta-analysis using RevMan 5.4 software. Results A total of 19 articles were incorporated into the research, with a total sample population size of 70508 cases. The results showed that the incidence of comorbid falls in adult tumor patients was 23.0% [95% CI （0.23, 0.24）]. Age, female, low education level, fall history, fall fear, middle and late stage of tumor, tumor type （breast cancer, reproductive system tumor, prostate cancer）, comorbidity, chemotherapy, radiotherapy, multiple drugs （n ≥ 5）, drugs （antidepressants, antipsychotics, sedatives and hypnotics）, related symptoms （fever, peripheral neuropathy, fatigue, depression）, malnutrition, low weight, cognitive dysfunction, balance disorders, gait abnormalities, and low ability of daily living are the influencing factors for falls of adult tumor patients. Conclusion Adult cancer patients have a high incidence of falls and multiple influencing factors. Cancer professionals should identify the influencing factors of falls early and take targeted measures to reduce the occurrence of falls.
- Tumor,
- Fall,
- Incidence,
- Influencing Factors,
- Systematic Evaluation

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References(36)

References

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