A Systematic Review of the Incidence and Influencing Factors of Falls in Maintenance Hemodialysis Patients
Objective To systematically evaluate the incidence of falls and its influencing factors in maintenance hemodialysis(MHD)patients.Methods PubMed,CINAHL,EMbase,Wanfang database,CNKI and VIP database were searched for studies on the incidence of falls and its influencing factors in MHD patients from the establishment of the database to December 2021.Two researchers independently conducted literature screening,data extraction and literature quality evaluation according to the criteria.Stata 12.0 software was used to conduct a Meta-analysis of the incidence and influencing factors of falls.Results A total of 13 articles were included,including 3517 subjects.The results of Meta-analysis showed that the incidence of falls was 27.00％[95％CI(0.21-0.33),P＜0.001];age(≥65 years old),frailty,intradialytic hypotension and diabetes were the main influencing factors of falls in MHD patients(P＜0.05).Conclusion The incidence of falls in MHD patients is high and there are many influencing factors.Comprehensive nursing intervention should be carried out according to the risk factors of falls,so as to prevent falls in MHD patients at an early stage and reduce the harm caused by falls.
Maintenance hemodialysisFallHypotension during dialysisDiabetes mellitus
万方数据
维普
