Analysis of latent class and its influencing factors of fall risk in elderly patients with lung cancer
10.3760/cma.j.cn211501-20231109-00970
- VernacularTitle:老年肺癌患者跌倒风险的潜在类别及影响因素分析
- Author:
Yang WANG
1
;
Weihua YU
;
Haiyan ZHANG
;
Ying REN
;
Li ZHANG
Author Information
1. 中国科学技术大学附属第一医院离子医学中心（合肥离子医学中心）护理部，合肥 230088
- Keywords:
Aged;
Lung neoplasm;
Fall risk;
Latent class analysis;
Influencing factors
- From:
Chinese Journal of Practical Nursing
2024;40(23):1796-1802
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the current situation of fall risk in elderly patients with lung cancer, explore the latent classes and influencing factors of fall risk in elderly patients with lung cancer, and provide reference for the formulation of individualized nursing measures to prevent falls.Methods:A cross-sectional study was conducted from November 2022 to March 2023. A total of 410 elderly patients with lung cancer in the oncology department of the Third Affiliated Hospital of Anhui Medical University and the First Affiliated Hospital of University of Science and Technology of China were selected by convenience sampling using the general situation questionnaire. The general data questionnaire, the Chinese version of Groningen Frailty Indicator, Morse Fall Scale and Tinetti Performance Oriented Mobility Assessment were used to investigate. The latent classes of fall risk were analyzed, and the factors influencing the latent classes of fall risk were analyzed by one-way analysis of variance, Chi-square test and multiple Logistic regression.Results:A total of 404 valid questionnaires were collected, with age of (67.10 ± 7.24) years old, including 293 males and 111 females. The fall risk score of 404 elderly patients with lung cancer was 0-110 (40.35 ± 20.18) points, and the fall risk could be divided into three latent classes, including cognitive deficiency (8.42%, 34/404), mobility limitation (40.10%, 162/404) and limb weakness (51.49%, 208/404). Multiple logistic regression results showed that marital status, monthly income level, diabetes history and gait ability were the influencing factors of fall risk in elderly patients with lung cancer ( OR values were 0.180-37.681, all P<0.05). Conclusions:There is heterogeneity in the risk of falls in elderly patients with lung cancer. According to individual characteristics, medical staff can propose targeted measures to prevent falls and improve the safety and quality of life of elderly patients with lung cancer.
