A Systematic Evaluation of Incidence and Influencing Factors of Falls in Adult Cancer Patients
10.12259/j.issn.2095-610X.S20250512
- VernacularTitle:成人肿瘤患者跌倒发生率及影响因素的系统评价
- Author:
Shiyao YANG
1
;
Yanxia YANG
;
Haiyin YANG
;
Yong DONG
;
Jinhu MIAO
;
Yuexi ZHU
;
Qiongyao GUAN
Author Information
1. 昆明医科大学第三附属医院 护理部,云南 昆明 650118;大理白族自治州人民医院呼吸与危重症医学科,云南 大理 671000
- Keywords:
Tumor;
Fall;
Incidence;
Influencing factors;
Systematic evaluation
- From:
Journal of Kunming Medical University
2025;46(5):101-109
- CountryChina
- Language:Chinese
-
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 were the influencing factors for falls of adult tumor patients.Conclusion Cancer professionals should identify the influencing factors of falls early and take targeted measures to reduce the occurrence of falls.
