{"title":"住院骨髓移植患者跌倒的风险因素：系统综述。","authors":"Nicole M. Turkoglu MSN, RN, OCN, BMTCN, Jingjing Shang PhD, RN, FAAN, OCN","doi":"10.1111/2047-3095.12407","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Certain types of cancer and treatment increase the risk of falls among cancer patients, particularly patients with hematologic cancer undergoing bone marrow transplant (BMT). Nurses are integral to preventing falls and maintaining patient safety. Understanding patients undergoing BMT fall risk factors may help nurses identify high fall risk patients and develop fall prevention interventions.</p>\n </section>\n \n <section>\n \n <h3> Purpose</h3>\n \n <p>This systematic review aims to identify risk factors for falls among hospitalized adult patients receiving BMT treatment.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, a systematic review of the literature was conducted by searching databases PubMed and CINAHL. Study quality was evaluated using the Crowe Critical Appraisal Tool form (v1.4).</p>\n </section>\n \n <section>\n \n <h3> Findings</h3>\n \n <p>An initial search yielded 829 articles; six were included for final review after removing duplicates and screening for inclusion criteria: specific to patients undergoing BMT, measure fall outcome, in hospital, and original research. The identified risk factors include age of 65 and older, leukemia diagnosis, days of diarrhea, incontinence of urine or stool, increased pulse rate, muscle weakness, hypnotic, anxiolytic medication, recent steroid use, allogenic transplant, and post-engraftment period.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Risk factors for falls among patients undergoing BMT are multifactorial and are related to muscle weakness, medication administration, pulse rate, type of transplant, age, engraftment period, and bathroom use.</p>\n </section>\n \n <section>\n \n <h3> Implications for nursing</h3>\n \n <p>Nurses providing care to patients undergoing BMT need to assess and increase nurse surveillance on allogeneic transplant patients, specifically those on anxiolytic, hypnotic, and steroid medications. Nurses providing care to patients undergoing BMT should implement more fall prevention strategies in patients undergoing BMT who develop diarrhea and urine or stool incontinence. Identifying specific patients undergoing BMT fall risk factors and applying multifaceted individualized fall prevention strategies has the potential to improve allogeneic transplant patient care and prevent fall-related complications.</p>\n </section>\n </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"35 1","pages":"4-12"},"PeriodicalIF":1.4000,"publicationDate":"2022-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Fall risk factors in hospitalized bone marrow transplant patients: A systematic review\",\"authors\":\"Nicole M. 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Understanding patients undergoing BMT fall risk factors may help nurses identify high fall risk patients and develop fall prevention interventions.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Purpose</h3>\\n \\n <p>This systematic review aims to identify risk factors for falls among hospitalized adult patients receiving BMT treatment.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>Guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, a systematic review of the literature was conducted by searching databases PubMed and CINAHL. Study quality was evaluated using the Crowe Critical Appraisal Tool form (v1.4).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Findings</h3>\\n \\n <p>An initial search yielded 829 articles; six were included for final review after removing duplicates and screening for inclusion criteria: specific to patients undergoing BMT, measure fall outcome, in hospital, and original research. The identified risk factors include age of 65 and older, leukemia diagnosis, days of diarrhea, incontinence of urine or stool, increased pulse rate, muscle weakness, hypnotic, anxiolytic medication, recent steroid use, allogenic transplant, and post-engraftment period.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>Risk factors for falls among patients undergoing BMT are multifactorial and are related to muscle weakness, medication administration, pulse rate, type of transplant, age, engraftment period, and bathroom use.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Implications for nursing</h3>\\n \\n <p>Nurses providing care to patients undergoing BMT need to assess and increase nurse surveillance on allogeneic transplant patients, specifically those on anxiolytic, hypnotic, and steroid medications. Nurses providing care to patients undergoing BMT should implement more fall prevention strategies in patients undergoing BMT who develop diarrhea and urine or stool incontinence. 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引用次数: 0
摘要
背景：某些类型的癌症和治疗会增加癌症患者跌倒的风险，尤其是接受骨髓移植（BMT）的血液肿瘤患者。护士是预防跌倒和维护患者安全不可或缺的一部分。了解接受 BMT 治疗的患者跌倒风险因素有助于护士识别高跌倒风险患者并制定跌倒预防干预措施。目的：本系统综述旨在识别接受 BMT 治疗的住院成年患者的跌倒风险因素：在《系统综述和荟萃分析首选报告项目》的指导下，通过检索PubMed和CINAHL数据库对文献进行了系统综述。研究质量采用 Crowe Critical Appraisal Tool 表格（v1.4）进行评估：最初的搜索结果为 829 篇文章；在去除重复文章并筛选出纳入标准（针对接受 BMT 治疗的患者、测量跌倒结果、在医院内进行、原创研究）后，有 6 篇文章被纳入最终审查。已确定的风险因素包括年龄在65岁及以上、白血病诊断、腹泻天数、大小便失禁、脉搏增快、肌肉无力、催眠药、抗焦虑药、近期使用类固醇、异基因移植以及移植后时期：接受 BMT 治疗的患者跌倒的风险因素是多方面的，与肌无力、用药、脉搏、移植类型、年龄、移植期和使用浴室有关：为接受 BMT 患者提供护理的护士需要评估并加强对异体移植患者的监护，尤其是那些服用抗焦虑药、催眠药和类固醇药物的患者。为接受 BMT 患者提供护理的护士应针对出现腹泻、尿失禁或大便失禁的 BMT 患者实施更多预防跌倒的策略。识别接受 BMT 治疗的特定患者的跌倒风险因素并采用多方面的个性化跌倒预防策略，有可能改善异体移植患者的护理并预防与跌倒相关的并发症。
Fall risk factors in hospitalized bone marrow transplant patients: A systematic review
Background
Certain types of cancer and treatment increase the risk of falls among cancer patients, particularly patients with hematologic cancer undergoing bone marrow transplant (BMT). Nurses are integral to preventing falls and maintaining patient safety. Understanding patients undergoing BMT fall risk factors may help nurses identify high fall risk patients and develop fall prevention interventions.
Purpose
This systematic review aims to identify risk factors for falls among hospitalized adult patients receiving BMT treatment.
Methods
Guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, a systematic review of the literature was conducted by searching databases PubMed and CINAHL. Study quality was evaluated using the Crowe Critical Appraisal Tool form (v1.4).
Findings
An initial search yielded 829 articles; six were included for final review after removing duplicates and screening for inclusion criteria: specific to patients undergoing BMT, measure fall outcome, in hospital, and original research. The identified risk factors include age of 65 and older, leukemia diagnosis, days of diarrhea, incontinence of urine or stool, increased pulse rate, muscle weakness, hypnotic, anxiolytic medication, recent steroid use, allogenic transplant, and post-engraftment period.
Conclusions
Risk factors for falls among patients undergoing BMT are multifactorial and are related to muscle weakness, medication administration, pulse rate, type of transplant, age, engraftment period, and bathroom use.
Implications for nursing
Nurses providing care to patients undergoing BMT need to assess and increase nurse surveillance on allogeneic transplant patients, specifically those on anxiolytic, hypnotic, and steroid medications. Nurses providing care to patients undergoing BMT should implement more fall prevention strategies in patients undergoing BMT who develop diarrhea and urine or stool incontinence. Identifying specific patients undergoing BMT fall risk factors and applying multifaceted individualized fall prevention strategies has the potential to improve allogeneic transplant patient care and prevent fall-related complications.
期刊介绍：
The International Journal of Nursing Knowledge, the official journal of NANDA International, is a peer-reviewed publication for key professionals committed to discovering, understanding and disseminating nursing knowledge.
The Journal aims to clarify the knowledge base of nursing and improve patient safety by developing and disseminating nursing diagnoses and standardized nursing languages, and promoting their clinical use. It seeks to encourage education in clinical reasoning, diagnosis, and assessment and ensure global consistency in conceptual languages.
The International Journal of Nursing Knowledge is an essential information resource for healthcare professionals concerned with developing nursing knowledge and /or clinical applications of standardized nursing languages in nursing research, education, practice, and policy.
The Journal accepts papers which contribute significantly to international nursing knowledge, including concept analyses, original and applied research, review articles and international and historical perspectives, and welcomes articles discussing clinical challenges and guidelines, education initiatives, and policy initiatives.
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