Abstract：
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.
OBJECTIVE: 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).
RESULTS: 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.
CONCLUSIONS: 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.
OBJECTIVE: 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).
RESULTS: 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.
CONCLUSIONS: 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.
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。护士是防止跌倒和维护患者安全的组成部分。了解接受BMT的患者跌倒危险因素可能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：本系统综述旨在确定接受BMT治疗的住院成年患者跌倒的危险因素。
方法：以系统评价和荟萃分析的首选报告项目为指导，通过检索PubMed和CINAHL数据库对文献进行了系统综述.使用Crowe关键评估工具表(v1.4)评估研究质量。
结果：最初的搜索产生了829篇文章；在删除重复项并筛选纳入标准后，纳入了六篇用于最终审查：特定于接受BMT的患者，测量跌倒结果，在医院,原创性研究。确定的风险因素包括65岁及以上，白血病诊断,几天的腹泻，小便或大便失禁，增加脉搏率，肌肉无力,催眠,抗焦虑药物,最近使用类固醇,同种异体移植,和植入后时期。
结论：接受BMT的患者跌倒的危险因素是多因素的，并且与肌肉无力有关，药物管理,脉搏率,移植类型,年龄,嫁接期,和浴室使用。
结论：为接受BMT的患者提供护理的护士需要评估并加强对同种异体移植患者的护士监测，特别是那些抗焦虑药，催眠,和类固醇药物。为接受BMT的患者提供护理的护士应该对发生腹泻和尿液或大便失禁的接受BMT的患者实施更多的跌倒预防策略。确定特定的BMT患者跌倒危险因素并应用多方面的个性化跌倒预防策略有可能改善同种异体移植患者的护理并预防跌倒相关并发症。
目的：本系统综述旨在确定接受BMT治疗的住院成年患者跌倒的危险因素。
方法：以系统评价和荟萃分析的首选报告项目为指导，通过检索PubMed和CINAHL数据库对文献进行了系统综述.使用Crowe关键评估工具表(v1.4)评估研究质量。
结果：最初的搜索产生了829篇文章；在删除重复项并筛选纳入标准后，纳入了六篇用于最终审查：特定于接受BMT的患者，测量跌倒结果，在医院,原创性研究。确定的风险因素包括65岁及以上，白血病诊断,几天的腹泻，小便或大便失禁，增加脉搏率，肌肉无力,催眠,抗焦虑药物,最近使用类固醇,同种异体移植,和植入后时期。
结论：接受BMT的患者跌倒的危险因素是多因素的，并且与肌肉无力有关，药物管理,脉搏率,移植类型,年龄,嫁接期,和浴室使用。
结论：为接受BMT的患者提供护理的护士需要评估并加强对同种异体移植患者的护士监测，特别是那些抗焦虑药，催眠,和类固醇药物。为接受BMT的患者提供护理的护士应该对发生腹泻和尿液或大便失禁的接受BMT的患者实施更多的跌倒预防策略。确定特定的BMT患者跌倒危险因素并应用多方面的个性化跌倒预防策略有可能改善同种异体移植患者的护理并预防跌倒相关并发症。
