ASSESSMENT OF FALL RISK IN CANCER PATIENTS RECEIVING PALLIATIVE CARE

Year 2024, Volume: 9 Issue: 1, 127 - 138, 29.04.2024

Mahcube Cubukcu , Nur Şimşek Yurt , Seçil Müderrisoğlu

https://doi.org/10.47115/jshs.1296934

Abstract

Aim: This study aims to evaluate fall risk factors in cancer patients receiving palliative care units.
Method: This cross-sectional descriptive study was performed on 122 cancer patients served the palliative care unit between 01 October and 20 November 2020. The patient’s functional status was evaluated with the Katz Index of Independence in Activities of Daily Living. The data were collected using the Itaki Fall Risk Scale.
Results: The mean age of patients was 57.32±12.10 years. The fall risk score of the patients was found to be 17.25±6.20. The risk of falling was higher in the elderly, those with chronic disease, diagnosed with lung cancer, and a history of falling variables. The most common minor risk factor was the presence of chronic disease, and the most common major risk factor was dizziness.
Conclusions and Suggestions: Fall risk is high in cancer patients receiving palliative care. Cancer patients receiving palliative care treatment should be evaluated in terms of fall risk.

Keywords

Palliative Care, Risk Factors, Cancer, Accidental Falls

Project Number

GOKA/2020/14/3).

Palyatif Bakım Alan Kanser Hastalarında Düşme Riski Değerlendirilmesi

Abstract

Amaç: Bu çalışmada palyatif bakım ünitesinde tedavi gören kanser hastalarında düşme risk faktörlerinin değerlendirilmesi amaçlanmıştır.
Yöntem: Bu kesitsel tanımlayıcı çalışma, 01 Ekim-20 Kasım 2020 tarihleri arasında palyatif bakım ünitesinden hizmet alan 122 kanser hastasında gerçekleştirildi. Hastanın fonksiyonel durumu Katz'ın Günlük Yaşam Aktiviteleri İndeksi ile değerlendirildi. Veriler İtaki Düşme Riski Ölçeği kullanılarak toplandı.
Bulgular: Hastaların yaş ortalaması 57.32±12.10 yıl idi. Hastaların düşme riski skoru 17.25±6.20 olarak bulundu. Yaşlılarda, kronik hastalığı olanlarda, akciğer kanseri teşhisi konanlarda ve düşme öyküsü olanlarda düşme riski daha yüksekti. En yaygın minör risk faktörü kronik hastalık varlığı, en yaygın majör risk faktörü baş dönmesi idi.
Sonuç ve Öneriler: Palyatif bakım alan kanser hastalarında düşme riski yüksektir. Palyatif bakım tedavisi alan kanser hastaları düşme riski açısından değerlendirilmelidir.

Keywords

Palyatif Bakım, Risk Faktörleri, Kanser, Kaza ile Düşme

Supporting Institution

SAMSUN EĞİTİM VE ARAŞTIRMA HASTANESİ, AİLE HEKİMLİĞİ ANABİLİM DALI,PALYATİF BAKIM SERVİSİ

Project Number

GOKA/2020/14/3).

Thanks

Bilgilendirilmiş onam ile çalışmaya dahil edilen tüm katılımcılara teşekkürlerimizi sunarız.

References

• Beaudart, C., Zaaria, M., Pasleau, F., Reginster, J. Y., & Bruyère, O. (2017). Health outcomes of sarcopenia: a systematic review and meta-analysis. PloS One, 12(1), e0169548. https://doi.org/10.1371/journal.pone.0169548.
• Chantanachai, T., Sturnieks, D. L., Lord, S. R., Payne, N., Webster, L., & Taylor, M. E. (2021). Risk factors for falls in older people with cognitive impairment living in the community: systematic review and meta-analysis. Ageing Res Rev, 71, 101452. https://doi.org/10.1016/j.arr.2021.101452.
• Ferlay, J., Colombet, M., Soerjomataram, I,. Parkin, D.M., Pineros, M., & Znaor, A. (2021). Cancer Statistics for the year 2020: An overview. Int J Cancer, 149(4),778-789. https://doi.org/10.1002/ijc.33588
• Forrow, H.F, Lhussier, M., Scott, J., & Atkinson, J. (2022). Why patients in specialist palliative care in-patient settings are at high risk of falls and falls-related harm: A realist synthesis. Palliat Med, 36(10), 1469-1482.
• Ho, M. H., Cheung, D. S. T., Chan, W. L., & Lin, C. C. (2023). Cognitive frailty in older cancer survivors and its association with health-related quality of life. Eur J Oncol Nurs, 67, 102426. https://doi.org/10.1016/j.ejon.2023.102426
• Huang, J. W., Lin, Y. Y., Wu, N. Y., & Chen, Y. C. (2017). Rural older people had lower mortality after accidental falls than non-rural older people. Clin Interv Aging, 97-102. https://doi.org/10.2147/CIA.S119186
• Irmak, H.S., Karaaslan, T., Arman, N., Tarakci, E., & Akgul, A. (2019). The ınvestigation of home environment and falling risk in elderly fallen before. Turkiye Klinikleri J Health Sci, 4(1),7-15. https://doi.org/ 10.5336/healthsci.2018-61811
• Itaki Fall Risk Scale. Available onine at: 20.02.2024, https://shgmkalitedb.saglik.gov.tr/TR-96765/dusme-riski-degerlendirme-olcekleri.html
• Khow, K. S. F., Dollard, J., Bray, K., Smyth, C., Chehade, M., Theou, O., & Visvanathan, R. (2018). A randomized controlled feasibility study to evaluate the effects of a goal-setting coaching intervention using feedback from an accelerometer on sedentary time in older people at risk of falls (SMART-MOVE): a study protocol. Pilot and Feasibility Studies, 4(1), 1-11. https://doi.org/10.1186/s40814-018-0366-5. Magnuson, A., Sattar, S., Nightingale, G., Saracino, R., Skonecki, E., & Trevino, K. M. (2019). A practical guide to geriatric syndromes in older adults with cancer: a focus on falls, cognition, polypharmacy, and depression. Am Soc Clin Oncol Educ Book, 39, e96-e109.
• Morgan, D., Cerdor, P., & Brown, A. (2015), Falls in Palliative Care. J Palliative Care,18(10), 827-828. https:/doi.org/10.1007/s00520-012-1579-4
• Morris, R., & Lewis, A. (2020). Falls and Cancer. Clinical Oncology, 32(9), 569-578. https://doi.org/10.1016/j.clon.2020.03.011
• O’Sullivan, M., & Kaelin, A. L. (2020). Falls in the Elderly. Emergency Medicine Reports, 41(4). https://www.proquest.com/scholarly-journals/falls-elderly/docview/2355822628/se-2
• Pautex, S., Herrmann, F.R, & Zulian, G.B. (2008). Factors associated with falls in patients with cancer hospitalized for palliative care. J Palliat Med,1(6),878-884. https://doi.org/10.1089/jpm.2007.0241
• Pehlivanoglu, E.F.O., Ozkan, M.U, Balcioglu, H., Bilge, U., &Unluoğlu, I. (2018). Adjustment and Reliability of Katz Daily Life Activity Measures for Elderly in Turkish. Ankara Med J, (2),219-223. https://doi.org/1017098/amj.435264
• Peng, K., Tian, M., Andersen, M., Zhang, J., Liu, Y., Wang, Q., Lindley, R., & Ivers, R. (2019). Incidence, risk factors and economic burden of fall-related injuries in older Chinese people: a systematic review. Inj Prev, 25, 4-12. https://doi.org/10.1136/injuryprev-2018-042982.
• Richardson, J. K. (2017). Imbalanced: The confusing, circular nature of falls research and a possible antidote. American Journal of Physical medicine & Rehabilitation, 96(1), 55.
• Solmaz, T., & Altay, B. (2019). Medıcatıon use ın the elderly and determınatıon of fall factors causıng. Balıkesir Journal of Health Sciences, 8(3), 129-134.
• Tomczak, U., Sattar, S., Schoenbeck, K. L., Cordner, T., & Wildes, T. M. (2021). Circumstances around falls in older adults with Cancer. Journal of Geriatric Oncology, 12(1), 91-95. https://doi.org/10.1016/j.jgo.2020.06.001
• Yesilbakan, O.U., & Ustundag. S. (2019). Patients falls in Oncology Units of Hospitals. JERN, 16 (Suppl 2), 152-159. https://doi.org/10.5222/HEAD.2019.152
• Wallace, M., & Shelkey, M. (2007). Hardford Insitute for Geriatric Nursing, Katz Index of Independence in Activities of Daily Living (ADL). Urol Nurs, 27(1), 93–94.
• Wechsler, S., & Wood, L. (2021). The effect of chemotherapy on balance, gait, and falls among cancer survivors: a scoping review. Rehabilitation Oncology, 39(1), 6-22. https: 10.1097/01.REO.0000000000000238.
• WHO: Falls. Available online at: 26 April 2021, https://www.who.int/news-room/fact-sheets/detail/falls (accessed March 14, 2023).
• Zhao, J., Wang, G., Chen, L., Yu, S., & Li, W. (2022). Risk factors for falls in hospitalized patients with cancer: A systematic review and meta-analysis. Asia Pac J Oncol Nurs, 9(8), 100107.
• Zhang, X., Sun, M., Liu, S., Leung, C. H., Pang, L., Popat, U. R., & Edwards, B. J. (2018). Risk factors for falls in older patients with cancer. BMJ Support Palliat Care, 8(1), 34-37. https:/doi.org/10.1136/bmjspcare-2017-001388.