Kanserli Bireylerde Düşmeler

Kanser hastalarında düşmeler ve düşmeye bağlı yaralanmalar hayati ve önlenebilir sorunlar olarak var olmaya devam etmektedir. Düşmeler ciddi fizyolojik ve psikolojik problemlere neden olarak hastaların yaşam kalitelerini azaltmaktadır. Hastalar kanserin semptomları ve tedavinin yan etkilerine bağlı olarak düşme ile ilişkili birçok risk faktörüne sahiptir. Kanser hastalarında önemli düşme risk faktörleri olarak; anemi, yorgunluk, yürüyüş ve denge bozukluğu, depresyon, fonksiyonel durumda azalma, metastaz varlığı, antidepresan ve antipsikotik ilaçlar yer almaktadır. Düşmelerin yönetiminde ilk önce yüksek riskli hastaların saptanması, ardından düşmeyi önleyici özel girişimlerin uygulanması yer alır. Bu makalede kanserli bireylerde görülen düşme oranları, düşmeye neden olanrisk faktörleri (içsel ve dışsal faktörler) ve düşmeyi önlemeye yönelik girişimler ele alınmıştır.

Falls in Patients with Cancer

Patient falls and falls with injury continue to be vital and preventable problems in oncology units of hospitals. Falls can have serious physiological and psychological effects and reduced quality of life. Many people with cancer have multiple and specific risk factors for falls as a result of cancer symptoms and treatment side effects. Anemia, fatigue, pain, gait and balance instability, depression, functional status decline, cancer type, presence of metastasis, and antidepressant and antipsychotic medication usage have been identified as significant risk factors for falls among cancer patients. First, the identification of highrisk patients followed by the implementation of special preventive measures are necessary in the management of falls. This article reviews fall rates, risk factors (intrinsic and extrinsic factors) and suggested fall prevention strategies in patients with cancer.

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