Analysis of the current situation and influencing factors of fall awareness in elderly patients undergoing maintenance hemodialysis
LIU Shengjie
CUI Xiangshu
Abstract：Objective To clarify the current status and influencing factors of fall awareness in elderly patients under-going maintenance hemodialysis(MHD).Methods A cross-sectional study was conducted among 328 elderly MHD pa-tients who were admitted to the Affiliated Hospital of Yanbian University between January 2024 and May 2025.Data were collected using a general information questionnaire,the Falls Awareness Questionnaire,the Patient Health Questionnaire-9(PHQ-9),the FRAIL Frailty Scale,the Chinese version of the Morse Fall Risk Assessment Scale,and the Barthel In-dex.Multiple linear regression analysis was employed to identify the factors influencing fall awareness.Results The mean score of fall awareness among the 328 MHD patients was 68.5±11.0.Multiple linear regression analysis revealed that fear of falling,fall risk,frailty,self-care ability,age,and number of medication taken were significant influencing factors of fall awareness(adjusted R2=0.33,F=18.67,all P<0.001).Conclusions The level of fall awareness in elder-ly MHD patients is moderate.Particular attention should be given to those with a high fear of falling,high fall risk,frailty,moderate-to-severe dependence in activities of daily living,age over 80 years,and those taking four or more medications.Personalized interventions should be developed to enhance fall awareness and prevent fall incidents.
Keywords：maintenance hemodialysischronic kidney diseaseaccidental fallsfear of fallingawarenessfrailtyaged
Publication Date：2025-10-25
Online Publishing Date：2025-11-11(First online date of this platform, not the publication date of the document)
Pages：6( 45-50 )