Email this article 
Évaluation systématique des chutes et du risque de chutes : Sondage sur l’attitude et les perceptions des infirmières cliniques en oncologie
Abstract
Chez les personnes âgées atteintes de cancer, les chutes sont un problème souvent sous-estimé et peu rapporté. La présente étude visait à explorer la volonté des infirmières cliniques en oncologie à évaluer et à dépister systématiquement les chutes dans leur pratique; l’étude examinait également les obstacles perçus à l’évaluation et au dépistage systématique. Les infirmières ont donc été invitées à remplir un sondage en ligne. Les données ont été analysées à l’aide de statistiques descriptives. La majorité des infirmières ayant répondu ont dit qu’elles accepteraient de poser systématiquement des questions sur les chutes (85,7 %) et de dépister les risques de chutes (73,5 %) chez les personnes âgées. Voici les principales raisons des réticences : conviction que les patients signalent les chutes d’eux-mêmes, manque de temps, pénurie de personnel de soutien. Selon les résultats de l’étude, beaucoup d’infirmières en oncologie trouvent important d’évaluer et de dépister systématiquement les chutes, et sont d’accord pour l’intégrer à leur pratique bien que, d’habitude, les chutes ne fassent pas automatiquement l’objet de questions ou d’une évaluation. Étant donné les conséquences des chutes sur ces patients vulnérables, la recherche à venir devra explorer les stratégies permettant de surmonter les obstacles auxquels se butent les infirmières.
Full Text:
PDFReferences
American Geriatrics Society, British Geriatrics Society (2010). AGS/BGS Clinical Practice Guideline: Prevention of Falls in Older Persons. American Geriatrics Society.
Balducci, L. (2010). Anemia, fatigue and aging. Transfusion Clinique et Biologique, 17(5–6), 375–381.
Barmentloo, L. M., Dontje, M. L., Koopman, M. Y., Olij, B. F., Oudshoorn, C., Mackenbach, J. P., Polinder, S., & Erasmus, V. (2020). Barriers and facilitators for screening older adults on fall risk in a hospital setting: Perspectives from patients and healthcare professionals. International Journal of Environmental Research and Public Health, 17(5), 1461.
Bastable, S. B. (2017). Nurse as educator: Principles of teaching and learning for nursing practice. Jones & Bartlett Learning.
Battisti, N. M. L., Gomes, F., Haase, K., Kenis, C., Liposits, G., Loh, K. P. M., Magnuson, A., Neuendorff, N. R., Nightingale, G., & Pergolotti, M. (2019). Geriatric Evaluation Workshop. Journal of Geriatric Oncology, 10(6), S4.
Bohannon, R. W. (1995). Sit-to-stand test for measuring performance of lower extremity muscles. Perceptual and Motor Skills, 80(1), 163–166.
Bylow, K., Dale, W., Mustian, K., & Stadler, W. M. (2008). Falls and physical performance deficits in older patients with prostate cancer Undergoing Androgen Deprivation Therapy. Urology, 72(2), 422–427. https://doi.org/10.1016/j.urology.2008.03.032
Cho, K. H., Bok, S. K., Kim, Y.-J., & Hwang, S. L. (2012). Effect of lower limb strength on falls and balance of the elderly. Annals of Rehabilitation Medicine, 36(3), 386.
Ganz, D. A., Bao, Y., Shekelle, P. G., & Rubenstein, L. Z. (2007). Will my patient fall? JAMA, 297(1), 77.
Gillespie, L. D., Robertson, M. C., Gillespie, W. J., & Sherrington, C. (2012). Interventions for preventing falls in older people living in the community. The Cochrane Database of Systematic Reviews, 9, CD007146.
Grossman, D. C., Curry, S. J., Owens, D. K., Barry, M. J., Caughey, A. B., Davidson, K. W., Doubeni, C. A., Epling, J. W., Kemper, A. R., & Krist, A. H. (2018). Interventions to prevent falls in community-dwelling older adults: US Preventive Services Task Force recommendation statement. JAMA, 319(16), 1696–1704.
Guerard, E. J., Deal, A. M., Williams, G. R., Jolly, T. A., Nyrop, K. A., & Muss, H. B. (2015). Falls in older adults with cancer: Evaluation by oncology providers. Journal of Oncology Practice, 11(6), 470–4.
Guralnik, J. M., Simonsick, E. M., Ferrucci, L., Glynn, R. J., Berkman, L. F., Blazer, D. G., Scherr, P. A., & Wallace, R. B. (1994). A short physical performance battery assessing lower extremity function: Association with self-reported disability and prediction of mortality and nursing home admission. Journal of Gerontology, 49(2), M85–M94.
Guralnik, J. M., Ferrucci, L., Pieper, C. F., Leveille, S. G., Markides, K. S., Ostir, G. V., Studenski, S., Berkman, L. F., & Wallace, R. B. (2000). Lower extremity function and subsequent disability: Consistency across studies, predictive models, and value of gait speed alone compared with the short physical performance battery. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 55(4), M221–M231.
Hadji, P. (2009). Aromatase inhibitor-associated bone loss in breast cancer patients is distinct from postmenopausal osteoporosis. Critical Reviews in Oncology/Hematology, 69(1), 73–82.
Holley, S. (2002). A look at the problem of falls among people with cancer. Clinical Journal of Oncology Nursing, 6(4), 193.
Hong, C., Won, C. W., Kim, B.-S., Choi, H., Kim, S., Choi, S.-E., & Hong, S. (2016). Gait speed cut-off point as a predictor of fall in community-dwelling older adults: Three-year prospective finding from living profiles of elderly people surveys in Korea. Korean Journal of Family Practice, 6(2), 105–110.
Hoppe, S., Rainfray, M., Fonck, M., Hoppe, S., Rainfray, M., Fonck, M., Hoppenreys, L., Blanc, J.-F., Ceccaldi, J., Mertens, C., Blanc-Bisson, C., Imbert, Y., Cany, L., & others. (2013). Functional decline in older patients with cancer receiving first-line chemotherapy. Journal of Clinical Oncology, 31(31), 3877–3882.
Hurria, A., Togawa, K., Mohile, S. G., Owusu, C., Klepin, H. D., Gross, C. P., Lichtman, S. M., Gajra, A., Bhatia, S., & Katheria, V. (2011). Predicting chemotherapy toxicity in older adults with cancer: A prospective multicenter study. Journal of Clinical Oncology, 29(25), 3457.
Hurria, A., Wildes, T., & Baumgartner, J. (2015). NCCN Clinical Practice Guidelines in Oncology: Older Adult Oncology. Version 2.2015.
Hussain, S., Breunis, H., Timilshina, N., & Alibhai, S. M. H. (2010). Falls in men on androgen deprivation therapy for prostate cancer. Journal of Geriatric Oncology, 1(1), 32–39. https://doi.org/10.1016/j.jgo.2010.03.004
Ikeda, E. R., Schenkman, M. L., Riley, P. O., & Hodge, W. A. (1991). Influence of age on dynamics of rising from a chair. Physical Therapy, 71(6), 473–481.
Jones, C. J., Rikli, R. E., & Beam, W. C. (1999). A 30-s chair-stand test as a measure of lower body strength in community-residing older adults. Research Quarterly for Exercise and Sport, 70(2), 113–119.
Jaggi, A. S., & Singh, N. (2012). Mechanisms in cancer-chemotherapeutic drugs-induced peripheral neuropathy. Toxicology, 291(1–3), 1–9.
Kim, J. C., Chon, J., Kim, H. S., Lee, J. H., Yoo, S. D., Kim, D. H., Lee, S. A., Han, Y. J., Lee, H. S., & Lee, B. Y. (2017). The association between fall history and physical performance tests in the community-dwelling elderly: A cross-sectional analysis. Annals of Rehabilitation Medicine, 41(2), 239.
Koh, S. S., Manias, E., Hutchinson, A. M., Donath, S., & Johnston, L. (2008). Nurses’ perceived barriers to the implementation of a Fall Prevention Clinical Practice Guideline in Singapore hospitals. BMC Health Services Research, 8(1), 105.
Koropchak, C. M., Pollak, K. I., Arnold, R. M., Alexander, S. C., Skinner, C. S., Olsen, M. K., Jeffreys, A. S., Rodriguez, K. L., Abernethy, A. P., & Tulsky, J. A. (2006). Studying communication in oncologist-patient encounters: The SCOPE Trial. Palliative Medicine, 20(8), 813–819.
Lusardi, M. M., Fritz, S., Middleton, A., Allison, L., Wingood, M., Phillips, E., Criss, M., Verma, S., Osborne, J., & Chui, K. K. (2017). Determining risk of falls in community dwelling older adults: A systematic review and meta-analysis using posttest probability. Journal of Geriatric Physical Therapy, 40(1), 1–36. https://doi.org/10.1519/JPT.0000000000000099
Middleton, A., Fritz, S. L., & Lusardi, M. (2015). Walking speed: The functional vital sign. Journal of Aging and Physical Activity, 23(2), 314–322.
Mir, F., Zafar, F., & Rodin, M. B. (2014). Falls in older adults with cancer. Current Geriatrics Reports, 3(3), 175–181. https://doi.org/10.1007/s13670-014-0090-9
Neufeld, K. R., Degner, L. F., & Dick, J. A. (1993). A nursing intervention strategy to foster patient involvement in treatment decisions. Oncology Nursing Forum, 20(4), 631–635.
National Institute for Health and Care Excellence. (2017). Overview | Falls in older people | Quality standards https://www.nice.org.uk/guidance/qs86
Overcash, J. A., & Beckstead, J. (2008). Predicting falls in older patients using components of a comprehensive geriatric assessment. Clinical Journal of Oncology Nursing, 12(6), 941.
Podsiadlo, D., & Richardson, S. (1991). The timed “Up & Go”: A test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society, 39(2), 142–148.
Poulsen, M. H., Frost, M., Abrahamsen, B., Gerke, O., Walter, S., & Lund, L. (2019). Osteoporosis and prostate cancer; A 24-month prospective observational study during androgen deprivation therapy. Scandinavian Journal of Urology, 53(1), 34–39.
Registered Nurses Association of Ontario (RNAO). (2018). RNAO Fall Prevention Guideline 2018. https://www.google.com/search?q=rnao+fall+prevention+guideline+2018&rlz=1C1GGRV_enCA812CA812&oq=rnao+fall+prevention+guideline+2018&aqs=
chrome.69i57.6143j0j8&sourceid=chrome&ie=UTF-8
Samson, K. (2016). Word to oncologists: Do more to report and prevent falls in older patients. LWW.
Sattar, S., Alibhai, S. M. H., Spoelstra, S. L., & Puts, M. T. E. (2018). The assessment, management, and reporting of falls, and the impact of falls on cancer treatment in community-dwelling older patients receiving cancer treatment: Results from a mixed-methods study. Journal of Geriatric Oncology, 10 (1), 98–104. https://doi.org/10.1016/j.jgo.2018.08.006
Sattar, S., Kenis, C., Haase, K., Burhenn, P., Stolz-Baskett, P., Milisen, K., Ayala, A. P., & Puts, M. T. E. (2019). Falls in older patients with cancer: Nursing and Allied Health Group of International Society of Geriatric Oncology review paper. Journal of Geriatric Oncology, 11(1), 1–7. https://doi.org/10.1016/j.jgo.2019.03.020
Schenker, Y., White, D., Rosenzweig, M., Chu, E., Moore, C., Ellis, P., Nikolajski, P., Ford, C., Tiver, G., & McCarthy, L. (2015). Care management by oncology nurses to address palliative care needs: A pilot trial to assess feasibility, acceptability, and perceived effectiveness of the CONNECT intervention. Journal of Palliative Medicine, 18(3), 232–240.
Shumway-Cook, A., Brauer, S., & Woollacott, M. (2000). Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Physical Therapy, 80(9), 896–903.
Spoelstra, S., Given, B., von Eye, A., & Given, C. (2010). Falls in the community-dwelling elderly with a history of cancer. Cancer Nursing, 33(2), 149.
Spoelstra, S. L., Given, B. A., Schutte, D. L., & Sikorskii, A. (2013). Do older adults with cancer fall more often? A comparative analysis of falls in those with and without cancer. Oncology Nursing Forum, 40(2), E69.
Studenski, S., Perera, S., Patel, K., Rosano, C., Faulkner, K., Inzitari, M., Brach, J., Chandler, J., Cawthon, P., & Connor, E. B. (2011). Gait speed and survival in older adults. JAMA, 305(1), 50–58.
Tofthagen, C., Overcash, J., & Kip, K. (2012). Falls in persons with chemotherapy-induced peripheral neuropathy. Supportive Care in Cancer, 20(3), 583–589. https://doi.org/10.1007/s00520-011-1127-7
Tucker, S., Sheikholeslami, D., Farrington, M., Picone, D., Johnson, J., Matthews, G., Evans, R., Gould, R., Bohlken, D., & Comried, L. (2019). Patient, nurse, and organizational factors that influence evidence-based fall prevention for hospitalized oncology patients: An exploratory study. Worldviews on Evidence-Based Nursing, 16(2), 111–120.
Veronese, N., Bolzetta, F., Toffanello, E. D., Zambon, S., De Rui, M., Perissinotto, E., Coin, A., Corti, M.-C., Baggio, G., & Crepaldi, G. (2014). Association between short physical performance battery and falls in older people: The Progetto Veneto Anziani study. Rejuvenation Research, 17(3), 276–284.
Vonnes, C., & Wolf, D. (2017). Fall risk and prevention agreement: Engaging patients and families with a partnership for patient safety. BMJ Open Qual, 6(2), e000038.
Walling, A. M., D’Ambruoso, S. F., Malin, J. L., Hurvitz, S., Zisser, A., Coscarelli, A., Clarke, R., Hackbarth, A., Pietras, C., & Watts, F. (2017). Effect and efficiency of an embedded palliative care nurse practitioner in an oncology clinic. Journal of Oncology Practice, 13(9), e792–e799.
Ward, P. R., Wong, M. D., Moore, R., & Naeim, A. (2014). Fall-related injuries in elderly cancer patients treated with neurotoxic chemotherapy: A retrospective cohort study. Journal of Geriatric Oncology, 5(1), 57.
Refbacks
- There are currently no refbacks.
