关键词: 血友病；跌倒；危险因素

Abstract: Objective: To investigate the incidence of falls and fall-related injuries in adult hemophilia patients, and to analyze the risk factors of fall, and to provide reference for evidence-based intervention. Methods: From October 2018 to April 2019, convenience sampling was used to investigate fall occurrence in patients with hemophilia during the past year. The general information of patients was collected, and functional tests were conducted. According to whether or not a fall occurred, the patients were divided into two groups. The univariate and multivariate analysis were used to compare the differences between the general data and the functional test results, and analysis the risk factors of fall in adult hemophilia patients. Results: A total of 163 patients participated in the study, 64 of whom had fallen in the past year. Multivariate analysis showed that the occurrence of falls was related to hip as the target joint, balance ability and time up and go test result (P<0.05). Conclusion: Adult hemophilia patients have a higher incidence of falls and fall-related injuries, similar to the elderly. It needs to arouse the attention of medical staff and patients, strengthen prophylaxis treatment and conduct rehabilitation therapy to reduce the risk of falls.

Key words: hemophilia; fall; risk factors