Morse跌倒评估量表与STEADI跌倒风险自评量表在养老机构老年人中的应用比较

doi:10.16460/j.issn1008-9969.2021.19.008

护理学报 ›› 2021, Vol. 28 ›› Issue (19): 8-12.doi: 10.16460/j.issn1008-9969.2021.19.008

Morse跌倒评估量表与STEADI跌倒风险自评量表在养老机构老年人中的应用比较

胡惠菊, 韩静, 唐启群, 成杰, 李慧源

1.华北理工大学护理与康复学院,河北唐山 063210;
2.华北理工大学附属医院神经外科,河北唐山 063000

收稿日期:2021-04-16 出版日期:2021-10-10 发布日期:2021-11-10
通讯作者: 唐启群（1968-）,男,湖南武冈人,博士,教授。E-mail：jwctang2008@163.com
作者简介:胡惠菊（1997-）,女,河北唐山人,本科学历,硕士研究生在读,护师。
基金资助:
河北省社会科学基金项目（HB18SH023）

Effect Comparison between Morse Fall Scale and Stay Independent Brochure Questionnaire in the Elderly in Nursing Homes

HU Hui-ju¹, HAN Jing¹, TANG Qi-qun¹, CHENG Jie², LI Hui-yuan¹

1. School of Nursing and Rehabilitation, North China University of Science and Technology, Tangshan 063210, China;
2. Dept. of Neurosurgery, Affiliated Hospital of University of Science and Technology, Tangshan 063000, China

Received:2021-04-16 Online:2021-10-10 Published:2021-11-10

摘要/Abstract

摘要： 目的比较Morse跌倒评估量表与STEADI跌倒风险自评量表在评估养老机构老年人跌倒风险中的应用价值,为有效识别高跌倒风险老年人提供理论指导。方法采用便利抽样法,选取河北省8所养老机构内429名老年人为研究对象,采用一般资料调查表、Morse跌倒评估量表和STEADI跌倒风险自评量表收集资料,分析量表的接受者操作特性（ROC）曲线、最佳临界值、交叉检验准确率和阳性似然比。结果以过去1年内是否发生跌倒为参照,Morse跌倒评估量表和STEADI跌倒风险自评量表的ROC曲线下面积分别为0.889和0.832,且两者ROC曲线下面积之差为0.057（Z=2.295,P=0.022）,Morse跌倒评估量表和STEADI跌倒风险自评量表的最佳临界值分别为57.500和5.500,敏感度、特异度、交叉检验准确度和阳性似然比分别为0.783、0.912、0.751、8.870和0.767、0.719、0.739、2.730。结论与STEADI跌倒风险自评量表相比,Morse跌倒评估量表更适用于评估养老机构老年人发生跌倒的风险。

关键词: 跌倒风险评估, Morse跌倒评估量表, STEADI跌倒风险自评量表, 养老机构

Abstract: Objective To compare the application value of Morse Fall Scale and Stay Independent Brochure Questionnaire in fall risk assessment among the elderly in nursing homes, and to provide theoretical guidance for identifying the elderly with higher fall risk. Methods A convenient sampling method was used to investigate 429 elderly people in 8 nursing homes in Hebei with general information questionnaire, Morse Scale of Falls and Stay Independent Brochure Questionnaire. The receiver operating characteristic (ROC) curve, optimal cut-off value, cross check accuracy and positive likelihood ratio of the MFS and STEADI were analyzed. Results Taking the fall history in the past one year as the reference, the areas under the ROC curve for MFS and STEADI were 0.889 and 0.832 respectively; the difference of area under the ROC curve between MFS and STEADI was 0.057(Z=2.295, P=0.022) and the best cut off points for MFS and STEADI were 57.500 and 5.500 respectively.The sensitivity, specific, cross check accuracy and positive likelihood ratio was 0.783, 0.912, 0.751, 8.870 and 0.767, 0.719, 0.739 and 2.730 respectively. Conclusion MFS is more suitable for evaluating fall risk in the elderly in nursing homes when compared with STEADI.

Key words: fall risk assessment, Morse Scale of Falls, STEADI, nursing home

中图分类号:

R471

胡惠菊, 韩静, 唐启群, 成杰, 李慧源. Morse跌倒评估量表与STEADI跌倒风险自评量表在养老机构老年人中的应用比较[J]. 护理学报, 2021, 28(19): 8-12.

HU Hui-ju, HAN Jing, TANG Qi-qun, CHENG Jie, LI Hui-yuan. Effect Comparison between Morse Fall Scale and Stay Independent Brochure Questionnaire in the Elderly in Nursing Homes[J]. Journal of Nursing, 2021, 28(19): 8-12.

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Morse跌倒评估量表与STEADI跌倒风险自评量表在养老机构老年人中的应用比较

Effect Comparison between Morse Fall Scale and Stay Independent Brochure Questionnaire in the Elderly in Nursing Homes

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