护理研究2024，Vol.38Issue(13)：2296-2301,6.DOI:10.12102/j.issn.1009-6493.2024.13.007
3种跌倒风险评估工具对养老机构中老年人跌倒风险的预测价值比较
Comparison of predictive value of three fall risk assessment tools among middle-aged and elderly people in nursing facilities
摘要
Abstract
Objective:To compare and explore the predictive value of three fall risk assessment tools,which were Morse Fall Assessment Scale(MFS),St Thomas's Risk Assessment Tool(STRATIFY Scale),and Short Physical Performance Battery(SPPB)in middle-aged and elderly people in nursing facilities.Methods:4 041 cases of middle-aged and elderly people were randomly selected from a total of 80 nursing homes in 4 cities and prefectures in Hunan province using the General Information Questionnaire,MFS,STRATIFY Scale,and SPPB Scale.The ROC curves were used to assess the predictive effect of different fall assessment scales on falls.Results:A total of 4 041 cases of middle-aged and elderly people in nursing institutions were investigated,and 676 people(16.73%)had fallen within one year.The results showed that there were statistically significant differences between the fall group and the no-fall group in comparing middle-aged and elderly people in age,gender,whether they had comorbid chronic diseases,and whether they were depressed(P<0.05).The AUC of the MFS was 0.850(95%CI 0.834-0.867),and the Jorden index was 0.597 when the total score was 37.5,and the scale had the greatest predictive value;the AUC of the STRATIFY was 0.764(95%CI 0.744-0.783),when the total score was 1.5,and the Jorden index was 0.407,and the scale had the greatest predictive value;the AUC of the SPPB was 0.675(95%CI 0.654-0.697),when the total score was 7.5,and the Jorden index was 0.293,and the scale had the greatest predictive value.The AUC of the MFS scale and the Jorden index were higher than the other two scales.Conclusion:MFS,STRATIFY,and SPPB all have predictive value for the fall risk of the elderly in nursing facilities,and the predictive value of MFS is higher than STRATIFY and SPPB.关键词
养老机构/中老年人/评估工具/跌倒/预测价值/护理Key words
nursing facilities/middle-aged and elderly people/assessment tools/fall down/predictive value/nursing引用本文复制引用
李九红,陈婷,黄伶智,董阿兰,张素霞,谢娟玉,吴萍..3种跌倒风险评估工具对养老机构中老年人跌倒风险的预测价值比较[J].护理研究,2024,38(13):2296-2301,6.基金项目
湖南省社会科学成果评审委员会项目,编号:XSP2023GLC110 （）
湖南省卫生健康委课题,编号:D202314027143,202214023492 （）
