神经内科老年住院患者跌倒评估量表的选择研究

Study on the Selection of Depression Evaluation Scale for Senile Inpatients in Neurology

目的研究神经内科老年住院患者跌倒评估量表的选择方法和效果。方法以我院神经内科在2016年2—12月期间收治的75例老年住院患者,将其按照评估量表的不同分为三组,每组患者25例,分别采用Morse跌倒评估量表、托马斯跌倒风险评估工具、HendrichⅡ跌倒风险评估模型进行评估,比较三种评估量表的应用效果。结果应用评估量表后,针对患者的风险因素进行有针对性的改善,各项指标均有所好转,但托马斯跌倒风险评估工具的ICC值更高,敏感度和特异度也更高,与其余两组相比具有统计学差异(P<0.05)。结论神经内科老年住院患者跌到评估量表的选择需要考虑到ICC值和敏感度与特异度,选择合适科学的评估量表对患者的康复可以起到积极的作用。

Objective To study the selection method and effect of the fall assessment scale of senile inpatients in neurology department. Methods Seventy-five elderly patients were enrolled in the Department of Neurology from February 2016 to December 2016. They were divided into three groups according to the evaluation scale. Twenty-five patients in each group, they were treated with Morse fall assessment table, the Thomas fall risk assessment tool, the Hendrich II fall risk assessment model, and the effects of the three assessment scales were compared. Results After applying the assessment scale, the risk factors for the patient were improved and the indicators improved, but the Thomas falls risk assessment tool had higher ICC values, higher sensitivity and specificity, and compared the other two groups, there was significant difference（P 〈 0.05）. Conclusion The choice of the elderly patients in the neurological department to fall into the evaluation scale need to take into account the ICC value and sensitivity and specificity, select the appropriate scientific assessment of the rehabilitation of patients can play a positive role.