汉化版Morse跌倒评估量表和HendrichⅡ跌倒因素模型量表在老年住院患者跌倒风险评估中的适用性比较

Comparison of the applicability in elderly inpatients between Chinese version of Morse Fall Scale and Hendrich Ⅱ Fall Risk Model

目的:比较汉化版Morse跌倒评估量表和HendrichⅡ跌倒因素模型量表在老年住院患者跌倒风险评估中的适用性。方法:采用方便抽样法,纳入341例老年住院患者,在临床实践中比较两个量表的跌倒高风险筛查率、高风险跌倒发生率、预测效度以及护士对两量表的理解和接受度。结果:研究期间共发生16例(发生率4.7%)跌倒;Morse跌倒评估量表的高风险筛查率为73.9%,高风险跌倒发生率4.8%、灵敏度75.0%、特异度26.2%。HendrichⅡ跌倒因素模型量表的高风险筛查率为35.8%,高风险跌倒发生率11.5%、灵敏度87.5%、特异度66.8%。两者高风险筛查率差异有统计学意义(P<0.001)。66.1%的护士认为HendrichⅡ跌倒因素模型量表的评估方法更好掌握,条目判定更清晰。结论:汉化版HendrichⅡ跌倒因素模型量表预测效度更好,护士接受度更高,更适合老年住院患者跌倒风险评估。

Objective:To compare the applicability of Chinese version of Morse Fall Scale and Hendrich II Fall Risk Model in elderly inpatients.Methods:Convenience sampling method was performed.Totally 341 elderly inpatients were included.Chinese version of Morse Fall Scale and Hendrich II Fall Risk Model were applied to assess the elderly inpatients.The nurses'understanding and acceptance of the two scales were assessed by self-designed questionnaire.Results:Totally 16(4.7%)falls occurred.For Morse Fall Scale,the high-risk screening rate was 73.9%,high risk falling rate was 4.8%,sensitivity was 75.0%and specificity was 26.2%.For Hendrich II Fall Risk Model,the high risk screening rate was 35.8%,high risk falling rate was 11.5%,sensitivity rate was 87.5%and specificity was 66.8%.There was significant difference in high risk screening rates between the two scales(P<0.001).66.1%nurses claimed that the assessment process of Hendrich II was easier to understand and its items were clearer than the Morse Fall Scale.Conclusion:Hendrich II Fall Risk Model shows high prediction validity and high acceptance by nurses,and it is suitable for fall risk assessment in elderly inpatients.