Objectives: This study was designed to test and validate the new LPD scale in a home care setting. The specific objectives are to validate the LPD scale for subjects cared for at home;and to compare LPD to the Braden ...Objectives: This study was designed to test and validate the new LPD scale in a home care setting. The specific objectives are to validate the LPD scale for subjects cared for at home;and to compare LPD to the Braden scale for internal validity. Method: This multicenter, cross-sectional study was conducted in the domestic environment of subjects cared for Home Care services from North to South of Italy. Data collection lasted 8 months, between June 2018 and September 2020, and consisted of the simultaneous compilation of the new LPD, and the Braden scale. Home Care Expert nurses could interface with the recruited subjects and/or caregivers. The parameters considered to validate the new scale were sensitivity (Se), specificity (Sp), positive predictive values (PPV), odds ratio (OR), and the area under the receiver operating characteristic (ROC) curve. Results: Of the 679 recruited subjects, 63.2% were women, and more than 50% did not have a pressure ulcer. 48.2% of the sample aged over 85 years old;69% was affected by multiple disease, and 76.6% took a lot of drugs. 91.6% of the subjects were affected by a partial or total functional dependency. Around 50% of subjects presented double incontinence, and 43% were conscious and collaborated. 85.4% of subjects lived in a healthy environment. The predictive validity parameters showed: Se 77.25%, Sp 84.04%, PPV 91.37%, and the area under the curve (AUC) 0.88% with a confidence interval (CI) 95%. These values mean a moderately accuracy of the test. Conclusions: The new LPD scale has demonstrated a good capacity for identifying the subjects at risk of pressure ulcer and had a better discriminatory power rather than Braden scale.展开更多
目的研制一份适合社区护士使用的老年慢性病患者居家护理评估表。方法以Gordon健康型态为理论评估框架,结合日常生活能力(activities of daily living,ADL)和工具性日常生活活动(instrumental activities of daily living,IADL)量表评估...目的研制一份适合社区护士使用的老年慢性病患者居家护理评估表。方法以Gordon健康型态为理论评估框架,结合日常生活能力(activities of daily living,ADL)和工具性日常生活活动(instrumental activities of daily living,IADL)量表评估,初步构建老年慢性病患者居家护理评估表的框架和指标。采用目的性抽样的方法选取浙江省3所医院内从事社区护理、护理管理、健康教育及科研等方面工作的15名专家为咨询对象,利用德尔菲法确立评估表的最终结构和各项评估指标。运用专家意见的协调程度、积极系数、权威系数等指标对咨询的可靠性和代表性进行检验。结果专家的积极系数分别为100%和93.3%(>70%),权威系数分别为0.83和0.84(>0.7);两轮专家咨询后各项指标的变异系数为0.05～0.18(<0.3)。结论根据专家咨询的积极系数、权威系数、变异系数等结果证明,专家咨询的代表性和可信度高,基于德尔菲法构建的老年慢性病患者居家护理评估表可以全面地反映老年慢性病患者的健康状况。展开更多
文摘Objectives: This study was designed to test and validate the new LPD scale in a home care setting. The specific objectives are to validate the LPD scale for subjects cared for at home;and to compare LPD to the Braden scale for internal validity. Method: This multicenter, cross-sectional study was conducted in the domestic environment of subjects cared for Home Care services from North to South of Italy. Data collection lasted 8 months, between June 2018 and September 2020, and consisted of the simultaneous compilation of the new LPD, and the Braden scale. Home Care Expert nurses could interface with the recruited subjects and/or caregivers. The parameters considered to validate the new scale were sensitivity (Se), specificity (Sp), positive predictive values (PPV), odds ratio (OR), and the area under the receiver operating characteristic (ROC) curve. Results: Of the 679 recruited subjects, 63.2% were women, and more than 50% did not have a pressure ulcer. 48.2% of the sample aged over 85 years old;69% was affected by multiple disease, and 76.6% took a lot of drugs. 91.6% of the subjects were affected by a partial or total functional dependency. Around 50% of subjects presented double incontinence, and 43% were conscious and collaborated. 85.4% of subjects lived in a healthy environment. The predictive validity parameters showed: Se 77.25%, Sp 84.04%, PPV 91.37%, and the area under the curve (AUC) 0.88% with a confidence interval (CI) 95%. These values mean a moderately accuracy of the test. Conclusions: The new LPD scale has demonstrated a good capacity for identifying the subjects at risk of pressure ulcer and had a better discriminatory power rather than Braden scale.
文摘目的研制一份适合社区护士使用的老年慢性病患者居家护理评估表。方法以Gordon健康型态为理论评估框架,结合日常生活能力(activities of daily living,ADL)和工具性日常生活活动(instrumental activities of daily living,IADL)量表评估,初步构建老年慢性病患者居家护理评估表的框架和指标。采用目的性抽样的方法选取浙江省3所医院内从事社区护理、护理管理、健康教育及科研等方面工作的15名专家为咨询对象,利用德尔菲法确立评估表的最终结构和各项评估指标。运用专家意见的协调程度、积极系数、权威系数等指标对咨询的可靠性和代表性进行检验。结果专家的积极系数分别为100%和93.3%(>70%),权威系数分别为0.83和0.84(>0.7);两轮专家咨询后各项指标的变异系数为0.05～0.18(<0.3)。结论根据专家咨询的积极系数、权威系数、变异系数等结果证明,专家咨询的代表性和可信度高,基于德尔菲法构建的老年慢性病患者居家护理评估表可以全面地反映老年慢性病患者的健康状况。
