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김성렬 ( Kim Sung-Reul ) - 전북대학교 간호대학
유성희 ( Yoo Sung-Hee ) - 전남대학교 간호대학
신용순 ( Shin Yong-Sun ) - 창원대학교 간호학과
전지윤 ( Jun Ji-Yoon ) - 서울아산병원 간호부
김준우 ( Kim Jun-Yoo ) - 서울아산병원 간호부
강수정 ( Kang Su-Jung ) - 서울아산병원 간호부
최혜숙 ( Choi Hea-Sook ) - 서울아산병원 간호부
이혜림 ( Lee Hea-Lim ) - 서울아산병원 간호부
안영희 ( An Young-Hee ) - 서울아산병원 간호부
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Abstract
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Purpose: The aim of the study was to identify the most appropriate fall-risk assessment tool for neurological patients in an acute care setting.
Methods: This descriptive study compared the reliability and validity of three fall-risk assessment tools (Morse Fall Scale, MFS; St Thomas’s Risk Assessment Tool in Falling Elderly Inpatients, STRATIFY; Hendrich II Fall Risk Model, HFRM II). We assessed patients who were admitted to the Department of Neurology, Neurosurgery, and Rehabilitation at Asan Medical Center between July 1 and October 31, 2011, using a constructive questionnaire including general and clinical characteristics, and each item from the three tools. We analyzed inter-rater reliability with the kappa value, and the sensitivity, specificity, predictive value, and the area under the curve (AUC) of the three tools.
Results: The analysis included 1,026 patients, and 32 falls occurred during this study. Inter-rater reliability was above 80% in all three tools. and the sensitivity was 50.0% (MFS), 84.4%(STRATIFY), and 59.4%(HFRM II). The AUC of the STRATIFY was 82.8. However, when the cutoff point was regulated as not 50 but 40 points, the AUC of the MFS was higher at 83.7.
Conclusion: These results suggest that the STRATIFY may be the best tool for predicting falls for acute neurological patients.
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KeyWords
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낙상, 신뢰도, 타당도, 신경계
Falls, Reliability, Validity, Neurology
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원문 및 링크아웃 정보
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등재저널 정보
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