CAJ | 학술논문

目的探讨3种量表应用于老年患者跌倒风险评估的区分效度及量表间的相关性.方法 2名经过培训的测试者使用计时起立-步行测验表(TUGT)、Morse跌倒评估量表(MFS)、Berg 平衡量表(BBS)同时对广州市3所三级甲等医院161例住院老年患者进行跌倒风险评估.根据近一年来有无跌倒史将患者分为跌倒组46例和无跌倒组115例,用独立样本t检验分析TUGT、MFS、BBS的区分效度,使用Spearman等级相关系数分析它们的相关程度.结果跌倒组及未跌倒组3种量表的得分差异均有统计学意义(P＜0.05).3种量表之间的相关系数为0.680～0.888.结论 TUGT、MFS、BBS评估患者的跌倒风险具有较高的敏感度,区分效度较好,且3种量表具有高度相关性,但每个量表评估的侧重点不同,临床护士应结合老年患者的自身特点及需要选择使用.
목적 탐토3충량표응용우노년환자질도풍험평고적구분효도급량표간적상관성.방법 2명경과배훈적측시자사용계시기립-보행측험표(TUGT)、Morse질도평고량표(MFS)、Berg 평형량표(BBS)동시대엄주시3소삼급갑등의원161례주원노년환자진행질도풍험평고.근거근일년래유무질도사장환자분위질도조46례화무질도조115례,용독립양본t검험분석TUGT、MFS、BBS적구분효도,사용Spearman등급상관계수분석타문적상관정도.결과질도조급미질도조3충량표적득분차이균유통계학의의(P＜0.05).3충량표지간적상관계수위0.680～0.888.결론 TUGT、MFS、BBS평고환자적질도풍험구유교고적민감도,구분효도교호,차3충량표구유고도상관성,단매개량표평고적측중점불동,림상호사응결합노년환자적자신특점급수요선택사용.
Objective To investigate the discriminant validity and relativity of three scales applied in fall risk estimation for senile patients.Methods The timed up and go test (TUGT),the Morse Fall Scale (MFS) and the Berg Balance Scale (BBS) were used by two trained testers to evaluate the fall risk of 161 senile in-patients.The patients were divided into a falling group and a no-fall group based on their history of falling in the previous one year.Student's t-test was applied to compare the discriminant validity of the TUGT,MFS and BBS.Spearman's correlation coefficient was calculated to analyze the correlation among the three scales.Results The scores of patients in the falling group on the three scales were significantly different from those of the no-falls group.The correlation coefficients among the three scales were in the range 0.680-0.888.Conclusion The TUGT,MFS and BBS all showed high sensitivity and good discrimination in fall risks estimation for senile patients.The results with the three scales were highly correlated.Because the emphasis of these three scales is different,a suitable scale should be selected in clinical practice according to the characteristics of the senile patient.