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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 fall evaluation scale in elderly patients in neurology department. Methods Seventy-five elderly inpatients admitted to Department of Neurology in our hospital from January to December 2016 were divided into three groups according to the assessment scale. Twenty-five patients in each group were evaluated by Morse fall assessment scale, Fall risk assessment tools, Hendrich Ⅱ fall risk assessment model to assess the effectiveness of the three assessment scales. Results After applying the assessment scale, the risk factors of patients were improved in a targeted manner, and the indicators improved. However, the Thomas Fall Risk Assessment Tool had higher ICC values and higher sensitivity and specificity than the rest There was a statistically significant difference between the two groups (P <0.05). CONCLUSIONS: It is necessary to consider the ICC value and the sensitivity and specificity for the selection of elderly inpatient neurological inpatients to assess the scale. Choosing the appropriate scientific assessment scale can play a positive role in the patient’s recovery.