住院患者跌倒风险评估量表汉化及信效度评价.docVIP

住院患者跌倒风险评估量表的汉化及信效度评价 　　摘要：目的 引进和翻译Hendrich II Fall risk Model（HFRM）跌倒风险评估量表，并对翻译后的量表信效度进行评价，探索其在中国的适用性。方法 将量表进行翻译、回译及文化调试，用中文版HFRM跌倒风险评估量表对北京协和医院住院的老年患者989例进行跌倒风险评估，所得资料运用SPSS 12.0对其进行信效度评价。结果 中文版Hendrich跌倒风险评估量表CronbachS a系数为0.336，重测信度ICC=0.9950（95%CI 0.9923，0.9984）；评定者间信度ICC=0.9950（95%CI 0.9923，0.9984）；内容效度比CVR为0.9333；因子分析共提取了3个公因子， 能解释总方差的50.117%，且各项目在相应因子上有较满意的因子载荷量（0.4）；当临界值为≥5分时，其敏感度为72%，特异度为69%，ROC曲线下面积为0.815，P0.001。结论 中文版Hendrich跌倒风险评估量表具有良好的信度和效度。可作为临床上医务人员用于评估住院老年患者是否有跌倒风险的初步筛查工具。 　　关键词：跌倒风险评估；老年患者；信度；效度 　　Evaluation of Validity and Reliability of the Patients Finished Fall Risk Scale in Hospitalized 　　ZHANG Cong-cong，WU Xin-juan 　　（Peking Union Medical College Hospital，Beijing 100000，China） 　　Abstract：Objective To translate Hendrich II Fall risk Model （HFRM）into Chinese and examine its reliability and validity in predicting patient falls. Methods A convenience sample of 989 Chinese elderly inpatients was recruited sequentially upon admission in Peking Union Medical College Hospital. The patients were assessed for fall risk by using the Chinese version of HFRM on admission. SPSS12.0 was used to conduct its reliability and validity. Results The field test demonstrated excellent repeatability with an ICC value of 0.9950 （95% CI 0.9923～0.9984）.Inter-rater reliability was high with an ICC of 0.9950 （95% CI 0.9923～0.9984）. Cronbachs alpha coefficient is 0.366. Content validity is excellent which CVR is 0.9333. The scale had a sensitivity of 72% and a specificity of 69% when the cut-off point was determined at 5. AUC is 0.815，P0.001. Conclusion The evidence collected in this study has shown good reliability and validity by using the Chinese version of HFRM in assessing the fall risk of Chinese elderly inpatients. 　　Key words：Fall risk assessment； Elderly inpatients； Validity； Reliability 　　患者安全问题一直是世界卫生组织及众多国家医务界高度关注的问题，其中预防患者跌倒是患者安全管理的一个重要方面，我国已将预防患者跌倒列为评价医院患者安全管理的一项重要指标，因此，对跌倒可能性的评估预测已成为一个重要的研究方向，目前我国尚没有有关住院老年患者的跌倒风险评估工具，因此有必要在国外研究的基础上，引进信效度较好的跌倒风险评估