摘要
目的 比较静态平衡仪与Berg平衡量表对预测老年住院患者跌倒风险的差异性及有效性.方法 随机选取上海市某三甲医院住院老年患者401例,运用静态平衡仪和Berg平衡量表监测既往有跌倒组和无跌倒组老年人的跌倒风险.结果 设定既往有跌倒发生为发生跌倒的标准,平衡仪跌倒指数的受试者工作特征曲线下（ROC）面积比为0.762,Berg平衡量表的面积比为0.705.Youden指数显示,平衡仪跌倒指数对跌倒的预测值为41,敏感性80.5%,特异性60.2%;Berg平衡量表对跌倒的预测值为46,敏感性67.1%,特异性65.8%.两者AUC之间差异无统计学意义（P=0.0587）.结论 静态平衡仪与Berg平衡量表在预测住院老年患者跌倒风险方面无差别,提示静态平衡仪可以替代Berg平衡量表对患者进行跌倒风险评估,并且优于Berg平衡量表,在提供客观数据、对体重和BMI具有更高的敏感性.
Objective To compare the difference and effectiveness between Tetra-ataxiametry and Berg balance scale （BBS） in predicting the risk for fall in the elderly inpatients.Methods A total of 401 elderly inpatients were randomly selected using convenience sampling in a class III grade A hospital. Tetra-ataxiametry and BBS were used to monitor the risk for falls of elderly patients in two groups： group with or without fall histories.Results Fall histories were set as the standard. The area ratios under receiver operating characteristic （ROC） of Tetra-ataxiametry fall index （FI） and BBS were 0.762 and 0.705. Youden index showed that the predicted value, the sensibility and the specificity of Tetra-ataxiametry FI were 41, 80.5% and 60.2%; while those for BBS were 46, 67.1% and 65.8%. No statistically significant difference in the area under the curve （AUC） between Tetra-ataxiametry and BBS was observed（P=0.0587）.Conclusions There is no statistically significant difference in predicting the risk for fall in the elderly inpatients between Tetra-ataxiametry and BBS, suggesting that Tetra-ataxiametry can replace BBS to evaluate the fall risk, and is better than BBS, since Tetra-ataxiametry has higher sensitivity in objective data provision, body weight and BMI （body mass index）.
出处
《中华现代护理杂志》
2017年第29期3717-3721,共5页
Chinese Journal of Modern Nursing
基金
上海市浦东新区科技发展基金创新资金项目（PKJ2013-Y11）
