낙상 위험 사정도구의 유용성 비교 연구
A Comparative Study on the Usefulness of Fall Risk Assessment Tools
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: This study aimed to check whether the items of MFS (Morse Fall Scale) and FAS-K (Fall Assessment Scale Korean version) reflect the risk of falls in adult patients admitted to a general hospital and to compare the clinical usefulness of the two tools. Methods: This was a cross-sectional study to compare the usefulness of MFS and FAS-K and was conducted from May 2020 to May 2021 in a general hospital located in D City. A total of 206 patients were finally analyzed. Univariate and multivariate logistic model were conducted. We compared the sensitivity, specificity, predictive value, and the area under the curve (AUC) of the two fall risk assessment tools. Results: In the univariate analysis, 5 items of MFS and 9 items of FAS-K showed significant fall odds ratio. Also, the sensitivity, specificity, positive predictive value, negative predictive value, and area under the curve of MFS and FAS-K were similar, and both tools were confirmed to have good discriminant power. Conclusion: The FAS-K consisting of multidimensional aspects of fall risk can be suggested as the appropriate tool for assessing fall risk in adult patients at general hospitals.
Abstract
Purpose: This study aimed to check whether the items of MFS (Morse Fall Scale) and FAS-K (Fall Assessment Scale Korean version) reflect the risk of falls in adult patients admitted to a general hospital and to compare the clinical usefulness of the two tools. Methods: This was a cross-sectional study to compare the usefulness of MFS and FAS-K and was conducted from May 2020 to May 2021 in a general hospital located in D City. A total of 206 patients were finally analyzed. Univariate and multivariate logistic model were conducted. We compared the sensitivity, specificity, predictive value, and the area under the curve (AUC) of the two fall risk assessment tools. Results: In the univariate analysis, 5 items of MFS and 9 items of FAS-K showed significant fall odds ratio. Also, the sensitivity, specificity, positive predictive value, negative predictive value, and area under the curve of MFS and FAS-K were similar, and both tools were confirmed to have good discriminant power. Conclusion: The FAS-K consisting of multidimensional aspects of fall risk can be suggested as the appropriate tool for assessing fall risk in adult patients at general hospitals.
참고문헌 (30)
- "Korean patient safety incident report 2020" (2021)[URL]
- Oliver D, "Preventing falls and fall-related injuries in hospitals", Clinics in Geriatric Medicine, 26(4), pp.645~692 (2010)[DOI]
- Healey F, "Falls in English and Welsh hospitals : a national observational study based on retrospective analysis of 12 months of patient safety incident reports", Quality & Safety in Health Care, 17(6), pp.424~430 (2008)[DOI]
- "International patient safety goals" (2017)[URL]
- "Standards of acute hospital accreditation survey (version 3.0)" (2018)[URL]
- Ambrose AF, "Risk factors for falls among older adults : a review of the literature", Maturitas, 75(1), pp.51~61 (2013)[DOI]
- "Preventing falls in hospitals: 3. Which fall prevention practices do you want to use?" (2013)[URL]
- Dykes PC, "Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries : a nonrandomized controlled trial", JAMA Network Open, 3(11), pp.e2025889~ (2020)[DOI]
- Morse JM, "Development of a scale to identify the fall-prone patient", Canadian Journal on Aging, 8(4), pp.366~377 (1989)[DOI]
- Oliver D, "Development and evaluation of evidence based risk assessment tool(STRATIFY)to predict which elderly inpatients will fall : case-control and cohort studies", BMJ, 315(7115), pp.1049~1053 (1997)[DOI]
- Poe SS, "The Johns Hopkins Fall Risk Assessment Tool : postimplementation evaluation", Journal of Nursing Care Quality, 22(4), pp.293~298 (2007)[DOI]
- "Fall prevention nursing practice guide and summary" (2009)[URL]
- 최은희, "한국형 성인 환자 낙상위험 사정도구 개발", 임상간호연구, 25(2), pp.179~188 (2019), 병원간호사회[DOI]
- Morse JM, "Preventing patient falls: establishing a fall intervention program", pp.51~70 (2009), Springer Publishing Company
- 박성희, "성인 입원환자에게 유용한 낙상위험사정도구: 체계적 문헌고찰과 메타분석", Korean Journal of Health Promotion, 16(3), pp.180~191 (2016), 대한임상건강증진학회[DOI]
- 김은경, "입원환자의 낙상 위험 예측 요인", Journal of Korean Academy of Nursing, 38(5), pp.676~684 (2008), 한국간호과학회
- 최은희, "입원 환자의 낙상실태 및 위험요인 조사연구: 국내 500병상 이상 종합병원을 중심으로", 임상간호연구, 23(3), pp.350~360 (2017), 병원간호사회[DOI]
- 박성희, "입원 환자에서 STRATIFY의 예측 타당도 메타분석", 성인간호학회지, 27(5), pp.559~571 (2015), 한국성인간호학회[DOI]
- 김성렬, "급성기 신경계 환자에서 낙상 위험 사정 도구의 신뢰도 및 타당도 비교", 성인간호학회지, 25(1), pp.24~32 (2013), 한국성인간호학회
- 김금순, "A Comparative Study on the Validity of Fall Risk Assessment Scales in Korean Hospitals", Asian Nursing Research, 5(1), pp.28~37 (2011), 한국간호과학회
- 강영옥, "후향적 자료분석을 통한 낙상위험 사정도구의 타당도 비교: 종합병원 입원 환자를 중심으로", 성인간호학회지, 27(1), pp.29~38 (2015), 한국성인간호학회[DOI]
- 최은희, "한국형 낙상 위험 사정도구의 타당성 평가연구", 임상간호연구, 26(2), pp.265~273 (2020), 병원간호사회[DOI]
- Vergouwe Y, "Substantial effective sample sizes were required for external validation studies of predictive logistic regression models", Journal of Clinical Epidemiology, 58(5), pp.475~483 (2005)[DOI]
- 김윤숙, "종합병원 입원 환자의 낙상 위험 요인 및 낙상 위험도 평가", 성인간호학회지, 25(1), pp.74~82 (2013), 한국성인간호학회
- Barry PP, "Iatrogenic disorders in the elderly: preventive techniques", Geriatrics, 41(9), pp.42~47 (1986)
- Yang HM, "Falls in the general hospital inpatients : Incidence, associated factors", Quality Improvement in Health Care, 15(2), pp.107~120 (2009)
- Šimundić AM, "Measures of diagnostic accuracy : basic definitions", EJIFCC, 19(4), pp.203~211 (2009)
- 최은주, "일개 종합병원 입원환자의 낙상관련 특성 및 낙상발생 예측요인", Journal of Korean Academy of Nursing, 47(3), pp.420~430 (2017), 한국간호과학회
- Kim HS, "A validity analysis on risk of fall assessment tools: focusing on hospitalized patients at a general hospital", master, pp.2020
- O’Connell B, "The sensitivity and specificity of the Morse Fall Scale in an acute care setting", Journal of Clinical Nursing, 11(1), pp.134~136 (2002)[DOI]