한국형 성인 환자 낙상위험 사정도구 개발
Development of Fall Assessment Scale in Adult Inpatients
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초록
Purpose: 본 연구의 목적은 종합병원에 입원한 한국형 성인환자 낙상위험 사정도구(Adult Fall Assessment Scale Korean version, FAS-K)를 개발하는 것이다. Methods: 국내외 문헌과 전문가 의견을 토대로 14개 문항의 성인환자 낙상위험 사정도구를 개발하였고, 조사자간 신뢰도 검증은 Intraclass correlation coefficient (ICC)로 하였다., 준거타당도는 MFS과 JHFRAT를 준거로 하여 FAS-K와의 상관관계를 Pearson’s correlation coefficient, 변별타당도는 낙상발생 여부에 따른 차이를 Mann-Whitney 검정으로 분석하였다. Results: 조사자 간 ICC 값은 .958이었고, CVI는 .70～1.00이었다. FAS-K와 MFS의 상관계수 값은 .74(p<.001), FAS-K와 JHFRAT의 상관계수 값은 .87(p<.001)로 모두 유의한 상관관계를 나타내었다. 낙상군과 비낙상군을 비교한 결과 FAS-K (Z=-3.10, p=.002)와 MFS (Z=-3.23, p=.001)에서 모두 유의한 차이가 있었다. Conclusion: 결론적으로 FAS-K가 타당도가 높은 신뢰할 수 있는 도구임을 알 수 있다.
Abstract
Purpose: The purpose of this study was to develop a valid Adult Fall Assessment Scale Korean version(FAS-K) for inpatients in general hospitals in Korea. Methods: This a 14 item FAS-K was developed based on a review of national and international research and expert opinions in related field. Interrater reliability of FAS-K was analyzed using the ICC(Intraclass Correlation Coefficients). To examine the validity of FAS-K, a CVI(Content Validity Index), the Pearson correlation coefficients between FAS-K and two widely used scales, the Morse Fall Scale(MFS) and the Johns Hopkins Hospital Fall Risk Assessment Tool(JHFRAT), and the Mann-Whitney test were used. Results: The ICC was .958. The CVI ranged from .70 to 1.00. The FAS-K was significantly associated with the MFS(r=.74, p<.001) and with the JHFRAT(r=.87, p<.001), verifying the concurrent validity of FAS-K. As for the construct validity of FAS-K, significant differences between the fall and non-fall groups were found not only in the MFS(Z=-3.23, p=.001) but also in the FAS-K(Z=-3.10, p=.002). Conclusion: The findings indicate that the FAS-K is a reliable fall risk assessment tool with high validity.
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