[1]贺婷婷李巧冯蓓梁亚红谢朝霞谢小敏.HDFS量表和SFSTC量表对住院患儿跌倒风险预测价值比较[J].中国卫生质量管理,2022,29(07):067-70.[doi:10.13912/j.cnki.chqm.2022.29.7.17 ]
　HE Tingting,LI Qiao,FENG Bei.Comparison of the Predictive Value of HDFS Scale and SFSTC Scale on the Fall Risk of Hospitalized Children[J].Chinese Health Quality Management,2022,29(07):067-70.[doi:10.13912/j.cnki.chqm.2022.29.7.17 ]
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HDFS量表和SFSTC量表对住院患儿跌倒风险预测价值比较
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第29卷
期数:
2022年07期
页码:
067-70
栏目:
护理质量
出版日期:
2022-07-28

文章信息/Info

Title:
Comparison of the Predictive Value of HDFS Scale and SFSTC Scale on the Fall Risk of Hospitalized Children
作者:
贺婷婷李巧冯蓓梁亚红谢朝霞谢小敏
空军军医大学第二附属医院
Author(s):
HE Tingting; LI Qiao; FENG Bei
The Second Affiliated Hospital of Air Force Military Medical University
关键词:
住院患儿; 跌倒; 风险评估; HDFS量表; SFSTC量表; 预测价值
Keywords:
Hospitalized Children;  Fall;  Risk Assessment;  HDFS Scale;  SFSTC Scale;  Predictive Value
分类号:
R197.323;R47
DOI:
10.13912/j.cnki.chqm.2022.29.7.17
文献标志码:
A
摘要:
目的比较Humpty Dumpty跌倒量表（HDFS）和Schmid儿童跌倒评估量表（SFSTC）对住院患儿跌倒风险的预测价值。方法采用便利抽样法，选取2020年3月-2021年4月两所医院儿科病区4 323例住院患儿为研究对象，使用HDFS量表和SFSTC量表评估住院患儿跌倒风险。采用ROC曲线下面积、灵敏度、特异度和约登指数等指标比较两种量表的预测价值。结果4 323例住院患儿中，有32例发生跌倒（0.74%）；发生跌倒组住院患儿HDFS量表和SFSTC量表总分均高于未发生跌倒组住院患儿（P＜0.001）。HDFS量表ROC曲线下面积为0.941，当总分为13分时，约登指数为0.743，量表预测价值最大；SFSTC量表ROC曲线下面积为0.827，当总分为4分时，约登指数为0.739，量表预测价值最大。结论HDFS量表和SFSTC量表均能有效预测住院患儿跌倒发生风险，但HDFS量表预测价值高于SFSTC量表。
Abstract:
ObjectiveTo compare the predictive value of Humpty Dumpty Falls Scale (HDFS) and Schmid Fall Score Tool for Children (SFSTC) for the occurrence of falls in hospitalized children. Methods4 323 children who were hospitalized in the pediatric ward of two hospitals from March 2020 to April 2021 were selected conveniently. The HDFS scale and the SFSTC scale were used to evaluate the fall risk of the two groups. The area under the ROC curve, sensitivity, specificity and Youden index were used to compare the predictive value of the two scales.ResultsAmong the 4 323 hospitalized children, falls occurred in 32 cases (0.74%). The total scores of the HDFS scale and SFSTC scale of children in the fall group were higher than those of the no fall group (P<0.001). The area under the ROC curve of HDFS scale was 0.941 , and when the total score was 13, the Youden index was 0.743, indicating the maximum predictive value of the scale. The area under the ROC curve of SFSTC scale was 0.827. When the total score was 4, the Youden index was 0.739, indicating the maximum predictive value of the scale. Conclusion Both HDFS scale and SFSTC scale can effectively predict the risk of fall in hospitalized children, but the predictive value of HDFS scale is higher than that of SFSTC scale.

参考文献/References:

［1］国家卫生健康委员会办公厅.关于印发药事管理和护理专业医疗质量控制指标（2020年版）的通知［EB/OL］. (2020-08-04)［2021-09-11］.https://www.sohu.com/a/411685178_611014. ［2］尚文涵,张海燕,么 莉,等.护理专业医疗质量控制指标（2020年版）的构建［J］.中国卫生质量管理,2021,28(6):66-69,74. ［3］Centers for Disease Control and Prevention. Protect the ones you love: child injuries are preventable［EB/OL］.(2016-07-24)［2021-05-19］.http://www.cdc.gov/safechild/falls. ［4］KIM EJ,LEE A.Analysis of fall incident rate among hospitalized Korean children using big data［J］.J Pediatr Nurs,2021,61:136-139. ［5］吴志军,尚文涵,简伟研,等.我国住院患者跌倒发生率现状分析:基于490家三级甲等医院的调查［J］.中国卫生质量管理,2019,26(3):14-17. ［6］陈丽霞,李 红.住院患儿跌倒风险评估量表的汉化及信效度检验［J］.解放军护理杂志,2019,36(12):5-7,11. ［7］王亚静.住院患儿跌倒风险评估量表的研究进展［J］.中华现代护理杂志,2016,22(12):1774-1776. ［8］HILL-RODRIGUEZ D,MESSMER PR,WILLIAMS PD,et al.The Humpty Dumpty Falls Scale: a case-control study［J］. J Spec Pediatr Nurs,2009,14(1):22-32. ［9］Schmid Fall Score Tool for UCSF Children's Hospital. Nursing procedures manual: falls prevention program (pediatrics)［EB/OL］.(2005-06-01)［2021-09-01］. http: //www.mnhospitals.org/Portals/0/Documents/ptsafety/falls/FallsPreventi onProgram(Pediatrics).pdf. ［10］朱海英,徐红,杨怡菁,等. Humpty Dumpty儿童跌倒风险量表的初步评价［J］. 护理研究,2012,26(19):1817-1820. ［11］詹 蓉,姜 纯,易 佳,等.预防儿科住院患儿跌落的护理预案及临床应用［J］. 护理实践与研究,2013,10(14):28-30. ［12］ALSOWAILMI BA,AlAKEELY MH,AlJUTAILY HI, et al. Prevalence offall injuries and risk factors for fall among hospitalized children in a specialized childrens hospital in Saudi Arabia［J］. Ann Saudi Med,2018,38(3):225-229. ［13］PARKER C,KELLAWAY J,STOCKTON K.Analysis of falls within pediatric hospital and community healthcare settings［J］. J Pediatr Nurs,2020,50(1):31-36. ［14］单晓敏,诸纪华,方雪莲,等.住院患儿跌倒的危险因素分析［J］.浙江医学,2019,41(15):1676-1677,1681. ［15］李双子,张 萍,吴利平,等.120例住院患儿跌倒原因分析及对策探讨［J］.护理管理杂志,2017,17(7):507-509. ［16］BANDOS AI,GUO B,GUR D.Estimating the Area Under ROC Curve when the fitted binormal curves demonstrate improper shape［J］.Acad Radiol,2017,24(2): 209-219. ［17］TANG LL,ZHANG W,LI Q,et al.Least squares regression methods for clustered ROC data with discrete covariates［J］.Biom J,2016,58(4): 747-765. ［18］王家良.临床流行病学:临床科研设计、测量与评价［M］.4版.上海:上海科学技术出版社,2014:320-340. ［19］SCHELLENBERG M,INABA K,CHEN J,et al.Falls in the bathroom:a mechanism of injury for all ages［J］.J Surg Res,2019,234:283-286. ［20］BRS AMR,QUITRIO MMSL,NUNES EMGT.Nurse's interventions in preventing falls in hospitalized children:scoping review［J］.Rev Bras Enferm,2020,73(S6):e20190409. ［21］MEKKODATHIL A,El-MENYAR A,KANBAR A,et al.Epidemiological and clinical characteristics of fall-related injuries:a retrospective study［J］.BMC Public Health,2020,20(1):1186. ［22］ALMIS H,BUCAK IH,KONCA C,et al.Risk factors related to caregivers in hospitalized children's falls［J］.J Pediatr Nurs,2017,32:3-7. ［23］卞晓燕.6岁内儿童认知发育量表的临床应用［J］.中国实用儿科杂志,2017,32(4):285-289.

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更新日期/Last Update: 2022-07-28