[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):67-70.[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):67-70.[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

《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: 67-70 栏目: 护理质量出版日期: 2022-07-28

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.

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更新日期/Last Update: 2022-07-28