STEADI跌倒风险自评量表在社区老年人中的应用研究
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女,硕士在读,护师

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重庆市技术创新与应用示范项目(社会民生类一般项目)(cstc2018jscx-msybX0124);重庆医科大学智慧医学项目(ZHYX2019003);重庆医科大学附属第一医院2017年度院内护理科研基金项目(HLJJ2017-02)


Application of the fall risk self-assessment scale of the STEADI Toolkit in community elderly people
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    目的 应用STEADI跌倒风险自评量表筛查社区老年人跌倒风险,并了解其对老年人远期跌倒的预测效能。 方法 采用多阶段整群随机抽样,选取重庆市社区老年人1 168人,运用汉化版STEADI跌倒风险自评量表筛查其跌倒风险。6个月后电话随访老年人跌倒发生情况。 结果 321人(27.5%)自评有跌倒风险。6个月后有效电话随访825人,64人发生跌倒,跌倒发生率为7.8%(64/825),跌伤率为71.9%(46/64)。汉化版预测6个月后社区老年人发生跌倒的灵敏度为45.3%,特异性为75.4%,AUC为0.604,约登指数为0.208。71.6%的老年人认为跌倒风险自我评估对其有意义,69.9%的老年人评估后实施了预防跌倒的相关措施。 结论 大多数老年人认可跌倒风险自评的意义并采取相关措施预防跌倒,但汉化版预测社区老年人6个月后发生跌倒的效能欠佳,建议结合步态、力量和平衡的评估结果来预测老年人跌倒风险。

    Abstract:

    Objective To screen fall risk in community elderly population by employing the fall risk self-assessment scale of the STEADI (Stopping Elderly Accidents, Deaths, & Injuries), and to test the predictive validity for long-term fall accidents. Methods Multi-stage cluster random sampling method was used to select 1 168 community elderly persons in Chongqing, and then their fall risk was assessed using the Chinese version of the fall risk self-assessment scale of the STEADI.Fall accidents were recorded at 6-month follow-up by telephone. Results Of the 1 168 participants, 321 (27.5%) reported fall risk and 825 were followed up. Sixty-four participants reported fall accidents at 6-month follow-up, with the prevalence being 7.8%, and 46 (71.9%) of them were injured. The sensitivity and specificity of the Chinese version of the scale for predicting the occurrence of falls after 6 months were 45.3 % and 75.4 % respectively.The AUC was 0.604 and the Youden index was 0.208. More than seventy percent (71.6%) of the elderly thought that self-assessment of fall risk was meaningful, and 69.9% of them had implemented measures to prevent falls after the assessment. Conclusion Majority of the elderly recognize the significance of self-assessment of fall risk and take preventive measures.However, the Chinese version of the STEADI self-assessment scale is not so satisfactory to predict falls after 6 months in the community elderly,and it is recommended to combine with gait, strength and balance results for fall risk prediction.

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李亚玲,丁福. STEADI跌倒风险自评量表在社区老年人中的应用研究[J].护理学杂志,2020,35(9):84-87

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  • 收稿日期:2019-12-16
  • 最后修改日期:2020-02-08
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  • 在线发布日期: 2022-09-06