开发和验证用于接受化疗的住院癌症患者的跌倒风险评估尺度
Mengying Cui1, Yue Guo1, Zhihui Lu1
1Department of Nursing, Tongji Medical College, Tongji Hospital, Huazhong University of Science and Technology, No. 1095 Jiefang Avenue, Wuhan City, Hubei Province, China.
BMC nursing
|December 3, 2025
概括
接受化疗的住院癌症患者面临高跌倒风险. 一个新的尺度有效地评估了跌倒风险,有助于预防和提高患者安全.
科学领域:
- 在瘤学瘤学.
- 患者安全 患者安全
- 临床评估工具 临床评估工具
背景情况:
- 接受化疗的住院癌症患者是脆弱群体,跌倒的发病率很高.
- 这种人群中的跌倒可能导致严重的并发症,长时间住院和增加医疗保健费用.
研究的目的:
- 为接受化疗的住院癌症患者开发和验证可靠和有效的跌倒风险评估尺度.
- 提供一种临床工具来识别患有高跌倒风险的患者,从而实现有针对性的预防性干预.
主要方法:
- 一个基于证据的项目库被构建并通过专家咨询来改进.
- 该量表给了329名患者,随后进行了可靠性和有效性测试.
- 使用接收器操作特征 (ROC) 曲线分析来确定风险分层的最佳截止分数.
主要成果:
- 最终的尺度包括12个项目,跨越3个维度:个人因素,化疗相关的症状和迹象,以及诊断和治疗因素.
- 该尺度表现出优异的内容有效性 (S-CVI=1.000,I-CVI=1.000) 和良好的可靠性.
- ROC分析发现截止分数为20,曲线下的面积 (AUC) 为0.742,表明落的良好预测准确性.
结论:
- 为接受化疗的住院癌症患者开发的跌倒风险评估尺度是一个可靠和有效的工具.
- 这种尺度可以在临床环境中有效地使用,以识别和预测化疗患者的跌倒风险.
- 这种尺度的实施可以有助于改善瘤护理中的患者安全和跌倒预防策略.
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