跌倒历史是唯一的摩尔斯跌倒尺度项目,它区分了养老院住户跌倒的人和那些不跌倒的人
Kate R Oppegaard1, Jennifer Kime2, Khalilah Seid2
1VA Portland Health Care System, Portland, OR, USA; Oregon Health & Science University, School of Nursing, Portland, OR, USA.
Journal of the American Medical Directors Association
|March 12, 2026
概括
摩尔斯跌倒量表可能无法可靠地预测养老院的跌倒情况. 跌倒史是唯一重要的预测因素,表明其他尺度项目在这个人群中缺乏变化.
科学领域:
- 老年学是一门学科.
- 护理研究 护理研究
- 患者安全 患者安全
背景情况:
- 摩尔斯跌倒量表是评估医疗机构跌倒风险的常用工具.
- 关于其在护理院环境中区分高风险个体的有效性,证据有限.
研究的目的:
- 评价摩尔斯跌倒量级得分或其单个项目是否区分养老院居民跌倒和那些不跌倒的人.
主要方法:
- 使用电子健康记录数据进行回顾性队列研究.
- 包括在2022年6月至2024年5月期间接受完整落风险评估的住户.
- 使用t测试和奇平方测试分析差异.
主要成果:
- 在650名居民中,有19%的人经历了跌倒.
- 跌倒的居民中,报告有跌倒史的比例更高.
- 在年龄,BMI,性别,婚姻状况,种族,摩尔斯倒数量表总得分或精神状况或步态等特定项目中没有发现显著差异.
结论:
- 跌倒史是摩尔斯跌倒量表中唯一的组成部分,在这个养老院样本中,它有效地区分了跌倒者和非跌倒者.
- 大多数莫尔斯倒数量表项目显示的变化有限,这表明它们可能对这个特定的人群来说不够敏感.
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