Chaloner D M, Franks P J
Walsall Community Health Trust, Springside Community Unit, Pelsall.
Br J Nurs. 1999;8(17):1142-4, 1146, 1148 passim. doi: 10.12968/bjon.1999.8.17.6505.
The Walsall Community Risk Score Calculator has been in use for the past 8 years. Outcomes from a trust-wide prevalence audit identified that this assessment tool may benefit from re-evaluation. This study examined the tool's validity and reliability and has resulted in some changes being made to the original score. To assess validity, a cross-sectional study of 720 patients was undertaken looking at the incidence of pressure damage, despite intervention, over a 12-week period. Using logistic regression analysis new weightings for each category were developed. This also led to the removal of one factor (bodily pain) which did not appear to contribute to increased risk of pressure damage. The updated score shows an improved prediction of pressure sore development compared with the existing method.
沃尔索尔社区风险评分计算器在过去8年中一直在使用。一项全信托范围的患病率审计结果表明，这个评估工具可能需要重新评估。本研究对该工具的有效性和可靠性进行了检验，并对原始评分进行了一些修改。为评估有效性，我们进行了一项横断面研究，观察了720名患者在12周内尽管接受了干预但仍发生压力性损伤的发生率。通过逻辑回归分析，为每个类别制定了新的权重。这也导致去除了一个似乎对压力性损伤风险增加没有影响的因素（身体疼痛）。与现有方法相比，更新后的评分对压疮发生的预测有所改善。
