Caldevilla Ma Nilza, Costa Ma Arminda M, Teles Paulo, Ferreira Pedro M
Porto School of Nursing, Porto, Portugal.
Scand J Caring Sci. 2013 Jun;27(2):468-74. doi: 10.1111/j.1471-6712.2012.01031.x. Epub 2012 Jun 27.
Several tools for the assessment of the risk of falling are used commonly by clinical nurses, but none have been validated in Portuguese.
To adapt and evaluate the Hendrich II Fall Risk Model (HIIFRM) for use with elderly Portuguese inpatients.
We conducted a prospective study of 586 older inpatients in acute care hospitals, from November 2007 to May 2010.
The study involved 270 men and 316 women. The most frequent risk factor on admission and at discharge was a score ≥3 on the 'Get Up and Go' test. The adapted HIIFRM showed a sensitivity of 93.2% and 75.7%, and a specificity of 35% and 46.7%, on admission and at discharge, respectively. A positive predictive value of 17.2% on admission and 17% at discharge and a negative predictive value of 97.3% and 93%, respectively, were estimated.
The HIIFRM was shown to be a useful tool in predicting falls by patients. Nevertheless, the research model suggested that only four risk factors affected the occurrence of falls significantly on admission and two risk factors at discharge. Further research is required in Portuguese hospital settings.
临床护士常用几种跌倒风险评估工具，但尚无一种在葡萄牙语环境中得到验证。
对亨德里奇二世跌倒风险模型（HIIFRM）进行改编并评估其在葡萄牙老年住院患者中的应用效果。
2007年11月至2010年5月，我们对急性护理医院的586名老年住院患者进行了一项前瞻性研究。
该研究纳入270名男性和316名女性。入院时和出院时最常见的风险因素是“起立行走”测试得分≥3分。改编后的HIIFRM在入院时和出院时的敏感性分别为93.
