Van Dyke Debra, Singley Bruce, Speroni Karen Gabel, Daniel Marlon G
J Psychosoc Nurs Ment Health Serv. 2014 Dec 1;52(12):30-5. doi: 10.3928/02793695-20141022-01. Epub 2014 Oct 28.
The Hendrich II Fall Risk Model™ (Hendrich II) is used to determine patient fall risks. However, the WilsonSims Fall Risk Assessment Tool (WSFRAT) is more specific to psychiatric patients. The current study tested the Hendrich II and WSFRAT simultaneously to determine which tool was the most predictive for patient falls in a psychiatric population. Fall risk assessments using the Hendrich II and WSFRAT tools were completed through discharge. Fall risk assessment scores, medications, and falls data were documented. Fifty patients who met eligibility criteria generated 319 observations; of the 50 patients, two (4%) experienced falls. Sensitivity was 100% for the Hendrich II and WSFRAT, with all patients properly categorized as high risk for falling. Both assessments had similar specificity (Hendrich II = 67.8%; WSFRAT = 63.1%). Both tools have similar specificity; thus, additional research is warranted.
亨德里克二世跌倒风险模型（Hendrich II）用于确定患者的跌倒风险。然而，威尔逊 - 西姆斯跌倒风险评估工具（WSFRAT）对精神科患者更为适用。本研究同时测试了亨德里克二世和WSFRAT，以确定哪种工具对精神科患者的跌倒最具预测性。使用亨德里克二世和WSFRAT工具进行的跌倒风险评估在出院时完成。记录了跌倒风险评估分数、药物治疗和跌倒数据。符合入选标准的50名患者产生了319次观察结果；在这50名患者中，有两名（4%）发生了跌倒。亨德里克二世和WSFRAT的敏感性均为100%，所有患者均被正确归类为跌倒高风险。两种评估的特异性相似（亨德里克二世 = 67.8%；WSFRAT = 63.1%）。两种工具的特异性相似；因此，有必要进行更多研究。
