Berry Brigette, Young Lori, Kim Son Chae
Extendicare (Canada) Inc., Unit 227, 333 Aspen Glen Landing SW, Calgary, AB T3H ON6, Canada.
St. David's School of Nursing, Texas State University, 1555 University Blvd., Round Rock, TX 78665, USA.
Geriatr Nurs. 2017 Sep-Oct;38(5):417-422. doi: 10.1016/j.gerinurse.2017.02.004. Epub 2017 Mar 11.
This study was conducted to determine the utility of the Aggressive Behavior Risk Assessment Tool (ABRAT) and the Aggressive Behavior Scale (ABS) for predicting aggressive incidents among newly-admitted and existing residents of two long-term care homes in Canada. Of 316 residents, 27 had at least one aggressive incident (8.5%). Receiver operating characteristics analysis showed that the area under the curve for the ABRAT was 0.86 (95% Confidence Interval [CI], 0.81-0.92) and that for the ABS was 0.75 (95% CI, 0.64-0.85). Sensitivity and specificity at the optimal cutoff score of 2 for the ABRAT were 96.3% and 65.4%, respectively, and those for the ABS at the optimal cutoff score of 3 were 59.3% and 80.6%, respectively. The ABRAT appears to be promising for use in long-term care homes for identifying potentially aggressive residents. However, further studies are needed to test the utility of the ABRAT among newly-admitted residents.
本研究旨在确定攻击行为风险评估工具（ABRAT）和攻击行为量表（ABS）在预测加拿大两家长期护理机构新入住居民和现有居民攻击事件方面的效用。在316名居民中，27人至少发生过一次攻击事件（8.5%）。受试者工作特征分析表明，ABRAT的曲线下面积为0.86（95%置信区间[CI]，0.81 - 0.92），ABS的曲线下面积为0.75（95%CI，0.64 - 0.85）。ABRAT在最佳临界值为2时的敏感性和特异性分别为96.3%和65.4%，ABS在最佳临界值为3时的敏感性和特异性分别为59.3%和80.6%。ABRAT在长期护理机构中用于识别潜在攻击性行为居民似乎很有前景。然而，需要进一步研究以测试ABRAT在新入住居民中的效用。
