Chan W H, Chow K W, French P, Lai Y S, Tse L K
Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong.
Int J Nurs Stud. 1997 Apr;34(2):165-9. doi: 10.1016/s0020-7489(96)00045-4.
This study aimed to evaluate the effectiveness of the Norton score in predicting the likely occurrence of pressure sores compared to the Waterlow scale in Hong Kong. Two elderly care wards (one male and one female) were chosen, the sample size was 185 and the mean age of subjects was 80.4. Each newly admitted patient was assessed using both the Norton calculation and the Waterlow calculation. At the end of the research, there were eight patients who had sore formation. The results indicated that the Norton score identified six out of the eight patients while the Waterlow identified seven of them. The Waterlow calculation, however, seems to have misidentified 72 patients as being in the 'at risk group'. In view of a fear of the misdirection of resources the Norton score was found to be the better of the two and its use in the elderly care units in this study should be continued until a better scoring system is found.
本研究旨在评估在香港，与Waterlow量表相比，诺顿评分在预测压疮可能发生率方面的有效性。选取了两个老年护理病房（一个男性病房和一个女性病房），样本量为185，受试者的平均年龄为80.4岁。对每位新入院患者都使用诺顿计算法和Waterlow计算法进行评估。研究结束时，有8名患者出现了溃疡形成。结果表明，诺顿评分识别出了8名患者中的6名，而Waterlow评分识别出了其中7名。然而，Waterlow计算法似乎将72名患者误判为“高危组”。鉴于担心资源分配错误，发现诺顿评分在两者中表现更佳，在本研究的老年护理病房中应继续使用，直到找到更好的评分系统。
