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題名:某醫學中心加護病房運用Hendrich II跌倒風險評估量表之現況探討
書刊名:醫務管理期刊
作者:王鳳琴胡潔瑩廖玉美陳淑惠陳美杏陳幼梅李育珮張偉洲
作者(外文):Wang, Fong-chinHu, Chieh-yingLiao, Yu-meiChen, Sue-huiChen, Mei-hsingChen, Yao-meiLi, Yu-peiChang, Wei-chou
出版日期:2018
卷期:19:3
頁次:頁249-261
主題關鍵詞:跌倒風險評估量表加護病房Hendrich IIFall risk assessmentICU
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:12
  • 點閱點閱:12
目的:探討Hendrich II跌倒風險評估量表在個案醫院加護病房之使用情形。方法:採病歷回溯性研究,檢視研究期間跌倒風險評估紀錄,研究對象為所有入住成人加護病房之病人;統計方法為描述性統計及診斷分析(diagnostic test analysis)。結果:2016年10月至2017年6月共有1652人次入住成人加護病房,扣除未曾接受跌倒評估及未滿20歲共197人次,共有1455人次;研究結果敏感性為0%,特異性為92.4%,陽性預測率為0%,陰性預測率為99.7。結論:Hendrich II量表評估項目總分為16分,評估≧ 5分即為跌倒高風險,但加護病房病人的疾病特性可能使量表評分偏低,評估工具均有其限制性,不能完全取代臨床人員的專業判斷,若評估工具未篩檢出某些特殊情形或病人為跌倒高風險,但經臨床專業評估認為有跌倒的可能,仍應給予跌倒預防措施介入,才能有效預防病人跌倒。
Objectives: Investigating the use of Hendrich II Fall Risk Assessment Tool in an Intensive Care Unit Methods: A retrospective study of medical records to review fall risk assessment during the study was conducted. Study subjects were patients admitted in intensive care unit (ICU) with diagnostic test analysis as statistical method. Results: 1652 patients were admitted to adult ICU from October 2016 to June 2017, of which 197 patients were either aged under 20 or had never received fall risk assessment during hospitalization. Sensitivity and specificity of this study were 0% and 92.4% respectively; positive and negative predictive values were 0% and 99.7% respectively. Conclusions: The total score of Hendrich II assessment tool is 16 points, of which a score of five points or higher is identified as a high risk of falling; however, the assessment score may have dropped due to the disease characteristics of patients in ICU. The assessment tool has its restriction and it cannot replace clinical staffs' professional judgement entirely. If under some specific circumstances, or the patient was not identified as high fall risk by an assessment tool, fall prevention precaution is still required to provide to patients in order to prevent them from falling effectively shall the clinical professional assessment believes that there is a possibility of falling.
期刊論文
1.魏大森(20080500)。老年人跌倒的篩檢與評估。臺灣老年醫學暨老年學雜誌,3(2),91-105。  延伸查詢new window
2.邱艷芬、張麗銀、趙育慧(2009)。加護病房鎮靜劑之使用與護理之課題。高雄護理雜誌,26(1),1-13。  延伸查詢new window
3.Caldevilla, M. N.、Costa, M. A.、Teles, P.、Ferreira, P. M.(2013)。Evaluation and Cross-cultural Adaptation of the Hendrich II Fall Risk Model to Portuguese。Scandinavian Journal of Caring Sciences,27(2),468-474。  new window
4.Campanini, L.、Mastrangelo, S.、Bargellini, A.、Bassoli, A.、Bosi, G.、Lombardi, F.、Merlo, A.(2018)。Feasibility and Predictive Performance of the Hendirch Fall Risk Model II in a Rehabilitation Department: A prospective Study。BMC Health Services Research,18(1),1-8。  new window
5.Hendrich, A. L.、Bender, P. S.、Nyhuis, A.(2003)。Validation of Hendrich II Fall Risk Model A Large Concurrent Case/ Control Study of Hospitalized Patients。Applied Nursing Research,16(1),9-21。  new window
6.Ivziku, D.、Matarese, M.、Pedone, C.(2011)。Predictive validity of the Hendrich Fall Risk Model II in an acute geriatric unit。International Journal of Nursing Studies,48(4),468-474。  new window
7.Jung, H.、Park, H. A.(2018)。Testing the Predictive Validity of the Hendrich II Fall Risk Model。Western Journal of Nursing Research,40(12),1785-1799。  new window
8.Lake, E. T.、Shang, J.、Klaus, S.、Dunton, N. E.(2010)。Patient falls: association with hospital magnet status and nursing unit staffing。Research in Nursing and Health,33,413-425。  new window
9.Van Dyke, D.、Singley, B.、Speroni, K. G.、Daniel, M. G.(2014)。Evaluation of Fall Risk Assessment Tools for Psychiatric Patient Fall Prevention: A Comparative Study。Journal of Psychosocial Nursing and Mental Health Services,52(12),30-35。  new window
10.Richardson, A.、Carter, R.(2017)。Falls in critical care: a local review to identify incidence and risk: Falls in critical care: a local review。Nursing in Critical Care,22(5),270-275。  new window
11.Nassar, N.、Helou, N.、Madi, C.(2014)。Predicting Falls Using Two Instruments (the Hendrich Fall Risk Model and the Morse Fall Scale) in an Acute Care Setting in Lebanon。Journal of Clinical Nursing,23,1620-1629。  new window
12.Zhang, C.、Wu, X.、Lin, S.、Jia, Z.、Cao, J.(2015)。Evaluation of Reliability and Validity of the Hendrich II Fall Risk Model in a Chinese Hospital Population。Plos One,10(11),1-7。  new window
13.林小玲、溫明寰、陳玉枝(20100300)。跌倒危險評估量表準確度之研究。醫護科技期刊,12(1),47-59。new window  延伸查詢new window
圖書
1.Morse, J. M.(1997)。Preventing patient falls。Thousand Oaks, CA:Sage。  new window
其他
1.財團法人醫院評鑑暨醫療品質策進會(2016)。2016年台灣病人安全通報系統年報,https://www.tpr.org.tw/。  延伸查詢new window
2.衛生福利部(2015)。93年病人安全工作目標及執行策略,http://www.patientsafety.mohw.gov.tw, 。  延伸查詢new window
3.衛生福利部(2018)。107-108年度醫院醫療品質及病人安全年度工作目標及策略,http://www.patientsafety.mohw.gov.tw。  延伸查詢new window
4.Agency for Healthcare Research and Quality(2013)。Preventing Falls in Hospitals,https://www.ahrq.gov/professionals/systems/hospital/fallpxtoolkit/fallpxtk3.html。  new window
5.Hendrich, A.(2016)。Fall Risk Assessment for Older Adults The Hendrich II Fall Risk Model TM,https://consultgen.org/try-this/generalassessment/issue-8.pdf。  new window
6.Sierra-Marcos, A.,Rossetti, A. O.(2012)。Antiepileptic Medication in the ICU: Which Compounds Do We Need?,https://www.epi.ch/_files/ArtikeI_EpileptoIogie/Sierra-Marcos_4_12.pdf。  new window
7.Pearson, K. B.(2011)。Evidence-based falls prevention in critical access hospitals,http://www.une.edu/sites/default/files/PolicyBrief24_Falls-Prevention.pdf。  new window
 
 
 
 
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