摘要
目的本研究旨在回顾性分析现有神经内科患者跌倒风险评估工具在临床方面的适用性,且按照评估结果拟定有针对性的改进办法,进而提高其预测的准确水平和临床实用意义。方法本研究采用回顾性分析设计,回顾性收集2024年1月1日至2024年12月31日期间我院神经内科住院患者的病历资料,共100例,按随机数字表法分为观察组与对照组,每组各50例。对照组数据采用病历中原始记录的现行跌倒风险评估工具(Morse跌倒风险评估量表)评估结果;观察组数据则从病历中提取原始肌力评估、步态稳定评分、认知功能评估等相关记录,补充计算新增指标得分,形成改进后的评估结果。通过对比两组评估工具在跌倒预测准确率、灵敏度、特异性等方面的差异,评价工具的临床效能。结果观察组的跌倒预测准确率为86.0%,显著高于对照组的68.0%(P<0.05);灵敏度为88.0%,特异性为84.0%,均优于对照组(分别为70.0%、66.0%,P<0.05);且观察组因跌倒引发的并发症发生率较对照组降低(4.0%vs 14.0%,P<0.05)。结论在现有评估工具的基础上添入关键评估因子后,能显著增进神经内科患者跌倒风险评估的精确性与临床实用效果,本研究结果表明,改进后的评估工具在临床应用中已显示出良好的效果,推荐把改进后的评估工具推广至临床,以此增强跌倒预警及预防干预工作。
Objective This study aims to retrospectively analyze the clinical applicability of existing fall risk assessment tools for neurology patients,and develop targeted improvement methods based on the assessment results,in order to improve their predictive accuracy and clinical practical significance.Method This study used a retrospective analysis design to collect medical records of 100 inpatients in the neurology department of our hospital from January 1,2024 to December 31,2024.They were randomly divided into an observation group and a control group,with 50 cases in each group,using a random number table method.The control group data was evaluated using the current fall risk assessment tool(Morse Fall Risk Assessment Scale)recorded in the original medical records;The observation group data is extracted from the medical records,including original muscle strength assessment,gait stability score,cognitive function assessment,and other related records,supplemented and calculated with new indicator scores to form improved evaluation results.Evaluate the clinical efficacy of two sets of assessment tools by comparing their differences in accuracy,sensitivity,specificity,and other aspects of fall prediction.Result The accuracy of fall prediction in the observation group was 86.0%,significantly higher than the 68.0%in the control group(P<0.05);The sensitivity was 88.0%and the specificity was 84.0%,both of which were better than the control group(70.0%and 66.0%,respectively,P<0.05);The incidence of complications caused by falls in the observation group was lower than that in the control group(4.0%vs 14.0%,P<0.05).Conclusion Adding key evaluation factors to existing assessment tools can significantly improve the accuracy and clinical effectiveness of fall risk assessment for neurology patients.The results of this study indicate that the improved assessment tool has shown good results in clinical application.It is recommended to promote the improved assessment tool to clinical practice to enhance fall warning and prevention interventions.
作者
谢婷莹
Tingying Xie(Wenzhou People's Hospital,Wenzhou,Zhejiang 325000)
出处
《医学研究前沿》
2025年第8期130-132,共3页
Frontiers of Medical Research
关键词
神经内科
跌倒风险评估
工具改进
预测准确率
临床验证
neurology
fall risk assessment
tool improvement
prediction accuracy
clinical validation
作者简介
谢婷莹,本科,护师,研究方向为神经内科。
