소아에게 적합한 낙상위험 사정도구 선정을 위한 근거기반간호 활동

• 영문명: Evidence-Based Nursing Case for Optimal Pediatric Fall Risk Assessment tools
• 발행기관: 한국근거기반간호학회
• 저자명: 김희영(Kim, Hee Young) 정윤정(Chung, Yoon Chung) 임은영(Lim, Eun Young) 김상화(Kim, Sang Hwa)
• 간행물 정보: 『근거와 간호』제9권 제1호, 22~26쪽, 전체 5쪽
• 주제분류: 의약학 > 간호학
• 파일형태: PDF
• 발행일자: 2021.12.31

영문 초록

Purpose: This case aimed to compare the validity of fall risk assessment tools and determine an appropriate pediatric fall risk assessment tool. Methods: After a literature review dated from 2000 to 2012, we needed to establish a more efficacious fall instrument at our hospital. After we established a Grade “C” on the SIGN rating, we began a retrospective case control study. The fall risks were compared on the MFS, GRAF-PIF, and HDFS for a total of 148 cases. Results: The statistical analysis showed a mean age of 4.1 years in the fall group and 3.9 years in others(p =.996). Comparing the three instruments on sensitivity, the HDFS and the GRAF-PIF, both of which were of equal sensitivity at 86.5%, were slightly higher than that of the MFS at 83.8%. Overall, the GRAF-PIF showed the highest specificity at 64.9%, and it also had the highest percentage of negative predictive value at 93.5%. Conclusion: We can surmise that the GRAF-PIF is a superior instrument for the identification of these in-patients. In this pilot study, we identified the GRAF-PIF as the instrument of choice for conducting further clinical trials.

키워드

Accidental falls Pediatric nursing Evidence-based nursing