Pressure ulcer risk screening in hospitals and nursing homes with a general nursing assessment tool: evaluation of the care dependency scale.
Pressure ulcer risk screening in hospitals and nursing homes with a general nursing assessment tool: evaluation of the care dependency scale.
复制标题
使用一般护理评估工具在医院和疗养院进行压疮风险筛查：护理依赖量表评估
DOI：
10.1111/j.1365-2753.2007.00935.x
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发表时间：
2008
影响因子：
2.4
通讯作者：
Dassen T
中科院分区：
文献类型：
--
作者：
Mertens El;Halfens RJG;Dietz E;Scheufele R;Dassen T
鉴于系统评估的必要性日益增加，护理实践将受益于评估程序的简化。这些评估应该是scientifically based.AimsTo评估的可能性，评估压疮的风险，以及护理依赖同时与一个标准化的仪器为nursing homes and hospital.MethodsCare依赖与护理依赖量表（CDS）进行了测量。定量分析是利用2005年在39家德国疗养院和37家医院进行的一项横断面研究的数据完成的，共有10000多名参与者。 量表的结构效度用Pearson'sr计算，预测效度通过计算灵敏度、特异度和曲线下面积（AUC）进行评价。结果CDS结构效度在疗养院为r = 0. 79（P<0. 01），在医院为r = 0. 89（P <0. 01）。 AUC在医院为0.80，在疗养院为0.65。项目水平的分析确定了“流动性”作为一个关键项目，在这两个设置和其他不同的关键项目为nursing homes and hospital.ConclusionsThe CDS是一个功能良好的工具，在医院的压疮风险检测。为此目的，最适当的分界点是69岁，同时特别注意“大陆”、“流动”和“公民”等项目。在疗养院，CDS用于压疮风险检测的有用性有限。在这里，最合适的分界点是41，并注意“行动能力”、“穿（不）衣服”、“卫生”和“避免吸烟”。
RationaleIn view of an increasing necessity for systematic assessments, nursing practice would benefit from a simplification of assessment procedures. These assessments should be scientifically based.AimsTo evaluate the possibility of assessing pressure ulcer risk as well as care dependency simultaneously with a standardized instrument for nursing homes and hospitals.MethodsCare dependency was measured with the Care Dependency Scale (CDS). The quantitative analyses were accomplished with data from a cross‐sectional study that was performed in 2005 in 39 German nursing homes and 37 hospitals with a total of more than 10 000 participants. The scale's construct validity was calculated with Pearson'sr, and predictive validity was evaluated by computing sensitivity and specificity values and the area under the curve (AUC). Item‐level analyses included calculations of odds ratios, relative risks and logistic regression analyses.ResultsConstruct validity of the CDS wasr= 0.79 (P< 0.01) in nursing homes andr= 0.89 (P< 0.01) in hospitals. AUC was 0.80 in hospitals and 0.65 in nursing homes. Analyses on item level identified ‘mobility’ as a key item in both settings and additional differing key items for nursing homes and hospitals.ConclusionsThe CDS is a well‐functioning tool for pressure ulcer risk detection in hospitals. For this purpose, the most appropriate cut‐off point is 69 while special regard is given to the items ‘continence’, ‘mobility’ and ‘hygiene’. In nursing homes the usefulness of the CDS for pressure ulcer risk detection is limited. Here, the most appropriate cut‐off point is 41 and attention is given to the items ‘mobility’, ‘getting (un)dressed’, ‘hygiene’ and ‘avoidance of danger’.