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首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >Use of Standardized and Non-Standardized Tools for Measuring the Risk of Falls and Independence in Clinical Practice
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Use of Standardized and Non-Standardized Tools for Measuring the Risk of Falls and Independence in Clinical Practice

机译：使用标准化和非标准化工具来衡量临床实践中跌倒和独立性的风险

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(1) Background: The use of standardized tools is regarded as the basis for an evidence-based assessment. The tools enable monitoring of complex events and the effectiveness of adopted interventions. Some healthcare facilities use standardized tools such as the Morse Fall Scale, but many use non-standardized tools created based on patient needs. Our study question was, why are non-standardized tools used when standardized tools are more beneficial and can be statistically evaluated and compared to other results; (2) Methods: We used a quantitative, non-standardized questionnaire to survey 1200 nurses, which was representative sample for the entire Czech Republic. All questionnaires were assessed in two phases (a) the frequency evaluation and descriptive analysis, and (b) hypotheses testing and correlation analyses; (3) Results: We found that the Conley Scale, Barthel test, and IADL test were preferred by many nurses. Furthermore, we found that nurses using standardized assessment scales noticed risk factors significantly more frequently but regarded the increased complexity of care to be psychologically demanding. (4) Conclusions: In patients with physical disabilities, both types of tools (internal non-standardized and standardized) are used to assess the risk of falls and independence; nurses generally welcomed the increase use of standardized tools in their facilities.
机译：（1）背景：标准化工具的使用被视为基于证据的评估的基础。该工具能够监控复杂事件和采用干预措施的有效性。一些医疗机构使用标准化的工具，如莫尔斯跌倒规模，但许多使用基于患者需求创建的非标准化工具。我们的研究问题是，为什么在标准化工具更具有益时使用的非标准化工具，并且可以在统计上评估并与其他结果进行比较; （2）方法：我们使用定量，非标准化问卷调查1200名护士，该护士是整个捷克共和国的代表性样本。所有调查问卷分两期评估（a）频率评估和描述性分析，（b）假设测试和相关分析; （3）结果：我们发现康利规模，巴氏试验和IADL测试是许多护士优先考虑。此外，我们发现，使用标准化评估的护士秤显然更频繁地显着频繁，但考虑了谨慎的复杂性，在心理上要求苛刻。 （4）结论：在物理障碍患者中，两种类型的工具（内部非标准化和标准化）用于评估跌倒和独立性的风险;护士一般欢迎增加其设施中标准化工具的使用。

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