Yaşlılarda sık kullanılan düşme riski ölçeklerinin duyarlılıklarının incelenmesi
Küçük Resim Yok
Tarih
2015
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Ege Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Bu araştırma huzurevinde kalan yaşlılarda Morse, Hendrich II ve DENN düşme riski ölçeklerinin risk belirlemede ne kadar özgül ve duyarlı olduğunu saptamak amacıyla planlanmıştır. Çalışma 15 Şubat- 15 Haziran 2014 tarihleri arasında Türkiye'de bir Huzurevi'nde kalan, 65 yaş ve üzerinde olan, yatağa bağımlı olmayan ve araştırmaya katılmayı kabul eden 159 yaşlı birey ile yürütüldü. Araştırma verilerinin toplanmasında Tanıtıcı Özellikler Formu, Morse, Hendrich II ve DENN düşme riski ölçekleri kullanıldı. Veriler, araştırmacı tarafından yaşlı bireyler ile görüşülerek ve hemşire kayıt formlarından elde edildi. Araştırma kapsamına alınan bireylere ilk gün Tanıtıcı Özellikler Formu, Morse, Hendrich II ve DENN düşme riski ölçekleri uygulandı ve 60 gün boyunca bireylerin her gün düşme riski ölçeklerinden aldıkları puanlar kaydedildi. Aynı zamanda bu süre içinde bireylerin düşme durumları değerlendirilip gözlem formuna kaydedildi. Araştırmadan elde edilen verilerin değerlendirilmesi bilgisayar ortamında SPSS (Statistical Package for Social Sciences / 18.0 for Windows) programı kullanılarak yapıldı. Verilerin değerlendirilmesinde yüzdelik ve ROC (Receiver Operating Characteristic) analizi kullanıldı. Araştırmaya katılan bireylerin % 59.7'si bayan olup yaş ortalaması 76.38 ± 7.97'dir. Gözlemlenen 159 bireyin 59'unda düşme gözlenmiştir. Bireylerin %82.4'ünün herhangi bir görme problemi olduğu, %46.5'inin herhangi bir işitme problemi olduğu ve %47.8'inin yürümek için yardımcı bir araç kullandığı saptanmıştır. Bireylerin %94.3'ünün kronik hastalıklardan en az birine sahip olduğu görülmektedir. Bireylerin "DENN Düşme Riski Değerlendirme Skalası" toplam puan ortalaması 13.58 ± 7.71 (Min-Max; 0-31) ve duyarlılık ve özgüllüğün aynı anda yüksek olduğu kesme noktası 14 olarak bulunmuştur. "Morse Düşme Ölçeği" toplam puan ortalaması 44.23 ± 26.86 (Min-Max; 0-105) ve duyarlılık ve özgüllüğün aynı anda yüksek olduğu kesme noktası 45 olarak bulunmuştur. "Hendrich II Düşme Riski Ölçeği" toplam puan ortalaması ise 6.43 ± 3.63 (Min-Max; 0-14) ve duyarlılık ve özgüllüğün aynı anda yüksek olduğu kesme noktası 5 olarak bulunmuştur. Duyarlılık, Özgüllük, Pozitif ve Negatif yordama değerleri DENN Düşme Riski Değerlendirme Skalası için sırasıyla %84.31, %71.30, %58.11 ve %90.59; Morse Düşme Ölçeği için sırasıyla %74.51, %70.30, %55.07 ve %825.56; Hendrich II Düşme Riski Ölçeği için sırasıyla %80.39, %43.52, %40.20 ve %82.46'dır. Araştırmadan elde edilen sonuçlara göre ölçek sahiplerinin önerdikleri kesim noktalarına göre hem duyarlılığı hem de özgüllüğü yüksek olan ölçek DENN Düşme Riski Değerlendirme Skalasıdır. Buna göre özellikle yaşlı bakım evlerinde kalan bireylerin düşme riskinin tanılanmasında DENN risk değerlendirme ölçeğinin daha doğru sonuçlar verebileceği görülmekte ve huzurevlerinde öncelikli olarak bu ölçeğin kullanılması önerilmektedir. Anahtar Kelimeler: Yaşlılık, Düşme Riski, Duyarlılık
This study was designed elderly people, who were residing in rest homes in order to determine the sensitivity of Morse, Hendrich II and DENN "risk to fall scales". This research was carried out with 159 elderly people (65 years old and above and non-bedridden) who were residing in a rest home in Turkey between 15 February and 15 June 2014 and accepted to participate in research. In the collection of study data "Introductory Characteristics Form", Morse, Hendrich II and DENN "Risk to Fall Scales" were used. The data by researcher obtained from with consultation elderly people and nurse registration form. The data obtained from conversation elderly people and nurse registered on observation form by researcher. First day individuals included in the scope of research completed "Introductory Characteristics Form", Morse, Hendrich II and DENN "Risk to Fall Scales" and the scores they obtained from "Risk to Fall Scales" were recorded daily for 60 days. Also, during this process their falling status was evaluated and registered on observation form. Assessment of the data obtained from research was performed by using SPSS program (Statistical Package for Social Sciences /18.0 for Windows). During evaluation of data percentage and ROC (Receiver Operating Characteristic) analysis was used. Of the individuals participated in research 59.7 % were women and their mean age was 76.38 ± 7.97 years. Falling was seen in 59 of the 159 individuals observed. It was established that 82.4 % of individuals had some sort of visual problem, 46.5 % had some sort of hearing problem and 47.8 % had used an auxiliary device to walk. It was observed that 94.3 % of the individuals had at least one of the chronic diseases. Individuals' mean total scores from "DENN risk for fall assessment scale" was 13.58 ± 7.71 (Min-Max; 0-31) and at the same time sensitivity and specificity was high and cut-off point was found to be 14. The mean total scores from "Morse Falling Scale" was 44.23 ± 26.86 (Min-Max; 0-105) and at the same time sensitivity and specificity was high and cut-off point was found to be 45. The mean total scores from "Hendrich II Risk for Fall Scale" was 6.43 ± 3.63 (Min-Max; 0-14) and at the same time sensitivity and specificity was high and cut-off point was found to be 5. The Sensitivity, Specificity, Positive Predictiveve Negative Predictive Values were respectively 92.16 %, 51.85 %, 47.47 % and 93.33 % in "DENN Risk to Fall Evaluation Scale"; 64.71 %, 77.78 %, 57.89 % and 82.35 % in "Morse Risk to Fall Scale"; 80.39 %, 43.52 %, 40.20 % and 82.46 % in "Hendrich II Risk to Fall Scale". According to the results obtained from research, "DENN Risk to Fall Evaluation Scale" which has the highest sensitivity and specificity is the best scale in terms of cut-off points recommended by scale owners. Accordingly, "DENN Risk to Fall Evaluation Scale" may provide more correct results in identifying the risk of fall for those individuals especially residing in elderly rest homes and therefore, primarily use of this scale in rest homes is recommended. Keywords: Old Age, Fall Risk, Sensitivity.
This study was designed elderly people, who were residing in rest homes in order to determine the sensitivity of Morse, Hendrich II and DENN "risk to fall scales". This research was carried out with 159 elderly people (65 years old and above and non-bedridden) who were residing in a rest home in Turkey between 15 February and 15 June 2014 and accepted to participate in research. In the collection of study data "Introductory Characteristics Form", Morse, Hendrich II and DENN "Risk to Fall Scales" were used. The data by researcher obtained from with consultation elderly people and nurse registration form. The data obtained from conversation elderly people and nurse registered on observation form by researcher. First day individuals included in the scope of research completed "Introductory Characteristics Form", Morse, Hendrich II and DENN "Risk to Fall Scales" and the scores they obtained from "Risk to Fall Scales" were recorded daily for 60 days. Also, during this process their falling status was evaluated and registered on observation form. Assessment of the data obtained from research was performed by using SPSS program (Statistical Package for Social Sciences /18.0 for Windows). During evaluation of data percentage and ROC (Receiver Operating Characteristic) analysis was used. Of the individuals participated in research 59.7 % were women and their mean age was 76.38 ± 7.97 years. Falling was seen in 59 of the 159 individuals observed. It was established that 82.4 % of individuals had some sort of visual problem, 46.5 % had some sort of hearing problem and 47.8 % had used an auxiliary device to walk. It was observed that 94.3 % of the individuals had at least one of the chronic diseases. Individuals' mean total scores from "DENN risk for fall assessment scale" was 13.58 ± 7.71 (Min-Max; 0-31) and at the same time sensitivity and specificity was high and cut-off point was found to be 14. The mean total scores from "Morse Falling Scale" was 44.23 ± 26.86 (Min-Max; 0-105) and at the same time sensitivity and specificity was high and cut-off point was found to be 45. The mean total scores from "Hendrich II Risk for Fall Scale" was 6.43 ± 3.63 (Min-Max; 0-14) and at the same time sensitivity and specificity was high and cut-off point was found to be 5. The Sensitivity, Specificity, Positive Predictiveve Negative Predictive Values were respectively 92.16 %, 51.85 %, 47.47 % and 93.33 % in "DENN Risk to Fall Evaluation Scale"; 64.71 %, 77.78 %, 57.89 % and 82.35 % in "Morse Risk to Fall Scale"; 80.39 %, 43.52 %, 40.20 % and 82.46 % in "Hendrich II Risk to Fall Scale". According to the results obtained from research, "DENN Risk to Fall Evaluation Scale" which has the highest sensitivity and specificity is the best scale in terms of cut-off points recommended by scale owners. Accordingly, "DENN Risk to Fall Evaluation Scale" may provide more correct results in identifying the risk of fall for those individuals especially residing in elderly rest homes and therefore, primarily use of this scale in rest homes is recommended. Keywords: Old Age, Fall Risk, Sensitivity.
Açıklama
Anahtar Kelimeler
Hemşirelik, Nursing
