中华护理杂志 ›› 2021, Vol. 56 ›› Issue (5): 673-679.DOI: 10.3761/j.issn.0254-1769.2021.05.005
收稿日期:
2020-12-04
出版日期:
2021-05-15
发布日期:
2021-05-14
通讯作者:
芦鸿雁
作者简介:
吴珍珍:女,本科(硕士在读),主管护师,E-mail:WU Zhenzhen(),ZHANG Rui,CHANG Yan,LU Hongyan()
Received:
2020-12-04
Online:
2021-05-15
Published:
2021-05-14
Contact:
Hongyan LU
摘要:
目的 比较衰弱表型和衰弱筛查量表(FRAIL量表)对老年住院患者衰弱风险的筛查能力,为临床选择合适的衰弱筛查工具提供参考。方法 采用便利抽样法,选取2019年11月—2020年7月在宁夏回族自治区某三级甲等医院住院的462例老年住院患者为研究对象,采用衰弱表型、衰弱筛查量表和衰弱指数进行衰弱评价。以衰弱指数为诊断标准,通过受试者工作特征(receiver operating characteristic,ROC)曲线和Bayes判别分析比较衰弱表型和衰弱筛查量表筛查老年住院患者衰弱风险的能力。结果 应用衰弱表型、衰弱筛查量表和衰弱指数筛查老年住院患者衰弱的发生率分别34.2%、25.1%和30.5%;衰弱表型和衰弱筛查量表与衰弱指数的筛查结果一致性检验Kappa值分别为0.511、0.479(均P<0.01);衰弱表型和衰弱筛查量表的ROC曲线下面积分别为0.823(95%CI:0.784~0.858)、0.853(95%CI:0.815~0.885),差异无统计学意义(Z=1.366,P=0.17);衰弱风险预测的交叉验证准确率分别为78.6%和79.0%;最佳预测值分别为3和2;灵敏度分别为0.709和0.837,特异度分别为0.817和0.790,约登指数分别为0.529和0.625,阳性预测值分别为0.697和0.702,阴性预测值分别为0.825和0.891。结论 衰弱表型和衰弱筛查量表筛查老年住院患者衰弱风险的能力均为中等;衰弱筛查量表的衰弱风险预测效能更高且使用便捷,更适用于老年住院患者的衰弱风险筛查。
吴珍珍,张瑞,常艳,芦鸿雁. 衰弱表型和衰弱筛查量表在老年住院患者中的应用比较[J]. 中华护理杂志, 2021, 56(5): 673-679.
WU Zhenzhen,ZHANG Rui,CHANG Yan,LU Hongyan. Application comparison of Frailty Phenotype and FRAIL Scale in frailty risk screening of elderly inpatients[J]. Chinese Journal of Nursing, 2021, 56(5): 673-679.
图1 衰弱表型和衰弱筛查量表对老年住院患者衰弱风险预测的受试者工作特征曲线
Figure 1 Receiver operating characteristic curve of Phenotype Frailty and FRAIL scale in predicting frailty risk of elderly inpatients
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