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2010 | 5 | 5 | 577-587
Tytuł artykułu

Diagnostic validity of the care dependency scale as a screening tool for pressure ulcer and fall risks in Dutch and German hospitals

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Pressure ulcers and falls are frequent adverse events with negative impacts for hospital patients. Guidelines recommend risk assessment as the first step in prevention. Care dependency correlates with falls and pressure ulcers and the Care Dependency Scale showed a diagnostic validity comparable to that of specific risk assessment tools. The aim of this study was to establish a simple and valid screening index for the risk of falls and pressure ulcers in hospitals by using the Care Dependency Scale and to evaluate this index within two validation samples from different countries. Quantitative, cross-sectional data from two German surveys and one Dutch survey were analysed. A total of 305 Dutch and German hospitals with 21,880 patients took part. The diagnostic validity of the Care Dependency Scale was evaluated by computing receiver operator characteristics curves, the areas under the curves, sensitivity, specificity and positive and negative predictive values.The Scale demonstrated a good diagnostic validity for pressure ulcer risk screening in Dutch and German hospitals. The diagnostic validity regarding the risk for falls was satisfying in Germany and moderate in the Netherlands. Using the Care Dependency Scale for risk screening could reduce the necessity of further assessment by more than a half.
Wydawca

Czasopismo
Rocznik
Tom
5
Numer
5
Strony
577-587
Opis fizyczny
Daty
wydano
2010-10-01
online
2010-08-20
Twórcy
autor
autor
  • Charité - Universitätsmedizin Berlin, Berlin, Germany
  • Charité - Universitätsmedizin Berlin, Berlin, Germany
autor
  • Maastricht University, Maastricht, The Netherlands
autor
  • Charité - Universitätsmedizin Berlin, Berlin, Germany
Bibliografia
  • [1] Gillespie L.D., Gillespie W.J., Robertson M.C., Lamb S.E., Cumming R.G., Rowe B.H., Interventions for preventing falls in elderly people, Cochrane Database Syst Rev, 2003, 4, CD000340
  • [2] Fletcher P.C. and Hirdes J.P., Restriction in activity associated with fear of falling among communitybased seniors using home care services, Age Ageing, 2004, 33(3), 273–9 http://dx.doi.org/10.1093/ageing/afh077[Crossref]
  • [3] Hopkins A., Dealey C., Bale S., Defloor T., Worboys F., Patient stories of living with a pressure ulcer, J Adv Nurs, 2006, 56(4), 345–53 http://dx.doi.org/10.1111/j.1365-2648.2006.04007.x[Crossref]
  • [4] Nurmi I.S., Luthje P.M., Kataja J.M., Long-term survival after falls among the elderly in institutional care, Arch Gerontol Geriatr, 2004, 38(1), 1–10 http://dx.doi.org/10.1016/S0167-4943(03)00079-7[Crossref]
  • [5] Landi F., Onder G., Russo A., Bernabei R., Pressure ulcer and mortality in frail elderly people living in community, Arch Gerontol Geriatr, 2007, 44(Suppl 1), 217–23 http://dx.doi.org/10.1016/j.archger.2007.01.030[Crossref][WoS]
  • [6] Bennett G., Dealey C., Posnett J., The cost of pressure ulcers in the UK, Age Ageing, 2004, 33(3), 230–5 http://dx.doi.org/10.1093/ageing/afh086[Crossref]
  • [7] Tideiksaar R., Stürze und Sturzprävention, Verlag Hans Huber, Bern, 2000, (in German)
  • [8] Vanderwee K., Clark M., Dealey C., Gunningberg L., Defloor T., Pressure ulcer prevalence in Europe: a pilot study, J Eval Clin Pract, 2007, 13(2), 227–35 http://dx.doi.org/10.1111/j.1365-2753.2006.00684.x[WoS][Crossref]
  • [9] Lahmann N.A., Halfens R.J., Dassen T., Prevalence of pressure ulcers in Germany, Journal of Clinical Nursing, 2005, 14(2), 165–72 http://dx.doi.org/10.1111/j.1365-2702.2004.01037.x[Crossref]
  • [10] Teasell R., McRae M., Foley N., Bhardwaj A., The incidence and consequences of falls in stroke patients during inpatient rehabilitation: factors associated with high risk, Arch Phys Med Rehabil, 2002, 83(3), 329–33 http://dx.doi.org/10.1053/apmr.2002.29623[Crossref]
  • [11] Vassallo M., Azeem T., Pirwani M.F., Sharma J.C., Allen S.C., An epidemiological study of falls on integrated general medical wards, Int J Clin Pract, 2000, 54(10), 654–7
  • [12] DNQP, Expertenstandard Dekubitusprophylaxe in der Pflege, ed. D.N.f.Q.i.d. Pflege, Deutsches Netzwerk für Qualitätsentwicklung in der Pflege, Osnabrück, 2004, (in German)
  • [13] DNQP, Expertenstandard Sturzprophylaxe in der Pflege, ed. D.N.f.Q.i.d. Pflege, Deutsches Netzwerk für Qualitätsentwicklung in der Pflege, Osnabrück, 2007, (in German)
  • [14] Pancorbo-Hidalgo P.L., Garcia-Fernandez F.P., Lopez-Medina I.M., Alvarez-Nieto C., Risk assessment scales for pressure ulcer prevention: a systematic review, J Adv Nurs, 2006, 54(1), 94–110 http://dx.doi.org/10.1111/j.1365-2648.2006.03794.x[Crossref]
  • [15] Schlömer G., Dekubitusrisikoskalen als Screeninginstrumente - ein systematischer überblick externer Evidenz, Z Arztl Fortbild Qualitatssich, 2003, 97(1), 33–46, (in German)
  • [16] Defloor T. and Grypdonck M.F., Pressure ulcers: validation of two risk assessment scales, J Clin Nurs, 2005, 14(3), 373–82 http://dx.doi.org/10.1111/j.1365-2702.2004.01058.x[Crossref]
  • [17] Scott V., Votova K., Scanlan A., Close J., Multifactorial and functional mobility assessment tools for fall risk among older adults in community, home-support, long-term and acute care settings, Age Ageing, 2007, 36(2), 130–9. Epub 2007 Feb 10 http://dx.doi.org/10.1093/ageing/afl165[Crossref][WoS]
  • [18] Halfens R.J., Risk assessment scales for pressure ulcers: a theoretical, methodological, and clinical perspective, Ostomy Wound Manage, 2000, 46(8), 36–40, 42-4
  • [19] Hutchinson J.M. and Gigerenzer G., Simple heuristics and rules of thumb: where psychologists and behavioural biologists might meet, Behav Processes, 2005, 69(2), 97–124 http://dx.doi.org/10.1016/j.beproc.2005.02.019[Crossref]
  • [20] Gigerenzer G. and Todd P.M., Fast and Frugal Heuristics: The Adaptive Tool Box, in Simple Heuristics that make us Smart, G. Gigerenzer and P.M. Todd, Editors, Oxford University Press, Oxford, 1999
  • [21] Heinze C., Halfens R.J., Roll S., Dassen T., Psychometric evaluation of the Hendrich Fall Risk Model, J Adv Nurs, 2006, 53(3), 327–32 http://dx.doi.org/10.1111/j.1365-2648.2006.03728.x[Crossref]
  • [22] Heinze C., Halfens R.J., Dassen T., Falls in German in-patients and residents over 65 years of age, J Clin Nurs, 2007, 16(3), 495–501 http://dx.doi.org/10.1111/j.1365-2702.2006.01578.x[Crossref]
  • [23] Mertens E.I., Halfens R.J., Dassen T., Using the Care Dependency Scale for fall risk screening, J Adv Nurs, 2007, 58(6), 594–601. Epub 2007 May 1 http://dx.doi.org/10.1111/j.1365-2648.2007.04265.x[Crossref]
  • [24] Balzer K., Pohl C., Dassen T., Halfens R., The Norton, Waterlow, Braden, and Care Dependency Scales: comparing their validity when identifying patients’ pressure sore risk, J Wound Ostomy Continence Nurs, 2007, 34(4), 389–98
  • [25] Mertens E.I., Halfens R.J., Dietz E., Scheufele R., Dassen T., Pressure ulcer risk screening in hospitals and nursing homes with a general nursing assessment tool: evaluation of the care dependency scale, J Eval Clin Pract, 2008, 1365–2753 (Electronic), EPUB 2008 Feb 18 [WoS]
  • [26] Bours G.J., Halfens R.J., Lubbers M., Haalboom J.R., The development of a national registration form to measure the prevalence of pressure ulcers in The Netherlands, Ostomy Wound Manage, 1999, 45(11), 28–33, 36-8, 40
  • [27] Boggatz T., Dijkstra A., Lohrmann C., Dassen T., The meaning of care dependency as shared by care givers and care recipients: a concept analysis, J Adv Nurs, 2007, 60(5), 561–9 http://dx.doi.org/10.1111/j.1365-2648.2007.04456.x[WoS][Crossref]
  • [28] Dijkstra A., Buist G., Dassen T., Nursing-care dependency. Development of an assessment scale for demented and mentally handicapped patients, Scand J Caring Sci, 1996, 10(3), 137–43 [Crossref]
  • [29] Henderson V., The Nature of Nursing: A Definition and its Implications for Practice, Research and Education, MacMillan Press, New York, 1966
  • [30] Lohrmann C., Dijkstra A., Dassen T., Care dependency: testing the German version of the Care Dependency Scale in nursing homes and on geriatric wards, Scand J Caring Sci, 2003, 17(1), 51–6 http://dx.doi.org/10.1046/j.1471-6712.2003.00117.x[Crossref]
  • [31] Lohrmann C., Dijkstra A., Dassen T., The Care Dependency Scale: an assessment instrument for elderly patients in German hospitals, Geriatr Nurs, 2003, 24(1), 40–3 http://dx.doi.org/10.1067/mgn.2003.8[Crossref]
  • [32] Dijkstra A., Brown L., Havens B., Romeren T.I., Zanotti R., Dassen T., et al., An international psychometric testing of the care dependency scale, J Adv Nurs, 2000, 31(4), 944–52 http://dx.doi.org/10.1046/j.1365-2648.2000.01354.x[Crossref]
  • [33] Dijkstra A., Tiesinga L.J., Plantinga L., Veltman G., Dassen T.W., Diagnostic accuracy of the care dependency scale, J Adv Nurs, 2005, 50(4), 410–6 http://dx.doi.org/10.1111/j.1365-2648.2005.03406.x[Crossref]
  • [34] EPUAP, Pressure Ulcer Prevention Guidelines, available from: http://www.epuap.org, (25.06.2007)
  • [35] ICNP, ICNP Beta 2. International Classification for Nursing Practice, International Council of Nursing, Geneva, Switzlerland, 2001
  • [36] Dassen T., Heinze C., Kottner J., Lahmann N.A., Mertens E.I., Schmitz G., et al., eds. Prävalenzerhebung 2007. Pflegeabhängigkeit, Sturzereignisse, Inkontinenz, Dekubitus. 2007, Institut für Medizin-/Pflegepädagogik und Pflegewissenschaft, Berlin, 2007, (in German)
  • [37] Lindgren M., Unosson M., Krantz A.M., Ek A.C., Pressure ulcer risk factors in patients undergoing surgery, J Adv Nurs, 2005, 50(6), 605–12 http://dx.doi.org/10.1111/j.1365-2648.2005.03441.x[Crossref]
  • [38] Greenhalgh T., How to read a paper. Papers that report diagnostic or screening tests, Bmj, 1997, 315(7107), 540–3 [Crossref]
  • [39] Schwarzer G., Türp J.C., Antes G., Sensitivity and specificity: effects of cut off point determination, Dtsch Zahnarztl Z, 2002, 57, 446–447
  • [40] Fahrmeir L., Hamerle A., Tutz G., eds. Multivariate statistische Verfahren, Walter de Gruyter, New York, 1996
  • [41] Tannen A., Dassen T., Bours G., Halfens R., A comparison of pressure ulcer prevalence: concerted data collection in the Netherlands and Germany, Int J Nurs Stud, 2004, 41(6), 607–12 http://dx.doi.org/10.1016/j.ijnurstu.2004.01.005[Crossref]
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_s11536-010-0020-y
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