Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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Validation of the Edmonson Psychiatric Fall Risk Assessment Tool for Psychiatric Inpatients: A Retrospective Study

정신건강의학과 입원 환자를 위한 낙상 위험 사정도구 (Edmonson Psychiatric Fall Risk Assessment Tool)의 타당도 평가: 후향적 연구

  • Kim, Kyung Young (Department of Nursing, Samsung Medical Center) ;
  • Son, Young Sun (Department of Nursing, Samsung Medical Center) ;
  • Lee, You Ji (Department of Nursing, Samsung Medical Center) ;
  • Kim, Ji Eun (Department of Nursing, Samsung Medical Center) ;
  • Kim, Mi Kyung (Department of Nursing, Samsung Medical Center) ;
  • YI, Young Hee (Graduate School of Clinical Nursing Science, Sungkyungkwan University)
  • Received : 2022.09.30
  • Accepted : 2022.10.24
  • Published : 2022.12.31
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Abstract

Purpose: The purpose of this study was to validate the Edmonson psychiatric fall risk assessment tool (EPFRAT) for psychiatric inpatients. Methods: Data from retrospective study were collected from 670 adult inpatients in two departments of mental health medicine of a tertiary general hospital by reviewing their electronic medical records. There were 41 patients who experienced falls and 629 patients who did not experience falls during the period from January to December 2019. Data were analyzed by sensitivity, specificity, positive predictive value, negative predictive value, and a receiver-operating characteristic curve (ROC) for validity assessment using the IBM SPSS/WIN 26.0 program. Results: Factors affecting falls were the participant's age, guardian's residence, high-risk determination at the time of admission, and comorbidity. At the 85 points where the point of sum of the sensitivity and specificity was largest, the sensitivity, specificity, positive predictive value, and negative predictive value of EPFRAT were 92.7%, 79.7%, 22.9%, and 99.4%, respectively. The area under the ROC to assess the overall validity of the tool was .92 (95% CI 0.89~0.94). Conclusion: The EPFRAT was proved to be valid and reasonable for predicting falls in psychiatric inpatients. Based on the results of this study, it could be used for the assessment of high-risk patients for falls in psychiatric units.

Keywords

Acknowledgement

본 연구는 2020년 삼성서울병원 간호본부에서 연구비를 지원받아 진행한 연구임.

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