Comparative study on clinical application of self-made Inpatients' Fall Assessment Scale and Morse Fall Scale

doi:10.3969/j.issn.1009-6493.2017.14.014

Abstract：Objectives:To analyze clinical application value of the self-made Inpatients'Fall Assessment Scale(IFAS),and compare with the Morse Fall Scale.Methods:The two scales were implemented in a third hospital in Guangzhou to assess fall risks of 2 826 patients.Reliability,validity and discrimination of the IFAS were conducted,so as to compare the effect of fall risk prediction between IFAS and MFS.Results:The Cronbach's α coefficients of the self-made Inpatients'Fall Assessment Scale for the whole population and that for the population over the age of 65 and above were 0.825 and 0.759,respectively.The Cronbach's α coefficients of the Morse Fall Scale for two populations were 0.693 and 0.638,respectively.Experts' scale content validity index(S-CVI) of IFAS was 0.915.Spearman correlation analysis showed that scores of all items were statistically significantly related the whole scale score(IFAS) (P<0.001).Score of IFAS was also statistically significantly related to MFS score(r=0.806,P=0.000).Differences between the high-score and low-score group under different boundary value standards were statistically significant in IFAS and MFS(P=0.000).Areas under the ROC curve of the IFAS and MFS in whole population were 0.717 and 0.632 respectively,and there was statistically significant different when compared with the reference(0.5),and the difference between each other was also statistically significant different(P<0.05).Conclusions:Reliability,validity,and discrimination were good in The self-made IFAS,and it could predict fall risks of inpatients better compared with MFS.