不同量表对慢性阻塞性肺疾病患者跌倒的应用价值

doi:10.3969/j.issn.1006-9771.2018.07.019

《中国康复理论与实践》 ›› 2018, Vol. 24 ›› Issue (7): 850-853.doi: 10.3969/j.issn.1006-9771.2018.07.019

不同量表对慢性阻塞性肺疾病患者跌倒的应用价值

金静^1a, 张彩云^1b, 张志刚^1c, 申希平², 何金杰^1a, 郭德姣^1a

1.兰州大学第一医院,a.呼吸科;b.护理部;c.重症医学科,甘肃兰州市 730000;
2.兰州大学公共卫生学院流行病与卫生统计学研究所,甘肃兰州市 730000

收稿日期:2017-09-24 修回日期:2018-05-16 出版日期:2018-07-25 发布日期:2018-08-01
通讯作者: 张彩云。E-mail: jj6621271@163.com
作者简介:金静(1988-),女,汉族,甘肃兰州市人,硕士研究生,护师,主要研究方向：慢病管理及老年护理。通讯作者：张彩云,女,教授。

Application of Berg Balance Scale, Mini-Balance Evaluation Systems Test and Brief-Balance Evaluation Systems Test for Falls in Chronic Obstructive Pulmonary Disease Patients

JIN Jing^1a, ZHANG Cai-yun^1b, ZHANG Zhi-gang^1c, SHEN Xi-ping², HE Jin-jie^1a, GUO De-jiao^1a

1. a. Department of Respiration; b. Nursing Department; c. Intensive Care Unit, the First Hospital of Lanzhou University, LanZhou, Gansu 730000, China;
2. Institute of Epidemiology and Health Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu 730000, China

Received:2017-09-24 Revised:2018-05-16 Published:2018-07-25 Online:2018-08-01
Contact: ZHANG Cai-yun. E-mail: jj6621271@163.com

摘要/Abstract

摘要： 目的比较Berg平衡量表(BBS)、平衡评价系统测试(BESTest)的两个简化版本Mini- BESTest和Brief-BESTest对慢性阻塞性肺疾病(COPD)患者跌倒风险的区分效果。方法 2016年9月至2017年3月,对22例有跌倒史的COPD患者和年龄与之匹配无跌倒史的66例COPD患者,采用BBS、Mini-BESTest和Brief-BESTest进行评定,进行配对Logistic回归、对数似然估计,计算数据分布的偏态系数。结果 BBS、Mini-BESTest和Brief-BESTest评分均有区分价值(OR<0.252, P<0.01);Brief-BESTest最大似然数最低(5.372),其次为Mini-BESTest (12.918)和BBS (17.644); Brief-BESTest和Mini-BESTest无天花板效应,BBS有天花板效应。结论 BBS、Mini-BESTest和Brief-BESTest均能预测COPD患者跌倒风险,Brief-BESTest预测能力最高;BBS在COPD患者中有天花板效应,Brief-BESTest和Mini-BESTest无天花板效应。

关键词: 慢性阻塞性肺疾病, Berg平衡量表, 平衡评价系统测试, 跌倒

Abstract: Objective To compare the differentiating effect of Berg Balance Scale (BBS), Mini-Balance Evaluation Systems Test (Mini-BESTest) and Brief-BESTest on the risk of falls in chronic obstructive pulmonary disease (COPD) patients. Methods From September, 2016 to March, 2017, 22 COPD patients with history of falls and other age-matched 66 COPD patients without history of falls were assessed with BBS, Mini-BESTest and Brief-BESTest. The data were compared with paired Logistic regression, Log-likelihood estimate, and the skewness coefficient were calculated. Results BBS, Mini-BESTest and Brief-BESTest all were valuable for differentiating the risk of falls in COPD patients. Log-likelihood estimate value was the least in Brif-BESTest (5.372), followed with Mini-BESTest (12.918) and BBS (17.644). There was not a ceiling effect in Brief-BESTest and Mini-BESTest, but there was in BBS. Conclusion All the BBS, Mini-BESTest and Brief-BESTest can predict the risk of falls in patients with COPD, and Brief-BESTest is the most predictive. There is a ceiling effect in BBS for COPD patients, but not in Brief-BESTest and Mini-BESTest.

Key words: chronic obstructive pulmonary disease, Berg Balance Scale, Balance Evaluation Systems Test, fall

中图分类号:

R562.2

金静, 张彩云, 张志刚, 申希平, 何金杰, 郭德姣. 不同量表对慢性阻塞性肺疾病患者跌倒的应用价值[J]. 《中国康复理论与实践》, 2018, 24(7): 850-853.

JIN Jing, ZHANG Cai-yun, ZHANG Zhi-gang, SHEN Xi-ping, HE Jin-jie, GUO De-jiao. Application of Berg Balance Scale, Mini-Balance Evaluation Systems Test and Brief-Balance Evaluation Systems Test for Falls in Chronic Obstructive Pulmonary Disease Patients[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2018, 24(7): 850-853.

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不同量表对慢性阻塞性肺疾病患者跌倒的应用价值

Application of Berg Balance Scale, Mini-Balance Evaluation Systems Test and Brief-Balance Evaluation Systems Test for Falls in Chronic Obstructive Pulmonary Disease Patients

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