مرکز منطقه ای اطلاع رساني علوم و فناوري - ADAPTATION OF MORSE FALL SCALE TO TURKISH AND DETERMINATION OF SENSITIVITY AND SPECIFICITY

Abstract :

Objective: This study has been made for the purpose of adaptation of Morse Fall Scale to Turkish and determination of sensitivity and specificity. Methods: The study was conducted cross-sectional, descriptive and methodological design. Sample of the study, Gastroenterology-Endocrinology (Internal 1-2), Nephrology (Internal 3-4), Chest Diseases, Custom Floors (Custom Floors 1-2), General Surgical clinic of a university hospital 691 patients were included who had been hospitalized. Validity and reliability of the scale for the 291 patients, the scale for determining the level of sensitivity-specificity of the 400 patients were included in the sample. Data Socio-demographic Characteristics on the Data Sheet’, fall risk assessment tool, ‘Morse Fall Scale’ were used. Analysis of the data, descriptive analysis, Kendall W conformity test, Wilcoxon, Spearman s correlation, kappa analysis, the sensitivity-specificity analysis and ROC curve was used. Results: The scale was translated into Turkish by six experts and re-translated into English by six experts for the language validity. For the content validity opinions of five experts were obtained and following an analysis, the scores of the experts were found to be consistent with each other (KW: .400, p: .075). The internal consistency reliability coefficient was .55 for the scale. As a result of the item analysis, the item total score correlation coefficients were found to be statistically significant ranging between r: .33-.64 (p .001). The scale had a sensitivity of 57.5% and a specificity of 79.7% when the cut-off point was determined at 52.5. As a result of receiver operating characteristic (ROC) analysis curve under (.771) were found to statistically significant (p: .000). Conclusion: Morse Fall Scale was determined to be valid, but low reliability of a tool. Patients with high risk of falling does not identify the scale was effective. Sensitivity and specificity of the scale of a larger study sample of patients is recommended.