关键词: 住院患儿；跌倒；风险评估；汉化版Humpty Dumpty跌倒量表；信度；效度

Abstract: Objective: To compare the application effects of the fall risk score of hospitalized children and the Chinese version of Humpty Dumpty Fall Scale (HDFS) in pediatrics. Methods: Totally 746 hospitalized children in pediatric department were selected by convenience sampling method. Their fall risk was assessed by the fall risk score of hospitalized children and the Chinese version of HDFS. We analyzed the reliability and validity of the fall risk score of hospitalized children, compared the high-risk fall screening rate, high-risk fall incidence rate and predictive validity of the two scales, and analyzed the odds ratio of each item of the two scales. Results: Totally 19 (2.55%) falls occurred. For the fall risk score of hospitalized children, the high-risk screening rate was 42.90%, the high-risk falling rate was 5.9%, sensitivity was 1.000 and specificity was 0.586. For the Chinese version of HDFS, the high-risk screening rate was 63.54%, the high-risk falling rate was 3.6%, the sensitivity rate was 0.895 and specificity was 0.371. There was a significant difference in high-risk screening rates between the two scales (P<0.001). Conclusion: The fall risk score of hospitalized children has good reliability and validity. Compared with the Chinese version of HDFS, it has better prediction efficiency, a more reasonable item setting, and is more suitable for the fall risk assessment of hospitalized children in pediatrics.

Key words: hospitalized children; fall; risk assessment; Chinese version of Humpty Dumpty Fall Scale; reliability; validity