Timed Up-and-Go Test and Sit-to-Stand Test in Community-Dwelling Older Person: Inter and Intraobserver Reliability Among Turkish Nurses

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY

International Journal of Older People Nursing Pub Date : 2024-09-19 DOI:10.1111/opn.12649

Behire Sancar, Aysel Doğan, Serkan Taş

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引用次数: 0

Abstract

Background

A decrease in dynamic balance and muscle strength related to ageing is associated with a decreased quality of life, reduced life expectancy and increased risk of falls. Timed stand-up test (TUG) is one of the most used clinical tests for the evaluation of dynamic balance and sit-to-stand test (STS). Although these tests are reported to be reliable in pathological conditions in different populations and different countries, there is a gap in the evaluation of the reliability of the tests by nurses in the older persons living in Turkish society.

Objective

The present study aimed to investigate the inter- and intra-observer reliability of the timed up-and-go test (TUG) and sit-to-stand test (STS) performed by nurses in Turkish community-dwelling older persons.

Methods

A total of 97 community-dwelling older persons participated in this study. To determine the interobserver reliability of the TUG and STS tests, all tests were performed at an interval of 30 min by two nurses. To determine the intra-observer reliability of the tests, each measurement was repeated 1 week after the first measurement by another nurse.

Results

Excellent intra-observer reliability was found for the TUG (intraclass correlation coefficient [ICC] = 0.962) and STS tests (ICC = 0.996), with a total range of 0.943–0.997. Excellent interobserver reliability was found for the TUG (ICC = 0.995) and STS (ICC = 0.996) tests. The coefficient of variant values for the tests was < 15%.

Conclusion

Our results demonstrated that the TUG and STS tests can be reliably used by nurses in community-dwelling older persons.

Implications for Practice

This study is important in terms of determining the risk of falling among older persons aged 60 and over in Turkey, preventing hospitalisations due to falls and developing nursing policies that promote the safety of older persons individuals.

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社区老年人的定时起立和坐立测试：土耳其护士观察者之间和观察者内部的可靠性

背景随着年龄的增长，动态平衡和肌肉力量的下降与生活质量下降、预期寿命缩短和跌倒风险增加有关。定时站立测试（TUG）是评估动态平衡和坐立测试（STS）最常用的临床测试之一。尽管有报告称这些测试在不同人群和不同国家的病理情况下都是可靠的，但在对生活在土耳其社会中的老年人进行护士测试的可靠性评估方面还存在空白。目的本研究旨在调查由护士对土耳其社区老年人进行的定时起立行走测试（TUG）和坐立测试（STS）的观察者之间和观察者内部的可靠性。方法共有 97 名社区老年人参与了本研究。为了确定 TUG 和 STS 测试的观察者间可靠性，所有测试均由两名护士在间隔 30 分钟后进行。为了确定测试的观察者内部可靠性，在第一次测量一周后，由另一名护士重复进行每次测量。结果 TUG（类内相关系数 [ICC] = 0.962）和 STS 测试（ICC = 0.996）的观察者内部可靠性极佳，总范围为 0.943-0.997。TUG（ICC = 0.995）和 STS（ICC = 0.996）测试的观察者间可靠性极佳。测试的变异系数为 15%。结论我们的研究结果表明，在社区居住的老年人中，护士可以可靠地使用 TUG 和 STS 测试。实践意义本研究对于确定土耳其 60 岁及以上老年人的跌倒风险、预防跌倒导致的住院以及制定促进老年人个人安全的护理政策具有重要意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Older People Nursing Nursing-Gerontology

CiteScore

3.60

自引率

9.10%

发文量

期刊介绍： International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.