基于随机森林的维持性血液透析病人 及配偶恐惧疾病进展的影响因素.
Objective: To explore the influencing factors of fear of progression in middle-aged and elderly maintenance hemodialysis patients and their spouses by using random forest algorithm. Methods: Using convenient sampling method, 239 middle-aged and elderly maintenance hemodialysis patients and their spo...
| Publicado en: | Chinese Nursing Research Vol. 38; no. 5; pp. 812 - 820 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Chinese Nursing Research Editorial Office
Mar2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| Sumario: | Objective: To explore the influencing factors of fear of progression in middle-aged and elderly maintenance hemodialysis patients and their spouses by using random forest algorithm. Methods: Using convenient sampling method, 239 middle-aged and elderly maintenance hemodialysis patients and their spouses who were treated in hemodialysis centers of tertiary grade A hospitals in Luzhou were investigated, and the importance of influencing factors was ranked by random forest model. Results: The total score of fear of progression in middle-aged and elderly FoP patients was （38. 48±8. 49）, and the total score of fear of progression in spouse was （38. 05±8. 21）. Random forest importance ranking shows that dialysis age, positive coping style and age of patients were the top three important factors affecting the fear of progression in middle-aged and elderly patients. Spouse's positive coping style, spouse's illness perception and spouse's social support are the top three important factors affecting the progress of spouse's fear of progression in middle-aged and elderly maintenance hemodialysis patients. Conclusion: Middle-aged and elderly maintenance hemodialysis patients and their spouses generally have serious fear of progression. Clinical medical staff should pay attention to it and formulate personalized intervention measures for patients and their spouses with different characteristics. 目的:采用随机森林算法探讨中老年维持性血液透析病人及配偶恐惧疾病进展的影响因素。方法:采用方便抽样法, 抽取泸 州市3 所三级甲等医院血液透析中心进行治疗的239 对中老年维持性血液透析病人及病人的配偶进行调查, 采用随机森林模型进行 影响因素重要性排序。结果:中老年维持性血液透析病人恐惧疾病进展总得分为（38. 48±8. 49）分, 配偶恐惧疾病进展总得分为 （38. 05±8. 21）分。随机森林重要性排序显示, 病人透析龄、积极应对方式、年龄是影响中老年病人恐惧疾病进展的前3 位重要影响 因素;配偶积极应对方式、疾病感知、社会支持是影响中老年维持性血液透析病人配偶恐惧疾病进展的前3 位重要影响因素。结论: 中老年维持性血液透析病人及配偶普遍存在较严重恐惧疾病进展心理。临床医务人员需引起重视, 针对不同特征的病人及配偶制 定个性化的干预措施。. |
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