[1]李静,张媛媛.心衰患者临床事件风险预测模型构建[J].常州大学学报(自然科学版),2023,35(03):78-84.[doi:10.3969/j.issn.2095-0411.2023.03.010 ]
　LI Jing,ZHANG Yuanyuan.Construction of risk prediction model for clinical events in patients with heart failure[J].Journal of Changzhou University(Natural Science Edition),2023,35(03):78-84.[doi:10.3969/j.issn.2095-0411.2023.03.010 ]
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心衰患者临床事件风险预测模型构建 ()
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常州大学学报(自然科学版)[ISSN:2095-0411/CN:32-1822/N]

卷:
第35卷
期数:
2023年03期
页码:
78-84
栏目:
生物医药工程
出版日期:
2023-05-28

文章信息/Info

Title:
Construction of risk prediction model for clinical events in patients with heart failure
文章编号:
2095-0411(2023)03-0078-07
作者:
李静; 张媛媛
(常州大学 医学与健康工程学院, 江苏 常州 213164)
Author(s):
LI Jing;  ZHANG Yuanyuan
(School of Medical and Health Engineering, Changzhou University, Changzhou 213164, China)
关键词:
心力衰竭;  全因死亡;  再入院;  自我护理
Keywords:
heart failure;  all-cause mortality;  readmission;  self-care
分类号:
R 47
DOI:
10.3969/j.issn.2095-0411.2023.03.010
文献标志码:
A
摘要:
研究调查了来自住院、门诊和养老院的136名心力衰竭患者的社会人口学因素、可改变风险因素、患者的健康状况和临床事件之间的关系。采用X2检验、Mann-Whitney U检验等方法计算性别、年龄、患者健康状况等变量对出院患者1 a内死亡率和再入院率的影响。采用Cox风险模型对 1 a内的全因死亡进行建模,使用Prentice-Williams-Peterson(PWP)模型对心衰患者再入院进行建模。心功能等级差、肥胖和体力活动较少是1 a随访期间临床事件的预测因子,心功能等级差是1 a内反复入院的预测因子。建议加强出院后的随访,增强心脏康复锻炼,配合护理人员的个性化教育来减少死亡和再入院的风险。
Abstract:
To examine the association of sociodemographic factors, modifiable risk factors, patient's well-being, and clinical events in patients with heart failure(HF). A convenience sample of 136 patients with HF from inpatient, outpatient, and long-term care settings was used. X2 test, Mann-Whitney U test, etc., were used to calculate the influence of univariate such as gender, age, and patient's health status on the mortality and readmission rate of discharged patients within one year. The Cox proportional hazards regression model was used to model all-cause mortality within one year. The Prentice-Williams-Peterson(PWP)model was used to model hospital encounters. Poor functional class, obesity, and being less physically active were predictors of clinical events during the 1-year follow-up. Low levels of cardiac function were predictive of rehospitalization within one year among elderly HF patients, it is recommended to strengthen follow-up after discharge. Follow-up cardiac reha-bilitation exercise after discharge combined with nurse practitioners' personalized education is suggested to be used to slow HF progression and prevent rehospitalization.

参考文献/References:

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(责任编辑:李艳,周安迪)

备注/Memo

备注/Memo:
收稿日期: 2022-12-11。
基金项目: 全国高等医学教育学会护理分会科研课题一般资助项目(GJHLQZ160002)。
作者简介: 李静(1983—), 女, 山东潍坊人, 硕士, 讲师。 E-mail: lijing@cczu.edu.cn

更新日期/Last Update: 1900-01-01