使用决策树方法分析影响手术内压力损伤的关键因素
Guirong Shi1, Liping Jiang, Ping Liu
1At Xinhua Hospital, affiliated with Shanghai Jiaotong University School of Medicine, Shanghai, China, Guirong Shi, MSN, RN, is Specialty Nurse; Liping Jiang, PhD, RN, is Director of the Nursing Department; and Ping Liu, MSN, RN, is Associate Director of the Nursing Department. Xin Xu, RN, is Graduate Student, School of Nursing, Wenzhou Medical University, Zhejiang. Also at Xinhua Hospital, Qunfang Wu, BS, RN, is Nursing Supervisor of the Spine Center; and Peipei Zhang, BS, RN, is Nursing Supervisor of the Operating Room. Acknowledgment: The authors thank the postanesthesia care unit nurses and OR nurses for their assistance with the data collection for this study. This research was funded by the Science and Technology Foundation Project of Shanghai Jiao Tong University School of Medicine (Jyh2204, Shanghai Nursing Association fund project 2020MS-B02). The authors have disclosed no other financial relationships related to this article. Submitted September 14, 2022; accepted in revised form October 21, 2022.
在手术过程中获得的压力损伤 (IAPI) 受手术持续时间,手术位置和手术前危险因素 (如高血压和布拉登尺度得分) 的影响. 识别这些因素有助于制定预防策略.
科学领域:
- 外科手术患者的安全
- 临床风险评估临床风险评估
- 皮肤病学 皮肤病学
背景情况:
- 在手术中获得的压力损伤 (IAPI) 是手术患者护理的一个重要问题.
- 有效地识别风险因素对于制定有针对性的预防策略至关重要.
研究的目的:
- 确定影响手术期间获得的压力损伤 (IAPI) 发展的关键因素.
主要方法:
- 评估了413名手术患者的队列.
- 数据分析采用了分类和回归树 (CART) 算法和多重物流回归.
主要成果:
- 10.4%的患者发生了IAPI (32期1,11期2).
- 独立预测因素包括手术持续时间,手术位置,手术前高血压和布雷登度量得分.
- 决策树分析强调了布拉登尺度得分,手术位置,手术等级,持续时间,年龄,前白蛋白和BMI作为关键因素.
结论:
- 决策树模型在预测IAPI时达到91.8%的准确性.
- 调查结果为IAPI提供了改进风险评估和预防策略的基础.
更多相关视频
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
Aneurysm IV: Nursing Management


