在老年诊所预测护理人员通信
John T Martin1, Jason R Anderson1, Kimberly R Chapman1,2,3
1Department of Psychological Sciences, Kent State University, OH, USA.
Journal of geriatric psychiatry and neurology
|August 4, 2023
概括
机器学习模型可以使用患者和护理人员数据预测老年诊所的通信需求. 关键预测因素包括神经精神症状,认知和护理人员负担,有助于护理管理.
科学领域:
- 老年医学 老年医学
- 医疗保健中的人工智能
- 医疗信息学 医疗信息学
背景情况:
- 老年诊所在管理患者的沟通需求方面面临着挑战.
- 预测通信需求对于有效的患者护理至关重要.
- 机器学习为识别关键预测因素提供了潜力.
研究的目的:
- 评估一种机器学习模型,用于预测老年诊所的沟通需求.
- 识别医疗记录变量,预测通信需求.
- 评估患者和护理人员数据在这个预测中的有用性.
主要方法:
- 从557个患者记录中提取数据,包括行为症状,认知,病史和护理人员评估.
- 利用随机森林模型来预测入门护理人员联系,出门诊所联系和诊所通信.
- 采用换的重要性来识别重要的预测变量.
主要成果:
- 模型解释了7.42% (入口),3.65% (出口) 和6.23% (培训) 的沟通需求差异.
- 样本之外的测试组显示了6.17% (入口),2.78% (出口) 和4.28% (临床) 通信的解释差异.
- 确定了关键预测因素:患者的神经精神症状,全球认知,体重指数,护理人员负担和患者/护理人员年龄.
结论:
- 患者的神经心理症状,护理人员负担,年龄,体重指数和全球认知是老年诊所沟通需求的潜在预测因素.
- 这些发现可以为主动的患者护理策略提供信息.
- 进一步的研究应该探索额外的护理人员变量和可修改因素.
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