预测非正式痴呆症护理人员希望通过从电子健康平台挖掘数据来机构化
Soraia Teles1,2, João Viana3,4, Alberto Freitas3,4
1Department of Behavioral Sciences, School of Medicine and Biomedical Sciences, University of Porto (ICBAS-UP), Rua de Jorge Viterbo Ferreira, 228, Porto, 4050-313, Portugal. stsousa@icbas.up.pt.
BMC geriatrics
|August 29, 2024
概括
这项研究开发了一种预测模型,用于护理人员希望将痴呆症患者 (PwD) 机构化 (DI). 该模型准确地识别出易患DI的护理人员,有助于护理规划和资源分配.
科学领域:
- 老年学是指老年学的学科.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 痴呆症是老年人住院的主要驱动因素.
- 非正规护理人员希望将痴呆症 (PwD) 护理接受者机构化 (DI) 是安置的关键预测因素.
- 开发DI的预测模型对于主动的护理规划至关重要.
研究的目的:
- 开发和验证护理人员DI的预测模型,使用来自电子健康平台的数据.
- 确定影响护理人员DI的关键社会人口统计,临床和心理社会因素.
- 创建一个可解释的模型,以识别有更高风险的护理人员,以制度化PWD.
主要方法:
- 分析了来自isupport-portugal.pt平台的104名护理人员的横截面数据.
- 护理人员完成了机构化欲望量表 (DIS) 和各种心理社会措施.
- 使用分类树模型,根据护理人员和PWD特征预测DI.
主要成果:
- 三分之二的护理人员 (66.3%) 表示愿意入院 (DI组).
- 预测模型确定了感知压力 (扎里特负担采访得分≥28.5),照顾者年龄 (<46),PWD年龄 (<88),以及同居作为重要预测因素.
- 该模型在预测DI时实现了高精度 (0.83),灵敏度 (0.88),以及良好的特异性 (0.71).
结论:
- 一个简单,准确和可解释的模型被开发出来,以识别有希望进入机构 (DI) 的护理人员.
- 该模型有效地整合了诸如护理人员负担等可修改因素,为干预提供了潜在的可能性.
- 准确的预测DI对于及时干预,护理规划和痴呆护理的财务资源分配至关重要.
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