一个基于诺米图的分析,对中国高血压患者的药物坚持
Yawen Pan1, Yuanzhen Li1, Ziyan Li1
1School of Nursing, WanNan Medical College, 241003, Wuhu, Anhui.
Asian nursing research
|February 27, 2025
概括
大多数中国高血压患者都在努力遵守药物治疗. 诸如城市生活,接受疾病,家庭支持,身体健康和电子健康素养等因素影响了坚持,正如预测名ogram所示.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
背景情况:
- 高血压是一种常见的慢性疾病,需要持续服药才能有效管理.
- 高血压患者的药物坚持不佳有助于增加医疗费用和不良心血管事件.
- 需要预测工具来识别患有不服药风险的患者.
研究的目的:
- 分析影响中国高血压患者药物服药的因素.
- 构建一个名谱来预测这个群体的药物坚持.
- 为简单的坚持预测方法提供基础.
主要方法:
- 研究了297名高血压患者的队列.
- 使用4项药物坚持度表来评估药物坚持度.
- 使用后勤回归和名录分析,通过ROC曲线 (AUC) 和校准图表评估预测准确性.
主要成果:
- 只有37.4%的患者表现出良好的药物坚持.
- 关键影响因素包括居住地,接受疾病,家庭功能满意度,脆弱性和电子健康素养 (p < .05).
- 诺米图表表现出强大的预测性能,AUC为0.83和良好的校准 (p = .78).
结论:
- 中国高血压患者通常药物坚持不强.
- 坚持的积极因素包括城市居住,更高的疾病接受率,更好的家庭支持,缺乏脆弱性和增强的电子健康素养.
- 开发的诺米图是预测药物坚持的有价值工具,有可能减少医疗保健负担.
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