风险预警模型用于预测长期班次的医疗保健工作者睡眠障碍
Xin Li1, Long Xiao2, Benqi Shi2
1Department of PCCM, CR and WISCO General Hospital, Wuhan University of Science and Technology, Wuhan, 430080 Hubei Province China.
Sleep and biological rhythms
|June 20, 2025
概括
一个新的基于SMOTE的模型准确地预测了长期轮班工作的医疗保健工作者睡眠障碍. 这种方法改善了轮班工人的早期干预.
科学领域:
- 职业健康 职业健康 职业健康
- 医疗信息学 医疗信息学
- 睡眠医学 睡眠医学
背景情况:
- 长期轮班工作对医疗保健工作者造成重大健康风险,特别是睡眠障碍 (SD).
- 传统的预测模型与不平衡的数据集扎,在少数群体中低估了SD的预测.
- 准确预测SD对于及时干预和改善健康管理至关重要.
研究的目的:
- 开发和验证一种风险预警模型,使用合成少数群体过量采样技术 (SMOTE) 来预测医疗保健工作者的SD.
- 为了提高SD在这个人群中的预测准确度,解决数据集不平衡问题.
- 为轮班工人睡眠健康提供早期干预策略的科学基础.
主要方法:
- 对181名医护人员的睡眠状况进行了回顾性分析.
- 应用SMOTE来解决预测SD的阶级不平衡.
- 基于SMOTE的模型与原始数据,BP和RF模型的验证,使用多个数据集和ROC曲线分析.
主要成果:
- SMOTE警告模型实现了高性能:83.22%的灵敏度,78.67%的特异性,85.35%的准确性和0.85.85%的AUC.
- 确定了SD的关键影响因素:性别,年龄,职业,教育,职称,班次持续时间,工作时间,焦虑和抑郁.
- 斯莫特模型的表现明显优于其他模型 (P < 0.05).
结论:
- 基于SMOTE的风险预警模型有效地改善了在从事长期轮班工作的医疗保健工作者中预测SD的情况.
- 该模型证明了在改善健康管理方面具有显著的临床适用性.
- 这种方法为解决其他职业领域的类似健康预测挑战提供了有价值的参考.
更多相关视频
相关概念视频
Insufficient Sleep and Sleep Deprivation
224
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
224
Substance Use Disorders Affecting Sleep
225
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
225
Sleep-Wake Cycles
1.6K
Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
1.6K
Management of Insomnia
328
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
328
Insomnia
132
Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
Multiple factors contribute...
132
REM Sleep Behavior Disorder
429
REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
RBD is significantly associated with...
RBD is significantly associated with...
429


