机器学习方法预测乳腺癌幸存者的自我效能
İsmail Toygar1, Su Özgür2,3, Gülcan Bağçivan4,5
1Fethiye Faculty of Health Sciences, Muğla Sıtkı Koçman University, Fethiye, Muğla, 48330, Turkey. ismail.toygar1@gmail.com.
BMC medical informatics and decision making
|August 20, 2025
概括
乳腺癌幸存者的自我效能与社会人口和医疗因素有关. 识别这些预测因素有助于医疗保健提供者支持弱势患者群体,并改善癌症幸存者的护理.
科学领域:
- 癌症学
- 健康心理学
- 数据科学
背景情况:
- 乳腺癌的幸存者面临着独特的挑战,
- 对于癌症幸存者有效应对和坚持治疗方案至关重要.
研究的目的:
- 确定乳腺癌幸存者的自我有效性的关键预测因素.
- 确定患有较低自我有效性风险的患者群体,从而实现有针对性的干预.
主要方法:
- 这项描述性研究涉及到土耳其三个医院的430名乳腺癌幸存者.
- 通过使用乳腺癌幸存者自我效能量表和患者身份表进行面对面调查收集的数据.
- 使用四种机器学习模型 (逻辑回归,随机森林,支持矢量机,XGBoost) 来分析预测.
主要成果:
- 后勤回归模型显示了最高的性能 (AUC=0.715).
- 教育水平成为多种模式的主要预测因素,显著影响自我效能.
- 癌症阶段和并发症也被确定为与自身疗效水平相关的重要因素.
结论:
- 社会人口统计学和医学特征显著预测乳腺癌幸存者的自我有效性.
- 这些发现突出了特定的患者小组在自我有效性方面是脆弱的.
- 医疗保健专业人员可以利用这些见解为乳腺癌幸存者制定支持性护理策略.
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