在家庭医疗保健中,老年人尿失禁的特征症状集群
Danielle Scharp1, Jiyoun Song2, Zidu Xu1
1Columbia University School of Nursing, 560 West 168th Street, New York, NY 10032, United States.
Geriatric nursing (New York, N.Y.)
|September 19, 2025
概括
在患有尿失禁的老年人中识别症状集群是关键. 焦虑,头和便秘是常见的,影响了护理,并强调了在家庭医疗机构进行全面评估的必要性.
科学领域:
- 老年学是一门学科.
- 主页 医疗保健 医疗保健
- 临床信息学 临床信息学
背景情况:
- 在尿失禁的老年人中,对症状集群的有限理解有助于分散的护理.
- 这种差距可能会导致在家庭医疗机构的低最佳评估和不良健康结果.
研究的目的:
- 在家庭医疗保健环境中,在经历UI的老年人中识别不同的症状集群.
- 分析已识别的症状集群与各种社会人口统计学和临床因素之间的关联.
主要方法:
- 对接受家庭医疗保健的老年人 (≥65) 的大量数据集 (39,179次) 的分析.
- 利用自然语言处理 (NLP) 来从临床笔记中提取症状.
- 采用层次聚类,一种无监督的机器学习技术,以定义数据驱动的症状群.
主要成果:
- 确定了五个不同的症状集群:焦虑 (13.8%),所有症状 (5.8%),头-焦虑 (5.2%),便秘-焦虑-头 (3.7%),以及没有症状的对照组 (71.5%).
- 焦虑集群与更高的女性性别和抑郁症率有关.
- 头-焦虑集群显示出与跌倒史有显著的关联 (p < .001).
- "所有症状"集群与更高的心血管疾病患病率有关.
结论:
- 在UI的老年人中识别和解决特定的症状集群对于提高护理质量至关重要.
- 需要进一步的研究来探索这些症状集群和患者健康结果之间的复杂关系.
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