解码恐惧:通过先进的统计建模分析和预测手术前压力水平-跨多个外科专业的前性研究
Cristina Gena Dascălu1, Andrei Ionut Cucu2, Andreea Vovciuc2
1Department of Medical Informatics and Biostatistics, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, 16 University Street, 700115 Iasi, Romania.
Medical sciences (Basel, Switzerland)
|September 22, 2025
概括
手术前的压力,通过情绪前手术压力简要测量 (B-MEPS) 来评估,在手术患者中中度较高. 关键预测因素包括手术类型,教育和性别,指导有针对性的干预措施以改善恢复.
科学领域:
- 医学心理学 医学心理学
- 手术患者护理手术患者护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 手术前的压力显著影响术后的康复.
- 它受到生理,心理和社会因素的影响.
- 量化压力和识别预测因素对于患者管理至关重要.
研究的目的:
- 为了量化手术患者的手术前压力水平.
- 为了确定与手术前压力相关的因素.
- 为了对这些因素的预测重要性进行排名.
主要方法:
- 这是一项针对197名接受各种手术的患者的前性研究.
- 使用罗马尼亚版本的情绪前手术压力简要测量 (B-MEPS).
- 采用非参数测试,通用线性建模和随机森林回归.
主要成果:
- 平均B-MEPS得分表示中度的手术前压力 (21.42 ± 6.04).
- 较高的压力与女性性别,较低的教育程度,离婚状态,癌症史和手术类型有关.
- 随机森林确定了手术类型,教育和性别作为主要预测因素.
结论:
- 手术类型,教育水平和性别是手术前压力的主要驱动因素.
- 针对高风险患者的个性化干预可以改善外科手术期间的结果.
- 建议对B-MEPS进行进一步验证,并纳入心理社会变量.
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