在女性护士中构建和验证用于预测过度活跃膀的诺莫格拉姆模型
Yuzhi Lu1, Huaping Wei2, Guotao Sun1
1School of Nursing, Lanzhou University, Lanzhou, China.
Medicine
|October 1, 2025
概括
一种新的风险预测模型有助于识别患有过度活性膀 (OAB) 高风险的护士. 关键因素包括排尿症状,行为和尿路感染史,有助于早期干预.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 护理健康 护理健康
- 流行病学 流行病学
背景情况:
- 过度活跃的膀 (OAB) 显著影响生活质量和医疗费用.
- 女护士面临着独特的职业压力因素,这些压力因素可能会影响OAB的发展.
- 需要有效的风险分层工具来在这个人群中早期发现OAB.
研究的目的:
- 开发和验证女性护士过度活动膀 (OAB) 的预测风险模型.
- 为了确定与OAB发病率相关的关键风险因素,在这个职业群体.
- 为OAB风险评估创建一个用户友好的临床工具.
主要方法:
- 从甘省招募了738名女性护士队伍.
- 用二进制物流回归来构建风险预测模型.
- 开发了一个名图,并通过内部和外部验证.
主要成果:
- 确定了OAB的五个重要预测因素:排尿行为,排尿症状,尿液储存症状,尿失禁症状和尿路感染史.
- 诺米图表表现出良好的预测性能,AUC为0.789 (内部) 和0.846 (外部) 验证.
- 校准曲线证实了该模型的区分和校准能力.
结论:
- 开发的诺米图是一个直观的临床工具,用于对女性护士的OAB风险进行分层.
- 通过及时干预来针对已识别的风险因素,可能会降低这一群体的OAB发病率.
- 这个模型支持护理人员主动的医疗保健策略.
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