开发一种多变量预测模型,用于远程监测慢性阻塞性肺部疾病患者的家庭肺部康复治疗
Sheng Ye1, Zi Chen2, Dandan Zhang3
1Department of Respiratory and Critical Care Medicine, Nanjing BenQ Medical Center, The Affiliated BenQ Hospital of Nanjing Medical University, Nanjing, Jiangsu, People's Republic of China.
International journal of chronic obstructive pulmonary disease
|October 13, 2025
概括
这项研究确定了预测COPD患者遵守远程家庭肺部康复 (PR) 的关键因素. 使用自我效能,结果预期,认知功能和疼痛的预测模型有效评估了PR完成率.
科学领域:
- 肺部医学 肺部医学
- 康复科学 康复科学 康复科学
- 健康心理学 心理健康心理学
背景情况:
- 慢性阻塞性肺病 (COPD) 管理通常包括肺部康复 (PR).
- 以远程监控为基础的家庭公关提供了一个替代的交付模式.
- 坚持以家庭为基础的PR对于治疗疗效至关重要,但可能具有挑战性.
研究的目的:
- 在稳定的COPD患者中确定影响远程家庭PR遵守的因素.
- 开发和验证PR遵守的预测模型.
- 探索心理和认知因素在公关完成中的作用.
主要方法:
- 一个多中心的,横截面调查86名COPD患者接受了12周的家庭PR.
- 患者被分为高完成 (HC,≥70%) 和低完成 (LC,<70%) 组.
- 分析包括使用后勤回归和ROC分析的人口,临床和心理参数 (PRAISE,OEE,MoCA,VAS).
主要成果:
- 与LC组相比,HC组在SF-36领域和MoCA中显示出明显更好的得分.
- PRAISE,OEE,MoCA和VAS分数是PR遵守的重要预测指标.
- 结合的预测模型显示出高精度 (AUC=0.895),具有77.8%的灵敏度和93.2%的特异性.
结论:
- 基于社会认知理论的四变量模型有效地预测了COPD患者对远程家庭PR的坚持.
- 肺部康复自主效率适应指数 (PRAISE) 是改善PR完成的关键指标.
- 这种模式可以指导干预措施,以提高公关遵守和结果.
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