[1]谢丽娜,陈维艳.基于决策树法构建老年轻度认知障碍患者并发吞咽功能障碍的风险预测模型[J].军事护理,2023,40(10):71-74.[doi:10.3969/j.issn.2097-1826.2023.10.017]
　XIE Lina,CHEN Weiyan.A Risk Prediction Model of Swallowing Dysfunction in Elderly Patients with Mild Cognitive Impairment Based on Decision Tree Method[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(10):71-74.[doi:10.3969/j.issn.2097-1826.2023.10.017]
点击复制

基于决策树法构建老年轻度认知障碍患者并发吞咽功能障碍的风险预测模型
分享到：

《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年10期
页码:
71-74
栏目:
研究荟萃
出版日期:
2023-10-15

文章信息/Info

Title:
A Risk Prediction Model of Swallowing Dysfunction in Elderly Patients with Mild Cognitive Impairment Based on Decision Tree Method
文章编号:
2097-1826(2023)10-0071-04
作者:
谢丽娜; 陈维艳
(无锡市人民医院 神经内科,江苏 无锡 214023)
Author(s):
XIE Lina; CHEN Weiyan
(Department of Neurology,Wuxi People's Hospital,Wuxi 214023,Jiangsu Province,China)
关键词:
老年轻度认知障碍;  吞咽功能障碍;  影响因素;  决策树
Keywords:
elderly patients with mild cognitive impairment;  swallowing dysfunction;  influencing factor;  decision tree
分类号:
R473.74
DOI:
10.3969/j.issn.2097-1826.2023.10.017
文献标志码:
A
摘要:
目的 基于决策树法构建老年轻度认知障碍患者并发吞咽功能障碍的风险预测模型,以期为临床防治工作提供参考。方法 回顾性分析2019年10月至2022年3月在某院治疗的老年轻度认知障碍患者150例的临床资料,按是否发生吞咽功能障碍,将其分为吞咽障碍组和非吞咽障碍组,分析其危险因素,建立决策树模型,并分析预测效能。结果 150例老年轻度认知障碍患者中,吞咽功能障碍发生率为28.0%。两组患者在年龄、Fried衰弱评估量表(Fried Frailty Phenotype,FRIED)、Barthel指数(Barthel index,BI)等项目上的差异均有统计学意义(均P<0.05)。Logistic回归分析结果显示,年龄、FRIED评分、BI、吞咽训练、牙齿缺损、用药种类数均为老年轻度认知障碍患者合并吞咽功能障碍的危险因素(P<0.05)。BI评分是老年轻度认知障碍患者合并吞咽功能障碍最为重要的影响因素。决策树模型预测老年轻度认知障碍患者合并吞咽功能障碍的受试者操作特征曲线下面积(area under the curve,AUC)值稍高于Logistic回归模型。结论 构建的决策树预测模型对老年轻度认知障碍患者合并吞咽功能障碍具有较好的风险预测价值。
Abstract:
Objective To construct a risk prediction model for elderly patients with mild cognitive impairment complicated with swallowing dysfunction based on decision tree method,and to provide a reference for clinical prevention and treatment.Methods The clinical data of 150 elderly patients with mild cognitive impairment treated in a hospital from October 2019 to March 2022 were retrospectively analyzed.According to the occurrence of swallowing dysfunction,they were divided into dysphagia group and non-dysphagia group.The risking factors were analyzed,a decision tree model was established,and the prediction efficacy was analyzed.Results Among 150 elderly patients with mild cognitive impairment,the incidence of swallowing dysfunction was 28.0%.There were significant differences in age,Fried Frailty Phenotype(FRIED ),Barthel index(BI)and other items between the two groups(all P<0.05).Logistic regression analysis showed that age,FRIED score,BI score,swallowing training,tooth defect,and the number of medication types were risk factors for swallowing dysfunction in elderly patients with mild cognitive impairment(P<0.05).BI score is the most important influencing factor for swallowing dysfunction in elderly patients with mild cognitive impairment.The AUC value of decision tree model in predicting swallowing dysfunction in elderly patients with mild cognitive impairment was slightly higher than that of Logistic regression model.Conclusions The established decision tree prediction model has a good risk prediction value for elderly patients with mild cognitive impairment complicated with swallowing dysfunction.

参考文献/References:

[1] 李捷思,潘梓末,陈陵霞,等.血浆β2微球蛋白水平与老年轻度认知障碍的关系研究[J].中国全科医学,2021,24(30):3878-3881.
[2] BAIANO C,BARONE P,TROJANO L,et al.Prevalence and clinical aspects of mild cognitive impairment in Parkinson's disease:a meta-analysis[J].Mov Disord,2020,35(1):45-54.
[3] 蒋园园,张建薇.多学科认知干预在老年2型糖尿病合并轻度认知障碍患者中的应用[J].解放军护理杂志,2018,35(9):22-26,42.
[4] RAJAN K B,WEUVE J,BARNES L L,et al.Population estimate of people with clinical Alzheimer's disease and mild cognitive impairment in the United States(2020-2060)[J].Alzheimers Dement,2021,17(12):1966-1975.
[5] 吕孟菊,柳俊杰,李雪琳.吞咽障碍患者饮食管理方案的构建[J].中华护理杂志,2022,57(12):1427-1434.
[6] 雷倍美,李珍,谢常宁,等.头颈部肿瘤患者吞咽功能促进策略的证据总结[J].中华护理杂志,2023,58(1):85-91.
[7] GOODMAN-CASANOVA J M,DURA-PEREZ E,GUZMAN-PARRA J,et al.Telehealth home support during COVID-19 confinement for community-dwelling older adults with mild cognitive impairment or mild dementia:survey study[J/OL].[2023-01-10].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7247465/.DOI:10.2196/19434.
[8] 张娇娜,章丹,陈恬恬.决策树与Logistic回归模型在血液透析患者认知功能障碍影响因素分析中的应用[J].中国中西医结合肾病杂志,2022,23(5):420-422.
[9] 中国痴呆与认知障碍诊治指南写作组,中国医师协会神经内科医师分会认知障碍疾病专业委员会.2018中国痴呆与认知障碍诊治指南(五):轻度认知障碍的诊断与治疗[J].中华医学杂志,2018,98(17):1294-1301.
[10]寿飞燕,李刚,范虹,等.社区≥60岁轻度认知功能障碍患者吞咽障碍发生情况与相关因素分析[J].中华全科医师杂志,2021,20(12):1295-1299.
[11]莫永静,邵爱艳.基于标准吞咽功能评估的分层干预在脑卒中吞咽功能障碍患者中的应用[J].医学临床研究,2019,36(12):2441-2443.
[12]孔建华,张洁,樊晓曦,等.Fried表型衰弱量表及FRAIL量表在社区老人衰弱筛查中的应用[J].中国临床保健杂志,2019,22(5):604-608.
[13]丁琳,陈素虹,吴家岚,等,廖晓艳.Barthel指数在长期护理机构老年痴呆患者中的适用性分析[J].中华护理杂志,2019,54(7):1012-1016.
[14]MARTIN E,VELAYUDHAN L.Neuropsychiatric symptoms in mild cognitive impairment:a literature review[J].Dement Geriatr Cogn Disord,2020,49(2):146-155.
[15]马丽霞,陈颖,金歌,等.蒙台梭利行为训练对老年痴呆患者进食行为的干预作用[J].中华行为医学与脑科学杂志,2018,27(9):798-803.
[16]IYER S,KIM H J,BAO H,et al.Cervical deformity patients have baseline swallowing dysfunction but surgery does not increase dysphagia at 3 months:results from a prospective cohort study[J].Global Spine J,2019,9(5):532-539.
[17]王悦,闻燕,李江花,等.老年MCI发生的影响因素及其对病人吞咽功能的影响[J].中西医结合心脑血管病杂志,2022,20(20):3810-3812.
[18]赖小星,薄琳,朱宏伟,等.老年吞咽障碍患者的生活质量及其影响因素[J].中国康复理论与实践,2020,26(11):1263-1268.
[19]陈文鑫,晋聪,王婷,等.基于决策树模型与logistic回归模型的HBV宫内传播影响因素分析[J].中华流行病学杂志,2022,43(1):85-91.

备注/Memo

备注/Memo:
【收稿日期】2023-02-10【修回日期】2023-09-21
【作者简介】谢丽娜,本科,副主任护师,电话:0510-85350070
【通信作者】陈维艳,电话:0510-85350075
更新日期/Last Update: 2023-10-15