[1]李好正,李梦媛,肖抒情,等.脑肿瘤患者术后误吸风险预测模型的构建[J].军事护理,2022,39(08):54-57.[doi:10.3969/j.issn.2097-1826.2022.08.014]
　LI Haozheng,LI Mengyuan,XIAO Shuqing,et al.Construction of Postoperative Aspiration Risk Prediction Model for Brain Tumor Patients[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(08):54-57.[doi:10.3969/j.issn.2097-1826.2022.08.014]
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脑肿瘤患者术后误吸风险预测模型的构建
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年08期
页码:
54-57
栏目:
论著
出版日期:
2022-08-15

文章信息/Info

Title:
Construction of Postoperative Aspiration Risk Prediction Model for Brain Tumor Patients
文章编号:
2097-1826(2022)08-0054-04
作者:
李好正1; 李梦媛2; 肖抒情3; 侯莹鸽1; 王松梅3; 赵亚杰3; 阎玲1
(1.天津医科大学肿瘤医院 国家恶性肿瘤临床医学研究中心 天津市恶性肿瘤临床医学研究中心 护理部,天津 300060; 2.北京大学 护理学院,北京 100191; 3.天津中医药大学 研究生院,天津 301617)
Author(s):
LI Haozheng1; LI Mengyuan2; XIAO Shuqing3; HOU Yingge1; WANG Songmei3; ZHAO Yajie3; YAN Ling1
(1.Department of Nursing,National Clinical Research Center for Cancer, Tianjin Medical University Cancer Institute&Hospital, Tianjin 300060,China; 2.School of Nursing,Peking University,Beijing 100191,China; 3.Graduate School,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)
关键词:
脑肿瘤;  误吸;  危险因素;  预测模型
Keywords:
brain tumors;  aspiration;  risk factors;  prediction model
分类号:
R473.73; R828.3
DOI:
10.3969/j.issn.2097-1826.2022.08.014
文献标志码:
A
摘要:
目的 探讨脑肿瘤患者术后发生误吸的影响因素并构建误吸风险预测模型。方法 便利抽样法选取天津市某肿瘤专科医院228例脑肿瘤术后患者为研究对象。根据是否发生误吸分为误吸组与非误吸组。通过单因素和多因素Logistic回归分析筛选脑肿瘤患者术后误吸的影响因素并构建误吸风险预测模型。结果 年龄、手术时间、格拉斯哥评分、洼田饮水实验 、误吸史和自主咳嗽是脑肿瘤患者术后误吸的影响因素(均P<0.05)。本研究构建的风险模型受试者工作特征曲线下面积为0.9656(95%CI:0.938～0.993),Hosmer-Lemeshow 拟合优度检验显示χ2 =3.757,P=0.44。结论 本研究构建的风险模型预测效能良好,可为临床医务人员筛查脑肿瘤术后患者中误吸高危患者提供参考。
Abstract:
Objective To investigate the risk factors of postoperative aspiration in patients with brain tumor and to construct a risk prediction model for aspiration.Methods 228 postoperative patients with brain tumors in a tumor hospital in Tianjin were selected by convenient sampling method.The patients were divided into two groups according to whether aspiration occurs.Single factor analysis and multivariate logistic regression analysis were used to explore the risk factors of postoperative aspiration in patients with brain tumor,and a prediction model of aspiration risk was constructed.Results Age,operation time,Glasgow score,Kubota drinking test,history of aspiration and spontaneous cough were the influencing factors of postoperative aspiration in patients with brain tumor(all P<0.05).The area under the receiver operating characteristic curve of the risk model constructed in this study was 0.9656(95%CI:0.939-0.993),and the Hosmer-Lemeshow goodness of fit test showed that χ2=3.757,P=0.44.Conclusions The predictive performance of this risk model is good,and it can provide a reference for clinical medical staff to screen patients with high risk of aspiration in patients after brain tumor surgery.

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备注/Memo

备注/Memo:
【 收稿日期 】 2021-12-27 【 修回日期 】 2022-02-27
【 作者简介 】 李好正,硕士在读,护师,从事肿瘤护理研究
【 通信作者 】 阎玲,电话:022-23524906
更新日期/Last Update: 2022-08-15