基于随机森林的维持性血液透析病人及配偶恐惧疾病进展的影响因素  

Influencing factors of fear of progress in maintenance hemodialysis patients and their spouses based on random forest model

作　　者：张杰兰 马奔驰 余兆兰 柯燕 鞠梅 ZHANG Jielan;MA Benchi;YU Zhaolan;KE Yan;JU Mei(The Affiliated Hospital of Southwest Medical University,Sichuan 646000 China)

机构地区：[1]西南医科大学附属医院,四川646000 [2]西南医科大学附属中医医院 [3]西南医科大学护理学院

出　　处：《护理研究》2024年第5期812-819,共8页Chinese Nursing Research

基　　金：四川医院管理和发展研究中心项目,编号:SCYG2019-24;泸州-西南医科大科技战略合作项目,编号:2018LZXNYD-SK15。

摘　　要：目的:采用随机森林算法探讨中老年维持性血液透析病人及配偶恐惧疾病进展的影响因素。方法:采用方便抽样法,抽取泸州市3所三级甲等医院血液透析中心进行治疗的239对中老年维持性血液透析病人及病人的配偶进行调查,采用随机森林模型进行影响因素重要性排序。结果:中老年维持性血液透析病人恐惧疾病进展总得分为(38.48±8.49)分,配偶恐惧疾病进展总得分为(38.05±8.21)分。随机森林重要性排序显示,病人透析龄、积极应对方式、年龄是影响中老年病人恐惧疾病进展的前3位重要影响因素;配偶积极应对方式、疾病感知、社会支持是影响中老年维持性血液透析病人配偶恐惧疾病进展的前3位重要影响因素。结论:中老年维持性血液透析病人及配偶普遍存在较严重恐惧疾病进展心理。临床医务人员需引起重视,针对不同特征的病人及配偶制定个性化的干预措施。Objective:To explore the influencing factors of fear of progression in middle‐aged and elderly maintenance hemodialysis patients and their spouses by using random forest algorithm.Methods:Using convenient sampling method,239 middle-aged and elderly maintenance hemodialysis patients and their spouses who were treated in hemodialysis centers of tertiary grade A hospitals in Luzhou were investigated,and the importance of influencing factors was ranked by random forest model.Results:The total score of fear of progression in middle‐aged and elderly FoP patients was(38.48±8.49),and the total score of fear of progression in spouse was(38.05±8.21).Random forest importance ranking shows that dialysis age,positive coping style and age of patients were the top three important factors affecting the fear of progression in middle‐aged and elderly patients.Spouse's positive coping style,spouse's illness perception and spouse's social support are the top three important factors affecting the progress of spouse's fear of progression in middle‐aged and elderly maintenance hemodialysis patients.Conclusion:Middle‐aged and elderly maintenance hemodialysis patients and their spouses generally have serious fear of progression.Clinical medical staff should pay attention to it and formulate personalized intervention measures for patients and their spouses with different characteristics.

关 键 词：维持性血液透析 中老年人 配偶 恐惧疾病进展 影响因素 重要性 

分 类 号：R473.5[医药卫生—护理学]