基于关联规则的肿瘤住院病人非计划拔管数据挖掘与分析  

Data mining and analysis of unplanned extubation of inpatients with cancer based on association rules

作　　者：向宏婷 胡美华 彭思意 胡永红 宋彩云[2] 李旭英[2] XIANG Hongting;HU Meihua;PENG Siyi;HU Yonghong;SONG Caiyun;LI Xuying(School of Nursing,Hunan University of Chinese Medicine,Hunan 410208 China)

机构地区：[1]湖南中医药大学护理学院,410208 [2]湖南省肿瘤医院

出　　处：《全科护理》2025年第8期1513-1516,共4页Chinese General Practice Nursing

基　　金：2024年度湖南省卫生健康委科研课题,编号:W20243246;2023年度湖南省中医药科研课题,编号:B2023126;2022年度湖南省卫生健康委科研课题,编号:202214025330;湖南省护理学会2024年度立项科研课题,编号:HNKY202404。

摘　　要：目的:挖掘肿瘤住院病人非计划拔管事件中有价值的关联规则,为制订非计划拔管预防措施提供参考。方法:采集长沙市某三级甲等肿瘤专科医院2022年1月—2024年6月上报的300例病人非计划性拔管事件的数据资料,采用Apriori算法进行数据挖掘并进行有效性评定。结果:共获取强关联规则13对,肿瘤住院病人非计划拔管事件中的高风险因素包括男性、年龄≥60岁、吸烟史、手术史、合并多条管路、夜间时段、无镇静或约束、当班护士护龄<5年、心理痛苦呈中高风险等。结论:护理人员应及时识别并评估拔管高风险病人,建立院内胃管及中心静脉导管非计划拔管防范体系,适当约束联合舒适化镇静,加强夜间时段病人的疼痛管理,增强低年资护士风险意识,重视心理痛苦高风险病人的心理干预。Objective:To explore the valuable association rules in unplanned extubation events of inpatients with cancer,and provide reference for the formulation of preventive measures for unplanned extubation.Methods:Data on 300 cases of unplanned extubation events reported from January 2022 to June 2024 at a tertiary GradeⅢ,Level A cancer specialty hospital in Changsha City were collected.The Apriori algorithm was utilized for data mining and effectiveness evaluation.Results:A total of 13 pairs of strong association rules were identified.High⁃risk factors for unplanned extubation events in hospitalized cancer patients include:male gender,age≥60 years,smoking history,surgical history,multiple concurrent catheters,nighttime occurrence,absence of sedation or restraints,nurses on duty with<5 years of experience,and moderate to high risk of psychological distress,etc.Conclusions:Nursing staff should promptly identify and assess high⁃risk extubation patients,establish hospital⁃wide prevention protocols for unplanned extubation of gastric tubes and central venous catheters,implement targeted restraint protocols combined with comfort⁃oriented sedation,enhance nighttime pain management,strengthen risk awareness among nurses with limited clinical experience,and prioritize psychological interventions for patients at high risk of psychological distress.

关 键 词：肿瘤病人 非计划拔管 关联规则 数据挖掘 

分 类 号：R473.73[医药卫生—护理学]