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基于随机森林模型的产妇出院准备度影响因素分析

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目的 探讨基于随机森林模型的产妇出院准备度的影响因素,为临床提高出院准备度提供理论依据.方法 采用便利抽样法,选取2022年3月至7月于宁夏医科大学总医院和银川市妇幼保健院产科住院的418例产妇作为研究对象.采用产妇一般资料问卷、产妇出院准备度量表、家庭功能评定量表进行调查.采用Spearman相关分析产妇出院准备度与家庭功能的相关性,采用多元线性回归和随机森林模型分析产妇出院准备度的影响因素.结果 产妇出院准备度量表总分为133.00(116.00,148.00)分,家庭功能评定量表总分为129.00(119.00,137.00)分.不同家庭人均月收入、婚龄、住院时间、孕次、产次、分娩方式、喂养方式及参加孕妇学校或课程的产妇出院准备度量表总分比较,差异有统计学意义(P<0.05).除自身状况、疾病知识和出院后应对能力与情感反应无相关性外,产妇出院准备度量表及各维度评分与家庭功能评定量表及其余维度评分呈负相关(P<0.01).住院时间、产次、分娩方式、喂养方式、参加孕妇学校或课程、家庭功能评定量表总分可解释出院准备度22.9%的变异.随机森林模型对各影响因素重要性排序从高到低依次为家庭功能评定量表总分、产次、喂养方式、参加孕妇学校或课程、住院时间及分娩方式.结论 产妇出院准备度处于中上水平,在临床工作中应将家庭功能评估纳入出院准备教育中,制订适合家庭需要的提高出院准备度的方案.
Analysis of influencing factors on maternal discharge readiness based on random forest model
Objective To explore the influencing factors of maternal discharge readiness based on random forest model and provide theoretical basis for clinical improvement of discharge readiness.Methods Convenience sampling method was used to selecte 418 cases of maternal hospitalized in Department of Obstetrics of General Hospital,Ningxia Medical University and Yinchuan Maternal and Child Health Hospital from March to July 2022 as study subjects.General information questionnaire for maternal,maternal discharge readiness scale,and family function assessment scale were used for the survey.Spearman correlation analysis was used to investigate correlation between maternal discharge readiness and family function.Multiple linear regression and random forest model were used to analyze the influencing factors of maternal discharge readiness.Results Total score of maternal discharge readiness scale was 133.00(116.00,148.00)points,and total score of family function assessment scale was 129.00(119.00,137.00)points.There were significant differences in total scores of maternal discharge readiness scale among different family income,marriage age,hospitalization time,number of pregnancies,parity,delivery model,feeding method,and attend maternal schools or courses(P<0.05).Except for personal condition,disease knowledge,and coping ability after discharge,which were not related to emotional reactions,maternal discharge readiness scale score and each dimension score were negatively correlated with family function assessment scale score and other dimensions scores(P<0.01).Hospitalization time,parity,delivery model,feeding method,attend maternal schools or courses,and total score of family function assessment scal e could explain 22.9%of variation in discharge readiness.The importance of factors affecting random forest model was ranked from high to low as follows:total score of family function rating scale,parity,feeding method,attend maternal schools or courses,hospitalization time and delivery model.Conclusion Maternal discharge readiness is in the middle to upper level.In clinical practice,family function assessment should be incorporated into discharge preparation education,and develop a plan suitable for family needs to improve discharge readiness.

MaternalDischarge readinessFamily functionInfluencing factorsRandom forests

王慧娟、杜瑄、刘晓慧、樊莉、梁立东、杨玉静、甘茹、高海花

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宁夏医科大学护理学院,宁夏银川 750004

宁夏医科大学总医院产科,宁夏银川 750004

银川市妇幼保健院护理部,宁夏银川 750001

银川市妇幼保健院产科,宁夏银川 750001

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产妇 出院准备度 家庭功能 影响因素 随机森林

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(23)