山东大学学报 (医学版) ›› 2023, Vol. 61 ›› Issue (11): 74-81.doi: 10.6040/j.issn.1671-7554.0.2023.0792
• • 上一篇
张明慧1,王丽云1,王芸2,张新月3,沙凯辉1
ZHANG Minghui1, WANG Liyun1, WANG Yun2, ZHANG Xinyue3, SHA Kaihui1
摘要: 目的 了解髋部骨折(HF)术后恐动症的发生现状,探讨其危险因素并构建列线图预测模型。 方法 采用便利抽样法,选取2022年1月至2023年5月滨州医学院附属医院创伤骨科符合纳排标准的328例患者,调查患者的一般资料、恐动症评分、心理弹性评分、社会支持评分等,通过Logistic回归分析HF术后恐动症的影响因素,建立列线图风险预测模型并验证模型预测效果。 结果 HF术后恐动症的概率为39.94%。Logistic回归分析显示,年龄、疼痛、睡眠障碍是HF恐动症的危险因素;心理弹性、社会支持是HF恐动症的保护因素。列线图模型内部验证显示,C-index为0.880,绘制受试者工作特征(ROC)曲线下面积为0.880(95%CI: 0.845~0.915),H-L检验P=0.181,校正曲线趋近于理想曲线,决策曲线临床应用净效益价值较高。 结论 年龄、疼痛、睡眠障碍、社会支持、心理弹性是HF术后恐动症的独立影响因素,构建的列线图模型预测效能良好,具有一定的临床应用价值。
中图分类号:
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