The construction method of background value is improved in the original multi-variable grey model （MGM（1,m）） from its source of construction errors. The MGM（1,m） with optimized background value is used to elimin...The construction method of background value is improved in the original multi-variable grey model （MGM（1,m）） from its source of construction errors. The MGM（1,m） with optimized background value is used to eliminate the random fluctuations or errors of the observational data of all variables, and the combined prediction model together with the multiple linear regression is established in order to improve the simulation and prediction accuracy of the combined model. Finally, a combined model of the MGM（1,2） with optimized background value and the binary linear regression is constructed by an example. The results show that the model has good effects for simulation and prediction.展开更多
目的:分析肺癌病人治疗期输液港发生医用粘胶相关皮肤损伤(medical adhesive related skin injury,MARSI)的危险因素,并建立风险预测模型,以期为临床护理干预提供参考。方法:回顾性收集2023年1月—2024年4月在某三级甲等综合医院呼吸与...目的:分析肺癌病人治疗期输液港发生医用粘胶相关皮肤损伤(medical adhesive related skin injury,MARSI)的危险因素,并建立风险预测模型,以期为临床护理干预提供参考。方法:回顾性收集2023年1月—2024年4月在某三级甲等综合医院呼吸与危重症医学科使用胸壁输液港的650例病人为调查对象,运用Logistic回归模型、决策树分类回归树(CART)模型和随机森林模型分别建立肺癌病人治疗期输液港医用粘胶相关皮肤损伤风险预测模型,通过比较3种模型的准确率、灵敏度、特异度、阳性预测值、阴性预测值、Kappa系数和受试者工作特征(ROC)曲线下面积(AUC)评价其性能。结果:Logistic回归模型、决策树CART模型和随机森林模型的准确率分别为84%、86%、86%,特异度为97%、98%、97%,灵敏度为54%、59%、61%,阳性预测值为54%、59%、61%,阴性预测值为97%、98%、97%,Kappa值为0.57,0.63,0.64,AUC为0.83,0.87,0.86。Logistic回归模型、决策树CART模型、随机森林的AUC比较差异均有统计学意义(P<0.05)。皮肤毒性为3种模型的共同预测因子。结论:决策树CART模型和随机森林模型相比Logistic回归模型在构建肺癌病人治疗期输液港医用粘胶相关皮肤损伤风险预测模型中具有更好的性能,可为临床护士预测肺癌病人输液港医用粘胶相关皮肤损伤发生风险提供参考。展开更多
基金supported by the National Natural Science Foundation of China(71071077)the Ministry of Education Key Project of National Educational Science Planning(DFA090215)+1 种基金China Postdoctoral Science Foundation(20100481137)Funding of Jiangsu Innovation Program for Graduate Education(CXZZ11-0226)
文摘The construction method of background value is improved in the original multi-variable grey model （MGM（1,m）） from its source of construction errors. The MGM（1,m） with optimized background value is used to eliminate the random fluctuations or errors of the observational data of all variables, and the combined prediction model together with the multiple linear regression is established in order to improve the simulation and prediction accuracy of the combined model. Finally, a combined model of the MGM（1,2） with optimized background value and the binary linear regression is constructed by an example. The results show that the model has good effects for simulation and prediction.
文摘目的:分析肺癌病人治疗期输液港发生医用粘胶相关皮肤损伤(medical adhesive related skin injury,MARSI)的危险因素,并建立风险预测模型,以期为临床护理干预提供参考。方法:回顾性收集2023年1月—2024年4月在某三级甲等综合医院呼吸与危重症医学科使用胸壁输液港的650例病人为调查对象,运用Logistic回归模型、决策树分类回归树(CART)模型和随机森林模型分别建立肺癌病人治疗期输液港医用粘胶相关皮肤损伤风险预测模型,通过比较3种模型的准确率、灵敏度、特异度、阳性预测值、阴性预测值、Kappa系数和受试者工作特征(ROC)曲线下面积(AUC)评价其性能。结果:Logistic回归模型、决策树CART模型和随机森林模型的准确率分别为84%、86%、86%,特异度为97%、98%、97%,灵敏度为54%、59%、61%,阳性预测值为54%、59%、61%,阴性预测值为97%、98%、97%,Kappa值为0.57,0.63,0.64,AUC为0.83,0.87,0.86。Logistic回归模型、决策树CART模型、随机森林的AUC比较差异均有统计学意义(P<0.05)。皮肤毒性为3种模型的共同预测因子。结论:决策树CART模型和随机森林模型相比Logistic回归模型在构建肺癌病人治疗期输液港医用粘胶相关皮肤损伤风险预测模型中具有更好的性能,可为临床护士预测肺癌病人输液港医用粘胶相关皮肤损伤发生风险提供参考。
