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| 基于随机森林模型的脑卒中患者健康行为能力现状及影响因素研究 |
| Stroke patients based on random forest model Study on the status and influencing factors of health behavior ability |
| 投稿时间：2025-04-15 修订日期：2025-09-10 |
| DOI： |
| 中文关键词: 脑卒中；健康行为能力；健康素养；恐惧疾病进展；社会支持；随机森林模型 |
| 英文关键词: stroke;health behavior ability;health literacy;social support;fear of disease progression;random forest model |
| 基金项目:基于HAPA理论的脑卒中康复期患者居家康复方案的构建与应用 |
| 作者 | 单位 | 邮编 | | 刘士虎 | 皖南医学院研究生学院 | 241002 | | 芮祖琴* | 皖南康复医院/芜湖市第五人民医院 | 241100 | | 李雷 | 皖南康复医院/芜湖市第五人民医院 | | | 余彩丽 | 皖南医学院研究生学院 | |
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| 中文摘要: |
| 摘 要 目的 探究脑卒中恢复期患者健康行为能力现状及影响因素,为制定个性化干预措施提供参考。方法 采用便利抽样法选取2024年10月—2025年4月在芜湖市某三甲医院住院的241例脑卒中恢复期患者为调查对象,利用一般资料调查表、健康行为能力自评量表、健康素养量表、社会支持量表、恐惧疾病进展简化量表进行调查。借助随机森林模型和LASSO回归分析对影响因素进行重要性排序与筛选。结果 健康行为能力自评量表得分(76.75±11.39)分、健康素养量表得分(65.80±9.18)分、社会支持量表得分(32.87±5.45)分、恐惧疾病进展简化量表得分(15.62±7.61)分。单因素分析结果显示健康素养、社会支持、恐惧疾病进展、病程、文化程度、月收入、居住地、工作情况、年龄、生活自理能力是健康行为能力的影响因素(P＜0.05)。健康行为能力与恐惧疾病进展呈负相关(r=-0.481,P＜0.001)与健康素养呈正相关(r=0.554,P＜0.001)与社会支持呈正相关(r=0.456,P＜0.001)。排序及筛选结果显示健康素养、恐惧疾病进展、社会支持、文化程度、病程是健康行为能力的主要影响因素。结论 脑卒中恢复期患者的健康行为能力处于中等水平,医护人员和照顾者可根据影响因素的重要性实施个性化干预以改善患者的健康行为能力。 |
| 英文摘要: |
| Abstract:Objective To investigate the current status and influencing factors of health behavior ability of stroke patients in convalescent stage,and to provide reference for formulating individualized intervention measures.Methods A total of 241 stroke patients in convalescent stage who were hospitalized in a tertiary rehabilitation hospital in Wuhu City from October 2024 to April 2025 were selected by convenience sampling method.The general information questionnaire,health behavior ability self-rating scale, health literacy scale,social support scale and fear of disease progression simplified scale were used to investigate.The importance of influencing factors was ranked and screened by random forest model and LASSO regression analysis.Results The scores of health behavior ability self-rating scale score was (76.75 ±11.39),health literacy scale score was(65.80 ± 9.18 ),social support scale score was(32.87±5.45),simplified fear of disease progression scale score was(15.62 ±7.61).The results of single factor analysis showed that health literacy,social support,fear of disease progression,course of disease,education level,monthly income,place of residence,work status,age and self-care ability were the influencing factors of health behavior ability(P < 0.05).The results of sorting and screening showed that health literacy,fear of disease progression,social support,education level and course of disease were the main influencing factors.Health behavior ability was negatively associated with fear of disease progression(r=-0.481，P＜0.001),and positively correlated with both health literacy(r=0.554，P＜0.001)and social support(r=0.456 P＜0.001).Conclusion The health behavior ability of convalescent stroke patients is at a medium level.Medical staff and caregivers can implement personalized intervention strategies according to the influencing factors to improve the health behavior ability of patients.Conclusion The health behavior ability of convalescent stroke patients is at a medium level.Medical staff and caregivers can design and implement personalized targeted intervention according to the importance of influencing factors to improve the health behavior ability of patients. |
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