中国医疗设备2016，Vol.31Issue(6)：110-113,4.DOI:10.3969/j.issn.1674-1633.2016.06.030
基于病人临床信息的护理风险预警模型的建立与验证
Establishment and Veriifcation of a Nursing Risk Pre-warning Model Based on Patient Clinical Information
摘要
Abstract
Objective To introduce the establishment method of a nursing risk pre-warning model based on patient clinical information so as to early recognize high-risk patients in the early stage and take intervention measures promptly.Methods The clinical information of 120 patients who had been discharged from a certain hospital or dead between September 1st 2013 and September 1st 2014 were selected from HIS (Hospital Information Systems). The indictors which were obviously related with disease development were selected by using Logistic regression analysis to establish the regression equation and calculateP values. Then, 25 patients discharged from the hospital and another 25 patients who had been dead were selected respectively. Their indicators were collected hourly within 24 hours before their discharging from the hospital or death to calculate and mark the probability of death asP. The scatter plot for every patient was made in order to validate the effectiveness of the model.Results The establishment of regression equation was used to calculateP values. P≥0.6567 suggested that the patient had a higher risk of death. According to the model validation results, P>0.5 indicated that the disease was likely to become worse or even more likely to die. The predicted results of the model were basically consistent with the actual situation.Conclusion Application of logistic regression analysis to establish pre-warning model based on HIS can make predictions of patients’ disease development and obtain data easily with high timeliness.关键词
护理风险预警/Logistic回归分析/临床指标/模型建立Key words
nursing risk pre-warning/logistic regression analysis/clinical indicators/model establishment分类
医药卫生引用本文复制引用
孙雪松,郑西川..基于病人临床信息的护理风险预警模型的建立与验证[J].中国医疗设备,2016,31(6):110-113,4.基金项目
上海市信息化发展专项基金资助项目（201101049）。 （）
