实用临床医药杂志2024，Vol.28Issue(8)：99-103,108,6.DOI:10.7619/jcmp.20233758
基于潜变量混合增长模型预测颅内动脉瘤手术患者治疗依从性的影响因素
Influence factors of treatment compliance in patients undergoing intracranial aneurysm surgery based on latent growth mixture model
摘要
Abstract
Objective To analyze the influencing factors of treatment compliance in patients un-dergoing intracranial aneurysm(IA)surgery based on based on latent growth mixture model(LGMM).Methods A total of 150 patients who underwent IA surgery were selected as the study objects.The general data of patients were collected and the compliance scale was used to evaluate the compliance of patients.LGMM was used to predict the change track of treatment compliance of pa-tients with IA after surgery,and the influencing factors of treatment compliance of patients with IA were analyzed by multivariate Logistic regression analysis.Results A total of 138 valid question-naires were collected in this study,and the effective questionnaire recovery rate was 92.00％.The treatment compliance score of patients with IA was(5.18±1.59)points.After LGMM fitting,3 po-tential profiles were selected.There were 37 patients with good compliance(26.81％),42 patients with moderate compliance(30.43％),and 59 patients with poor compliance(42.75％).The poten-tial profile category attribution probability matrix was 97.29％for patients with good compliance,95.24％for patients with moderate compliance,and 98.31％for patients with poor compliance.The proportion of poor compliance patients with age of 30 to 50 years old,junior high school education level or below,combined with two or more diseases,out-of-pocket(medical expenses)and Hunt-Hess grade Ⅲ was significantly higher than those with good compliance and moderate compliance(P＜0.05).Age of 30 to 50 years old,Hunt-Hess grade Ⅲ,combined with two or more diseases,edu-cation level as junior high school or below and self-expense(medical expenses)were the influential factors of treatment compliance(P＜0.05).Conclusion Treatment compliance of patients under-going IA surgery is low and heterogeneous.Age of 30 to 50 years old,junior high school education level or below,combination of more than two diseases,medical insurance payment method of self-payment and Hunt-Hess grade Ⅲ are all influencing factors for compliance of IA surgery patients.关键词
颅内动脉瘤/治疗依从性/潜变量混合增长模型/影响因素Key words
intracranial aneurysm/treatment compliance/latent growth mixture model/in-fluence factors分类
医药卫生引用本文复制引用
吴苏,王菁菁,蔡桂兰,甄勇..基于潜变量混合增长模型预测颅内动脉瘤手术患者治疗依从性的影响因素[J].实用临床医药杂志,2024,28(8):99-103,108,6.基金项目
江苏省扬州市科技计划项目(YZ2021089) （YZ2021089）
