上海护理2024，Vol.24Issue(6)：41-44,4.DOI:10.3969/j.issn.1009-8399.2024.06.010
乳腺癌患者植入式静脉输液港相关感染风险预测模型的构建
Construction of a Risk Prediction Model for Implanted Venous Access Port-related Infection in Breast Cancer Patients
徐思思1
作者信息
- 1. 南昌市人民医院/南昌市第三人民医院,江西 南昌 330000
- 折叠
摘要
Abstract
Objective To analyze the risk factors of implanted venous access port(IVAP)-related infection in breast cancer patients and establish a risk prediction model.Methods From June 2020 to June 2023,200 breast cancer patients were selected by convenience sampling who were treated with IVAP in Nanchang People's Hospital.The patients were divided into infected and non-infected groups depending on whether they had IVAP-related infectious complications.The clinical data of the two groups were retrospectively analyzed and the influencing factors of IVAP-related infection in breast cancer patients were analyzed using binary logistic regression.A risk prediction model was established based on independent influencing factors.Then,the model was evaluated using the receiver operating characteristic(ROC)curve.Results Of the 200 patients,27 patients(13.50%)developed IVAP-related infection.Treatment regimen,diabetes history,and parenteral nutrition support were independent risk factors for IVAP-related infection in breast cancer patients(P<0.05).The constructed risk prediction model was Logit(P)=2.001×treatment regimen+1.969×diabetes history+1.495×parenteral nutrition level-3.842.The area under the ROC curve of the model was 0.832(95%CI:0.751-0.913,P<0.001),with a sensitivity of 77.8%and specificity of 74.0%.Conclusion There are many influencing factors for IVAP-related infection complications in breast cancer patients,and the risk prediction model constructed in this study holds certain clinical application value due to its robust prediction performance.关键词
乳腺肿瘤/植入式静脉输液港/感染/并发症/早期识别Key words
Breast cancer/Implanted venous access port/Infection/Complication/Early recognition分类
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徐思思..乳腺癌患者植入式静脉输液港相关感染风险预测模型的构建[J].上海护理,2024,24(6):41-44,4.
