护理研究2024，Vol.38Issue(14)：2508-2513,6.DOI:10.12102/j.issn.1009-6493.2024.14.010
脑卒中病人构音障碍的风险预测模型构建与验证
Construction and validation of risk prediction model of dysarthria in patients with stroke
康颖 1梁雁超 2刘玉敬 2成杰 2于颖 2侯芳 2梁亚静 2康新丽3
作者信息
- 1. 华北理工大学,河北 063000
- 2. 华北理工大学附属医院
- 3. 安阳市妇幼保健院
- 折叠
摘要
Abstract
Objective:To explore the risk prediction model of dysarthria in patients with stroke,construct risk prediction model and validate their effectiveness.Methods:Convenience sampling was used to select stroke patients from 4 tertiary hospitals in Hebei province from July to November 2022.Patients in case group were 173 cases and control group were 316 cases.A general information questionnaire,oral feature questionnaire,Chinese version of Brief Oral Health Status Examination,National Institutes of Health Stroke Scale,and the Chinese version of Montreal Cognitive Assessment Scale were used to survey patients,and Lovett muscle strength grading and water swallow test were used to evaluate patients.Results:Age≥60 years old,brainstem stroke,history of stroke,poor tongue and body movement,moderate and severe neurological dysfunction,poor oral health,cognitive and swallowing dysfunction were risk factors of dysarthria in patients with stroke(P<0.05).The area under the curve of receiver operator characteristic of predictive model based on risk factors was 0.837[95%CI(0.798,0.876)],the sensitivity was 0.905,the specificity was 0.642,Brier score calculated by Bootstrap internal validation was 0.148,H-L test showed P=0.177,the decision curve showed high risk probability ranged from 0.08 to 0.10,and the C-index of the Nomogram was 0.837,P=0.743.Conclusions:Medical staff should focus on the age,stroke history,stroke location,degree of neurological dysfunction,tongue and oral health,cognitive and swallowing functions of stroke patients.The predictive model constructed in this study can be used to evaluate patients and develop targeted measures early.关键词
脑卒中/构音障碍/影响因素/列线图/护理Key words
stroke/dysarthria/influencing factors/Nomogram/nursing引用本文复制引用
康颖,梁雁超,刘玉敬,成杰,于颖,侯芳,梁亚静,康新丽..脑卒中病人构音障碍的风险预测模型构建与验证[J].护理研究,2024,38(14):2508-2513,6.
