[1]赵 静,王彦哲,季春晓,等.急性心肌梗死介入术后患者衰弱风险列线图模型的构建及验证[J].介入放射学杂志,2025,34(06):656-663.[doi:10.3969/j.issn.1008-794X.2025.06.017]
　ZHAO Jing,WANG Yanzhe,JI Chunxiao,et al.Construction and validation of frailty risk nomogram model for patients with acute myocardial infarction after interventional treatment[J].J Intervent Med,2025,34(06):656-663.[doi:10.3969/j.issn.1008-794X.2025.06.017]
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急性心肌梗死介入术后患者衰弱风险列线图模型的构建及验证()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
34
期数:
2025年06
页码:
656-663
栏目:
护理论坛
出版日期:
2025-06-25

文章信息/Info

Title:
Construction and validation of frailty risk nomogram model for patients with acute myocardial infarction after interventional treatment
文章编号:
1008-794X(2025)-006-0656-08
作者:
赵 静;  王彦哲;  季春晓;  杨 秀;  王平凡;  刘文彩;  郝恩刚;  刘清宁;  孙洪敏;  吴子帅
252600 山东聊城 聊城市第二人民医院/山东第一医科大学附属聊城二院护理部(赵 静、王平凡、刘文彩、刘清宁、吴子帅),介入诊疗室(王彦哲、孙洪敏),心内科(郝恩刚); 康复大学青岛中心医院/青岛市中心医院血液科(季春晓); 日照市中医医院心血管科(杨 秀)
Author(s):
ZHAO Jing; WANG Yanzhe; JI Chunxiao; YANG Xiu; WANG Pingfan; LIU Wencai; HAO Engang; LIU Qingning; SUN Hongmin; WU Zishuai.
Department of Nursing,Liaocheng Municipal Second People's Hospital(Affiliated Liaocheng Municipal Second Hospital of Shandong First Medical University),Liaocheng,Shandong Province 252600,China
关键词:
急性心肌梗死;  介入术后患者;  衰弱;  预测模型;  列线图
分类号:
R248.2
DOI:
10.3969/j.issn.1008-794X.2025.06.017
文献标志码:
A
摘要:
目的 探讨影响急性心肌梗死(acute myocardial infarction,AMI)介入术后患者发生衰弱的影响因素,构建预测模型并绘制列线图,对模型进行验证。方法 采用便利抽样法,选取2023年7月至2024年1月山东省内3所三甲医院心血管内科收治的462例AMI患者为研究对象,其中2023年7月至11月的324例AMI患者作为建模组,收集临床资料进行统计并分析发生衰弱的危险因素,采用logistic回归构建风险预测模型并绘制列线图将模型可视化。选择2023年12月至2024年1月收治的138例AMI患者数据作为验证组,利用受试者工作特征曲线(receiver operating characteristic,ROC)和Hosmer-Lemeshow检验验证模型的预测效果。结果 建模组324例中有170例发生衰弱,发生率为52.47%。单因素分析结果显示两组年龄、受教育程度、体质量指数(BMI)、Charlson共病指数、握力、步速、脑利钠肽前体、体育锻炼、多重用药、恐动症比较,差异具有统计学意义(P<0.05)。多因素logistic回归分析结果显示年龄、BMI、Charlson共病指数、握力、步速、N末端脑利钠肽前体(NT-ProBNP)、体育锻炼、多重用药、恐动症是AMI介入术后患者衰弱的影响因素,OR值分别为1.061、0.630、1.529、0.931、0.005、0.358、1.783、2.929、0.497。以上9个因素作为自变量绘制列线图,模型的ROC曲线下面积为0.851,95%CI:0.809～0.892,最佳临界值为0.562,灵敏度为84.1%,特异度为72.1%。Hosmer-Lemeshow拟合优度检验显示,χ2=12.957,P=0.113。结论 AMI介入术后患者衰弱状况处于中低水平。该研究构建的AMI介入术后患者衰弱风险预测模型预测效果较好,可为临床护理人员识别高危患者并及时干预提供指导。

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(收稿日期:2024-06-05)
(本文编辑:茹 实)

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备注/Memo

备注/Memo:
基金项目: 山东省医药卫生科技发展计划项目(202103010807)
通信作者: 王彦哲 E-mail:312187939@qq.com
更新日期/Last Update: 2025-06-25