摘要
目的:基于logit阶层回归下分析ICU综合征的发生原因。方法:调查2018年1月-2019年1月期间于广西某三甲医院重症监护室的120例住院患者,运用自行设计的人口学资料调查表、A型行为类型问卷、匹兹堡睡眠质量指数评分量表、急性生理及慢性健康状况评分量表、日常生活能力评分量表、ICU环境压力源量表收集患者一般人口学资料、住院期间的相关评分、ICU环境压力源评分、疾病情况,运用卡方检验和logit阶层回归分析分别从影响因素和维度探究ICU综合征发生的原因。结果:120例的重症监护室患者住院期间发生ICU综合征的例数为25例,未发生为95例。从单因素分析来看,性别、年龄、婚姻状况、文化程度、职业类型、医疗费用、A型性格、疾病类型、是否吸烟、是否伴有高血压/糖尿病、是否伴有水电解质紊乱、是否伴有低氧血症、是否使用无创吸氧通气、是否使用镇静剂、是否手术、睡眠质量指数、APACHEⅡ评分、入住ICU时间、日常生活能力评分在发生和未发生ICU综合征两组病人间比较有差异(P<0.05),是ICU综合征发生的独立因素。从维度分析来看,个人基本情况(X1)、疾病基本情况(X2)、住院期间状况(X3)、ICU环境压力源(X4)4个维度均通过模型显著性检验(P<0.05)。其中个人基本情况(X1)对ICU综合征发生的解释力度为50.0%、疾病情况(X2)的解释力度为17.6%、住院期间情况(X3)的解释力度为21.3%、ICU环境压力源(X4)的解释力度为2.0%。结论:ICU综合征发生的原因与个人基本情况息息相关,此外,疾病情况、住院期间的相关评分、ICU环境压力源评分均在不同程度影响该病的发生。
Objective:To analyze the causes of ICU syndrome based on logit hierarchical regression analysis.Methods:Total of 120 patients in ICU of a class A hospital in Guangxi from Jan.2018 to Jan.2019 were enrolled in the study.Self-designed demographic data questionnaire,type A behavior questionnaire,Pittsburgh sleep quality index scale,acute physiological and chronic health status scale,daily living ability scale and ICU environmental stress source scale were employed to collect the general demographic data of patients,relevant scores during hospitalization,ICU environmental stress source score and disease situation.Chi-square test and logit hierarchical regression analysis were used to explore the causes of ICU syndrome from the aspects of influencing factors and dimensions.Results:Among the 120 patients,25 developed ICU syndrome during hospitalization,while the other 90 patients didn’t.Single factor analysis showed that gender,age,marital status,education level,occupation type,medical expenses,type A personality,disease type,smoking,hypertension/diabetes,water electrolyte disorder,hypoxemia,noninvasive oxygen ventilation,sedation,surgery,sleep quality index,APACHE II score,ICU stay time,and daily life ability were difference between ICU syndrome patients and non-ICU syndrome patients(P<0.05),and these were independent factors for the occurrence of ICU syndrome.From the perspective of dimensional analysis,individual basic condition(X1),disease basic condition(X2),hospitalization condition(X3),and ICU environmental stress source(X4)all passed the model significance test(P<0.05).The explanation degree for occurrence of ICU syndrome of individual basic condition(X1)was 50.0%,disease condition(X2)was 17.6%,hospitalization condition(X3)was 21.3%,and ICU environmental stress source(X4)was 2.0%.Conclusion:The causes of ICU syndrome are closely related to the basic situation of the individual.In addition,the disease situation,the relevant scores during hospitalization,and the score of ICU environmental stress source all affect the occurrence of the ICU syndrome to varying degrees.
作者
李道创
林玉霞
林琴
黄碧秋
欧金
何雪明
欧和生
Li Daochuang;Lin Yuxia;Lin Qin;Huang Biqiu;Ou Jin;He Xueming;Ou Hesheng(Guangxi International Zhuang Medicine Hospital,Nanning 530201,China;Guangxi Medical University Affiliated Tumor Hospital,Nanning 530021,China)
出处
《广西医科大学学报》
CAS
2020年第2期247-254,共8页
Journal of Guangxi Medical University
基金
广西壮族自治区卫健委自筹课题资助项目(No.Z20180648,Z20190709)
广西壮族自治区中药局自筹课题资助项目(No.GZZC2019021)
广西中医药大学青年基金资助项目(No.2019QN034)。
