Analysis of Influencing Factors on the Sense of Gain for Elderly Chronic Patients based on Ordered Logistic Regression and Decision Tree Methods
10.11783/j.issn.1002-3674.2024.03.012
- VernacularTitle:基于有序logistic回归与决策树方法的老年慢性病者获得感影响因素分析
- Author:
Hongqiang SHI
1
,
2
;
Yuxi LIU
;
Wanrui MA
Author Information
1. 广东医科大学附属东莞第一医院(523808)
2. 广东医科大学生命质量与应用心理研究中心/生命质量与心理测评干预重点实验室
- Keywords:
Elderly chronic patients;
Sense of gain;
Ordered logistic regression;
Decision tree
- From:
Chinese Journal of Health Statistics
2024;41(3):387-392,397
- CountryChina
- Language:Chinese
-
Abstract:
Objective To understand the sense of gain of elderly chronic patients,explore their influencing factors,and provide a basis for the subsequent enhancement of the sense of gain of elderly chronic patients.Methods The data for this study were obtained from a survey of elderly chronic patients in the affiliated hospital of Guangdong Medical University.Convenience sampling was used to survey 380 elderly chronic patients with hypertension,coronary heart disease and benign prostatic hyperplasia treated in the hospital.The questionnaire included sense of gain,demographic factors,physical function,psychological function,and social function,etc.One-way multi-sample rank test,Spearman′s correlation analysis,multifactorial ordered logistic regression model and CHAID categorical decision tree analysis were performed using SPSS 26.0.Results Among the 380 older chronically ill people surveyed,2.9%had no sense of gain at all,40.5%had unclear or moderate sense of gain,and 66.6%had a very strong sense of gain.The results of multifactorial ordered logistic regression showed marital status,education level,social support and spiritual pillars are associated with sense of gain with all above variables being statistically significant(P＜0.05).The OR values for unmarried,below junior high school level,high school and specialist,able to interact with others as they did before they got sick,spiritual pillars to make them no/a little feel the meaning of life,and limited moderate activities are 0.318,0.172,0.307,0.500,0.145,0.407,0.545,respectively,indicating relatively low sense of gain.The elderly chronic patients who usually did not feel depressed or sad,and did not have financial difficulties in their families due to their illness and treatment had a higher sense of gain with OR values being 3.042 and 1.988,respectively.The results of categorical decision tree analysis showed that whether or not spiritual support can make feel the meaning of life or the value of life,whether or not interact with other people as did before the disease,whether or not the disease has caused family′s financial difficulties,and whether or not have limitations on moderate activities are the most important factors influencing the sense of gain of the elderly chronic patients.Conclusion It is necessary to pay attention to the mental aspects of the elderly chronic patients and maintain interpersonal communication,and take targeted measures to help them reduce the degree of activity limitation as much as possible,so as to enhance the sense of gain of the elderly chronic patients.
