Study on influencing factors of social frailty in elderly patients with mild ischemic stroke
10.3761/j.issn.0254-1769.2025.10.015
- VernacularTitle:老年轻型缺血性脑卒中患者社会衰弱的影响因素及护理启示
- Author:
Limin QIAO
1
;
Yaning ZHAO
1
;
Yao LIU
1
;
Pan ZHANG
1
;
Daye ZHAO
1
Author Information
1. 063200 唐山市 华北理工大学护理与康复学院
- Publication Type:Journal Article
- Keywords:
Ischemic Stroke;
Social Frailty;
Random Forest;
Questionnaire;
Geriatric Nursing
- From:
Chinese Journal of Nursing
2025;60(10):1251-1256
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the factors affecting social frailty in elderly patients with mild ischemic stroke and conduct interpretable analysis to provide references for the implementation of targeted intervention.Methods Using convenience sampling method,elderly mild ischemic stroke patients treated in a tertiary A hospital in Tangshan from September 2022 to August 2023 were selected as the survey subjects according to whether social weakness and no social weakness occurred 6 months after discharge.General Information Questionnaire,Chronic Illness Resources Survey,Family Care Index Questionnaire,Instrumental Activities of Daily Living Scale,Mini-Mental State Examination,International Physical Activity Questionnaire Short Form,and Social Frailty Scale were uesd to investigate.Univariate analysis,random forest-feature recurrence elimination screening variables were used to construct random forest models,and SHAP values were introduced for influencing factor analysis.Results A total of 818 elderly patients with mild ischemic stroke were included,and 110 patients were lost at 6 months,and 708 patients(86.55％)finally completed the survey.The prediction accuracy of random forest model was 0.828 and 0.807 in the training set and test set.The SHAP interpretability analysis results showed that impaired self-care ability,sedentary behavior,and the number of combined chronic diseases were positively associated with social weakness,ideal utilization of chronic disease resources,good family care and social weakness;the importance of characteristics was self-care ability,chronic disease resource utilization,family care,sedentary behavior,and combined chronic diseases.Conclusion The influencing factors of social frailty in elderly patients with mild ischemic stroke are complex,so medical staff should pay attention to the social function of elderly patients with mild ischemic stroke,and reduce the risk of social frailty by formulating personalized intervention measures.
