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在对湖南农村育龄妇女输卵管绝育术心身状况进行前瞻性群组研究的基础上,应用群组Logistic回归模型分析方法首次证明:农村育龄妇女绝育术后心身反应是多种潜在危险因子的联合效应。依据相对危险度(RR)的大小,定量评估了受术者术前潜在危险因子与术后心身反应的关联强度:不良应付方式(RR=37.71)、暗示性(RR=4.53)、情绪稳定性(RR=3.44)、疼痛敏感性(RR=2.14)和手术地点(RR=2.05)。建立了女性绝育术后1年内出现心身反应的概率预测模型。该预测模型的病例回代判别分析的阳性预告值为73.6％,阴性预告值为95.4％,总一致性为91.61％。证明预测模型具有较高的筛检实验效力,可作为术前预测筛选工具。
Based on the prospective cohort study on the psychosomatic condition of tubal sterilization in rural women of childbearing age in Hunan Province, the logistic regression model analysis method was used for the first time to prove that the psychosomatic response after sterilization in rural women of childbearing age is the combined effect of various potential risk factors. According to the relative risk (RR), the correlation between preoperative latent risk factors and postoperative psychosomatic responses was quantitatively assessed: adverse coping style (RR = 37.71), implied (RR = 4.53), emotional stability (RR = 3.44), pain sensitivity (RR = 2.14) and surgical site (RR = 2.05). A probabilistic prediction model of psychosomatic reaction within 1 year after female sterilization was established. The predictive value of the positive predictive value of the discriminant analysis was 73.6% and the negative predictive value was 95.4%. The overall consistency was 91.61%. Prove the prediction model has a high screening test effectiveness, can be used as a preoperative screening tool.