Analysis in association rules of chronic diseases in the elderly people

XU Minglu; YANG Xiaohan; LIU Qiannan; YI Chang

doi:10.7619/jcmp.20240556

Journal of Clinical Medicine in Practice > 2024 > 28(13): 103-108. > DOI: 10.7619/jcmp.20240556

XU Minglu, YANG Xiaohan, LIU Qiannan, YI Chang. Analysis in association rules of chronic diseases in the elderly people[J]. Journal of Clinical Medicine in Practice, 2024, 28(13): 103-108. DOI: 10.7619/jcmp.20240556

Citation:

PDF (1035 KB)

Analysis in association rules of chronic diseases in the elderly people

1.
Research Room for Healthcare Quality Monitoring and Control, Hospital Management Research Institute of National Health Commission, Beijing, 100044
2.
Center for Disease Control and Prevention of Beijing Economic-Technological Development Area, Beijing, 100176

More Information

Received Date: January 30, 2024
Revised Date: April 07, 2024
Available Online: July 19, 2024

Graphical Abstract

Abstract

Abstract

Objective
To explore the comorbidity patterns of chronic diseases and their associated factors in the elderly population aged 60 and above in China.
Methods
Based on the data from the 2018 China Health and Retirement Longitudinal Study (CHARLS), the Apriori algorithm in R4.0.4 software was used to extract frequent itemsets and construct an association rule model between chronic diseases and their associated factors, targeting the information on 14 chronic diseases in people aged 60 and above in the database.
Results
Among the 13 206 participants, 3 691 cases (27.90%) suffered from at least one chronic disease, while 6 217 cases (47.08%) suffered from two or more chronic diseases. Analysis of association rules showed that the most common comorbidity patterns included heart disease and hypertension, dyslipidemia and hypertension, diabetes and hypertension, as well as "heart disease, arthritis→high blood pressure" "high blood pressure, stomach disease→arthritis" "dyslipidemia, arthritis→hypertension", with support degrees of 8.93%, 8.29%, 5.44%, 3.82%, 3.71% and 3.22%, and confidence degrees of 55.15%, 59.64%, 60.13%, 53.67%, 51.58% and 60.11% respectively. Irregular sleep patterns, urban living backgrounds, and high social participation were strongly associated with hypertension; while irregular sleep patterns, rural residency, and female were highly associated with arthritis.
Conclusion
Given the universality of hypertension in multiple chronic disease comorbidity patterns, the prevention and screening of hypertension and its complications in the elderly population should be strengthened. For the comorbidity patterns of chronic diseases coexisting with hypertension, special attention should be paid to the daily disease screening and management of the elderly who participate in social activities in cities. At the same time, for elderly women, poor sleep quality, and rural residents, the screening and attention to the comorbidity patterns of chronic diseases with arthritis need to be strengthened.

FullText(HTML)

References (22)

References

[1]	石名菲, 李英华, 刘莹钰, 等. 我国老年人慢性病防治素养水平与慢性病患病状况相关性分析[J]. 中国健康教育, 2020, 36(5): 387-391, 417. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGJK202005002.htm
[2]	王一然, 王奇金. 慢性病防治的重点和难点: 《中国防治慢性病中长期规划(2017: 2025年)》解读[J]. 第二军医大学学报, 2017, 38(7): 828-831. https://www.cnki.com.cn/Article/CJFDTOTAL-DEJD201707002.htm
[3]	黄毓, 樊春笋, 施亚男. 基于CLHLS项目2018年横断面数据的高龄人群高血压、糖尿病患病率及相关因素研究[J]. 实用临床医药杂志, 2021, 25(2): 49-53. https://www.cnki.com.cn/Article/CJFDTOTAL-XYZL202102012.htm
[4]	World Health Organization. The World Health Report 2008. Primary Health Cared-Now more than ever[M]. New York: The World Health Report, 2008: 148.
[5]	郭亚萍. 健康中国战略背景下社区健康管理模式在慢性病管理中的应用[J]. 特别健康, 2019(17): 107-108. doi: 10.3969/j.issn.2095-6851.2019.17.138
[6]	徐小兵, 李迪, 孙扬, 等. 基于关联规则的中国老年人慢性病共病分析[J]. 中国慢性病预防与控制, 2021, 29(11): 808-812. https://www.cnki.com.cn/Article/CJFDTOTAL-ZMXB202111003.htm
[7]	张庆, 李梦, 于晓涵. 基于Apriori算法的糖尿病患者用药规律关联规则挖掘分析[J]. 中国卫生统计, 2023, 40(5): 687-691. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWT202305011.htm
[8]	北京大学中国社会科学调查中心. 中国健康与养老追踪调查[EB/OL]. (2023-07-02). [2024-01-06]. http://www.isss.pku.edu.cn/sjgx/sjzy/index.htm.
[9]	殷丽凤, 李明状. 基于Apriori算法的关联规则分析应用[J]. 电子设计工程, 2023, 31(15): 11-14, 19. https://www.cnki.com.cn/Article/CJFDTOTAL-GWDZ202315003.htm
[10]	李鑫宇. 大数据加权关联规则挖掘算法研究[D]. 哈尔滨: 哈尔滨理工大学, 2024.
[11]	HU X L, HUANG J, LV Y Q, et al. Status of prevalence study on multimorbidity of chronic disease in China: systematic review[J]. Geriatr Gerontol Int, 2015, 15(1): 1-10. doi: 10.1111/ggi.12340
[12]	李天龙, 王晨, 马力. 家庭医生签约管理的H型高血压患病现状及风险研究[J]. 实用临床医药杂志, 2022, 8(16): 101-104, 112. https://www.cnki.com.cn/Article/CJFDTOTAL-XYZL202216021.htm
[13]	FORTIN M, STEWART M, POITRAS M E, et al. A systematic review of prevalence studies on multimorbidity: toward a more uniform methodology[J]. Ann Fam Med, 2012, 10(2): 142-151. doi: 10.1370/afm.1337
[14]	施明明, 李娜, 胡锦峰. 关联规则在社区居民常见慢性病关联性分析中的应用[J]. 预防医学, 2018, 30(8): 766-770. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYFX201808003.htm
[15]	闫晓培, 石宝玉, 王慧, 等. 慢性阻塞性肺疾病伴高血压病的临床特征和危险因素分析[J]. 实用临床医药杂志, 2021, 25(3): 63-68. https://www.cnki.com.cn/Article/CJFDTOTAL-XYZL202103016.htm
[16]	周静, 焦秀萍, 於晓萍. 高血压患者的健康体检管理及整合干预研究[J]. 实用临床医药杂志, 2019, 23(5): 16-19. https://www.cnki.com.cn/Article/CJFDTOTAL-XYZL201905004.htm
[17]	赵俊文. 抑郁对老年高血压患者心率变异性及生活质量的影响[J]. 实用临床医药杂志, 2016, 2(3): 15-17. https://www.cnki.com.cn/Article/CJFDTOTAL-XYZL201603005.htm
[18]	段思宇, 杨占基, 孙健, 等. 中国中老年人睡眠时间与高血压患病率的相关性: 基于健康与养老追踪调查[J]. 中华疾病控制杂志, 2021, 25(9): 1054-1059. https://www.cnki.com.cn/Article/CJFDTOTAL-JBKZ202109011.htm
[19]	严蜜, 孙丽, 陈宗涛. 地中海饮食对老年"三高" 人群健康影响的研究进展[J]. 实用临床医药杂志, 2022, 8(16): 144-148. https://www.cnki.com.cn/Article/CJFDTOTAL-XYZL202216031.htm
[20]	陈其元, 刘莉. 男性和女性类风湿关节炎患者的并发疾病与治疗状况分析[J]. 中国继续医学教育, 2021, 13(27): 111-114. https://www.cnki.com.cn/Article/CJFDTOTAL-JXUY202127030.htm
[21]	郭佳, 黄际远, 郑洪银. 中老年女性类风湿关节炎患者骨丢失临床特点分析[J]. 中国全科医学, 2018, 21(22): 2712-2715. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX201822019.htm
[22]	黄丹, 南鹤. 老年类风湿关节炎合并骨质疏松症的临床分析[J]. 中国实验诊断学, 2020, 6(9): 1501-1503. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSZD202009025.htm

Cited By

Cited by

Periodical cited type(14)

1.	曹瑜，林盪. PDCA循环联合PBL教学法对呼吸内科住院医师规范化培训的应用效果. 中国医药指南. 2023(20): 186-189 .
2.	高长燕，程吉英. 医护治一体化品管圈活动降低康复病房呼叫器使用次数的应用研究. 现代医药卫生. 2022(05): 895-897+900 .
3.	丁如梅，郭娜，黄佳宇，金艳，张雯昕，胡浪静，王燕. 多学科团队诊疗模式下PDCA循环管理对胰腺癌患者围术期营养状态的影响. 国际护理学杂志. 2022(12): 2210-2214 .
4.	李楠. PDCA循环管理结合外科康复护理对青光眼患者视力与自我管理能力的影响. 现代中西医结合杂志. 2022(18): 2599-2602 .
5.	吴全峰，周莉萍，郭巧莉，杨二女. 戴明循环管理法的品管圈活动对精神分裂症保护性约束患者压力性损伤的影响. 慢性病学杂志. 2021(03): 417-419 .
6.	刘振新. 老年白内障并发青光眼患者在术后恢复期应用品管圈结合循证护理干预提升其生活质量和术后治疗安全性的效果. 国际护理学杂志. 2021(09): 1670-1673 .
7.	年婧，贺维涛，高行军，周瑾，张少茹，刘洁琼，孙静. 品管圈在优化工作流程、降低门诊药房调剂内差中的应用. 临床医学研究与实践. 2021(19): 190-192 .
8.	张晓艳，周敏娜，陈洁. 心理护理联合疼痛管理在胰腺癌手术患者护理中的应用效果. 心理月刊. 2021(19): 92-93 .
9.	沈婷. 探究胰腺癌伴心衰患者围手术期应用品管圈活动联合PDCA循环的护理效果. 中西医结合心血管病电子杂志. 2021(23): 121-123+116 .
10.	何媛，高华. 戴明循环管理法的QCC活动对提高护理质量和降低创伤骨折患者术后切口感染率的影响. 抗感染药学. 2020(04): 555-557 .
11.	胡新玲. 基于PDCA模式的QCC活动对浅静脉留置针患者的应用效果. 河南医学研究. 2020(15): 2874-2876 .
12.	刘玮丽. 胰腺癌术后患者应用优质护理对生活质量及自我护理能力的影响. 当代护士(上旬刊). 2020(10): 88-90 .
13.	龙艳，李兰. 肝胆外科患者围术期护理中品管圈活动效果. 实用临床医药杂志. 2019(18): 129-132 . 本站查看
14.	刘晓静. 舒适护理干预对胰腺癌围术期并发症及患者满意度的影响. 中国医药指南. 2019(34): 245-246 .

Other cited types(0)

Get Citation

PDF

XML

Article views PDF downloads Cited by(14)

Turn off MathJax

Article Contents

Abstract

References

Analysis in association rules of chronic diseases in the elderly people

Abstract

References

Cited by

Periodical cited type(14)

Other cited types(0)

Catalog

Export File

Citation

Format

Content