患者和家属相关败血症事件的情感分析:探索性研究

JMIR nursing Pub Date : 2024-04-01 DOI:10.2196/51720
Mabel Ntiamoah, Teenu Xavier, Joshua Lambert
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引用次数: 0

摘要

背景:尽管败血症具有威胁生命的性质,但人们对败血症事件中患者及其家属的情感体验却知之甚少。我们利用从美国疾病控制和预防中心(CDC)发布的公开博文中获取的文本数据,对涉及患者和家属的败血症事件进行了情感分析:这项调查涉及对患者和家属相关的败血症事件进行情感分析,分析利用了从疾病控制和预防中心发布的公开博文中获取的文本回复。在阐明患者及其家属在败血症事件中遇到的情感动态的迫切需要的推动下,总体目标集中于阐明败血症对患者及其家属的情感影响,并找出提高败血症护理质量的潜在途径:研究采用横截面数据挖掘方法,调查与败血症相关的情绪和情感方面的问题,数据集来自疾病预防控制中心,包括来自患者和护理人员的 170 份回复,时间跨度为 2014 年 9 月至 2020 年 9 月。这项调查使用加拿大国家研究委员会情感词典进行情感分析,并结合人工和自动技术从文本回复中提取显著特征。研究使用负二项最小绝对收缩和选择算子回归来确定与特定情绪状态相关的重要文本特征。此外,Plutchik 的 "情绪之轮 "的可视化也有助于辨别数据集中的主要情绪:结果显示,患者及其家属在败血症事件中经历了一系列情绪,包括恐惧、焦虑、悲伤和感激。我们的分析表明,在败血症相关经历中提及 "医院 "时,与恐惧相关的词语的估计发生率比(IRR)为 1.35,与悲伤相关的词语的估计发生率比(IRR)为 1.51。同样,提及 "重症监护室 "时,平均出现 12.3 个恐惧相关词和 10.8 个悲伤相关词。幸存病人的经历中,与喜悦相关的词语的 IRR 估计为 1.15,而与器官衰竭相关的讨论则与多种负面情绪有关,包括厌恶、愤怒、恐惧和悲伤。此外,提及 "死亡 "时,与恐惧和愤怒相关的词语较多,而与快乐相关的词语较少。相反,脓毒症事件的时间越长,与快乐相关的词语越多,与恐惧相关的词语越少,这可能表明随着时间的推移,情绪适应能力有所提高:研究结果强调,医疗服务提供者在对受败血症影响的患者和家属进行医疗干预的同时,必须将情感支持与医疗干预结合起来,强调情感伤害,强调承认和解决的必要性,提倡使用情感分析作为定制个性化情感援助的一种手段,从而有可能提高患者和家属的福利以及整体疗效。
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Sentiment Analysis of Patient- and Family-Related Sepsis Events: Exploratory Study.

Background: Despite the life-threatening nature of sepsis, little is known about the emotional experiences of patients and their families during sepsis events. We conducted a sentiment analysis pertaining to sepsis incidents involving patients and families, leveraging textual data retrieved from a publicly available blog post disseminated by the Centers for Disease Control and Prevention (CDC).

Objective: This investigation involved a sentiment analysis of patient- and family-related sepsis events, leveraging text responses sourced from a publicly accessible blog post disseminated by the CDC. Driven by the imperative to elucidate the emotional dynamics encountered by patients and their families throughout sepsis incidents, the overarching aims centered on elucidating the emotional ramifications of sepsis on both patients and their families and discerning potential avenues for enhancing the quality of sepsis care.

Methods: The research used a cross-sectional data mining methodology to investigate the sentiments and emotional aspects linked to sepsis, using a data set sourced from the CDC, which encompasses 170 responses from both patients and caregivers, spanning the period between September 2014 and September 2020. This investigation used the National Research Council Canada Emotion Lexicon for sentiment analysis, coupled with a combination of manual and automated techniques to extract salient features from textual responses. The study used negative binomial least absolute shrinkage and selection operator regressions to ascertain significant textual features that correlated with specific emotional states. Moreover, the visualization of Plutchik's Wheel of Emotions facilitated the discernment of prevailing emotions within the data set.

Results: The results showed that patients and their families experienced a range of emotions during sepsis events, including fear, anxiety, sadness, and gratitude. Our analyses revealed an estimated incidence rate ratio (IRR) of 1.35 for fear-related words and a 1.51 IRR for sadness-related words when mentioning "hospital" in sepsis-related experiences. Similarly, mentions of "intensive care unit" were associated with an average occurrence of 12.3 fear-related words and 10.8 sadness-related words. Surviving patients' experiences had an estimated 1.15 IRR for joy-related words, contrasting with discussions around organ failure, which were associated with multiple negative emotions including disgust, anger, fear, and sadness. Furthermore, mentions of "death" were linked to more fear and anger words but fewer joy-related words. Conversely, longer timelines in sepsis events were associated with more joy-related words and fewer fear-related words, potentially indicating improved emotional adaptation over time.

Conclusions: The study's outcomes underscore the imperative for health care providers to integrate emotional support alongside medical interventions for patients and families affected by sepsis, emphasizing the emotional toll incurred and highlighting the necessity of acknowledgment and resolution, advocating for the use of sentiment analysis as a means to tailor personalized emotional aid, and thereby potentially augmenting both patient and family welfare and overall outcomes.

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16 weeks
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