Wang Yun-Xian, Lin Rong, Liang Hao, Yan Yuan-Jiao, Liang Ji-Xing, Chen Ming-Feng, Li Hong
The School of Nursing, Fujian Medical University, No. 1 Xuefu North Road, Fuzhou, 350122, Fujian, China.
Department of Nursing, The First People's Hospital of Yunnan Province, The Affiliated Hospital of Kunming University of Science and Technology, Kunming, 650032, Yunnan, China.
Sci Rep. 2024 Dec 30;14(1):31779. doi: 10.1038/s41598-024-82665-4.
Diabetes Mellitus combined with Mild Cognitive Impairment (DM-MCI) is a high incidence disease among the elderly. Patients with DM-MCI have considerably higher risk of dementia, whose daily self-care and life management (i.e. self-management) have a significant impact on the development of their condition. Thus, the inclusion and discrimination of subsequent interventions according to their self-management is an urgent issue. A Sparse-representation-based Discriminative Classification model (SDC) is proposed in this paper to correctly classify MCI-DM patients based on their self-management ability. Specifically, an L-minimization sparse representation model, an efficient machine learning model, is used to obtain the sparse histogram that encodes the identity of the test sample. Then, the coefficient of determination [Formula: see text] is adopted to determine the category based on the sparse histogram of the test sample. Extensive experiments on the self-management data of DM-MCI are conducted to verify the effectiveness of SDC. The experimental results show that the accuracy [Formula: see text], precision [Formula: see text], recall [Formula: see text], and F1-score [Formula: see text] are 94.3%, 95.0%, 94.3%, and 94.5%, respectively, demonstrating the excellent performance of SDC. The model used in this study has high accuracy and can be used for subgroup discrimination. The use of the sparse representation model in this study has supportive implications for the inclusion of research subjects in clinical intervention strategies.
糖尿病合并轻度认知障碍(DM-MCI)是老年人中的一种高发疾病。DM-MCI患者患痴呆症的风险要高得多,其日常自我护理和生活管理(即自我管理)对病情发展有重大影响。因此,根据患者的自我管理情况来纳入和区分后续干预措施是一个紧迫的问题。本文提出了一种基于稀疏表示的判别分类模型(SDC),用于根据MCI-DM患者的自我管理能力对其进行正确分类。具体来说,使用一种高效的机器学习模型——L最小化稀疏表示模型,来获得对测试样本身份进行编码的稀疏直方图。然后,采用判定系数[公式:见原文],根据测试样本的稀疏直方图来确定类别。对DM-MCI的自我管理数据进行了大量实验,以验证SDC的有效性。实验结果表明,准确率[公式:见原文]、精确率[公式:见原文]、召回率[公式:见原文]和F1分数[公式:见原文]分别为94.3%、95.0%、94.3%和94.5%,证明了SDC的优异性能。本研究中使用的模型具有较高的准确率,可用于亚组区分。本研究中稀疏表示模型的使用对在临床干预策略中纳入研究对象具有支持意义。