基于有序Logistic回归与决策树的上海市中医家庭康复满意度调查及影响因素分析

doi:10.3969/j.issn.1006-9771.2022.10.006

Abstract

Abstract:

Objective To investigate the satisfaction of rehabilitation staff in community health service institutions in Shanghai on family rehabilitation of Traditional Chinese Medicine (TCM), and explore the related factors.

Methods From August to October, 2021, a questionnaire survey was conducted among 173 rehabilitation workers from 36 community health service institutions in Shanghai by using a phased random cluster sampling method. Spearman correlation analysis was used to explore the related factors of TCM family rehabilitation satisfaction, and ordinal logistic regression model and decision tree model were used to analyze the independent related factors of TCM rehabilitation service satisfaction.

Results Among the 173 rehabilitation professionals, 85 (49.1%) were satisfied with the development of family rehabilitation of TCM, 83 (48%) were generally satisfied, and only 5 (2.9%) were dissatisfied. Family rehabilitation satisfaction of TCM was negatively correlated with expected monthly income (r = -1.169, P= 0.026), and was postively correlated with working environment, personnel assessment mechanism, promotion mechanism, application of knowledge in work, development prospect, understanding of western medicine family rehabilitation, and satisfaction of western medicine family rehabilitation (r > 0.268, P< 0.05). Ordinal logistic regression results showed that the promotion mechanism (OR = 0.033, 95%CI 0.003 to 0.341) and the satisfaction of family rehabilitation in western medicine (OR = 0.030, 95%CI 0.006 to 0.150) were independent related factors of community rehabilitation professionals' satisfaction on TCM family rehabilitation. The decision tree model showed consistent result with ordinal logistic regression.

Conclusion More than half of the community rehabilitation professionals in Shanghai are still satisfied with TCM family rehabilitation at the general level or below. It is suggested to improve the capacity of Chinese and western medicine combined rehabilitation, increase the training of in-service rehabilitation personnel, optimize the salary system, broaden the promotion channels, improve the working environment, strengthen the publicity of family rehabilitation, and explore the implementation mechanism of family rehabilitation.

Key words: family rehabilitation, community rehabilitation personnel, service satisfaction, ordinal logistic regression, decision tree

CLC Number:

HU Yuhong,ZHANG Minghui,BAO Xiaoqing,SUN Wei,BAO Yong,GUO Lijun. Satisfaction and related factors of family rehabilitation of Traditional Chinese Medicine in Shanghai using ordinal logistic regression model and decision tree model[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(10): 1159-1168.

Figures/Tables 7

变量类别	变量名称	变量赋值	n(%)	变量类别	变量名称	变量赋值	n(%)
个人一般情况	民族	1 =汉族	168(97.10)	工作情况	岗前业务培训	0 =否	10(5.80)
		2 =其他	5(2.90)			1 =是	163(94.20)
	性别	1 =男	47(27.20)		西医康复培训	0 =否	54(31.20)
		2 =女	126(72.80)			1 =是	119(68.80)
	年龄/岁	1 = 20~< 30	73(42.20)		中医康复培训	0 =否	92(53.20)
		2 = 30~< 40	65(37.60)			1 =是	81(46.80)
		3 = ≥ 40	35(20.20)		继续深造	0 =否	17(9.80)
	地区	1 =徐汇区	61(35.30)			1 =是	156(90.20)
		2 =闵行区	65(37.60)		工作环境氛围	1 =满意	142(82.10)
		3 =金山区	47(27.20)			2 =一般	28(16.20)
	婚姻	1 =已婚	111(64.20)			3 =不满意	3(1.70)
		2 =未婚	62(35.80)		人员考核机制	1 =满意	124(71.70)
	平均月收入/元	1 = <10 000	150(86.70)			2 =一般	43(24.90)
		2 = 10 000~15 000	23(13.30)			3 =不满意	6(3.50)
	工资是否满意	1 =满意	9(5.20)		晋升机制	1 =满意	106(61.30)
		2 =一般	95(54.90)			2 =一般	53(30.60)
		3 =不满意	30(17.30)			3 =不满意	14(8.10)
	期待月收入/元	1 = < 10 000	39(22.50)		知识在工作中的应用	1 =满意	136(78.60)
		2 = 10 000~15 000	33(19.10)		知识在工作中的应用	2 =一般	34(19.70)
		3 = > 15 000~20 000	92(53.20)			3 =不满意	3(1.70)
		4 = > 20 000	48(27.70)		发展前景	1 =满意	110(63.60)
	最高学历	1 =硕士及以上	17(9.80)			2 =一般	59(34.10)
		2 =本科	130(75.10)			3 =不满意	4(2.30)
		3 =大专及以下	26(15.00)	家庭康复认知及满意度情况	中西医优势对比	1 =中医康复	8(4.60)
	职称	1 =高级	13(7.50)			2 =西医康复	9(5.20)
		2 =中级	63(36.40)			3 =中西医结合康复	156(90.20)
		3 =初级及以下	97(56.10)		西医家庭康复了解	1 =了解	90(52.00)
	工作年限/年	1 = < 5	48(27.70)		情况	2 =一般	63(36.40)
		2 = 5~ 10	58(33.50)			3 =不了解	20(11.60)
		3 = > 10~20	44(25.40)		西医家庭康复满意	1 =满意	78(45.10)
		4 = > 20	23(13.30)		度	2 =一般	87(50.30)
						3 =不满意	8(4.60)

变量	分类	中医家庭康复满意度			χ²值	P值
变量	分类	满意(n = 85)	一般(n = 83)	不满意(n = 5)	χ²值	P值
民族	汉族	81	83	4	0.901	0.342
	其他	4	0	1
性别	男	19	25	3	2.614	0.106
	女	66	58	2
年龄	20~29岁	36	36	1	2.103	0.349
	30~39岁	29	32	4
	≥ 40岁	20	15	0
地区	徐汇区	30	28	3	0.283	0.868
	闵行区	31	32	2
	金山区	24	23	0
婚姻	已婚	50	57	4	2.249	0.134
	未婚	35	26	1
平均月收入/元	1 = <10 000	71	74	5	1.699	0.192
	2 = 10 000~15 000	14	9	0
工资是否满意	满意	24	9	0	9.813	0.007
	一般	38	51	3
	不满意	23	23	2
期待月收入/元	1 = < 10 000	5	3	1	6.395	0.094
	2 = 10 000~15 000	39	53	3
	3 = > 15 000~20 000	16	13	1
	4 = > 20 000	25	14	0
最高学历	硕士及以上	8	8	1	0.136	0.934
	本科	64	62	4
	大专及以下	13	13	0
职称	高级	9	4	0	2.600	0.272
	中级	29	31	3
	初级及以下	47	48	2
工作年限/年	1 = < 5	26	21	1	6.436	0.092
	2 = 5~ 10	21	34	3
	3 = > 10~20	25	18	1
	4 = > 20	13	10	0
岗前业务培训	是	80	79	4	0.032	0.859
	否	5	4	1
西医康复培训	是	64	50	5	2.183	0.140
	否	21	33	0
中医康复培训	是	43	35	3	0.691	0.406
	否	42	48	2
继续深造	是	78	73	5	0.285	0.593
	否	7	10	0
工作环境氛围	满意	79	59	4	12.367	0.002
	一般	5	23	0
	不满意	1	1	1
人员考核机制	满意	78	44	2	33.654	< 0.001
	一般	6	36	1
	不满意	1	3	2
晋升机制	满意	69	37	0	35.363	< 0.001
	一般	16	34	3
	不满意	0	12	2
知识在工作中的应用	满意	77	56	3	15.837	< 0.001
	一般	8	25	1
	不满意	0	2	1
发展前景	满意	65	44	1	13.343	0.001
	一般	19	36	4
	比较不满意	1	3	0
中西医优势对比	中医康复	2	6	0	1.629	0.443
	西医康复	4	5	0
	中西医康复	79	72	5
西医家庭康复了解情况	了解	60	29	1	27.359	< 0.001
	一般	22	40	1
	不了解	3	14	3
西医家庭康复满意度	满意	73	5	0	109.723	< 0.001
	一般	9	76	2
	不满意	3	2	3

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变量名	共线性统计		变量名	共线性统计
变量名	Tolerance	VIF	变量名	Tolerance	VIF
工资是否满意	0.835	1.198	知识在工作中的应用	0.650	1.402
工作环境氛围	0.548	1.823	发展前景	0.497	2.011
人员考核机制	0.416	2.404	西医家庭康复了解情况	0.650	1.583
晋升机制	0.412	2.248	西医家庭康复满意度	0.669	1.494

连接函数	χ²值	P值	伪R²
分对数	F = 160.537	< 0.001	C = 0.605
	P = 162.156	0.038	N = 0.756
	D = 87.338	0.999	M = 0.577
	L = 20.310	0.207
互补双对数	F = 256.855	< 0.001	C = 0.773
	P = 91.387	0.997	N = 0.967
	D = 100.813	0.980	M = 0.923
	L < 0.001	1.000
负双对数	F = 160.465	< 0.001	C = 0.604
	P = 127.270	0.600	N = 0.756
	D = 87.410	0.999	M = 0.577
	L = 16.603	0.412
概率	F = 159.874	< 0.001	C = 0.603
	P = 128.308	0.575	N = 0.754
	D = 88.001	0.999	M = 0.575
	L = 96.981	< 0.001
逆柯西	F = 170.922	< 0.001	C = 0.628
	P = 258.401	<0.001	N = 0.785
	D = 76.953	1.000	M = 0.614
	L = 30.479	0.016

自变量		β	Wald	P值	OR	95%CI
工资是否满意(不满意为参照)	满意	-0.404	0.561	0.454	0.668	0.232~1.921
工资是否满意(不满意为参照)	一般	0.240	0.397	0.528	1.271	0.602~2.683
工作环境氛围(不满意为参照)	满意	2.374	3.145	0.076	10.740	0.779~147.969
工作环境氛围(不满意为参照)	一般	0.956	0.481	0.488	2.601	0.175~38.706
人员考核机制(不满意为参照)	满意	-0.923	0.673	0.412	0.397	0.044~3.600
人员考核机制(不满意为参照)	一般	-0.963	0.800	0.371	0.381	0.046~3.149
晋升机制(不满意为参照)	满意	-3.423	8.169	0.004	0.033	0.003~0.341
晋升机制(不满意为参照)	一般	-1.689	2.614	0.106	0.185	0.024~1.432
知识在工作中的应用(不满意为参照)	满意	-1.660	1.192	0.275	0.190	0.010~3.743
知识在工作中的应用(不满意为参照)	一般	-2.217	2.080	0.149	0.109	0.005~2.217
发展前景(不满意为参照)	满意	0.419	0.170	0.680	1.520	0.208~11.123
发展前景(不满意为参照)	一般	0.188	0.037	0.848	1.207	0.176~8.265
西医家庭康复了解情况(不了解为参照)	了解	-0.473	0.679	0.410	0.623	0.202~1.919
西医家庭康复了解情况(不了解为参照)	一般	-0.415	0.578	0.447	0.660	0.227~1.923
西医家庭康复满意度(不满意为参照)	满意	-3.499	18.279	< 0.001	0.030	0.006~0.150
西医家庭康复满意度(不满意为参照)	一般	0.278	0.187	0.666	1.320	0.374~4.670

Satisfaction and related factors of family rehabilitation of Traditional Chinese Medicine in Shanghai using ordinal logistic regression model and decision tree model

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变量	r值	P值
民族	-0.072	0.344
性别	-0.123	0.106
年龄	-0.028	0.715
地区	-0.031	0.689
婚姻	-0.114	0.134
平均月收入	-0.099	0.193
工资是否满意	0.142	0.062
期待月收入	-1.169	0.026
最高学历	-0.028	0.719
职称	0.032	0.679
工作年限	-0.049	0.519
岗前业务培训	-0.014	0.859
西医康复培训	-0.113	0.140
中医康复培训	-0.063	0.407
继续深造	-0.041	0.595
工作环境氛围	0.268	< 0.001
人员考核机制	0.442	< 0.001
晋升机制	0.446	< 0.001
知识在工作中的应用	0.294	< 0.001
发展前景	0.278	< 0.001
中西医优势对比	-0.081	0.290
西医家庭康复了解情况	0.396	< 0.001
西医家庭康复满意度	0.771	< 0.001

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