2006-2016年我国关于患者参与患者安全研究的文献计量分析

Bibliometric analysis of literatures about patient safety in China from 2006 to 2016

目的 :系统分析2006-2016年我国患者参与患者安全的研究现状及存在问题,为患者参与患者安全的进一步研究和发展提供参考依据。方法 :利用万方数据库、维普中文期刊全文数据库和中国期刊全文数据库(CNKI),对2006-2016年国内期刊刊载的关于患者参与患者安全的相关文献进行检索,运用文献计量学方法对检索结果进行分析。结果 :共纳入218篇文献,分别发表在106种期刊上,自2010年以后发文量整体呈增长趋势,但近两年发文量有下降趋势;作者来自180个单位,研究单位以医学院校及附属医院为主(61.47%),广东、上海、四川发文量较多,51.83%的文献为临床经验介绍,14.22%的文献为调查研究,实验性研究仅占8.71%,研究场所以三级/二级医院为主,研究对象以患者(及家属)和医护人员为主,研究热点主要集中于医患双方对患者参与患者安全的意愿、影响因素及患者参与方法、参与内容,研究受科研基金资助的论文占8.26%。结论 :目前患者在保障患者安全方面的重要作用已得到一定的重视,但研究的深度和广度仍有待加强,未来需要多方协作,多层面推动患者参与患者安全相关研究,进而开展大样本、多中心的随机对照研究,更好地为临床提供循证依据,以探索出行之有效的患者参与患者安全的具体策略,让患者真正成为患者安全体系中的一员。

Objective： To analyze the research status and issues related to patient safety in China from 2006 to 2016. Methods： All literatures related to patient safety were sourced in the Wanfang Database, VIP Database and China National Knowledge Infrastructure （CNKI） from 2006 to 2016. The literatures were analyzed using bibliometric analysis method. Results： A total of 218 articles related patient safety published in 106 journals were sourced. There is a trend of growth in the number of the articles since 2010, but a downward trend in recent two years. The authors came from 180 facilities, most of which were medical universities and affiliated hospitals （61.47%）. Guangdong, Shanghai and Sichuan enjoyed the most share of articles. Clinical experience reports accounted of 51.83%, questionnaire survey studies accounted of 14.22%, only 8.71% were experimental studies. Tertiary and secondary hospitals were the major research facilities. Patients （including family members） and health care workers were the main subjects of the studies. The research topics mainly focused on the patients and health care workers＇s attitudes towards patients safety, the related factors, the participating methods and the effectiveness evaluation. Totally 8.26% of the research papers were funded by the government. Conclusion： The importance of patientsafety has attracted attention from the researchers in recent years, but the studies still have some limitations. The multi-center, randomized controlled studies aresuggested too provide evidence-based information and to enhance the quality of nursing management in patient safety.