同伴支持在国内癌症患者中应用的文献计量分析

Bibliometric analysis of peer support in domestic cancer patients

目的:了解国内癌症患者同伴支持的研究现状,为进一步开展相关研究提供依据。方法:以“肿瘤/癌症”AND“同伴支持/同伴互助/朋辈支持/病友俱乐部/同伴教育/同辈支持/病友支持”为主题、题名或关键词,检索中国期刊全文数据库(CNKI)、中国生物医学文献数据库(SinoMed)、万方数据库和维普中文科技期刊全文数据库自建库至2018年8月31日发表的文献。利用NoteExpress和Excel软件对文献进行计量学分析。结果:共纳入86篇文献,涉及281名作者,平均作者数3.27名/篇,分布在47种医学期刊,有基金资助的文献共20篇,第一作者分布于19个省/市,排名前4位的是广东、上海、浙江、江苏。研究类型以实验性/类实验性为主(69.77%):研究区域集中在医院(40%);研究目的多样,以改善心理状态及自我感受为主(51.67%);干预时间长短不一,集中于3~6个月(40.00%);干预方式多样,以同伴支持小组为主(41.67%);科研设计欠严谨,部分研究存在随机分组方法不当、样本流失后未进行意向性分析等问题;大部分研究(48.33%)未报告同伴教育者的匹配方式;培训同伴教育者实施同伴支持的人员资质不同,缺乏统一标准,且小部分研究未提及对同伴教育者进行培训(18.33%)。结论:癌症患者同伴支持项目受到的关注日益增多,政府和相关机构需加大此领域的基金支持力度,研究者应加强机构间的合作,注重提高研究设计的严谨性,同时规范同伴教育者与患者的匹配方式及培训考核机制,保证同伴支持项目实施的科学性,以促进癌症患者同伴支持项目的进一步发展。

Objective:To understand the research status of peer support for cancer patients in China,so as to provide evidence for further research.Methods:We retrieved related literatures of peer support research in patients with cancer from the database of CNKI,SinoMed,Wanfang and VIP,using“Tumor/Cancer”and“Peer support/Patient club/Peer education/Patient support”as the theme,title or keyword.The publish time was from the built-in library to August 31,2018.The documents were analyzed by Note Express and Excel.Results:A total of 86 articles in 47 medical journals were included,involving 281 authors,with an average of 3.27 authors per document,and 20 researches were funded.The first authors were distributed in 19 provinces/cities and the top 4 were Guangdong,Shanghai,Zhejiang,and Jiangsu.69.77%of 86 articles were experimental study.The research area was concentrated in hospitals(40%).The research aims were varied,the main purpose was to improve the psychological state and self-perception(51.67%).The duration of intervention varied,with a concentration of 3-6 months(40.00%).The intervention methods were varied,with peer support group as the main group(41.67%).The scientific design of researches were not all rigorous,and some of the researches had problems,such as improper random grouping method and no intentional analysis after the loss of samples.Most studies(48.33%)did not report the matching methods of peer educators.Training of peer educators had different qualifications,lack of unified standards,and a small number of studies did not mention peer educators training(18.33%).Conclusion:The attention of peer support project in cancer patients was increasingly,governments and related agencies need to strengthen the fund support in this field,researchers should strengthen the cooperation between institutions,pay attention to improve the rigor of research design,standardization the matching methods and training evaluation mechanism,ensure the scientific of implementation,so as to promote the peer support project in cancer patients.