近10年痴呆症患者生活质量研究热点与前沿的可视化分析

Visual analysis of research hotspots and fronts on the quality of life of patients with dementia in the past 10 years

目的分析近10年痴呆症患者生活质量相关研究的热点与前沿,为我国痴呆症患者生活质量研究的发展提供参考依据。方法以Web of Science核心数据库为文献来源,检索2010—2019年痴呆症患者生活质量研究相关的文献,利用CiteSpace可视化软件进行文献基本分布特点、共被引和关键词分析。结果共纳入5651篇文献,年发文量总体呈增长趋势,美国、英国和澳大利亚在此领域较为活跃。发文量排序前10名的机构中,伦敦大学学院占主导地位,作者合作以同机构内合作为主。研究热点集中在改善痴呆症患者生活质量的心理社会干预效益评价、减轻照顾者负担的远程辅助、测量痴呆症患者生活质量工具的信效度、长期护理的质量评价等。研究前沿主要是遵循以人为中心的原则进行长期护理、信息技术逐渐被应用于痴呆症患者的家庭护理中。结论在痴呆症患者生活质量相关研究中,心理社会干预和照顾者负担是重点研究问题,结合各种模式的远程医疗系统是提高生活质量和减轻照顾者负担的有效途径,同时需考虑各种模式和干预措施的成本效益,综合国外对痴呆症患者生活质量的研究,为我国该领域的进一步探索提供有价值的信息。

Objective To analyze the research hotspots and fronts of the quality of life of patients with dementia in the past 10 years,and provide a reference for the development of research on the quality of life of patients with dementia in China.Methods Using the Web of Science core database as the source of the literature,the literature related to the quality of life of dementia patients were retrieved from 2010 to 2019.CiteSpace visualization software was used to analyze the basic distribution characteristics,co-citation and keywords of the literature.Results A total of 5651 articles were included,and the annual number of publications showed an overall increasing trend,and the United States,the United Kingdom and Australia were active in this field.Among the top 10 institutions in terms of the number of publications,University College London dominated,and the author's cooperation was mainly within the institution.Research hotspots focused on the evaluation of the effectiveness of psychosocial interventions to improve the quality of life of dementia patients,remote assistance to reduce the burden of caregivers,the reliability and validity of tools for measuring the quality of life of patients with dementia and the quality evaluation of long-term care.The research front was mainly long-term care based on the human-centered principle,and information technology was gradually being used in the home care of patients with dementia.Conclusions In research related to the quality of life of patients with dementia,psychosocial intervention and caregiver burden are key research issues.A telemedicine system that combines various modes is an effective way to improve the quality of life and reduce the burden on caregivers.At the same time,it is necessary to consider the cost-effectiveness of various modes and interventions.This article synthesizes foreign research on the quality of life of patients with dementia,and provides valuable information for further exploration in this field in China.