基于Web of Science的心脏康复依从性研究热点与前沿的可视化分析

Visual analysis of research hotspots and frontiers of cardiac rehabilitation compliance based on Web of Science

目的分析国内外心脏康复依从性的研究现状和热点,总结心脏康复依从性研究经验并为拟定未来研究重点提供依据。方法2021年5月,以Web of Science核心数据库为文献来源,检索心血管疾病人群心脏康复依从性相关研究的文献,利用CiteSpace可视化软件进行文献基本分布特点、共现作者和关键词共现分析、聚类分析和突现词分析。结果共纳入944篇文献,年发文量总体呈波动性增长趋势,研究地区分布广泛但不均衡,美国、加拿大和英国的作者与机构发文量较多,尤其是美国占主导地位;该研究领域已经形成核心作者群,但作者间合作较少。研究热点集中在患者运动耐力及运动安全性对心脏康复依从性的影响、促进患者利用心脏康复的行为学干预、心脏康复依从性现况及相关因素调查等。研究前沿可能在于对PCI围手术期人群的心脏康复依从性研究,同时,社会经济、患者症状报告可能是改善患者心脏康复依从性的关键所在。结论促进心血管疾病人群心脏康复依从性的行为学干预和识别心脏康复依从性的影响因素是重点研究的问题。我国需要从医疗保险、行政策略层面加大对患者进行全程心脏康复的支持,同时,今后可着眼于开发验证心脏康复依从性评估工具,辅助制订个性化的心脏康复方案,进一步发展新兴技术,如远程监测、提醒系统等,有利于提高心脏康复依从性和改善患者疾病预后。

Objective To analyze the current research status and hotspots of cardiac rehabilitation(CR)compliance at home and abroad,summarize the research experience of CR compliance and provide a basis for formulating future research priorities.Methods In May 2021,Web of Science core database was used as the literature source to search the literatures related to cardiac rehabilitation compliance of cardiovascular disease population.CiteSpace visualization software was used to analyze the basic distribution characteristics of literature,co-occurrence analysis of authors and keywords,cluster analysis and emergence word analysis.Results A total of 944 papers were included,and the annual publication volume showed an overall trend of fluctuating growth.The study area was widely distributed but unbalanced.The authors and institutions in the United States,Canada and the United Kingdom published more papers,especially the United States dominated.This research field formed a core group of authors,but there was little cooperation among authors.The research focused on the influence of patients'exercise endurance and exercise safety on compliance with cardiac rehabilitation,behavioral intervention to promote utilization of cardiac rehabilitation of patients,status of compliance with cardiac rehabilitation and investigation of related factors.The frontier of the research might be the study of the compliance of cardiac rehabilitation in the PCI perioperative population.At the same time,socioeconomic and patient symptom reports might be the key to improving the compliance of patients with cardiac rehabilitation.Conclusions Behavioral interventions to promote the compliance of cardiac rehabilitation in people with cardiovascular diseases and the identification of influencing factors of compliance with cardiac rehabilitation are the key research issues.China needs to increase the support for whole-course cardiac rehabilitation of patients from aspects of medical insurance and administrative strategies.At the same time,China can focus on the development and verification of cardiac rehabilitation compliance assessment tools in the future,assist in the formulation of personalized cardiac rehabilitation programs and further develop emerging technologies,such as remote monitoring and reminder systems,which are conducive to improving cardiac rehabilitation compliance and improving disease prognosis of patients.