国外青少年慢性病患者过渡期护理研究现状与热点的可视化分析

Visual analysis of research status and hotspots of transitional nursing for adolescents with chronic diseases in foreign countries

目的分析国外青少年慢性病患者过渡期护理研究现状与热点。方法文献检索时间为2021年12月31日。检索Web of Science数据库核心合集2000年1月1日—2021年12月31日发表的青少年慢性病患者过渡期护理相关文献, 使用数据库自带分析功能进行文献计量分析, 通过CiteSpace软件进行作者、国家、研究机构、期刊、文献共被引和关键词分析并绘制可视化科学网络图谱。结果共纳入文献692篇, 2000—2021年间发文量总体呈上升趋势, 以2021年最高(76篇);发文量最高的国家为美国(358篇), 发文量居前10且中介中心性>0.1的研究机构分别为多伦多大学、北卡罗来纳大学、费城儿童医院、哈佛大学。Pediatrics、J Adolescent Health、J Pediatr Nurs等期刊收录文献数最多, 共被引频次>100且中介中心性>0.1的期刊为Arch Pediat Adol Med;除本研究检索的主题词外, 692篇文献中词频>50次的关键词为"health care""service""health care transition""quality of life""experience""need""outcome""transition readiness"和"adherence";关键词聚类分析中时间线延伸至近2年的聚类为"quality of life""program""transition clinic""adolescent health services"和"adherence"等。结论过渡期患者需求、过渡体验、依从性、自我管理、生活质量等是青少年慢性病患者过渡期护理研究的热点内容, 研究前沿为过渡期健康管理、疾病照护等卫生保健服务项目的构建和实施。

Objective To analyze the foreign research status and hotspots of transitional care for adolescents with chronic diseases.Methods On December 31,2021,Web of ScienceTM was searched for articles concerning transitional care for adolescents with chronic disease published between 2000 and 2021.Knowledge maps were used to analyze the included articles in terms of number,distribution of prolific authors and institutions,journals,research hotspots,frontiers and trends.Results A total of 692 articles were included,the number of articles was increased from 2000 to 2021,with the largest in 2021(76 articles).The most prolific country was the United States(358 articles).University of Toronto,University of North Carolina,Children′s Hospital of Philadelphia and Harvard University were the most prolific institution with high centrality(>0.1).Journals such as Pediatrics,J Adolescent Health,and J Pediatr Nurs published the largest number of articles,and Arch Pediat Adol Med had a total citation frequency>100 and high centrality(>0.1).In addition to the subject terms used in the search process of this study,the high-frequency keywords(>50 times)were“health care”“service”“health care transition”“quality of life”“experience”“need”“outcome”“transition readiness”and“adherence”.In keywords cluster analysis,the cluster whose time line extended to the recent two years were“quality of life”“program”“transition clinic”“adolescent health services”and“adherence”.Conclusions In the field of transitional care for adolescents with chronic disease,studies mainly focus on patient needs,transitional experience,adherence,self-management,quality of life,etc.The research frontiers are transitional health management,disease care,construction and implementation of health care service program for adolescents with chronic disease.