国内外血液透析自我管理领域研究热点的可视化分析

Visualization analysis of hot topics in hemodialysis self-management field at home and abroad

目的 梳理国内外血液透析(HD)自我管理的研究趋势与热点,为我国HD自我管理的后续研究提供参考。方法 检索建库至2023年1月1日中国知网、Web of Science核心合集数据库收录的有关HD自我管理的相关文献,利用Cite Space软件进行发文量、国家、作者、关键词聚类等分析。结果 共纳入文献1 301篇,其中中文文献746篇,英文文献555篇,年发文量呈快速上升趋势。结合可视化分析结果,国内外HD自我管理研究热点与前沿归纳为4个方向:(1)患者并发症管理为该领域研究主体。(2)医疗干预对改善HD患者自我管理能力作用明显。(3)患者自我管理行为的提高是改善生活、生存质量的基础。(4)HD患者自我管理的机制研究。结论 目前,国内外在HD自我管理领域研究已相对成熟,未来应继续推进自我管理概念的普及,开展多维度的研究,实现研究结果到临床的转化,切实改善HD患者生存质量。

Objective To summarize the research trends and hot-spots of self-management in hemodialysis(HD)at home and abroad,and provide reference for further research on self-management in HD in China.Method The paper retrieved relevant literature on self-management of HD in the core collection databases of China National Knowledge Infrastructure and Web of Science from the establishment of the database to 2023,using Cite Space to analyze publication volume,country,author,and keyword clustering.Results A total of 746 literatures were included in Chinese and 555 articles were included in English,with a rapid increase in annual publication volume.Based on the visualization analysis results,the research hot-spots and frontiers of self-management in HD at home and abroad can be summarized into 4 directions:(1)Patient complication management was the main research subject in this field;(2)Medical intervention had a significant effect on improving the self-management ability of HD patients;(3)The improvement of self-management behavior in patients was the foundation for improving their quality of life;(4)A study on the mechanism of self-management in HD patients.Conclusion Currently,the research on the field of self-management in HD is relatively mature both domestically and internationally.In the future,we should continue to promote the popularization of the concept of self-management,conduct multidimensional research,achieve the translation of research results into clinical practice,so as to effectively improve the quality of life in HD patients.