目的探索老年口腔衰弱的研究现状、研究热点及趋势,为国内开展相关研究提供依据。方法以Web of Science数据库为数据来源,检索2013年1月1日-2024年2月29日有关老年口腔衰弱的相关研究,使用CiteSpace 6.3.R1文献计量分析软件对作者、国...目的探索老年口腔衰弱的研究现状、研究热点及趋势,为国内开展相关研究提供依据。方法以Web of Science数据库为数据来源,检索2013年1月1日-2024年2月29日有关老年口腔衰弱的相关研究,使用CiteSpace 6.3.R1文献计量分析软件对作者、国家、发文机构、关键词情况进行可视化分析。结果共纳入文献161篇,日本是发文量最多的国家,占全球发文量的70%。HIRANO、WATANABE和SHIROBE是高频发文作者,日本、中国、瑞士、荷兰、美国是发文量最高的国家。关键词共现结果显示,关注热点是口腔衰弱、口腔健康、老年人、相关性、口腔功能、口腔功能减退、舌压、咀嚼功能、牙齿缺失。关键词聚类共形成12个聚类群,其热点关键词为舌压、老年人、老年牙科学、口腔功能、阿尔茨海默病及口腔功能减退等。关键词突现分析显示,突现词持续3年以上的有病死率、体质量减轻、老年人、老年患者及吸入性肺炎,近5年的突现词为牙齿数量、营养不良、力量、口咽功能障碍、生活质量、营养学、咀嚼功能。结论老年口腔衰弱相关领域研究发文量整体呈上升趋势,但总量仍较低,该领域研究尚处于起步阶段。关于口腔衰弱、口腔健康、老年人、相关性、口腔功能等方面的研究一直备受关注,未来有望持续深入。研究前沿正在向营养状况、生活质量、健康行为等方向转移,以上研究有望成为新的热点。展开更多
目的:探讨医务人员对肺康复在重症脑卒中相关性肺炎中的应用体验,为提供高质量肺康复护理提供依据。方法:采用目的抽样法,于2024年1月~3月选取贵州省3家三级甲等医院神经科、呼吸与重症医学科和康复科的18名医务人员进行半结构化访谈。...目的:探讨医务人员对肺康复在重症脑卒中相关性肺炎中的应用体验,为提供高质量肺康复护理提供依据。方法:采用目的抽样法,于2024年1月~3月选取贵州省3家三级甲等医院神经科、呼吸与重症医学科和康复科的18名医务人员进行半结构化访谈。通过Colaizzi 7步分析法对访谈资料进行整理和分析。结果:总结出重症脑卒中SAP患者肺康复护理现状和障碍因素两个类别,共7个亚主题。肺康复护理现状亚主题为:SAP发生率高,肺康复护理意义重大;缺乏专业知识与技能;护理内容不统一且缺乏特异性。障碍因素归纳为:患者健康状况与认知不足;医护人员缺乏专业培训;人力资源不足;缺乏规范管理和效果评价标准。结论:重症脑卒中SAP患者的肺康复护理面临多重障碍,应加强患者及家属的健康教育;强化医护人员的培训,优化护理管理;合理配置人力资源;制定规范的肺康复干预流程,使重症脑卒中SAP患者真正获益于肺康复护理。Objective: To explore the healthcare providers’ experience of pulmonary rehabilitation in severe stroke-associated pneumonia and provide a basis for providing high-quality pulmonary rehabilitation care. Methods: Using purposive sampling, 18 healthcare providers from the departments of neurology, respiratory and critical care medicine, and rehabilitation in three tertiary-level A hospitals in Guizhou Province were selected from January to March 2024 for semi-structured interviews. The interview data were compiled and analyzed by Colaizzi 7-step analysis. Results: Two categories of current status of pulmonary rehabilitation care and barrier factors with seven sub-themes were summarized for SAP patients with severe stroke. The sub-themes of the current status of pulmonary rehabilitation care were: high incidence of SAP and significance of pulmonary rehabilitation care;lack of professional knowledge and skills;and inconsistency and lack of specificity of care. Barrier factors were summarized as: insufficient patient health status and awareness;lack of professional training for healthcare professionals;insufficient human resources;and lack of standardised management and outcome evaluation criteria. Conclusion: Pulmonary rehabilitation care for SAP patients with severe stroke faces multiple barriers. Health education for patients and their families should be strengthened;training for healthcare personnel should be enhanced and care management should be optimized;human resources should be reasonably allocated;and standardized pulmonary rehabilitation intervention processes should be developed, so that SAP patients with severe stroke can truly benefit from pulmonary rehabilitation care.展开更多
文摘目的探索老年口腔衰弱的研究现状、研究热点及趋势,为国内开展相关研究提供依据。方法以Web of Science数据库为数据来源,检索2013年1月1日-2024年2月29日有关老年口腔衰弱的相关研究,使用CiteSpace 6.3.R1文献计量分析软件对作者、国家、发文机构、关键词情况进行可视化分析。结果共纳入文献161篇,日本是发文量最多的国家,占全球发文量的70%。HIRANO、WATANABE和SHIROBE是高频发文作者,日本、中国、瑞士、荷兰、美国是发文量最高的国家。关键词共现结果显示,关注热点是口腔衰弱、口腔健康、老年人、相关性、口腔功能、口腔功能减退、舌压、咀嚼功能、牙齿缺失。关键词聚类共形成12个聚类群,其热点关键词为舌压、老年人、老年牙科学、口腔功能、阿尔茨海默病及口腔功能减退等。关键词突现分析显示,突现词持续3年以上的有病死率、体质量减轻、老年人、老年患者及吸入性肺炎,近5年的突现词为牙齿数量、营养不良、力量、口咽功能障碍、生活质量、营养学、咀嚼功能。结论老年口腔衰弱相关领域研究发文量整体呈上升趋势,但总量仍较低,该领域研究尚处于起步阶段。关于口腔衰弱、口腔健康、老年人、相关性、口腔功能等方面的研究一直备受关注,未来有望持续深入。研究前沿正在向营养状况、生活质量、健康行为等方向转移,以上研究有望成为新的热点。
文摘目的:探讨医务人员对肺康复在重症脑卒中相关性肺炎中的应用体验,为提供高质量肺康复护理提供依据。方法:采用目的抽样法,于2024年1月~3月选取贵州省3家三级甲等医院神经科、呼吸与重症医学科和康复科的18名医务人员进行半结构化访谈。通过Colaizzi 7步分析法对访谈资料进行整理和分析。结果:总结出重症脑卒中SAP患者肺康复护理现状和障碍因素两个类别,共7个亚主题。肺康复护理现状亚主题为:SAP发生率高,肺康复护理意义重大;缺乏专业知识与技能;护理内容不统一且缺乏特异性。障碍因素归纳为:患者健康状况与认知不足;医护人员缺乏专业培训;人力资源不足;缺乏规范管理和效果评价标准。结论:重症脑卒中SAP患者的肺康复护理面临多重障碍,应加强患者及家属的健康教育;强化医护人员的培训,优化护理管理;合理配置人力资源;制定规范的肺康复干预流程,使重症脑卒中SAP患者真正获益于肺康复护理。Objective: To explore the healthcare providers’ experience of pulmonary rehabilitation in severe stroke-associated pneumonia and provide a basis for providing high-quality pulmonary rehabilitation care. Methods: Using purposive sampling, 18 healthcare providers from the departments of neurology, respiratory and critical care medicine, and rehabilitation in three tertiary-level A hospitals in Guizhou Province were selected from January to March 2024 for semi-structured interviews. The interview data were compiled and analyzed by Colaizzi 7-step analysis. Results: Two categories of current status of pulmonary rehabilitation care and barrier factors with seven sub-themes were summarized for SAP patients with severe stroke. The sub-themes of the current status of pulmonary rehabilitation care were: high incidence of SAP and significance of pulmonary rehabilitation care;lack of professional knowledge and skills;and inconsistency and lack of specificity of care. Barrier factors were summarized as: insufficient patient health status and awareness;lack of professional training for healthcare professionals;insufficient human resources;and lack of standardised management and outcome evaluation criteria. Conclusion: Pulmonary rehabilitation care for SAP patients with severe stroke faces multiple barriers. Health education for patients and their families should be strengthened;training for healthcare personnel should be enhanced and care management should be optimized;human resources should be reasonably allocated;and standardized pulmonary rehabilitation intervention processes should be developed, so that SAP patients with severe stroke can truly benefit from pulmonary rehabilitation care.
