失智症护理研究共词聚类分析

doi:10.3877/cma.j.issn.2095-8757.2020.03.008

目的

分析2009-2019年失智症护理研究的热点，了解该领域研究现状及发展趋势。

方法

检索Pubmed、Medline、Biosis Previews、Web of science数据库，检索词为"dementia"、"Alzheimers disease"，检索时间范围为2009-2019年，类别选项限定为护理。

结果

共检索到2 883条文献记录，提取含关键词信息的文献共计2 560条。统计得出高频（≥85次）关键词38个，占总频次累计百分比为35.39%。共词聚类分析得到5个研究热点：失智症照护模式和管理、失智症疾病管理、失智症风险管理、失智症症状管理、失智症末期照护。

结论

近10年来失智症相关护理研究集中探索了护理实践在失智症照护、干预、管理中的重要意义，为拓展失智症领域的护理实践和科研提供了理论基础。

关键词: 失智症, 护理研究, 共词, 聚类分析

Objective

To analyze the hotspots of dementia related nursing research from 2009 to 2019, and understand the research status and development trend in this field.

Methods

We searched the Pubmed database, Medline database, Biosis Previews database and Web of Science database from 2009 to 2019, and the retrieval words were "dementia" and "dementia disease", and the category options were limited to nursing.

Results

A total of 2 883 references were retrieved, and 2 560 references containing keyword information were extracted, and there are 38 high-frequency keywords (≥ 85 times), accounting for 35.39% of the total frequency. Five research hotspots were obtained from the co-word cluster analysis: dementia care model and management, dementia disease management, dementia risk management, dementia patient symptom management, and dementia end-stage care.

Conclusion

In recent 10 years, the nursing research on dementia focused on exploring the important significance of nursing practice in dementia care, dementia intervention and dementia management, which provided a theoretical basis for expanding the nursing practice and nursing research in the field of dementia.

Key words: Dementia, Nursing research, Co-word, Cluster analysis

表1 2009-2019年失智症相关护理研究高频关键词分布情况

序号	高频关键词	频次	百分比（%）	累计百分比（%）
1	DEMENTIA (失智症)	1 833	6.73	6.73
2	OLDER PEOPLE/OLDER ADULTS (老年人)	682	2.50	9.23
3	PEOPLE/ADULTS (成人)	667	2.45	11.68
4	ALZHEIMERS DISEASE (阿尔茨海默病)	464	1.70	13.39
5	CARE (照护)	456	1.67	15.06
6	NURSING HOMES (护理院/疗养院)	378	1.39	16.45
7	RESIDENTS/NURSING HOME RESIDENTS (居民/护理院居民)	377	1.38	17.83
8	INTERVENTION (干预)	281	1.03	18.86
9	HEALTH (健康)	259	0.95	19.82
10	CAREGIVERS (照护者)	254	0.93	20.75
11	QUALITY OF LIFE (生活质量)	245	0.90	21.65
12	LONG TERM CARE (长期照护)	243	0.89	22.54
13	NURSING (护理)	243	0.89	23.43
14	PREVALENCE (患病率)	238	0.87	24.31
15	DEPRESSION (抑郁)	197	0.72	25.03
16	NURSES (护士)	192	0.70	25.73
17	MANAGEMENT (管理)	190	0.70	26.43
18	FAMILY CAREGIVERS (家庭照护者)	189	0.69	27.13
19	BURDEN (负担)	168	0.62	27.74
20	SYMPTOMS (症状)	163	0.60	28.34
21	COGNITIVE IMPAIRMENT (认知障碍)	155	0.57	28.91
22	EXPERIENCES (经历)	138	0.51	29.42
23	IMPACT (影响)	128	0.47	29.89
24	PALLIATIVE CARE (安宁疗护)	127	0.47	30.35
25	STAFF (员工)	121	0.44	30.80
26	OUTCOMES (结果)	113	0.41	31.21
27	QUALITY (质量)	108	0.40	31.61
28	DEMENTIA CARE (失智症照护)	107	0.39	32.00
29	DISEASE (疾病)	99	0.36	32.37
30	ATTITUDES (态度)	96	0.35	32.72
31	LIFE (生活)	96	0.35	33.07
32	RISK (风险)	93	0.34	33.41
33	SCALE (尺度)	92	0.34	33.75
34	QUALITATIVE RESEARCH (质性研究)	92	0.34	34.09
35	DELIRIUM (谵妄)	91	0.33	34.42
36	AGITATION (焦虑不安)	91	0.33	34.76
37	PROGRAM (程序)	87	0.32	35.07
38	PERCEPTIONS (感知)	85	0.31	35.39

表1 2009-2019年失智症相关护理研究高频关键词分布情况

序号	高频关键词	频次	百分比（%）	累计百分比（%）
1	DEMENTIA (失智症)	1 833	6.73	6.73
2	OLDER PEOPLE/OLDER ADULTS (老年人)	682	2.50	9.23
3	PEOPLE/ADULTS (成人)	667	2.45	11.68
4	ALZHEIMERS DISEASE (阿尔茨海默病)	464	1.70	13.39
5	CARE (照护)	456	1.67	15.06
6	NURSING HOMES (护理院/疗养院)	378	1.39	16.45
7	RESIDENTS/NURSING HOME RESIDENTS (居民/护理院居民)	377	1.38	17.83
8	INTERVENTION (干预)	281	1.03	18.86
9	HEALTH (健康)	259	0.95	19.82
10	CAREGIVERS (照护者)	254	0.93	20.75
11	QUALITY OF LIFE (生活质量)	245	0.90	21.65
12	LONG TERM CARE (长期照护)	243	0.89	22.54
13	NURSING (护理)	243	0.89	23.43
14	PREVALENCE (患病率)	238	0.87	24.31
15	DEPRESSION (抑郁)	197	0.72	25.03
16	NURSES (护士)	192	0.70	25.73
17	MANAGEMENT (管理)	190	0.70	26.43
18	FAMILY CAREGIVERS (家庭照护者)	189	0.69	27.13
19	BURDEN (负担)	168	0.62	27.74
20	SYMPTOMS (症状)	163	0.60	28.34
21	COGNITIVE IMPAIRMENT (认知障碍)	155	0.57	28.91
22	EXPERIENCES (经历)	138	0.51	29.42
23	IMPACT (影响)	128	0.47	29.89
24	PALLIATIVE CARE (安宁疗护)	127	0.47	30.35
25	STAFF (员工)	121	0.44	30.80
26	OUTCOMES (结果)	113	0.41	31.21
27	QUALITY (质量)	108	0.40	31.61
28	DEMENTIA CARE (失智症照护)	107	0.39	32.00
29	DISEASE (疾病)	99	0.36	32.37
30	ATTITUDES (态度)	96	0.35	32.72
31	LIFE (生活)	96	0.35	33.07
32	RISK (风险)	93	0.34	33.41
33	SCALE (尺度)	92	0.34	33.75
34	QUALITATIVE RESEARCH (质性研究)	92	0.34	34.09
35	DELIRIUM (谵妄)	91	0.33	34.42
36	AGITATION (焦虑不安)	91	0.33	34.76
37	PROGRAM (程序)	87	0.32	35.07
38	PERCEPTIONS (感知)	85	0.31	35.39

图1 38个失智症相关护理研究高频词的共词聚类树状图

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摘要

选择文件类型/文献管理软件名称

选择包含的内容

Co-word cluster analysis of nursing research on dementia

模态框（Modal）标题

选择文件类型/文献管理软件名称

选择包含的内容

Co-word cluster analysis of nursing research on dementia