基于BERTopic模型的我国康复伦理研究主题挖掘与内容分析

doi:10.3969/j.issn.1006-9771.2026.02.002

摘要/Abstract

摘要：

目的分析梳理我国康复伦理研究领域相关文献，探究主要的研究主题及发展趋势。

方法以中国知网为数据来源，采用VOSviewer对作者合作网络进行可视化分析，采用BERTopic主题建模技术对106篇纳入文献进行主题识别、主题聚类和主题趋势分析。

结果我国康复伦理研究相关文献发文量呈上升趋势，已形成8个合作较为密切的作者集群，BERTopic主题建模技术识别出14个主题，主题聚类形成3个主题集群，研究热点聚焦支持性社会关怀、全周期康复伦理和康复科技伦理3个方面。

结论我国康复伦理研究整体处于初步发展阶段，尚未形成覆盖全国、紧密联动的学术共同体，智能康复伦理、医养结合康复伦理为新兴研究热点，研究范围呈现从特定功能障碍群体的伦理探讨，向系统性社会支持与权利保障体系构建的显著转向。

关键词: 康复, 伦理, 文献计量学, 主题建模

Abstract:

Objective To analyze and review relevant literatures in the field of rehabilitation ethics research in China, and explore the main research topics and development trends.

Methods Using CNKI database as the data source, VOSviewer was applied to visualize the author collaboration network, and BERTopic modeling technology was employed to perform topic identification, topic clustering and topic trend analysis on 106 included articles.

Results Currently, the volume of publications on rehabilitation ethics researches in China showed an upward trend. Eight relatively close-knit author collaboration clusters were formed. The BERTopic modeling identified 14 distinct topics, which were clustered into three major topic groups. Researches focused on three main areas: supportive social care, whole-cycle rehabilitation ethics and ethical issues in rehabilitation technology.

Conclusion Rehabilitation ethics researches in China is overall in a preliminary stage of development and has not yet formed a nationwide, and closely interconnected academic community. Intelligent rehabilitation ethics and ethics in integrated medical and elderly care rehabilitation represent emerging research hotspots. The scope of research exhibits a significant shift from ethical discussions concerning specific groups with functional impairments towards the construction of a systematic social support and rights protection framework.

Key words: rehabilitation, ethics, bibliometrics, topic modeling

中图分类号:

何照楠, 张婷婷, 何照珂, 孟丽君. 基于BERTopic模型的我国康复伦理研究主题挖掘与内容分析[J]. 《中国康复理论与实践》, 2026, 32(2): 132-141.

HE Zhaonan, ZHANG Tingting, HE Zhaoke, MENG Lijun. Topic mining and content analysis of rehabilitation ethics research in China based on BERTopic model[J]. Chinese Journal of Rehabilitation Theory and Practice, 2026, 32(2): 132-141.

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参考文献 40

[1]	吴弦光, 陈迪, 荀芳, 等. 发展康复事业促进实现"健康中国2030"目标[J]. 中国康复理论与实践, 2022, 28(1): 6-14. doi: 10.3969/j.issn.1006-9771.2022.01.002
	WU X G, CHEN D, XUN F, et al. Development of rehabilitation undertakings to achieve the "Healthy China 2030" goals[J]. Chin J Rehabil Theory Pract, 2022, 28(1): 6-14.
[2]	孟丽君, 李义庭, 孙莹炜, 等. 人工智能在康复领域研究应用的伦理审视[J]. 中国医学伦理学, 2025, 38(2): 166-172.
	MENG L J, LI Y T, SUN Y W, et al. Ethical examination of the research and application of artificial intelligence in the field of rehabilitation[J]. Chin Med Ethic, 2025, 38(2): 166-172.
[3]	XU L, XUE C, YANG K, et al. A latent class analysis of community-based rehabilitation needs among Chinese older adults: a mixed study protocol[J]. Front Public Health, 2024, 11: 1301752. doi: 10.3389/fpubh.2023.1301752
[4]	UDDIN T, SHAKOOR M A, RATHORE F A, et al. Ethical issues and dilemmas in spinal cord injury rehabilitation in the developing world: a mixed-method study[J]. Spinal Cord, 2022, 60(10): 6.
[5]	张虎. AI机器人用于孤独症儿童康复训练的伦理隐患及防范策略[J]. 残疾人研究, 2025(3): 12-21.
	ZHANG H. Ethical risks and prevention strategies of AI robots in rehabilitation trainings for children with autism[J]. Disabil Res, 2025(3): 12-21.
[6]	周吉银, 刘丹. 医学领域应用脑机接口技术的伦理困境[J]. 中国医学伦理学, 2019, 32(10): 1261-1266, 1276.
	ZHOU J Y, LIU D. Ethical dilemma in application of brain-computer interface technology in medical field[J]. Chin Med Ethics, 2019, 32 (10): 1261-1266, 1276.
[7]	郭子宁, 凌克玉, 陈述凡, 等. 重症脑卒中患者家属代理决策困境的质性研究[J]. 中华护理杂志, 2024, 59 (14): 1746-1751.
	GUO Z N, LING K Y, CHEN S F, et al. Dilemmas in decision-making:a qualitative study of family surrogate decision-makers of severe stroke patients[J]. Chin J Nurs, 2024, 59(14): 1746-1751.
[8]	张孟见. 工伤康复制度的价值与伦理分析[J]. 医学与社会, 2009, 22(7): 56-57.
[9]	王闻萱, 赵力佳, 唐跃洺. 脑机接口赋能老年人照护的伦理风险及其纾解[J]. 医学与哲学, 2025, 46(11): 14-18, 29.
	WANG W X, ZHAO L J, TANG Y M. The ethical risks of brain-computer interface empowering elderly care and their mitigation[J]. Med Philosophy, 2025, 46 (11): 14-18, 29.
[10]	ALI M, VAN B N, TAG B, et al. Investigating mental wellbeing self-care in higher education using BERTopic modeling[J]. Discov Ment Health, 2025, 5(1): 204.
[11]	TANG Z, PAN X, GU Z. Analyzing public demands on China's online government inquiry platform: a BERTopic-Based topic modeling study[J]. PLoS One, 2024, 19(2): e0296855.
[12]	WANG M, LI J, OUYANG S, CHEN H, et al. A retrospective study on the analysis of risk factors for bed fall events in hospitalised patients based on the BERTopic model[J]. J Adv Nurs, 2026, 82(2):1457-1472. doi: 10.1111/jan.v82.2
[13]	MCINNES L, HEALY J, ASTELS S. Hdbscan: hierarchical density basedclustering[J]. Open Source Softw, 2017, 2(11): 205.
[14]	ABUAZYED A, AL-KHALIFA H. BERT for arabic topic modeling: anexperimental study on BERTopic technique[J]. Procedia Comput Sci, 2021, 189: 191-194. doi: 10.1016/j.procs.2021.05.096
[15]	徐汉青, 滕广青. 机遇与挑战:基于BERTopic的AI环境下图书馆主题文本挖掘[J]. 情报科学, 2024, 42 (4): 119-128.
	XU H Q, TENG G Q. Opportunities and challenges: topic mining in the library field under the artificial intelligence environment based on the BERTopic model[J]. Inform Sci, 2024, 42(4): 119-128.
[16]	聂亚青, 吴庭璋, 王若佳, 等. 基于BERTopic模型的健康信息学主题挖掘与发展演化研究[J]. 情报科学, 2024, 42(4): 98-110, 118.
	NIE Y Q, WU T Z, WANG R J. BERTopic model-based health informatics topic mining and development evolution research[J]. Inform Sci, 2024, 42(4): 98-110, 118.
[17]	GABARRON E, DORRONZORO E, REICHENPFADER D, et al. What do autistic people discuss on Twitter? An approach using BERTopic modelling[J]. Stud Health Technol Inform, 2023, 302: 403-407. doi: 10.3233/SHTI230161 pmid: 37203705
[18]	李卓伦, 袁曦临. 人口特征视角下公共图书馆银龄阅读主题与需求特征挖掘研究[J]. 图书馆杂志, 2025, (8): 1-15.
	LI Z L, YUAN X L. Research on the theme and demand characteristics of silver age reading in public libraries from the perspective of population characteristics[J]. Libr J, 2025(8): 1-15.
[19]	蔡智杰, 喻小勇, 田侃, 等. 基于BERTopic的慢性病患者卫生服务利用研究趋势及热点分析[J]. 中国卫生事业管理, 2025, 42(11): 1285-1290.
	CAI Z J, YU X Y, TIAN K, et al. Research trends and hotspot analysis of health service utilization among chronic disease patients based on BERTopic[J]. Chin Health Serv Manag, 2025, 42(11): 1285-1290.
[20]	陈柯羽, 刘纾羽, 吉祥, 等. 中国康复医学领域中的人工智能及发展趋势分析[J]. 中国医学科学院学报, 2021, 43(5): 773-784. doi: 10.3881/j.issn.1000-503X.13926
	CHEN K Y, LIU S Y, JI X, et al. Research progress on the application of artificial intelligence in rehabilitation medicine in China[J]. Acta Acad Med Sin, 2021, 43(5): 773-784. doi: 10.3881/j.issn.1000-503X.13926
[21]	康雯霖, 李涓, 胡笑燊, 等. 我国康复医学事业发展PEST-SWOT分析[J]. 中国卫生事业管理, 2022, 39(3): 221-226.
	KANG W L, LI J, HU X S, et al. PEST-SWOT analysis of the development of rehabilitation medicine in China[J]. Chin Health Serv Manag, 2022, 39(3): 221-226.
[22]	顾英, 房夏玲, 王荣花, 等. 医患共同决策模式下患者安全参与的伦理思考与对策[J]. 中国医学伦理学, 2025, 38(12): 1655-1660.
	GU Y, FANG X L, WANG R H, et al. Ethical reflection and countermeasures on patient safety engagement under the doctor-patient shared decision-making model[J]. Chin Med Ethics, 2025, 38(12): 1655-1660.
[23]	吴世彩. 康复伦理研究[M]. 北京: 清华大学出版社, 2025.
	WU S C. Rehabilitation ethics research[M]. Beijing: Tsinghua University Press, 2025.
[24]	何照楠, 刘盼, 孟丽君, 等. 基于专利数据的我国公立康复医院科技创新能力分析[J]. 健康发展与政策研究, 2024, 27(1): 66-73. doi: 10.12458/HDPR.240007
	HE Z N, LIU P, MENG L J, et al. Analysis of scientific and technological innovation capacity in China's public rehabilitation hospitals based on patent data[J]. Health Dev Policy Res, 2024, 27(1): 66-73.
[25]	VANDERKAAY S, MOLL S E, GEWURTZ R E, et al. Qualitative research in rehabilitation science: opportunities, challenges, and future directions[J]. Disabil Rehabil, 2018, 40(6): 705-713. doi: 10.1080/09638288.2016.1261414 pmid: 27973927
[26]	WADE D T, SMEETS R J, VERBUNT J A. Research in rehabilitation medicine: methodological challenges[J]. Clin Epidemiol, 2010, 63(1): 699-704. doi: 10.1016/j.jclinepi.2009.07.010
[27]	吴世彩. 康复医学的伦理性设定及其实践研究[J]. 中国康复理论与实践, 2021, 27(2): 125-130. doi: 10.3969/j.issn.1006-9771.2021.02.001
	WU S C. Ethical positioning and practical research of rehabilitation medicine[J]. Chin J Rehabil Theory Pract, 2021, 27(2): 125-130.
[28]	郭桐桐, 张欣怡, 谭泽宇, 等. 我国残联系统康复资源配置评价研究[J]. 现代预防医学, 2024, 51(24): 4523-4528, 4579.
	GUO T T, ZHANG X Y, TAN Z Y, et al. Evaluation of rehabilitation resource allocation in the China Disabled Persons' Federation system[J]. Mod Prev Med, 2024, 51(24): 4523-4528, 4579.
[29]	程凯. 在中国式现代化进程中完善残疾人社会保障制度和关爱服务体系[J]. 残疾人研究, 2024(4): 3-12.
	CHENG K. Improving the social security system and caring service system for persons with disabilities on Chinese path to modernization[J]. Disabil Res, 2024(4): 3-12.
[30]	谭九生, 杨建武. 人工智能技术的伦理风险及其协同治理[J]. 中国行政管理, 2019(10): 44-50.
	TAN J S, YANG J W. The ethical risk of artificial intelligence and its cooperative governance[J]. Chin Public Admin, 2019(10): 44-50.
[31]	INGLADA G L, CORRAL G L, MIRAMONTES G P. Ethics and artificial intelligence[J]. Rev Clin Esp (Barc), 2024, 224(3): 178-186.
[32]	GARCIA J L, JERONIMO H M. Fukushima: a tsunami of technological order, in Jacques Ellul and the technological society in the 21st century[M]. Netherlands: Springer, 2013: 129-144.
[33]	PRICE W, COHEN I. Privacy in the age of medical big data[J]. Nat Med, 2019, 25(1): 37-43. doi: 10.1038/s41591-018-0272-7 pmid: 30617331
[34]	FIELDS B. Regulatory, legal, and ethical considerations of telemedicine[J]. Sleep Med Clin, 2020, 15(3): 409-416. doi: S1556-407X(20)30049-7 pmid: 32762973
[35]	CRAMER J. Privacy, data sharing, and other legal considerations[J]. Surg Clin North Am, 2023, 103(2): 347-356. doi: 10.1016/j.suc.2022.12.003 pmid: 36948723
[36]	YANG L, PENG H, YANG Y, et al. Situation and countermeasures of the management team of the elderly care institutions from the perspective of the combination of medical and health care:a cross-sectional study[J]. J Healthc Eng, 2020, 8826007.
[37]	VERAS M, AUGER L P, SIGOUIN J, et al. Ethics and equity challenges in telerehabilitation for older adults: rapid review[J]. JMIR Aging, 2025, 8: e69660. doi: 10.2196/69660
[38]	杨先顺, 路珍珍. 智能具身传播的伦理风险及其治理探赜[J]. 学术研究, 2025, (12): 41-49, 177.
	YANG X S, LU Z Z. Ethical risks and governance of intelligent embodied communication[J]. Acad Res, 2025, (12): 41-49, 177.
[39]	夏永红. 人工智能伦理治理范式:从价值对齐到价值共生[J]. 自然辩证法通讯, 2025, 47(1): 1-8.
	XIA Y H. The paradigm of ethical governance of artificial intelligence: from value alignment to value symbiosis[J]. J Dial Nat, 2025, 47(1): 1-8.
[40]	宋捷, 谢泰, 杨山石. 具身智能在医疗保健领域的应用与展望[J]. 卫生软科学, 2025, 39(2): 26-30, 36. doi: 10.3969/j.issn.1003-2800.2025.02.005
	SONG J, XIE T, YANG S S. Application and prospects of embodied intelligence in healthcare[J]. Soft Sci Health, 2025, 39(2): 26-30, 36.

主题	特征词	主题名称
Topic0	脑机、接口技术、应用、接口、风险	脑机接口技术伦理风险审视
Topic1	医疗、数字、人工智能、领域、应用	人工智能伦理应用
Topic2	伦理、康复、社会工作、困境、灾疫	灾疫康复伦理
Topic3	救助、残疾儿童、学龄前、智障、数字化	残疾儿童救助
Topic4	干预、社会、跌倒、护理、缺血性	支持性安全照护
Topic5	机器人、护理、风险、伦理、医疗	机器人伦理风险
Topic6	残疾人、残疾、竞技、司法、正义	司法人权
Topic7	偏瘫、病人、儿麻、安装、自我管理	患者伦理
Topic8	治疗、方法、自主性、支持、临床试验	支持性自主决策
Topic9	社会工作、康复科、精神障碍、生态系统、复元	精神障碍康复伦理
Topic10	外科、加速、康复、人文、伤害	外科伦理
Topic11	景观、空间、景观设计、康养、设计	康复景观设计
Topic12	养老、模式、医养、传统、结合	医养结合康复伦理
Topic13	治疗、能力、焦虑、抑郁、康复训练	心理康复训练