近10年国内外慢性呼吸系统疾病康复的可视化分析

doi:10.3969/j.issn.1006-9771.2022.08.010

摘要/Abstract

摘要：

目的对近10年国内外慢性呼吸系统疾病康复领域的研究热点和未来发展趋势进行可视化分析。

方法检索2011年至2021年CNKI和PubMed中有关慢性呼吸系统疾病与呼吸康复或肺康复相关的文献,采用物理治疗证据数据库(PEDro)量表对纳入文献进行质量评估,筛选出中高质量文献,采用CiteSpace分析发文量和关键词。

结果共纳入英文文献2 477篇,中文文献3 308篇。国内外慢性呼吸疾病康复领域相关文献发文量整体上呈波动式上升。国外文献中63篇PEDro量表评分4~9分,平均5.44分;国内文献78篇PEDro量表评分5~8分,平均5.21分。国内研究主要集中在慢性阻塞性肺疾病(COPD)患者的肺康复方法及其对患者生活质量和肺功能的影响,COPD并发心脏相关疾病发生发展的过程,以及慢性呼吸系统疾病护理干预、社区康复和健康教育的效果,探索精准化肺康复评估等;而国外主要研究慢性呼吸系统疾病患者的身体活动能力和运动能力,强调患者的自我管理,并关注并发主动脉瓣狭窄等其他疾病的交叉研究,将“身体活动”和“运动锻炼”等作为研究前沿。

结论国外肺康复计划涉及多种慢性呼吸系统疾病,要求多学科团队协作,强化患者家庭自我管理,重点关注运动训练后患者身体活动能力、运动功能和生活质量的变化;而国内侧重研究住院期COPD患者的肺康复,特别是中国传统锻炼方法。

关键词: 慢性呼吸系统疾病, 肺, 康复, 可视化分析

Abstract:

Objective To visually analyze the research hotspots and future development trends in the field of rehabilitation of chronic respiratory diseases domestic and overseas in the last decade.

Methods Literatures about rehabilitation of chronic respiratory disease from 2011 to 2021 were retrieved. The Physiotherapy Evidence Database (PEDro) was used to access the quality of the literatures, and CiteSpace 5.8.R3 was used to analyze the number of publications and keywords.

Results A total of 2 477 English articles and 3 308 Chinese articles were included. The overall volume of literature published in the field of rehabilitation of chronic respiratory diseases domestic and overseas showed a fluctuating increase. A total of 63 English articles met the requirement of medium-high quality with a score of four to nine on the PEDro scale, and the overall average score was 5.44. A total of 78 domestic articles scored five to eight, and the overall average score was 5.21. Domestic research in this field mainly focused on the pulmonary rehabilitation methods for patients with chronic obstructive pulmonary disease (COPD) and their effects on patients' quality of life and lung function, the process of development of heart-related diseases complicated by COPD, and the effects of nursing interventions, community rehabilitation and health education for chronic respiratory diseases, and exploration of precise pulmonary rehabilitation assessment, etc. In contrast, foreign countries mainly studied the physical activity and exercise capacity of patients with chronic respiratory diseases, emphasizing the self-management of patients, and focused on the cross-sectional research of other diseases such as combined aortic stenosis, and made "physical activity" and "exercise" as the frontier of research.

Conclusion Overseas pulmonary rehabilitation programmes involve a wide range of chronic respiratory diseases, requiring multidisciplinary teamwork, strengthening patient self-management at home and focusing on changes in physical activity, motor function and quality of life after exercise, while the focus is on pulmonary rehabilitation in hospitalized COPD patients, also including the role of traditional Chinese exercise in China.

Key words: chronic respiratory disease, lung, rehabilitation, visualization analysis

中图分类号:

R562

黄秋玉,刘华,荣湘江,贾明月. 近10年国内外慢性呼吸系统疾病康复的可视化分析[J]. 《中国康复理论与实践》, 2022, 28(8): 939-959.

HUANG Qiuyu,LIU Hua,RONG Xiangjiang,JIA Mingyue. Rehabilitation of chronic respiratory diseases domestic and overseas in recent ten years: a visualization analysis[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(8): 939-959.

图/表 13

图1

表1

国外文献PEDro量表评分"

研究	资格标准	随机分配	分配隐藏	基线相似	被试施盲	治疗师施盲	评估者施盲	被试流失率≤ 15%	意向性分析	组间统计比较	变异性测量	总分
Langer等^[6](2018)	√	√	√	√	√		√	√		√	√	8
Wada等^[7](2016)	√	√	√	√	√		√	√		√	√	8
Nicolini等^[8](2018)	√	√	√	√	√	√	√	√		√	√	9
Rutkowski等^[9](2020)	√	√	√	√			√	√		√	√	7
Cameron-Tucker等^[10](2014)	√	√	√	√			√			√	√	6
Bringsvor等^[11](2018)	√	√	√	√						√	√	5
Jose等^[12](2016)	√	√	√	√			√		√	√	√	7
Engel等^[13](2017)	√	√		√			√			√	√	5
Jenkins等^[14](2020)	√	√		√				√		√	√	5
Schaer等^[15](2019)	√	√		√				√		√	√	5
Dias等^[16](2013)	√	√	√	√	√	√	√			√	√	8
Develi等^[17](2021)	√	√	√	√						√	√	5
Geidl等^[18](2017)	√	√		√						√	√	4
Turk等^[19](2017)	√	√		√						√	√	4
Loewy等^[20](2021)	√	√		√						√	√	4
Reimberg等^[21](2015)	√	√		√						√	√	4
Jackson等^[22](2014)	√	√		√				√		√	√	5
McNamara等^[23](2016)	√	√		√				√		√	√	5
Bingol等^[24](2020)	√	√		√				√		√	√	5
Lee等^[25](2013)	√	√	√	√	√		√	√	√	√	√	9
Coultas等^[26](2018)	√	√		√						√	√	4
Zanini等^[27](2015)	√	√		√						√	√	4
Gloeckl等^[28](2021)	√	√	√	√			√			√	√	6
Kessler等^[29](2018)	√	√		√	√				√	√	√	6
Gelinas等^[30](2017)	√	√		√					√	√	√	5
Vorrink等^[31](2016)	√	√		√						√	√	4
Harada等^[32](2013)	√	√		√			√			√	√	5
Chan等^[33](2015)	√	√		√				√		√	√	5
von Bonin等^[34](2018)	√	√		√						√	√	4
Salama等^[35](2020)	√	√		√				√		√	√	5
Zanotti等^[36](2012)	√	√		√				√	√	√	√	6
Ritz等^[37](2014)	√	√		√				√		√	√	5
Franke等^[38](2016)	√	√		√				√		√	√	5
Visca等^[39](2017)	√	√		√				√		√	√	5
Naz等^[40](2018)	√	√	√	√				√		√	√	6
Gouzi等^[41](2016)	√	√		√				√		√	√	5
Laurent等^[42](2017)	√	√		√				√	√	√	√	6
Lechtzin等^[43](2017)	√	√		√				√	√	√	√	6
Coultas等^[44](2016)	√	√		√						√	√	4
Iepsen等^[45](2016)	√	√	√	√				√		√	√	6
Sillen等^[46](2011)	√	√		√				√		√	√	5
Johnson-Warrington等^[47](2016)	√	√		√				√	√	√	√	6
Vivodtzev等^[48](2013)	√	√		√				√		√	√	5
Beauchamp等^[49](2013)	√	√		√				√		√	√	5
Fattah等^[50](2011)	√	√	√	√				√		√	√	6
Vainshelboim等^[51](2015)	√	√	√	√				√		√	√	6
Maskey-Warzechowska等^[52](2019)	√	√		√				√		√	√	5
Freitas等^[53](2017)	√	√	√	√			√	√		√	√	7
Nyberg等^[54](2015)	√	√	√	√			√	√		√	√	7
Cameron-Tucker等^[55](2016)	√	√	√	√						√	√	5
Ho等^[56](2012)	√	√		√			√	√		√	√	6
Fastenau等^[57](2014)	√	√	√	√						√	√	5
Esguerra-Gonzales等^[58](2014)	√	√		√				√		√	√	5
Daitx等^[59](2018)	√	√	√	√			√	√		√	√	7
Daga等^[60](2014)	√	√	√	√				√		√	√	6
Grosse-Onnebrink等^[61](2017)	√	√	√	√				√		√	√	6
Larson等^[62](2014)	√	√		√	√			√		√	√	6
Pothirat等^[63](2015)	√	√		√						√	√	4
Ng等^[64](2017)	√	√		√						√	√	4
Leite等^[65](2015)	√	√		√						√	√	4
Voncken-Brewster等^[66](2015)	√	√		√						√	√	4
Tabak等^[67](2014)	√	√	√	√						√	√	5
Pehlivan等^[68](2011)	√	√		√						√	√	4

表1

表2

国内文献PEDro量表评分"

研究	资格标准	随机分配	分配隐藏	基线相似	被试施盲	治疗师施盲	评估者施盲	被试流失率 ≤ 15%	意向性分析	组间统计比较	变异性测量	总分
老昌辉等^[69](2011)	√	√		√	√			√		√	√	6
陈敏等^[70](2011)	√	√		√				√		√	√	5
陈贵华等^[71](2011)	√	√		√				√		√	√	5
殷稚飞等^[72](2011)	√	√		√				√		√	√	5
李青等^[73](2012)	√	√		√				√		√	√	5
杜舒婷等^[74](2013)	√	√		√				√		√	√	5
许蕾等^[75](2011)	√	√		√				√		√	√	5
张丽秀等^[76](2012)	√	√		√				√		√	√	5
杜舒婷等^[77](2013)	√	√		√				√		√	√	5
方翼等^[78](2013)	√	√		√				√		√	√	5
杜舒婷等^[79](2014)	√	√		√				√		√	√	5
应少聪等^[80](2013)	√	√		√				√		√	√	5
李丽蓉等^[81](2014)	√	√		√				√		√	√	5
李杏良等^[82](2015)	√	√		√				√		√	√	5
张丹凤等^[83](2014)	√	√		√				√		√	√	5
吴镇东等^[84](2015)	√	√		√				√	√	√	√	6
吴卫兵等^[85](2014)	√	√		√				√		√	√	5
吴浩等^[86](2015)	√	√		√				√		√	√	5
王彩霞等^[87](2015)	√	√		√				√		√	√	5
胡贇皓等^[88](2016)	√	√		√				√		√	√	5
贺斌等^[89](2015)	√	√		√	√			√		√	√	6
童娟等^[90](2014)	√	√	√	√	√			√		√	√	7
邓艳芳等^[91](2015)	√	√		√				√		√	√	5
王月霞等^[92](2014)	√	√		√				√		√	√	5
吴海燕等^[93](2016)	√	√		√				√		√	√	5
赖玉田等^[94](2016)	√	√		√				√		√	√	5
谭春苗等^[95](2016)	√	√		√				√		√	√	5
刘萍等^[96](2016)	√	√		√				√		√	√	5
姚文飞等^[97](2017)	√	√	√	√				√		√	√	6
蒋玉宇等^[98](2016)	√	√		√				√		√	√	5
周露茜等^[99](2016)	√	√	√	√			√	√		√	√	7
李艳娇等^[100](2016)	√	√		√				√		√	√	5
白淑荣等^[101](2016)	√	√		√				√		√	√	5
周露茜等^[102](2017)	√	√		√			√	√		√	√	6
潘怡等^[103](2018)	√	√		√				√		√	√	5
阮秋香等^[104](2018)	√	√		√				√		√	√	5
葛炎等^[105](2017)	√	√		√	√	√	√	√		√	√	8
钟心等^[106](2017)	√	√		√				√		√	√	5
任在方等^[107](2017)	√	√		√				√		√	√	5
张进等^[108](2017)	√	√		√	√			√		√	√	6
楼亚波等^[109](2018)	√	√		√				√		√	√	5
楼滟等^[110](2019)	√	√		√				√		√	√	5
黄斐斐等^[111](2018)	√	√		√				√		√	√	5
谭春苗等^[112](2018)	√	√		√				√		√	√	5
桂坤等^[113](2019)	√	√		√				√		√	√	5
李红等^[114](2018)	√	√		√				√		√	√	5
赵春丽^[115](2018)	√	√		√				√		√	√	5
陈旭等^[116](2018)	√	√		√				√		√	√	5
齐红莹等^[117](2018)	√	√		√				√		√	√	5
吴艳等^[118](2019)	√	√		√				√		√	√	5
徐洪洁^[119](2018)	√	√	√	√				√		√	√	6
毛立伟等^[120](2018)	√	√		√				√		√	√	5
郝文东等^[121](2019)	√	√		√				√		√	√	5
王宏^[122](2019)	√	√		√				√		√	√	5
何梅等^[123](2018)	√	√		√				√		√	√	5
王雪娇等^[124](2018)	√	√		√				√		√	√	5
黄玉霞等^[125](2018)	√	√		√				√		√	√	5
赵晓霞等^[126](2020)	√	√		√				√		√	√	5
章陈晨等^[127](2019)	√	√		√	√		√	√		√	√	7
程怡等^[128](2019)	√	√		√				√		√	√	5
马晶晶等^[129](2020)	√	√		√				√		√	√	5
符名勇等^[130](2019)	√	√		√				√		√	√	5
陈小波等^[131](2019)	√	√		√				√		√	√	5
张静等^[132](2019)	√	√		√				√		√	√	5
刘惠梅等^[133](2020)	√	√		√				√		√	√	5
刘东辉等^[134](2020)	√	√		√				√		√	√	5
金晓亮等^[135](2020)	√	√		√				√		√	√	5
张义静等^[136](2020)	√	√		√				√		√	√	5
雷聪云等^[137](2020)	√	√		√				√		√	√	5
盛海燕等^[138](2020)	√	√		√				√		√	√	5
曾海涓等^[139](2021)	√	√		√				√		√	√	5
胡建平等^[140](2020)	√	√		√				√		√	√	5
杜坚宗等^[141](2021)	√	√		√				√		√	√	5
黄鹏宇等^[142](2021)	√	√		√				√		√	√	5
来薛等^[143](2021)	√	√		√				√		√	√	5
冯兵等^[144](2021)	√	√		√				√		√	√	5
朱菱等^[145](2021)	√	√		√				√		√	√	5
陈海燕等^[146](2021)	√	√		√				√		√	√	5

表2

图2

表3

图3

表4

图4

图5

表5

图6

表6

图7

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类团	聚类大小	聚类效率	年份	关键词
#0	28	1	2012	康复训练、运动耐力^[79]、衰弱
#1	28	0.969	2012	慢性阻塞性肺疾病、呼吸康复、中医
#2	27	0.949	2012	生活质量^[96]、六字诀^[131]、康复效果
#3	27	0.991	2013	康复护理、呼吸功能、常规护理
#4	26	1	2012	生活质量^[80,109]、肺功能、康复治疗
#5	25	0.991	2013	稳定期、呼吸衰竭、机械通气
#6	19	0.915	2012	康复、依从性、呼吸肌
#7	18	1	2012	慢阻肺、呼吸训练、影响
#8	18	0.895	2011	肺康复、抑郁^[142]、呼吸训练
#9	18	0.931	2012	慢阻肺、呼吸训练、影响

类团	聚类大小	聚类效率	年份	关键词
#0	64	0.765	2012	exercise training, exercise capacity, chronic thromboembolic pulmonary hypertension
#1	60	0.873	2013	chronic obstructive, pulmonary disease, pulmonary rehabilitation
#2	53	0.857	2013	chronic obstructive pulmonary disease, education, hospitalization
#3	43	0.849	2015	pulmonary rehabilitation, palliative care, 6-minute walk test
#4	29	0.995	2011	pulmonary rehabilitation, aortic stenosis, surgical aortic valve replacement
#5	29	0.944	2014	six-minute walk test, physical activity, pulmonary rehabilitation
#6	20	0.972	2013	enfermedad pulmonar obstructiva crónica, respiratory therapy, rehabilitation
#7	17	0.987	2013	primary care, health-care organization, multimorbidity
#8	11	0.944	2011	postural balance, measurement, clinical decision-making