Visualized analysis of research on the information management of pressure injury care in hospitals of China
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摘要:
目的 探究我国医院内压力性损伤护理信息化管理研究的发展状况以及演化路径。 方法 采用文献计量学方法。以中国知网数据库为数据源，检索医院内压力性损伤护理信息化管理的文献，检索时限为建库至2022年7月31日，文献类型包括指南、专家共识、病例研究、综述、调查报告等，运用CiteSpace 6.1.R2软件对纳入文献的关键词、作者、发文机构、期刊数量进行聚类和共现的可视化分析。 结果 共检索出378篇文献，整理后纳入323篇文献。医院内压力性损伤护理信息化管理的文献发文量从 2012年起呈现明显上升趋势。以第1作者发表且发文量≥2篇的核心作者共有10位，≥3人的合作作者团队共有8个。306家机构发表压力性损伤护理信息化管理相关文章，发文量最多的机构是北京大学深圳医院（4篇），机构之间合作较为分散。纳入的323篇文献来源于142种期刊，发文量≥10篇的期刊有6种。共纳入282个中文关键词进行共现分析，出现频次排前3位的关键词是压疮、护理管理、护理。共形成13个聚类团，持续存在的聚类团为#1护理质量、#2护理、#6手术患者。数据库中出现的突现强度排前8位的突现关键词为预警干预、预警管理、预警机制、信息系统、护理安全、不良事件、手术室、护理质量。近3年（2020—2022年）突现强度排前2位的突现关键词为手术室、护理质量。持续时间最长（2005—2012年）和突现强度最高的突现关键词是预警干预。 结论 国内医院压力性损伤护理信息化管理研究热点已经形成，早期研究侧重于压力性损伤形成后的干预，后期研究更关注压力性损伤的全程管理。研究领域内机构间的合作性和研究间的关联性还有所欠缺。 Abstract:Objective To investigate the current status and evolutionary trajectory of research on the information management of pressure injury care in hospitals of China. Methods The bibliometric method was used for analysis. Using the China National Knowledge Infrastructure (CNKI) database as the data source, the literature on information management of pressure injury care in hospitals was retrieved, covering the time period from the establishment of the CNKI database to July 31, 2022, and various types of literature such as guidelines, expert consensus, case studies, reviews, and survey reports, etc. Visualized analysis of clustering and co-occurrence on the keywords, authors, publishing institutions, and number of journals of the included literature were performed using CiteSpace 6.1.R2 software. Results A total of 378 articles were retrieved, and 323 articles were included after collation. The number of literatures related to nursing information management of pressure injury in hospitals showed a significantly upward trend since 2012. Ten core authors published two or more articles as the first author. There were eight groups of co-authors with ≥3 people. Furthermore, 306 institutions contributed articles related to the information management of pressure injury care, with Peking University Shenzhen Hospital as the institution publishing the most articles (4 articles). Cooperation between institutions was relatively decentralized. The 323 included literature were sourced from 142 journals, six of which had published ten or more articles. A comprehensive co-occurrence analysis of 282 Chinese keywords was performed, with the top three keywords in terms of frequency being pressure ulcer, nursing management, and nursing. A total of 13 clusters were formed, and the persistent clusters were #1 quality of care, #2 nursing, and #6 surgical patients. The top 8 emergent keywords of emergence intensity in the database included early warning intervention, early warning management, early warning mechanism, information system, nursing safety, adverse events, operating room, and quality of care. In the past three years (2020-2022), the top two emergent keywords in terms of emergy intensity included operating room and quality of care. The key word with the longest duration (2005-2012) and the highest intensity was early warning intervention. Conclusions The research hotspots on information management of pressure injury care in domestic hospitals have been formed. Early studies focus on the intervention after the pressure injury developed, while later studies focus more on the overall management of pressure injuries. Collaboration between institutions within research areas and correlations between studies are still lacking. -
参考文献
(35) [1] KottnerJ, CuddiganJ, CarvilleK, et al. Prevention and treatment of pressure ulcers/injuries: the protocol for the second update of the international Clinical Practice Guideline 2019[J]. J Tissue Viability, 2019,28(2):51-58. DOI: 10.1016/j.jtv.2019.01.001. [2] 国家卫生计生委医院管理研究所护理中心护理质量指标编写小组.护理敏感质量指标实用手册[M]. 北京:人民卫生出版社,2016. [3] 魏彦姝, 武沛璋, 刘晓华, 等. 基于敏感风险指标的术中压力性损伤链式管理策略[J].护理研究,2019,33(6):966-969. DOI: 10.12102/j.issn.1009-6493.2019.06.012. [4] 凌敏, 郑培为, 冯海丽, 等. 信息化技术在压力性损伤护理管理中的应用进展[J].全科护理,2022,20(6):744-747. DOI: 10.12104/j.issn.1674-4748.2022.06.006. [5] 包芸, 周勤学, 潘慧斌, 等. 基于HALO信息系统优化住院患者压力性损伤闭环管理模式的实践[J].护士进修杂志,2021,36(23):2183-2186,2189. DOI: 10.16821/j.cnki.hsjx.2021.23.014. [6] 刘捷, 丁福. 降低住院患者医院获得性压力性损伤方案的制订及应用研究[J].中华护理杂志,2020,55(12):1765-1769. DOI: 10.3761/j.issn.0254-1769.2020.12.001. [7] 王华芬, 沈鸣雁, 孙红玲, 等. 技术接受模型在压力性损伤管理软件推广中的应用研究[J].中国护理管理,2018,18(5):678-683. DOI: 10.3969/j.issn.1672-1756.2018.05.022. [8] 赵媛, 彭贵凌. 多学科协作下老年髋部骨折围手术期医护一体信息化护理模式的研究[J].中国实用护理杂志,2021,37(7):481-486. DOI: 10.3760/cma.j.cn211501-20191215-03719. [9] CHENC.Science mapping:a systematic review of the literature[J]. JDIS,2017,2(2):1-40. [10] ZhouQ, YuT, LiuY, et al. The prevalence and specific characteristics of hospitalised pressure ulcer patients: a multicentre cross-sectional study[J]. J Clin Nurs, 2018,27(3/4):694-704. DOI: 10.1111/jocn.14019. [11] 侯黎莉. 护理信息化的发展及临床应用[J].上海护理,2022,22(5):72-75. DOI: 10.3969/j.issn.1009-8399.2022.05.017. [12] 国家卫生健康委 发布《关于印发促进护理服务业改革与发展指导意见的通知》 2018-06-21 2022-11-27 https://baike.baidu.com/item/%E5%85%B3%E4%BA%8E%E4%BF%83%E8%BF%9B%E6%8A%A4%E7%90%86%E6%9C%8D%E5%8A%A1%E4%B8%9A%E6%94%B9%E9%9D%A9%E4%B8%8E%E5%8F%91%E5%B1%95%E7%9A%84%E6%8C%87%E5%AF%BC%E6%84%8F%E8%A7%81/22712305?fr=aladdin 国家卫生健康委.发布《关于印发促进护理服务业改革与发展指导意见的通知》[EB/OL].(2018-06-21)[2022-11-27].https://baike.baidu.com/item/%E5%85%B3%E4%BA%8E%E4%BF%83%E8%BF%9B%E6%8A%A4%E7%90%86%E6%9C%8D%E5%8A%A1%E4%B8%9A%E6%94%B9%E9%9D%A9%E4%B8%8E%E5%8F%91%E5%B1%95%E7%9A%84%E6%8C%87%E5%AF%BC%E6%84%8F%E8%A7%81/22712305?fr=aladdin.
[13] 乐宇超, 曹世华, 汪梦鑫, 等. 我国近20年护理信息能力研究热点与发展趋势可视化分析[J].解放军护理杂志,2022,39(4):57-60. DOI: 10.3969/j.issn.1008-9993.2022.04.015. [14] 李婕, 马航霞, 龚丽娜, 等. 信息化技术在老年人压疮管理中的应用进展[J].护理学报,2022,29(18):43-46. DOI: 10.16460/j.issn1008-9969.2022.18.043. [15] 吴仙蓉, 邱良枝, 李玲, 等. 信息化管理在压力性损伤防治及质量指标监测中的应用[J].国际护理学杂志,2022,41(19):3471-3475. DOI: 10.3760/cma.j.cn221370-20200329-00873. [16] 王华芬, 沈鸣雁, 孙红玲, 等. 技术接受模型在压力性损伤管理软件推广中的应用研究[J].中国护理管理,2018,18(5):678-683. DOI: 10.3969/j.issn.1672-1756.2018.05.022. [17] BrittoMT, FullerSC, KaplanHC, et al. Using a network organisational architecture to support the development of Learning Healthcare Systems[J]. BMJ Qual Saf, 2018,27(11):937-946. DOI: 10.1136/bmjqs-2017-007219. [18] 陈悦, 陈超美, 刘则渊, 等. CiteSpace知识图谱的方法论功能[J].科学学研究,2015,33(2):242-253. DOI: 10.3969/j.issn.1003-2053.2015.02.009. [19] European Pressure Ulcer Advisory Panel National Pressure Injury Advisory Panel and Pan Pacific Pressure Injury Alliance Prevention and treatment of pressure ulcers/injuries:quick reference guide 2022-11-27 http://www.international guideline.com/guideline European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Panel and Pan Pacific Pressure Injury Alliance. Prevention and treatment of pressure ulcers/injuries:quick reference guide[EB/OL].2019 [2022-11-27].http://www.international guideline.com/guideline.
[20] 陆晔峰, 楼建华, 陆秀文. Braden-Q儿童压疮评估量表的预测性研究[J].上海交通大学学报(医学版),2013,33(5):561-564,570. DOI: 10.3969/j.issn.1674-8115.2013.05.008. [21] 潘夏蓁, 林碎钗, 姜丽萍. Braden量表在足部压疮风险预测中的应用[J].解放军护理杂志,2013,30(4):1-4. DOI: 10.3969/j.issn.1008-9993.2013.04.001. [22] 高远, 陈雪梅, 陈玉娥, 等. 基于护理信息系统的压疮风险评估模块的建立与应用[J].中华现代护理杂志,2016,22(32):4706-4711. DOI: 10.3760/cma.j.issn.1674-2907.2016.32.034. [23] 夏冬云, 史婷奇, 陆巍, 等. 压力性损伤临床决策支持系统的研发与应用[J].中华护理杂志,2020,55(1):50-54. DOI: 10.3761/j.issn.0254-1769.2020.01.008. [24] 徐栩, 黄蕾, 姚秀英, 等. 图像信息化评估联合结构化护理方案在ICU压力性损伤病人护理中的应用[J].全科护理,2021,19(23):3214-3216. DOI: 10.12104/ji.ssn.1674-4748.2021.23.012. [25] 陈可塑, 蒋琪霞. 连续床边压力图监测系统预防压力性损伤的研究进展[J].护理学报,2022,29(8):31-35. DOI: 10.16460/j.issn1008-9969.2022.08.031. [26] 罗振娟, 龙泳, 胡雪慧, 等. 信息化在压疮敏感性质量指标监测中的应用及效果评价[J].中国卫生质量管理,2017,24(1):55-58. DOI: 10.13912/j.cnki.chqm.2017.24.1.18. [27] 纪冬梅, 罗昌春, 李海芳, 等. 专项管理在老年住院患者护理不良事件管控中的应用[J].护士进修杂志,2018,33(3):233-236. DOI: 10.16821/j.cnki.hsjx.2018.03.011. [28] 高瑞雪, 张颖, 万乐. 依托信息化平台开展压疮专业追踪的探讨[J].中华现代护理杂志,2016,22(7):1007-1009,1010. DOI: 10.3760/cma.j.issn.1674-2907.2016.07.033. [29] SpruceL. Back to basics: preventing perioperative pressure injuries[J]. AORN J, 2017,105(1):92-99. DOI: 10.1016/j.aorn.2016.10.018. [30] GülA, SengulT, YavuzHÖ. Assessment of the risk of pressure ulcer during the perioperative period: adaptation of the Munro scale to Turkish[J]. J Tissue Viability, 2021,30(4):559-565. DOI: 10.1016/j.jtv.2021.06.009. [31] 陈红, 吴波, 刘静, 等. 神经外科患者术中获得性压力性损伤的多学科团队链式管理[J].护理学杂志,2021,36(21):43-46. DOI: 10.3870/j.issn.1001-4152.2021.21.043. [32] 戴爱兰, 林海英, 陈莹, 等. 链式管理模式在院内压力性损伤预防管理中的应用[J].上海护理,2020,20(10):49-51. DOI: 10.3969/j.issn.1009-8399.2020.10.013. [33] 王煜, 韩丁, 边寒雪, 等. 链式管理预防小儿神经外科手术压力性损伤的效果[J].中华全科医学,2021,19(11):1964-1968. DOI: 10.16766/j.cnki.issn.1674-4152.002212. [34] 国家卫生健康委 关于印发《全国护理事业发展规划(2021-2025年)》的通知 2022-04-29 2022-11-27 http://www.nhc.gov.cn/yzygj/s7653pd/202205/441f75ad347b4ed68a7d2f2972f78e67.shtml 国家卫生健康委.关于印发《全国护理事业发展规划(2021-2025年)》的通知[EB/OL].(2022-04-29)[2022-11-27].http://www.nhc.gov.cn/yzygj/s7653pd/202205/441f75ad347b4ed68a7d2f2972f78e67.shtml.
[35] 曲超然, 王青, 韩琳, 等. 机器学习算法在压力性损伤管理中的应用进展[J].中华护理杂志,2021,56(2):212-217. DOI: 10.3761/j.issn.0254-1769.2021.02.009. -
4 2005—2022年中国知网数据库中收录我国院内压力性损伤护理信息化管理领域关键词聚类时区图
注：节点代表关键词，节点越大则关键词出现频次越高；节点间连线表示节点关键词出现在同1篇或多篇文章中；线条颜色代表共现强度，颜色越深，节点共现次数越多
表1 2005—2022年中国知网数据库中收录我国院内压力性损伤护理信息化管理领域频次前10位关键词的频次和中心度及首次出现年份
序号 关键词 频次 中心度 首次出现的年份 1 压疮 100 1.02 2005 2 护理管理 28 0.11 2009 3 护理 22 0.20 2006 4 护理质量 14 0.07 2009 5 信息化 12 0.06 2014 6 不良事件 10 0.05 2016 7 信息系统 10 0.01 2014 8 风险预警 10 0.13 2008 9 神经外科 9 0.02 2009 10 预警干预 9 0.04 2005 
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表2 2005—2022年中国知网数据库共323篇医院内压力性损伤护理信息化管理相关文献突现强度排前8位的关键词突现情况
关键词 突现强度 出现年份 结束年份 预警干预 4.36 2005 2012 预警管理 2.27 2010 2012 预警机制 2.03 2010 2013 信息系统 2.06 2014 2016 护理安全 2.02 2014 2017 不良事件 2.13 2017 2020 手术室 2.59 2019 2022 护理质量 3.04 2020 2022
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