摘要
目的分析我国炎症性肠病患者自我管理的研究及发展现状,为该领域研究的进一步发展提供方向和思路。方法检索CNKI、万方(WanFang Data)、维普中文科技期刊数据库(VIP)和中国生物医学文献数据库(CBM)建库至2018年5月炎症性肠病自我管理的相关文献,利用NoteExpress 3.2.0和Excel 2016建立数据库,提取文献的年代、期刊、作者等外部特征和研究类型、研究对象、干预措施等内部特征,并对其中随机对照试验(RCT)研究进行方法学质量评价。结果共纳入87篇炎症性肠病自我管理相关文献,2014—2018年发文数量呈直线上升趋势,文献量排名前8位的期刊发文52篇(65.82%)。发文量排名前3位的地区为江苏(42篇)、浙江(10篇)、广东(7篇);合著文献64篇(73.56%),有29篇(36.71%)文献有基金支持。干预研究的形式多样,但干预时间、频率差异大,结局指标尚无完善的评价工具。所有RCT研究均未说明盲法和随机分配方案隐藏,研究质量有待提高。结论目前,我国开展的炎症性肠病自我管理研究处于快速发展阶段,核心期刊论坛与核心作者群已初具雏形,但需要科研工作者开发完善的特异性评价工具,应用健全的结局评价指标,强化科研设计、实施的科学性和严谨性,从而提高文献的质量。
Objective To analyze the studies on self-management in patients with inflammatory bowel disease(IBD)in China and its development status,and provide a direction and idea for the further development of studies in this regard.Methods Relevant literatures on self-management in IBD patients published since the database was established to May 2018 were retrieved from CNKI,WanFang Data,VIP and CBM.NoteExpress 3.2.0 and Excel 2016 were used to establish a database.External characteristics such as the year,journal and author as well as internal characteristics such as the research type,research subject and intervention measures were extracted from the literatures,and methodological quality assessment was conducted over the randomized controlled trails(RCT).Results Totally 87 articles about self-management in IBD patients were included in this study.The number of publications rose perpendicularly from 2014 to 2018.Totally 52 articles(65.82%)were published on the top 5 journals in terms of the total number of articles.The top 3 areas in terms of the total number of articles were Jiangsu(42),Zhejiang(10)and Guangdong(7).There were 64(73.56%)co-authored articles in total,and 29 articles(36.71%)were supported by a grant.There were various types of intervention studies,but there was huge difference between them in intervention time and frequency and there was no complete assessment tool for outcome indicators yet.The blind method and random distribution were not stated in any RCT,and their quality needed to be improved.Conclusions Currently,China's studies on self-management in IBD patients are still in a rapid development stage.Both core journals,forums and authors have taken form,but researchers still need to develop a complete specificity assessment tool,apply complete outcome assessment indicators,and enhance the scientific and preciseness of research design and implementation,thus improving the quality of literatures.
作者
顾芳臣
林征
尚星辰
罗丹
Gu Fangchen;Lin Zheng;Shang Xingchen;Luo Dan(School of Nursing,Nanjing Medical University,Nanjing 210029,China;Department of Nursing,the First Affiliated Hospital with Nanjing Medical University,Nanjing 210029,China)
出处
《中华现代护理杂志》
2019年第36期4740-4746,共7页
Chinese Journal of Modern Nursing
基金
江苏省医学创新团队项目(CXTDA2017019)
江苏高校优势学科建设工程项目"护理学"(苏政办发〔2018〕87号)
"十三五"江苏省重点学科项目"护理学"(苏教研〔2016〕9号)。
关键词
文献计量学
炎症性肠病
自我管理
方法学质量评价
Bibliometrics
Inflammatory bowel disease
Self-management
Methodological quality
