预立医疗照护计划实施研究热点的可视化分析  

Visualization analysis of research hotspots in the implementation of advance care planning

作　　者：颜逸霞 谌永毅[2] 宋小花[1] 沈波涌[2] 肖亚洲 Yan Yixia;Chen Yongyi;Song Xiaohua;Shen Boyong;Xiao Yazhou(Department of Oncoplastic Surgery,Hunan Cancer Hospital,Changsha 410013,China)

机构地区：[1]湖南省肿瘤医院肿瘤整形外科,湖南长沙410013 [2]湖南省肿瘤医院护理部,湖南长沙410013 [3]湖南省肿瘤医院院办,湖南长沙410013

出　　处：《护理学杂志》2025年第7期108-112,共5页Journal of Nursing Science

基　　金：湖南省卫生健康委科研课题(202114051309,202114051914);湖南省科技厅重点领域研发计划重点研发项目(2020SK2121);湖南省自然科学基金面上项目(2020JJ4417)。

摘　　要：目的分析国内外预立医疗照护计划实施相关研究现状、热点和趋势。方法检索中国知网和Web of Science核心合集相关文献记录,使用CiteSpace6.3.R1软件对纳入文献的作者、机构、关键词等进行可视化分析。结果共纳入中文文献194篇,英文文献2437篇。国内外预立医疗照护计划实施相关研究发文量呈现逐渐增加的趋势;国际上作者和机构间的合作网络较为紧密,国内相关作者和机构的合作网络相对分散,跨地区合作较少,学术影响力有待提升。国内实施相关研究频次排名前5位的关键词分别是生前预嘱、综述、安宁疗护、质性研究、预先指示,国外分别是advance care planning(预立医疗照护计划)、palliative care(安宁疗护)、end(末期)、outcome(结局)、intervention(干预)。结论国内外预立医疗照护计划实施相关研究集中在干预人群、实施方法、研究内容等方面;未来研究可开发符合我国传统文化观和价值观的预立医疗照护计划实践模式,加强社区和家庭的参与,鼓励开展学术机构和临床实践合作,促进和完善预立医疗照护计划实施相关研究发展。Objective To analyze the current research status,hotspots,and trends related to the implementation of advance care planning(ACP)both domestically and internationally.Methods Relevant literature records were retrieved from the China National Knowledge Infrastructure(CNKI)and the Web of Science Core Collection.The CiteSpace 6.3.R1 software was used to conduct a visual analysis of the authors,institutions,keywords,and other elements included in the literature.Results A total of 194 Chinese articles and 2,437 English articles were included.The volume of research on the implementation of advance care planning has shown a gradual increase.Internationally,collaborative networks among authors and institutions are more tightly knit,while domestic collaborations are relatively dispersed,with fewer inter-regional partnerships and a need for enhancement of academic inf-luence.The top five keywords related to implementation research in China included advance directives,reviews,palliative care,qualitative research,and pre-authorization,while internationally,they were advance care planning,palliative care,end-of-life,outcome,and intervention.Conclusion Research on the implementation of advance care planning,both domestically and internationally,primarily focuses on intervention populations,implementation methods,and research contents.Future research could develop ACP practice models that align with China′s traditional cultural values and strengthen community and family involvement.There is a need to encourage collaboration between academic institutions and clinical practices to promote and refine research on ACP implementation.

关 键 词：终末期患者 预立医疗照护计划 预前照护计划 生前预嘱 临床决策 安宁疗护 临终关怀 可视化分析 

分 类 号：R473.73[医药卫生—护理学]