Research status and visualization analysis of pain-fatigue-sleep disturbance symptom clusters in tumour patients
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摘要:
目的 系统分析肿瘤患者发生频率最高、最稳定的症状群“疼痛-疲乏-睡眠障碍症状群”(PFS)的研究现状、热点和趋势,为我国后续该领域的深入研究提供参考。 方法 在Web of Science数据库核心合集检索出2001—2021年国际上疼痛-疲乏-睡眠障碍症状群研究相关文献,应用CiteSpace软件对其进行分析及可视化展示。 结果 最终纳入文献379篇,包含113位发文作者,发文量从2001年开始整体呈上升趋势。美国发文量排名第一,且与其他国家相互合作较为亲密。我国虽然发文量排名第2位,但中心性却比较低。国际上症状群研究热点人群主要集中在成人癌症化疗患者,研究重点主要集中在症状群识别方法、症状群相关症状、症状群相关机制研究、干预措施等方面。 结论 本研究为我国研究者识别潜在的合作者和合作机构、核心期刊、热点话题和研究前沿提供了有价值的信息,我国在该领域的研究可重点深挖影响因素研究、借助移动医疗平台采取多学科合作干预、立足我国中医特色疗法背景,构建我国特色的干预护理的循证实践方案。 Abstract:Objective To systematically analysed the research status, hotspots and trends of "pain-fatigue-sleep disorder symptom clusters", the most frequent and stable symptom group in tumour patients, and to provide reference for further research in this field in China. Methods International literatures related to pain-fatigue-sleep disturbance symptom clusters from 2001 to 2021 were retrieved from the core collection of Web of Science database and analysed and visualised with CiteSpace software. Results A total of 379 articles, including the works of 113 authors, were included, and the number of articles showed an overall upward trend since 2001. The United States ranked first in terms of the number of publications and cooperated closely with other countries. Although China ranked second, its centrality was relatively low. Around the world, symptom cluster research mainly centred on adult cancer chemotherapy patients, and the research focus was mainly the symptom cluster recognition methods, symptom cluster-related symptoms, symptom cluster-related mechanism research, and intervention measures. Conclusion This study provides valuable information for researchers to identify potential collaborators and institutions, core journals, hot topics and research frontiers. Research in this field in China can concentrate on in-depth research of influencing factors, adopt multidisciplinary intervention with the help of mobile medical platform and build evidence-based practice programs of intervention care with Chinese characteristics based on the background of Chinese traditional medicine therapy. -
Key words:
- Tumor /
- Pain /
- Fatigue /
- Sleep disturbance /
- Symptom clusters /
- Visualization analysis
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表 1 共被引频次前5的期刊
Table 1. Top 5 co-cited journals
期刊 共被引频次 中心度 5年影响因子 Journal of Pain and Symptom Management 262 0.22 4.556 Journal of Clinical Oncology 257 0.12 33.883 Supportive Care in Cancer 211 0.08 3.958 Cancer 203 0.25 7.921 Oncology Nursing Forum 195 0.09 2.757 表 2 关键词突变词
Table 2. Keyword mutation words
突现关键词 突现强度 开始突现年份 结束突现年份 持续突现时间(2001—2021年) prostate cancer 4.64 2009 2014 radiation therapy 4.57 2009 2016 psychometric evaluation 3.51 2011 2014 scale 3.25 2013 2016 cluster 3.15 2013 2016 care 3.67 2015 2021 health 3.42 2015 2018 symptom cluster 4.6 2017 2021 cytokine gene 3.79 2017 2021 chemotherapy 3.76 2017 2020 yoga 3.63 2017 2018 impact 3.44 2017 2018 randomized controlled trial 3.28 2017 2018 mindfulness 3.11 2017 2018 sleepdisturbance 3.35 2019 2021 intervention 3.34 2019 2021 breast 3.31 2019 2021 burden 3.28 2019 2021 exercise 3.09 2019 2021 注:“持续突现时间”从2001—2021年,每个线段代表 1年,红色线段为关键词持续突现年份。 -
[1] 陈斯, 刘春桃, 欧玉兰. 肺癌患者术后3个月症状群的调查研究[J]. 现代医药卫生, 2021, 37(11): 1810-1813. https://www.cnki.com.cn/Article/CJFDTOTAL-XYWS202111004.htmCHEN S, LIU C T, OU Y L. Symptom group of patients with lung cancer 3 months after operation[J]. Modern Medicine and Health, 2021, 37(11): 1810-1813. https://www.cnki.com.cn/Article/CJFDTOTAL-XYWS202111004.htm [2] KWEKKEBOOM K L, TOSTRUD L, COSTANZO E, et al. The role of inflammation in the pain-fatigue-sleep disturbance symptom cluster in advanced cancer[J]. J Pain Symptom Manage, 2018, 55(5): 1286-1295. doi: 10.1016/j.jpainsymman.2018.01.008 [3] LACOURT T E, KAVELAARS A, GALLOWAY-PENA J R, et al. Associations of inflammation with symptom burden in patients with acute myeloid leukemia[J]. Psychoneuroendocrino, 2018, 89: 203-208. doi: 10.1016/j.psyneuen.2018.01.018 [4] 胡小冬, 李洋, 彭玉晓, 等. 癌症患者症状群研究进展[J]. 护理管理杂志, 2020, 20(3): 195-200. https://www.cnki.com.cn/Article/CJFDTOTAL-HLGL202003015.htmHU X D, LI Y, PENG Y X, et al. Research progress of symptom cluster in patients with cancer[J]. Journal of Nursing Management, 2020, 20(3): 195-200. https://www.cnki.com.cn/Article/CJFDTOTAL-HLGL202003015.htm [5] 冯巩, 刘军林, 张小春, 等. 基于Citespace的全科医学研究对比分析[J]. 中华全科医学, 2021, 19(2): 308-311. doi: 10.16766/j.cnki.issn.1674-4152.001796FENG G, LIU J L, ZHANG X C, et al. Comparative analysis of general practice research based on Citespace[J]. Chinese General Practice, 2021, 19(2): 308-311. doi: 10.16766/j.cnki.issn.1674-4152.001796 [6] DOONG S H, DHRUVA A, DUN L B, et al. Associations between cytokine genes and a symptom cluster of pain, fatigue, sleep disturbance, and depression in patients prior to breast cancer surgery[J]. Biol Res Nurs, 2015, 17(3): 237-247. doi: 10.1177/1099800414550394 [7] MIASKOWSKI C, COOPER B A, PAUL S M, et al. Subgroups of patients with cancer with different symptom experiences and quality-of-life outcomes: a cluster analysis[J]. Oncol Nurs Forum, 2006, 33(5): E79-E89. doi: 10.1188/06.ONF.E79-E89 [8] PALESH O G, ROSCOE J A, MUSTIAN K M, et al. Prevalence, demographics, and psychological associations of sleep disruption in patients with cancer: university of rochester cancer center-community clinical oncology program[J]. J Clin Oncol, 2010, 28(2): 292-298. doi: 10.1200/JCO.2009.22.5011 [9] DODD M J, CHO M H, COOPER B A, et al. The effect of symptom clusters on functional status and quality of life in women with breast cancer[J]. Eur J Oncol Nurs, 2010, 14(2): 101-110. doi: 10.1016/j.ejon.2009.09.005 [10] ILLI J, MIASKOWSK C, COOPER B, et al. Association between pro- and anti-inflammatory cytokine genes and a symptom cluster of pain, fatigue, sleep disturbance, and depression[J]. Cytokine, 2012, 58(3): 437-447. doi: 10.1016/j.cyto.2012.02.015 [11] 但文超, 何庆勇, 张辉, 等. 基于科技文本挖掘的中医药治疗心悸可视化分析[J]. 世界科学技术-中医药现代化, 2021, 23(2): 571-581. https://www.cnki.com.cn/Article/CJFDTOTAL-SJKX202102035.htmDAN W C, HE Q Y, ZHANG H, et al. Visual analysis of TCM therapy for palpitations based on scientific text mining[J]. World Science and Technology-Modernization of Traditional Chinese Medicine, 2021, 23(2): 571-581. https://www.cnki.com.cn/Article/CJFDTOTAL-SJKX202102035.htm [12] 闫妍, 叶旭春. 基于CiteSpace的医护人员工作心理负荷研究的可视化分析[J]. 中华现代护理杂志, 2020, 26(14): 1839-1844.YAN Y, YE X C. Visual Analysis of the Work psychological Load of medical staff based on CiteSpace[J]. Chinese Journal of Modern Nursing, 2020, 26(14): 1839-1844. [13] 童欢欢, 刘杉杉, 李京京, 等. 癌症病人症状群炎症机制的研究进展[J]. 护理研究, 2021, 35(7): 1184-1188. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202107012.htmTONG H H, LIU S S, LI J J, et al. Research progress of inflammatory mechanism of symptom group in cancer patients[J]. Nursing Research, 2021, 35(7): 1184-1188. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ202107012.htm [14] 宋应群, 孙高红, 巫素青, 等. 渐进性肌肉放松训练在胃癌术后首次化疗患者疼痛-疲乏-睡眠障碍症状群中的应用研究[J]. 癌症进展, 2021, 19(3): 313-316. https://www.cnki.com.cn/Article/CJFDTOTAL-AZJZ202103026.htmSONG Y Q, SUN G H, WU S Q, et al. Effects of progressive muscle relaxation training on pain, fatigue and sleep disorders in patients with gastriccancer after first chemotherapy[J]. Cancer Progress, 2021, 19(3): 313-316. https://www.cnki.com.cn/Article/CJFDTOTAL-AZJZ202103026.htm [15] 颜雯晶, 刘艳萍, 丁茹蕾, 等. 肺癌化疗患者疲乏-负性情绪-疼痛-睡眠障碍症状群及其影响因素[J]. 解放军护理杂志, 2019, 36(6): 44-47. https://www.cnki.com.cn/Article/CJFDTOTAL-JFHL201906014.htmYAN W J, LIU Y P, DING R L, et al. Symptoms of fatigue-negative mood-pain-sleep disturbance in patients with lung cancer chemotherapy[J]. PLA Journal of Nursing, 2019, 36(6): 44-47. https://www.cnki.com.cn/Article/CJFDTOTAL-JFHL201906014.htm [16] 王潇, 段培蓓, 王阿芹, 等. 基于聚类分析的胃癌术后化疗患者症状群的分类研究[J]. 中国实用护理杂志, 2019, 35(17): 1281-1286.WANG X, DUAN P B, WANG A Q, et al. Classification of postoperative chemotherapy symptoms in patients with gastric cancer based on cluster analysis[J]. Chinese Journal of Practical Nursing, 2019, 35(17): 1281-1286. [17] 赵丽沙, 吴人照, 陈伟, 等. 胃癌早期诊断与预后判断代谢组学研究进展[J]. 世界科学技术-中医药现代化, 2019, 21(10): 2088-2096. https://www.cnki.com.cn/Article/CJFDTOTAL-SJKX201910013.htmZHAO L S, WU R Z, CHEN W, et al. Early diagnosis and prognosis of gastric cancer: a review[J]. World Science and Technology-TCM, 2019, 21(10): 2088-2096. https://www.cnki.com.cn/Article/CJFDTOTAL-SJKX201910013.htm [18] SCHREIER A M, JOHNSON L A, VOHRA N A, et al. Post-treatment symptoms of pain, anxiety, sleep disturbance, and fatigue in breast cancer survivors[J]. Pain Manag Nurs, 2019, 20(2): 146-151. [19] 韦红, 薛海霞, 贾春林, 等. 多学科协作模式的精准护理对肺癌化疗患者疲乏-疼痛-睡眠障碍症状群的改善[J]. 中国实用护理杂志, 2020, 36(8): 573-574, 578.WEI H, XUE H X, JIA C L, et al. Improvement of fatigue, pain and sleep disorders in lung cancer patients undergoing chemotherapy with multidisciplinary collaborative precision nursing[J]. Chinese Journal of Practical Nursing, 2020, 36(8): 573-574, 578. [20] 米雪, 张立力, 缪景霞. 基于指南的肺癌患者疲乏、疼痛、睡眠障碍症状群管理方案的应用及效果评价[J]. 中国实用护理杂志, 2018, 34(25): 1947-1951.MI X, ZHANG L L, MIAO J X. Clinical evaluation of fatigue, pain and sleep disorders in lung cancer patients based on guidelines[J]. Chinese Journal of Practical Nursing, 2018, 34(25): 1947-1951. [21] KWEKKEBOOM K, ZHANG Y, CAMPBELL T, et al. Randomized controlled trial of a brief cognitive-behavioral strategies intervention for the pain, fatigue, and sleep disturbance symptom cluster in advanced cancer[J]. Psychooncology, 2018, 27(12): 2761-2769. [22] SHEIKH-WU S, DOWNS C, ANGLADE D. Interventions for managing a symptom cluster of pain, fatigue, and sleep disturbances during cancer survivorship: a systematic review[J]. Oncol Nurs Forum, 2020, 47(4): E107-E119. [23] 周钰, 王文明, 刘云, 等. 慢病管理APP系统设计及其在健康管理中的应用评价[J]. 中国医学装备, 2020, 17(7): 118-121. https://www.cnki.com.cn/Article/CJFDTOTAL-YXZB202007030.htmZHOU Y, WANG W M, LIU Y, et al. Design of chronic disease management APP system and evaluation of its application in health management[J]. Chinese Journal of Medical Equipment, 2020, 17(7): 118-121. https://www.cnki.com.cn/Article/CJFDTOTAL-YXZB202007030.htm [24] DONG B, LIN L, CHEN Q Y, et al. Wrist-ankle acupuncture has a positive effect on cancer pain: a meta-analysis[J]. BMC Complement Med, 2021, 21(1): 24. [25] 周帅, 江锦芳, 张玲, 等. 不同运动疗法对癌症患者癌因性疲乏干预效果的网状Meta分析[J]. 解放军护理杂志, 2021, 38(8): 65-68, 88. https://www.cnki.com.cn/Article/CJFDTOTAL-JFHL202108019.htmZHOU S, JIANG J F, ZHANG L, et al. Effects of exercise therapy on fatigue in patients with cancer: a meta-analysis[J]. PLA Journal of Nursing, 2021, 38(8): 65-68, 88. https://www.cnki.com.cn/Article/CJFDTOTAL-JFHL202108019.htm [26] 胡士英, 李小平, 韩婷婷, 等. 穴位贴敷联合手法按摩对结直肠癌患者失眠的干预效果[J]. 中国医药, 2020, 15(8): 1263-1265. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYG202008027.htmHU S Y, LI X P, HAN T T, et al. Effect of acupoint application combined with manual massage on insomnia in patients with colorectal cancer[J]. Chinese Medicine, 2020, 15(8): 1263-1265. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYG202008027.htm -