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J Neurosci Nurs. 2014 Jun;46(3):187-95. doi: 10.1097/JNN.0000000000000051.
This study extends an earlier investigation (DiIorio et al., 2004) regarding neuroscience studies published in four nursing journals over the period from 1989 to 2000. A literature review was conducted from 2001 to 2010 with the same search strategy performed by DiIorio from 1989 to 2000. A trend analysis comparing the articles published in the period of 2001-2008 with those published from 1993 to 2000 (odds ratio [OR], 95% confidence interval [CI]) was performed. From 1989 to 2010, a total of 607 articles were published, 2.2 articles per month. A significantly increased number of publications on neuroscience nursing research have emerged comparing 2001-2008 versus 1993-2000 (OR = 2.1, 95% CI [1.22, 3.29]; p = .00). From 1989 to 2000, neurological problems were the predominant object of study (389 articles, 64.1%), followed by neurotrauma problems (156, 25.7%) and those neurosurgical problems (31, 5.1%). Moreover, a progressive reduction of studies focusing on neurological problems (OR = 0.42, 95% CI [0.26, 0.68]; p = .00) has emerged comparing 2001-2008 versus 1993-2000. The setting chosen for the study from 1989 to 2000 was mainly hospitals (211, 34.8%) followed by long-term care (125, 20.6%) and the home environment (77, 12.7%). Over the years (2001- 2008 vs. 1993-2000), studies performed at the home level were lower (OR = 0.27, 95% CI [0.15, 0.47]; p = .00), whereas those carried out at the hospital level and at the long-term care level have increased. Research in neuroscience nursing has continued to grow in the last decade, involving more patients who are mainly women. In the coming years, quasiexperimental, experimental, or complex intervention designs, involving the various care settings and along the trajectories of illnesses of patients who have an acute phase but especially in a long-term phase, are needed.
本研究扩展了早期的一项调查（DiIorio 等人，2004），该调查涉及 1989 年至 2000 年期间在四本护理期刊上发表的神经科学研究。从 2001 年至 2010 年进行了文献综述，使用了 DiIorio 1989 年至 2000 年执行的相同搜索策略。对 2001-2008 年期间发表的文章与 1993-2000 年期间发表的文章进行了比较（比值比[OR]，95%置信区间[CI]）。1989 年至 2010 年期间，共发表了 607 篇文章，每月发表 2.2 篇。与 1993-2000 年相比，神经科学护理研究的出版物数量显著增加（OR = 2.1，95%CI[1.22,3.29]；p =.00）。1989 年至 2000 年，神经科问题是主要研究对象（389 篇，64.1%），其次是神经创伤问题（156 篇，25.7%）和神经外科问题（31 篇，5.1%）。此外，与 1993-2000 年相比，2001-2008 年期间对神经科问题的研究呈逐渐减少的趋势（OR = 0.42，95%CI[0.26,0.68]；p =.00）。1989 年至 2000 年期间选择的研究地点主要是医院（211 篇，34.8%），其次是长期护理（125 篇，20.6%）和家庭环境（77 篇，12.7%）。近年来（2001-2008 年与 1993-2000 年相比），家庭层面的研究减少（OR = 0.27，95%CI[0.15,0.47]；p =.00），而医院层面和长期护理层面的研究增加。神经科学护理研究在过去十年中持续增长，涉及更多的主要是女性患者。在未来几年，需要进行准实验、实验或复杂干预设计，涉及各种护理环境，并沿着患者急性阶段但特别是长期阶段的疾病轨迹进行研究。
