Lü Xiao-Yan, Li Rong, Li Yu-Xin, Guan Xiang-Yun, Li Li, Li Jun-Li, Cao Ying-Juan
Department of Nursing,Qilu Hospital of Shandong University,Jinan 250012,China ;Nursing Theory and Practice Innovation Research Center,Shandong University,Jinan 250012,China.
Nursing Theory and Practice Innovation Research Center,Shandong University,Jinan 250012,China ;School of Nursing and Rehabilitation,Cheeloo College of Medicine,Shandong University,Jinan 250012,China.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2022 Aug;44(4):643-653. doi: 10.3881/j.issn.1000-503X.14530.
Objective To clarify the hotspots and trends of multimorbidity research and to provide evidence for further research in China. Methods Papers on multimorbidity were retrieved from PubMed and Web of Science (from inception to August 11,2021).BICOMB and gCLUTO were used for bibliometric and clustering analysis,and CiteSpace was employed for analysis of authors and citations,and burst detection of keywords. Results The research on multimorbidity has been on the rise.Among the authors,Mercer SW published the most papers on this topic and Fortin M was the most cited author.Karolinska Institute topped the institutions in the number of published papers,and the paper published in by Barnett K in 2012 was the most cited.A total of 75 high-frequency keywords were extracted,on the basis of which seven research hotspots were summarized:epidemiology (including the prevalence and trend),medication (involving polypharmacy,medication compliance,etc.),medical expenditure (including cost and medical services),aging (such as elderly patients,frailty,and disability),psychology (involving mental health,social support,etc.),multimorbidity management (such as the treatment,primary health care,and integrated care),and comorbidity of cardiovascular and metabolic diseases (involving obesity,stroke,diabetes,etc.). Conclusions Multimorbidity is concerned as a major health threat and public health problem worldwide.The management of multimorbidity is more complex than that of one disease,which thus faces more challenges.Therefore,researchers,health care providers,and policy-makers should underscore it.
目的 明确多病共存研究的热点与趋势，为我国进一步开展相关研究提供依据。方法 从PubMed和Web of Science数据库（建库至2021年8月11日）中检索多病共存相关论文。运用BICOMB和gCLUTO进行文献计量学和聚类分析，采用CiteSpace分析作者与引文情况，并进行关键词突现检测。结果 多病共存研究呈上升趋势。作者中，Mercer SW发表该主题论文数量最多，Fortin M是被引次数最多的作者。卡罗林斯卡学院发表论文数量在机构中位居榜首，Barnett K于2012年发表的论文被引次数最多。共提取75个高频关键词，在此基础上总结出7个研究热点：流行病学（包括患病率和趋势）、用药（涉及多重用药、用药依从性等）、医疗支出（包括费用和医疗服务）、老龄化（如老年患者、衰弱和残疾）、心理学（涉及心理健康、社会支持等）、多病共存管理（如治疗、初级卫生保健和综合照护）以及心血管与代谢疾病共病（涉及肥胖、中风、糖尿病等）。结论 多病共存作为全球主要的健康威胁和公共卫生问题受到关注。多病共存的管理比单一疾病更为复杂，因此面临更多挑战。所以，研究人员、医疗服务提供者和政策制定者应予以重视。
