慢性肺病认知向干预的全球趋势:一个图书识别和可视化分析
Jirong Zhang1, Ning Sun2,3, Chenming He1
1Department of Emergency, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, People's Republic of China.
概括
认知干预对于慢性肺病 (CLD) 患者来说是有前途的. 运动和呼吸训练是关键,但在LMIC和非COPD人群中存在研究差距.
科学领域:
- 肺部医学 肺部医学
- 神经科学是一个神经科学.
- 康复 康复 康复 康复
背景情况:
- 慢性肺病 (CLD) 显著影响认知功能.
- 了解CLD的认知变化和干预措施对于患者护理至关重要.
- 现有研究需要绘制地图,以确定趋势和证据差距.
研究的目的:
- 绘制成年CLD认知干预研究格局的地图.
- 综合这些干预措施的随机对照试验 (RCT) 证据.
- 确定CLD认知研究中的专题趋势和协作模式.
主要方法:
- 使用VOSviewer,CiteSpace和Bibliometrix对2005-2025年出版物的文献计量分析.
- 来自Web of Science,Scopus和PubMed的确定RCT的叙述合成.
- 重复选,数据提取和偏差风险评估 (RoB 2).
主要成果:
- 图书统计分析显示了持续的增长,国际合作,以及面向机制和以患者为中心的结果的专题转变.
- 15个RCT,主要是稳定的慢性阻塞性肺病 (COPD),评估了各种干预措施,包括运动,呼吸训练和多式方案.
- 常见的认知测量包括MoCA,MMSE和执行功能测试;方法质量通常是中等的.
结论:
- 临床疾病认知领域正在迅速扩大和全球连接,朝着机械主义和以患者为中心的研究迈进.
- 多种模式的肺部康复,特别是运动和灵感肌肉训练,显示出神经治疗潜力.
- 在低收入和中等收入国家 (LMICs) 和非COPD人口中仍然存在重大研究缺口.
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