目的:对近10年老年卒中后疲劳(PSF)相关文献的研究现状、热点和趋势进行可视化分析,为后续研究提供参考。方法:检索Web of Science核心合集,收集2014年1月1日至2023年12月31日发表的老年PSF相关文献,运用R软件Biblio-metric包、CiteSpace 6。3。R1软件绘制发文量、机构、关键词、共被引文献的可视化图谱并进行解读分析。结果:共纳入805篇文献,涉及67个国家/地区,294个机构,305位作者。美国发文量、中心性均最高,各国需加强地区及院校间的合作。研究主题形成了抑郁、康复治疗、慢性疾病、生活质量和测量工具5个聚类效果较高的关键词聚类,关键词四象限图显示生活质量、抑郁、表现反应、骨骼肌、每搏输出量等是该领域既重要又有良好发展前景的主题,心力衰竭、机制、测量方法及量表、自我管理等是该领域重要但未取得良好发展的主题。近5年的突现词主要有抑郁、生活质量、风险因素、运动康复、有效性、社会冲击等。被引文献的聚类词有慢性疾病、健康相关生活质量、纵向研究等。结论:老年人PSF领域的研究热点主要集中在预后康复与心理护理研究,未来可进一步探索预见性护理和主客观结合的评估工具研发,迎合患者的个性化需求,构建完善的老年PSF的康复护理实践体系。
Visual network analysis of research hotspots and trends in post-stroke fatigue among the el-derly based on bibliometrics
Objective:To conduct a visual analysis of the research status,hotspots,and trends in the literature re-lated to post-stroke fatigue(PSF)in the elderly over the past decade,so as to provide a reference for subsequent studies.Methods:The Web of Science Core Collection was searched to collect literature on PSF in the elderly published between January 1,2014 and December 31,2023.The Bibliometric package in R software and CiteSpace 6.3.R1 software were utilized to generate and interpret visual maps of publication output,institutions,keywords,and co-cited documents.Results:A total of 805 articles were included,involving 67 countries/re-gions,294 institutions and 305 authors.The United States had the highest number of publications and centrality,indicating a need for strengthened regional and institutional collaboration globally.The research themes formed five highly clustered keyword groups:depression,rehabilitation therapy,chronic diseases,quality of life,and measurement tools.The keyword four-quadrant diagram revealed that quality of life,depression,performance re-sponse,skeletal muscle,and stroke volume per beat were important topics with promising development prospects in this field.Meanwhile,heart failure,mechanisms,measurement methods and scales,as well as self-management were crucial topics that had not yet achieved substantial progress.The major burst words in the past five years in-cluded depression,quality of life,risk factors,exercise rehabilitation,effectiveness,and social impact.The clus-tered terms of cited documents encompassed chronic diseases,health-related quality of life,and longitudinal stud-ies.Conclusion:Research hotspots in the field of PSF in the elderly primarily focus on prognosis rehabilitation and psychological nursing.Future endeavors can further explore predictive nursing and the development of as-sessment tools that integrate subjective and objective measures,catering to patients'individualized needs and es-tablishing a comprehensive rehabilitation nursing practice system for PSF in the elderly.