摘要
目的系统回顾与分析国内外病理性乳房肿胀干预措施的相关研究,发掘国内外就病理性乳房肿胀干预措施的差异点,为我国乳房干预措施的进一步优化提供参考依据及新思路.方法科学检索国内外关于病理性乳房肿胀干预措施的研究文献,将检索数据导入Citespace及VOSviewer实现共现分析,随后对共现图谱中处于核心节点的文献进行系统内容分析.结果本次研究共纳入研究文献384条(国外267条;国内117条),国外研究热点的主题词分别为:女性,成年,头胎,淋巴水肿,发炎,乳腺基础疾病,乳腺肿瘤以及时间影响因素,主要关注在高危影响因素的探寻及乳房相关肿瘤疾病发生的提早干预.国内研究热点主要以护理干预为主要的干预措施及效果评价为主.在核心文献的内容分析显示:国外以队列研究为主,研究广度包括黄体酮等在内的外敷物、心理干预、哺乳时间因素等在内;国内研究以类实验研究为主,主要以按摩手法改良,不同外敷物对比为主要干预措施.结论国内外当前均在外敷物上进行了积极探索与对比研究且取得一定成果.我国目前产后乳房肿胀研究需以大样本及队列研究为基础进行深入探索.
Objective Systematic review and analyze the domestic and foreign research literatures on interventional measures for pathological breast engorgement,and explore the differences between intervention measures for pathological breast engorgement at home and abroad,and provide reference and new ideas for further optimization of breast intervention measures in China.Methods Scientifically search the domestic and foreign research literatures on pathological breast engorgement intervention measures,import the search data into Citespace and VOS viewer to achieve co-occurrence analysis,and then systematically analyze the literature at the core node in the co-occurrence map.Results A total of 384 articles(267 foreign ones;117 articles in China)were included in this study.The main themes of foreign research hotspots are:female,adult,first child,lymphedema,inflammation,breast basic diseases,breast tumors and time-influencing factors are mainly concerned with the exploration of high-risk influencing factors and early intervention of breast-related tumor diseases.Domestic research hotspots mainly focus on nursing interventions as the main intervention measures and effects evaluation.The content analysis in the core literature shows that foreign studies are mainly based on cohort studies,including the topical application of progesterone,psychological intervention,and breastfeeding time factors.Domestic research is mainly based on experimental research,mainly using massage techniques.Improvement,comparison of different external dressings as the main intervention.Conclusions At present,both domestic and foreign research have carried out active exploration and comparative research on the external materials and achieved certain results.The current study of postpartum breast engorgement in China needs to be further explored based on large samples and cohort studies.
作者
邓雨晴
戈文心
王秋静
张晴
Deng Yuqing;Ge Wenxin;Wang Qiujing;Zhang Qing(Department of Thyroid Breast Surgery,the Central Hospital of Wuhan,Tongji Medical College,HuazhongUniversity of Science and Technology,Wuhan 430014,China;Department of Obstetrics,the CentralHospital of Wuhan,Tongji Medical College,Huazhong University of Science and Technology,Wuhan430014,China;Department of Surgery,The Central Hospital of Wuhan,Tongji Medical College,HuazhongUniversity of Science and Technology,Wuhan 430014,China)
出处
《中国实用护理杂志》
2019年第26期2061-2067,共7页
Chinese Journal of Practical Nursing
关键词
共现分析
乳房肿胀
干预措施
研究进展
Co-occurrence analysis
Pathological breast engorgement
Intervention measures
Research progress
