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护理学报 ›› 2020, Vol. 27 ›› Issue (8): 20-25.doi: 10.16460/j.issn1008-9969.2020.08.020

• 文献研究 • 上一篇    下一篇

基于PubMed慢性肾脏病患者运动研究共词热点聚类分析

王娅敏1, 郑晶2, 赵文波3, 彭晖3, 李慧群3   

  1. 1.中山大学 护理学院,广东 广州 510080;
    2.广东药科大学 护理学院,广东 广州 510310;
    3.中山大学附属第三医院 肾内科,广东 广州 510630
  • 收稿日期:2019-10-18 出版日期:2020-04-25 发布日期:2020-07-14
  • 通讯作者: 李慧群（1975-）,女,湖南长沙人,硕士研究生,副主任护师。
  • 作者简介:王娅敏（1995-）,女,山西运城人,本科学历,硕士研究生在读。
  • 基金资助:
    广东省自然科学基金（2018A030313514）

Cluster Analysis of Literatures Hotspots on Exercise of Patients with Chronic Kidney Disease in PubMed

WANG Ya-min1, ZHENG Jing2, ZHAO Wen-bo3, PENG Hui3, LI Hui-qun3   

  1. 1. School of Nursing, Sun Yat-Sen University, Guangzhou 510080, China;
    2. School of Nursing, Guangdong Pharmaceutical University, Guangzhou 510310, China;
    3. Dept. of Nephrology, the Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou 510630,China
  • Received:2019-10-18 Online:2020-04-25 Published:2020-07-14

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摘要： 目的 了解慢性肾脏病患者运动领域研究现状和热点,为研究人员进行该领域的研究提供参考。方法 检索PubMed数据库中2009—2018年发表的慢性肾脏病运动的文献,运用书目共现分析软件（Bicomb 2.0）统计主题词词频,用SPSS 20.0对高频主题词进行共词聚类分析。结果 共检索到1 779篇文献。获得高频主题词33个,占总频次的30.1%。共词聚类分析总结出近10年慢性肾脏病患者运动研究的5个热点,分别为：运动对慢性肾脏病患者在心血管功能、肾功能、生活质量3个方面影响的研究,以及运动方案、运动相关生理学和病理生理学机制2个方面的研究。结论 慢性肾脏病患者运动相关的研究日趋受到国内外学者的重视,研究重点集中于探讨慢性肾脏病患者在心血管功能,肾功能和生活质量改善方面的运动获益,慢性肾脏病患者运动方案的设计以及相关机制探讨,但目前缺乏大样本、多中心干预性临床研究,在护理领域该方面的研究较少。

关键词: 慢性肾脏病, 运动, 文献计量学, 聚类分析

Abstract: Objective To identify the research status and hotspots of exercise in patients with chronic kidney disease (CKD) in PubMed, and to provide reference for researchers in this field. Methods The literatures on exercises of CKD patients in PubMed from 2009 to 2018 were searched. The word frequency of the subject words was counted using Bicomb2.0 software, and the co-word clustering analysis of the high-frequency subject words was conducted with SPSS 20.0. Results A total of 1,779 articles were retrieved. Thirty-three high-frequency subject words were extracted, accounted for 30.1% of the total frequency cumulatively. Five hot research areas were identified including the effect of exercise on cardiovascular function, renal function and quality of life of CKD patients, exercise program, and studies on exercise physiology and pathophysiological mechanisms in CKD patients. Conclusion The research on exercises of CKD patients receives increasing attention from domestic and foreign scholars. The research focuses on the benefits of exercises for CKD patients in improving cardiovascular function, renal function, and quality of life, the design of exercise programs and its related mechanisms, but lacks large sample, multicenter intervention clinical study, and there are fewer related studies in the field of nursing.

Key words: chronic kidney disease, exercise, bibliometric, cluster analysis

中图分类号: 

  • R473.5
[1] 张路霞,王芳,王莉,等. 中国慢性肾脏病患病率的横断面调查[J]. 中华内科杂志, 2012, 51(7):570-570.DOI:10.3760/cma.j.issn0578-1426.2012.07.025.
[2] 李晗,张昆,王晓菁,等. 维持性透析患者运动能力降低及其相关因素[J].中华肾脏病杂志,2016,32(6):412-417.DOI:10.3760/cma.j.issn.1001-7097.2016.06.003.
[3] Painter P, Marcus, RL.Assessing Physical Function and Physical Activity in Patients with CKD[J]. Clin J Am Soc Nephrol, 2013, 8(5):861-872.DOI:10.2215/cjn.06590712.
[4] Mackinnon HJ, Wilkinson TJ, Clarke AL, et al.The Association of Physical Function and Physical Activity with All-Cause Mortality and Adverse Clinical Outcomes in Nondialysis Chronic Kidney Disease: A Systematic Review[J]. Ther Adv Chronic Dis,2018,9(11):209-226.DOI:10.1177/2040622318785575.
[5] 崔雷,刘伟,闫雷,等. 文献数据库中书目信息共现挖掘系统的开发[J]. 现代图书情报技术, 2008, 24(8):70-75.DOI:10.3969/j.issn.1003-3513.2008.08.013.
[6] 张方圆,李峥. 近5年护理研究热点的共词聚类分析[J]. 中华护理杂志, 2016, 51(2):248-252.DOI:10.3761/j.issn.0254-1769.2016.02.021.
[7] Gansevoort RT, Correa-Rotter R, Hemmelgarn BR, et al.Chronic Kidney Disease and Cardiovascular Risk:Epidemiology, Mechanisms, and Prevention[J]. Lancet, 2013, 382(9889):339-352.DOI:10.1016/S0140-6736(13)60595-4.
[8] Mustata S, Groeneveld S, Davidson W, et al.Effects of Exercise Training on Physical Impairment, Arterial Stiffness and Health-related Quality of Life in Patients with Chronic Kidney Disease: A Pilot Study[J]. Int Urol Nephrol, 2011, 43(4):1133-1141.DOI:10.1007/s11255-010-9823-7.
[9] Kouidi E, Vergoulas G, Anifanti M, et al.A Randomized Controlled Trial of Exercise Training on Cardiovascular and Autonomic Function among Renal Transplant Recipients[J]. Nephrol Dial Transplant, 2013, 28(5):1294-1305.DOI:10.1093/ndt/gfs455.
[10] Howden EJ, Leano R, Petchey W, et al.Effects of Exercise and Lifestyle Intervention on Cardiovascular Function in CKD[J]. Clin J Am Soc Nephrol, 2013, 8(9):1494-1501.DOI:10.2215/cjn.10141012.
[11] Heiwe S, Jacobson SH.Exercise Training in Adults with CKD: A Systematic Review and Meta-analysis[J]. Am J Kidney Dis,2014, 64(3):383-393.DOI:10.1053/j.ajkd.2014.03.020.
[12] Viana JL, Kosmadakis GC, Watson EL, et al.Evidence for Anti-inflammatory Effects of Exercise in CkD[J]. J Am Soc Nephrol,2014, 25(9):2121-2130.DOI:10.1681/asn.2013070702.
[13] Isnard-Rouchon M, Coutard C.Exercise as a Protective Cardiovascular and Metabolic Factor in End Stage Renal Disease Patients[J]. Nephrol Ther, 2017, 13(7):544-549.DOI:10.1016/j.nephro.2017.01.027.
[14] Hiraki K, Kamijo-Ikemori A, Yasuda T, et al.Moderate-Intensity Single Exercise Session Does Not Induce Renal Damage[J]. J Clin Lab Anal, 2013, 27(3):177-180.DOI:10.1002/jcla.21579.
[15] Santana DA, Poortmans JR, Dorea EL, et al.Acute Exercise Does Not Impair Renal Function in Nondialysis Chronic Kidney Disease Patients Regardless of Disease Stage[J]. Am J Physiol Renal Physiol, 2017, 313(2):F547-f552.DOI:10.1152/ajprenal.00131.2017.
[16] Pechter U, Raag M, Ots-Rosenberg M.Regular Aquatic Exercise for Chronic Kidney Disease Patients: A 10-year Follow-up Study[J]. Int J Rehabil Res, 2014, 37(3):251-255.DOI:10.1097/mrr.0000000000000063.
[17] Robinson-Cohen C, Littman AJ, Duncan GE, et al.Physical Activity and Change in Estimated Gfr among Persons with CKD[J]. J Am Soc Nephrol, 2014, 25(2):399-406.DOI:10.1681/asn.2013040392.
[18] Vanden Wyngaert K, Van Craenenbroeck AH, Van Biesen W, et al.The Effects of Aerobic Exercise on Egfr, Blood Pressure and Vo2peak in Patients with Chronic Kidney Disease Stages 3-4: A Systematic Review and Meta-analysis[J]. PloS One, 2018, 13(9):e0203662.DOI:10.1371/journal.pone.0203662.
[19] Headley S, Germain M, Milch C, et al.Exercise Training Improves Hr Responses and V O2peak in Predialysis Kidney Patients[J]. Med Sci Sports Exerc,2012, 44(12):2392-2399.DOI:10.1249/MSS.0b013e318268c70c.
[20] Greenwood SA, Koufaki P, Mercer TH, et al.Effect of Exercise Training on Estimated Gfr, Vascular Health, and Cardiorespiratory Fitness in Patients with CkD:A Pilot Randomized Controlled Trial[J]. Am J Kidney Dis, 2015, 65(3):425-434.DOI:10.1053/j.ajkd.2014.07.015.
[21] 郝元涛,方积乾. 世界卫生组织生存质量测定量表中文版介绍及其使用说明[J]. 现代康复, 2000, 4(8):1127-1129.DOI:10.3321/j.issn:1673-8225.2000.08.002.
[22] Tchape ODM, Tchapoga YB, Atuhaire C, et al. Physiological and Psychosocial Stressors among Hemodialysis Patients in the Buea Regional Hospital, Cameroon[J].Pan Afr Med J, 2018, 30(49.DOI:10.11604/pamj.2018.30.49.15180.
[23] Teta D. Weight Loss in Obese Patients with Chronic Kidney Disease: Who and How?[J].J Ren Care,2010, 36 Suppl 1:163-171.DOI:10.1111/j.1755-6686.2010.00176.x.
[24] Wang YL, Shu KH, Yang MF, et al.The Impact of Body Weight Management in Chronic Kidney Disease Patients with Obesity[J]. J Ren Nutr,2013, 23(5):372-379.DOI:10.1053/j.jrn.2013.04.004.
[25] Wilkinson TJ, Watson EL, Gould DW, et al.Twelve Weeks of Supervised Exercise Improves Self-reported Symptom Burden and Fatigue in Chronic Kidney Disease:A Secondary Analysis of the ‘Extra Ckd' Trial[J]. Clin Kidney J, 2019, 12(1):113-121.DOI:10.1093/ckj/sfy071.
[26] Anand S, Kaysen GA, Chertow GM, et al.Vitamin D Deficiency, Self-Reported Physical Activity and Health-Related Quality of Life: The Comprehensive Dialysis Study[J]. Nephrol Dial Transplant, 2011, 26(11):3683-3688.DOI:10.1093/ndt/gfr098.
[27] Zhu FX, Zhang XY, Ding XK, et al.Protective Effect of Regular Physical Activity on Major Depressive Episodes in Patients with Early Stages of Chronic Kidney Disease[J]. Ren Fail, 2017, 39(1):602-606.DOI:10.1080/0886022x.2017.1361833.
[28] Chong K, Unruh, M. Why Does Quality of Life Remain an under-investigated Issue in Chronic Kidney Disease and Why Is it Rarely Set as an Outcome Measure in Trials in This Population?[J]. Nephrol Dial Transplant, 2017, 32(suppl_2): ii47-ii52.DOI:10.1093/ndt/gfw399.
[29] Tsai YC, Chen HM, Hsiao SM, et al.Association of Physical Activity with Cardiovascular and Renal Outcomes and Quality of Life in Chronic Kidney Disease[J]. PloS One, 2017, 12(8):e0183642.DOI:10.1371/journal.pone.0183642.
[30] Afsar B, Siriopol D, Aslan G, et al.The Impact of Exercise on Physical Function, Cardiovascular Outcomes and Quality of Life in Chronic Kidney Disease Patients: A Systematic Review[J]. Int Urol Nephrol, 2018, 50(5):885-904.DOI:10.1007/s11255-018-1790-4.
[31] 罗香莲,黄雅莲,方艳春,等. 团体爱笑瑜伽对维持性血液透析患者生活质量的影响[J]. 护理学报,2018, 25(22): 6-10.DOI:10.16460/j.issn1008-9969.2018.22.001.
[32] Brenner I.Exercise Performance by Hemodialysis Patients: A Review of the Literature[J]. Phys Sportsmed, 2009, 37(4):84-96.DOI:10.3810/psm.2009.12.1746.
[33] Hellberg M, Hoglund P, Svensson P, et al.Decline in Measured Glomerular Filtration Rate Is Associated with a Decrease in Endurance, Strength, Balance and Fine Motor Skills[J]. Nephrology (Carlton), 2017, 22(7):513-519.DOI:10.1111/nep.12810.
[34] Watson EL, Gould DW, Wilkinson TJ, et al.Twelve-week Combined Resistance and Aerobic Training Confers Greater Benefits than Aerobic Training Alone in Nondialysis CkD[J]. Am J Physiol Renal Physiol, 2018, 314(6):F1188-F1196.DOI:10.1152/ajprenal.00012.2018.
[35] Scapini KB, Bohlke M, Moraes OA, et al.Combined Training Is the Most Effective Training Modality to Improve Aerobic Capacity and Blood Pressure Control in People Requiring Haemodialysis for End-stage Renal Disease: Systematic Review and Network Meta-analysis[J]. J Physiother, 2019, 65(1):4-15.DOI:10.1016/j.jphys.2018.11.008.
[36] 李燕,单亚维,张翠娣. 慢性肾脏病中晚期患者体力活动干预方案及评估工具研究进展[J]. 护理学报,2019, 26(1):44-48.DOI:10.16460/j.issn1008-9969.2019.01.040.
[37] Bishop NC, Billany R, Smith AC.Participant Acceptability of Exercise in Kidney Disease (Pace-KD): A Feasibility Study Protocol in Renal Transplant Recipients[J]. BMJ Open, 2017, 7(9):e017494.DOI:10.1136/bmjopen-2017-017494.
[38] Aoike DT, Baria F, Kamimura MA, et al.Home-Based Versus Center-based Aerobic Exercise on Cardiopulmonary Performance, Physical Function, Quality of Life and Quality of Sleep of Overweight Patients with Chronic Kidney Disease[J]. Clin Exp Nephrol, 2018, 22(1):87-98.DOI:10.1007/s10157-017-1429-2.
[39] Headley S, Germain M, Wood R, et al.Short-term Aerobic Exercise and Vascular Function in Ckd Stage 3: A Randomized Controlled Trial[J]. Am J Kidney Dis, 2014, 64(2):222-229.DOI:10.1053/j.ajkd.2014.02.022.
[40] Miele EM, Headley SE, Germain M, et al.High-Density Lipoprotein Particle Pattern and Overall Lipid Responses to a Short-term Moderate-intensity Aerobic Exercise Training Intervention in Patients with Chronic Kidney Disease[J]. Clin Kidney J,2017,10(4):524-531.DOI:10.1093/ckj/sfx006.
[41] Levin A, Stevens PE, Bilous RW, et al.Kidney Disease: Improving Global Outcomes (Kdigo) CkD Work Group.Kdigo 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease[J]. Kidney Int Suppl,2013, 3(1):1-150.DOI:10.1038/kisup.2012.73.
[42] Smart NA, Williams AD, Levinger I, et al.Exercise & Sports Science Australia (Essa) Position Statement on Exercise and Chronic Kidney Disease[J].J Sci Med Sport, 2013, 16(5):406-411.
[43] Pelagia K, Sharlene G, Patricia P, et al.The Bases Expert Statement on Exercise Therapy for People with Chronic Kidney Disease[J]. J Sports Sci, 2015, 33(18):1-6.DOI:10.1080/02640414.2015.1017733.
[44] Zheng J, You LM, Lou TQ, et al.Development and Psychometric Evaluation of the Dialysis Patient-perceived Exercise Benefits and Barriers Scale[J].Int J Nurs Stud, 2010, 47(2):166-180.DOI:10.1016/j.ijnurstu.2009.05.023.
[45] Van Craenenbroeck AH, Ledeganck KJ, Van Ackeren K, et al.Plasma Levels of Microrna in Chronic Kidney Disease: Patterns in Acute and Chronic Exercise[J]. Am J Physiol Heart Circ Physiol, 2015, 309(12):H2008-2016.DOI:10.1152/ajpheart.00346.2015.
[46] Bai Y, Sigala W, Adams GR, et al.Effect of Exercise on Cardiac Tissue Oxidative and Inflammatory Mediators in Chronic Kidney Disease[J]. Am J Nephrol, 2009, 29(3): 213-221.DOI:10.1159/000156715.
[47] Chen KC, Hsieh CL, Peng CC, et al.Exercise Rescued Chronic Kidney Disease by Attenuating Cardiac Hypertrophy through the Cardiotrophin-1 -> Lifr/Gp 130 -> Jak/Stat3 Pathway[J]. Eur J Prev Cardiol, 2014, 21(4):507-520.DOI:10.1177/2047487312462827.
[48] Souza MK, Neves RVP, Rosa TS, et al.Resistance Training Attenuates Inflammation and the Progression of Renal Fibrosis in Chronic Renal Disease[J]. Life Sci, 2018, 206,93-97.DOI:10.1016/j.lfs.2018.05.034.
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