摘要目的? 对国内外心力衰竭症状群的研究进行文献计量学分析,为今后临床护理研究提供循证依据.方法? 检索CNKI、万方数据库、中国生物医学文献数据库(CBM)、PubMed、Web of Science数据库中建库至2018年8月31日发表的心力衰竭症状群相关的中英文文献,并对文献发表年份、期刊分布、研究内容进行统计分析.结果? 最终检索到符合标准的文献21篇,最早发布于2009年,其中横断面研究13篇、纵向研究4篇、综述3篇、工具编制1篇.虽然不同的研究在研究设计、样本特征、评估工具和分析方法方面存在差异,但主要研究结果基本相同:躯体症状群和情绪症状群是心力衰竭患者常见的症状群;躯体症状群一般包括气短、呼吸困难、疲乏、体力下降、睡眠困难;情绪症状群一般包括忧虑、抑郁、认知功能障碍,对于水肿的归类仍存在争议.结论? 目前,国内外对心力衰竭症状群研究尚处于初始探索阶段,研究结果尚不稳定.未来可进一步开展心力衰竭症状群的长期动态观察,并探讨相应症状管理策略.

abstractsObjective? To investigate and analyze the domestic and oversea studies on heart failure symptom clusters through a bibliometric analysis, and provide evidence basis for future clinical nursing research. Methods? The CNKI the Wanfang Science and Technology Journal Full-text Database, the China Biomedical Literature Database (CBM), the PubMed, and the Web of Science database were searched for the articles both in Chinese and English about heart failure symptom clusters published from database establishment dates to August 31st, 2018 and analyzed on their published years, distribution of journals, and research content. Results? A total of 21 articles complied with the standard were retrieved with the first published article dated back to 2009. Among them, there were 13 cross-sectional studies, 4 longitudinal studies, 3 reviews, and 1 tool development. Although different studies had differences in research design, sample characteristics, assessment tools, and analytical methods, the main findings were basically the same: somatic symptom cluster and emotional symptom cluster were common symptom clusters in patients with heart failure; somatic symptom cluster mainly included shortness of breath, dyspnea, fatigue, declined physical strength, dyscoimesis; emotional symptom cluster mainly included anxiety, depression, cognitive disorder; there was still controversy about the classification of edema. Conclusions? At present, the research on heart failure symptom clusters in China and abroad is still at the initial exploration stage, and the research results are still unstable. In the future, we can further develop long-term dynamic observation of heart failure symptom clusters and explore corresponding symptom management strategies.