International Research Status and Hot Spot Analysis of InterRAI HC Based on Bibliometrics

doi:10.12114/j.issn.1007-9572.2022.0848

Abstract

Abstract:

Background

The interRAI Home Care (interRAI HC) is a commonly used international assessment tool, which plays an important role in guiding medical staff to provide home-based care service for the elderly. However, there is a lack of systematic analysis on the use of this tool.

Objective

To summarize the hot spots of the international researches on the application of interRAI HC, so as to provide a reference for its application in the home-based care of community-dwelling older adults and future research in China.

Methods

On October 2022, PubMed was searched for literature related to interRAI HC application from inception to 2022-10-01. BICOMB 2.0 software was used to extract information such as the year and journal of publication, country of the first author, and subject terms to generate lexical matrix and co-occurrence matrix of high-frequency subject terms. gCLUTO 1.0 software was used for biclustering analysis of lexical matrix and strategic diagram graph was plotted.

Results

A total of 301 related papers were retrieved, which were mainly published in British and American academic journals with a fluctuating upward trend of annual publication. A total of 292 major subject terms were extracted and 28 high-frequency subject terms were identified by BICOMB 2.0 software, resulting in four clustering results, including health risk assessment, quality of care monitoring, psychological condition assessment and comprehensive geriatric assessment.

Conclusion

InterRAI HC plays an important role in health risk assessment, quality of care monitoring, psychological condition assessment of older adults and caregivers, and comprehensive geriatric assessment. The application of interRAI HC is still in the exploratory stage in China, and researchers can promote the development of home-based care of community-dwelling older adults in China on the basis of foreign experiences.

Key words: InterRAI, Aged, Comprehensive geriatric assessment, Home care, Bibliometrics

摘要：

背景

interRAI家庭护理评估工具（interRAI HC）是在国际上得到普遍使用的评估工具，在指导医务人员提供老年人居家照护服务方面发挥重要作用，目前缺乏系统分析该工具使用情况的研究。

目的

归纳目前国际上interRAI HC应用研究的热点，为该工具在我国社区老年人居家照护中的使用，以及研究者利用该工具开展研究提供方向。

方法

于2022年10月，以PubMed为检索对象，检索与interRAI HC应用有关的文献。检索时限为建库至2022-10-01。使用BICOMB 2.0软件提取文献的发表年份、刊载期刊、第一作者所在国家、主题词等，并形成高频主题词的词篇矩阵和共现矩阵。使用gCLUTO 1.0软件对生成的高频主题词词篇矩阵进行双聚类分析。绘制战略坐标图。

结果

共检索到相关文献301篇，文献刊载期刊以英美学术期刊为主，年发文量呈波动上升趋势。使用BICOMB 2.0软件提取主要主题词292个，确定高频主题词28个，最终将高频主题词聚为4个类群：健康风险评估、照护质量监测、心理状况评估、老年综合评估。

结论

InterRAI HC在指导医务人员开展老年人健康风险评估、照护质量监测、老年人及其照护者心理状况评估、老年综合评估等工作方面发挥重要作用。InterRAI HC在我国的应用仍处于探索阶段，研究者可通过借鉴国外的经验，推动我国社区老年人居家照护服务的发展。

关键词: InterRAI, 老年人, 老年综合评估, 居家照护, 文献计量学

FENG Xiaoyu,LI Wanling,LYU Siman, et al. International Research Status and Hot Spot Analysis of InterRAI HC Based on Bibliometrics[J]. Chinese General Practice, 2023, 26(34): 4351-4358. DOI: 10.12114/j.issn.1007-9572.2022.0848.
冯晓玉,李婉玲,吕思漫等. 基于文献计量学的interRAI家庭护理评估工具国际研究现状及热点分析[J]. 中国全科医学, 2023, 26(34): 4351-4358. DOI: 10.12114/j.issn.1007-9572.2022.0848.

Figures/Tables 6

References 55

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排序	高频主题词	出现频次（次）	百分比（%）	累积百分比（%）
1	Home Care Services（居家照护服务）	153	15.90	15.90
2	Geriatric Assessment（老年评估）	52	5.41	21.31
3	Frail Elderly（衰弱老年人）	31	3.22	24.53
4	Activities of Daily Living （日常生活活动能力）	24	2.49	27.02
5	Health Services for the Aged （老年人保健服务）	19	1.98	29.00
6	Long-Term Care（长期照护）	18	1.87	30.87
7	Accidental Falls（意外跌倒）	16	1.66	32.53
8	Aging（老龄化）	15	1.56	34.09
9	Caregivers（照护者）	15	1.56	35.65
10	Quality Indicators，Health Care （质量指标，卫生保健）	15	1.56	37.21
11	Hospitalization（住院）	14	1.46	38.67
12	Dementia（痴呆）	12	1.25	39.92
13	Independent Living（独立生活）	12	1.25	41.17
14	Quality of Life（生活质量）	11	1.14	42.31
15	Frailty（衰弱）	10	1.04	43.35
16	Depression（抑郁）	10	1.04	44.39
17	Nursing Homes（养老院）	10	1.04	45.43
18	Health Status（健康状况）	9	0.94	46.37
19	Surveys and Questionnaires（调查与问卷）	8	0.83	47.20
20	Urinary Incontinence（尿失禁）	8	0.83	48.03
21	Emergency Service，Hospital （急诊服务，医院）	7	0.73	48.76
22	Needs Assessment（需求评估）	7	0.73	49.49
23	Patient Discharge（患者出院）	7	0.73	50.22
24	Loneliness（孤独）	6	0.62	50.84
25	Homes for the Aged（老年公寓）	6	0.62	51.46
26	Outcome Assessment，Health Care （结果评估，卫生保健）	6	0.62	52.08
27	Algorithms（算法）	6	0.62	52.70
28	Residence Characteristics（居民特征）	6	0.62	53.32

排序	高频主题词	出现频次（次）	百分比（%）	累积百分比（%）
1	Home Care Services（居家照护服务）	153	15.90	15.90
2	Geriatric Assessment（老年评估）	52	5.41	21.31
3	Frail Elderly（衰弱老年人）	31	3.22	24.53
4	Activities of Daily Living （日常生活活动能力）	24	2.49	27.02
5	Health Services for the Aged （老年人保健服务）	19	1.98	29.00
6	Long-Term Care（长期照护）	18	1.87	30.87
7	Accidental Falls（意外跌倒）	16	1.66	32.53
8	Aging（老龄化）	15	1.56	34.09
9	Caregivers（照护者）	15	1.56	35.65
10	Quality Indicators，Health Care （质量指标，卫生保健）	15	1.56	37.21
11	Hospitalization（住院）	14	1.46	38.67
12	Dementia（痴呆）	12	1.25	39.92
13	Independent Living（独立生活）	12	1.25	41.17
14	Quality of Life（生活质量）	11	1.14	42.31
15	Frailty（衰弱）	10	1.04	43.35
16	Depression（抑郁）	10	1.04	44.39
17	Nursing Homes（养老院）	10	1.04	45.43
18	Health Status（健康状况）	9	0.94	46.37
19	Surveys and Questionnaires（调查与问卷）	8	0.83	47.20
20	Urinary Incontinence（尿失禁）	8	0.83	48.03
21	Emergency Service，Hospital （急诊服务，医院）	7	0.73	48.76
22	Needs Assessment（需求评估）	7	0.73	49.49
23	Patient Discharge（患者出院）	7	0.73	50.22
24	Loneliness（孤独）	6	0.62	50.84
25	Homes for the Aged（老年公寓）	6	0.62	51.46
26	Outcome Assessment，Health Care （结果评估，卫生保健）	6	0.62	52.08
27	Algorithms（算法）	6	0.62	52.70
28	Residence Characteristics（居民特征）	6	0.62	53.32

类群	研究热点	高频主题词
类群0	健康风险评估	Nursing Homes（养老院）、Homes for the Aged（老年公寓）、Hospitalization（住院）、Frailty（衰弱）、Accidental Falls （意外跌倒）、Urinary Incontinence（尿失禁）
类群1	照护质量监测	Emergency Service，Hospital（急诊服务，医院）；Outcome Assessment，Health Care（结果评估，卫生保健）；Home Care Services（居家照护服务）；Quality Indicators，Health Care（质量指标，卫生保健）；Long-Term Care（长期照护）；Algorithms（算法）
类群2	心理状况评估	Quality of Life（生活质量）、Independent Living（独立生活）、Caregivers（照护者）、Depression（抑郁）、Loneliness（孤独）、Residence Characteristics（居民特征）、Aging（老龄化）
类群3	老年综合评估	Health Services for the Aged（老年人保健服务）、Frail Elderly（衰弱老年人）、Geriatric Assessment（老年评估）、Patient Discharge（患者出院）、Needs Assessment（需求评估）、Health Status（健康状况）、Dementia（痴呆）、Activities of Daily Living（日常生活活动能力）、Surveys and Questionnaires（调查与问卷）

类群	研究热点	高频主题词
类群0	健康风险评估	Nursing Homes（养老院）、Homes for the Aged（老年公寓）、Hospitalization（住院）、Frailty（衰弱）、Accidental Falls （意外跌倒）、Urinary Incontinence（尿失禁）
类群1	照护质量监测	Emergency Service，Hospital（急诊服务，医院）；Outcome Assessment，Health Care（结果评估，卫生保健）；Home Care Services（居家照护服务）；Quality Indicators，Health Care（质量指标，卫生保健）；Long-Term Care（长期照护）；Algorithms（算法）
类群2	心理状况评估	Quality of Life（生活质量）、Independent Living（独立生活）、Caregivers（照护者）、Depression（抑郁）、Loneliness（孤独）、Residence Characteristics（居民特征）、Aging（老龄化）
类群3	老年综合评估	Health Services for the Aged（老年人保健服务）、Frail Elderly（衰弱老年人）、Geriatric Assessment（老年评估）、Patient Discharge（患者出院）、Needs Assessment（需求评估）、Health Status（健康状况）、Dementia（痴呆）、Activities of Daily Living（日常生活活动能力）、Surveys and Questionnaires（调查与问卷）