摘要： 背景 近年來(lái)移動(dòng)健康技術(shù)在慢性病管理中的研究發(fā)展迅速，然而該領(lǐng)域的研究趨勢(shì)、熱點(diǎn)和前沿問(wèn)題尚不清晰。 目的 對(duì)移動(dòng)健康技術(shù)在慢性病管理中的應(yīng)用和發(fā)展進(jìn)行系統(tǒng)梳理，為未來(lái)開展相關(guān)研究提供借鑒。 方法 以Web of Science核心合集、PubMed為文獻(xiàn)數(shù)據(jù)來(lái)源，于2022-10-18通過(guò)CiteSpace 6.1.R 3軟件檢索1997—2022年發(fā)表的相關(guān)文獻(xiàn)，限制語(yǔ)種為英文，排除會(huì)議論文、會(huì)議摘要、在線發(fā)表、社論、信函、書籍章節(jié)、新聞等類型的文獻(xiàn)。對(duì)納入文獻(xiàn)的國(guó)家（地區(qū)）、學(xué)科交叉和關(guān)鍵詞進(jìn)行分析，以掌握國(guó)際上相關(guān)研究的現(xiàn)狀和熱點(diǎn)，采用關(guān)鍵詞聚類分析、關(guān)鍵詞突發(fā)檢測(cè)和時(shí)間軸視圖綜合分析移動(dòng)健康技術(shù)在慢性病管理中的研究前沿和趨勢(shì)。 結(jié)果 共納入文獻(xiàn)7 622篇，文獻(xiàn)發(fā)表量在2011年開始出現(xiàn)明顯增長(zhǎng)趨勢(shì)，其中美國(guó)對(duì)文獻(xiàn)數(shù)量的貢獻(xiàn)最大，共有2 645篇（34.70%）。論文刊發(fā)期刊主要集中在醫(yī)學(xué)、心理學(xué)和健康學(xué)等領(lǐng)域。頻次排在前5位的關(guān)鍵詞分別為慢性?。?11次）、護(hù)理（695次）、管理（544次）、干預(yù)（502次）、健康（448次）。共形成10個(gè)有意義的聚類，可歸納為研究工具、研究理論與方法、研究對(duì)象、研究因素4個(gè)維度。結(jié)合關(guān)鍵詞突現(xiàn)和時(shí)間線視圖來(lái)看，熱點(diǎn)問(wèn)題主要聚焦于遠(yuǎn)程醫(yī)療、遠(yuǎn)程護(hù)理及數(shù)字健康。 結(jié)論 國(guó)際上對(duì)移動(dòng)健康技術(shù)在慢性病管理中應(yīng)用的研究熱度不減，研究領(lǐng)域已從醫(yī)學(xué)轉(zhuǎn)向健康學(xué)，研究重點(diǎn)是采用移動(dòng)健康技術(shù)對(duì)慢性病進(jìn)行干預(yù)，利用數(shù)字技術(shù)為慢性病提供遠(yuǎn)程健康綜合服務(wù)。提示我國(guó)學(xué)者應(yīng)重視移動(dòng)健康和數(shù)字技術(shù)在慢性病管理中的應(yīng)用，開展干預(yù)研究為慢性病患者尋找高質(zhì)量健康服務(wù)，為慢性病服務(wù)與管理的高質(zhì)量發(fā)展提供建議。

關(guān)鍵詞: 移動(dòng)健康技術(shù), 慢性病管理, 遠(yuǎn)程醫(yī)療, 遠(yuǎn)程護(hù)理, 文獻(xiàn)計(jì)量學(xué)

Abstract:

Background

The research related to mHealth technology in chronic disease management has developed rapidly in recent years, however, the research trends, hotspots and cutting-edge issues in this field remain unclear.

Objective

To systematically review the application and development of mHealth technology in chronic disease management and provide reference for future research.

Methods

Using Web of Science Core Collection and PubMed as the source of literature data, the relevant literature was searched from 1997 to 2022 by CiteSpace 6.1.R 3 software on October 18, 2022, restricting the language to English, and excluding conference papers, conference abstracts, online publications, editorials, letters, book chapters, news, and other non-compliant contents. National regions, disciplinary intersections and keywords were analyzed to grasp the current status and hotspots of related research internationally, and the cutting-edge issues and research trends of mHealth technology in chronic disease management were comprehensively analyzed using keywords clustering analysis, keywords bursting analysis and timeline views.

Results

A total of 7 622 papers were finally included in the study, with a significant growth trend in the volume of publications starting from 2011, in which the United States contributed the most with a total of 2 645 (34.70%). The journals in which the papers were published were mainly in the fields of medicine, psychology and health; and the top five high-frequency keywords were chronic disease (711 times), nursing (695 times), management (544 times), intervention (502 times) and health (448 times). A total of 10 meaningful clusters were formed, which can be categorized into 4 dimensions of research tools, research theories and methods, research objects, and research factors; combining with keywords bursting and timeline view, the hot issues mainly focus on telemedicine, telecare, and digital health.

Conclusion

The international research fervor for the application of mHealth technology in chronic disease management has continued, and the field of research has shifted from medicine to health science, with the focus on intervention research on chronic diseases through mHealth technology and the use of digital technology to provide integrated telehealth services for chronic diseases. It is suggested that our scholars should pay attention to the application of mHealth and digital technologies in chronic disease management, find high-quality health services for patients with chronic diseases in China through intervention studies, and provide strategies and suggestions for the high-quality development of chronic disease services and management in China.

Key words: mHealth technology, Chronic disease management, Telemedicine, Telenursing, Bibliometrics

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