家庭赋权护理知识图谱：基于VOSviewer的主题演进分析

Family Empowerment Nursing Knowledge Map: Thematic Evolution Analysis Based on VOSviewer

摘要: 目的：在医疗保健向“健康促进”模式转型的背景下，随着全球人口老龄化和慢性疾病负担的增加，家庭赋权护理模式的重要性日益凸显。本研究旨在利用VOSviewer软件，对过去五年(2020~2025年)家庭赋权护理领域科学知识景观进行可视化映射，系统分析研究主题的演变、热点分布及合作模式，以期为该领域进一步研究与应用拓展提供参考。方法：本研究以Web of Science核心合集作为数据来源，检索了2020年1月1日至2025年3月8日期间发表的英文文献。最终纳入分析的有效文献共1200篇。本研究采用VOSviewer软件进行了一系列分析，包括关键词共现分析、聚类演变分析及国际合作网络分析。此外，通过文献计量在线平台和Excel工具辅助进行可视化展示与统计描述。结果：对关键词分析的深入研究表明，“以家庭为中心的护理”是核心且稳定的主题。分析还显示，“COVID-19”的搜索量在短期内出现激增。“定性研究”“家庭支持”“心理健康”等关键词的出现，凸显了人文关怀与心理支持领域的新兴趋势。而“干预”“影响”等新关键词的出现，则表明研究重点正转向实践效果验证。区域贡献的分布存在显著差异，美国处于领先地位(24.3%)，其次是中国和英国，它们已建立以美国为中心的国际合作网络。然而，发达国家与发展中国家(尤其是非洲和拉丁美洲国家)之间的合作程度仍存在不均衡和失衡现象。结论：家庭赋权护理的研究主题正从理论探索向实践应用及验证发生显著演变。智能技术(如远程监测与数据分析)与专业应用场景(如临终关怀和儿科护理)的融合已成为前沿研究领域。然而，全球研究合作的不平衡状态正制约着知识的公平传播。未来应聚焦于加强长期效果评估、跨文化比较研究及技术应用的伦理审查，同时通过更具包容性的国际合作促进该领域的均衡发展。

Abstract: Objective: Against the backdrop of healthcare transitioning to a “health promotion” model, the growing global population aging and increasing burden of chronic diseases have highlighted the growing importance of family empowerment care models. This study aims to utilize VOSviewer software to visually map the scientific knowledge landscape in family empowerment care over the past five years (2020-2025), systematically analyzing the evolution of research themes, hotspots distribution, and collaborative patterns, thereby providing references for further research and application expansion in this field. Methods: Using the Web of Science core collection as data source, this study retrieved English literature published between January 1, 2020, and March 8, 2025. A total of 1200 valid articles were included for analysis. The study employed VOSviewer software for comprehensive analyses including keyword co-occurrence analysis, cluster evolution analysis, and international collaboration network analysis. Additionally, visualization and statistical descriptions were assisted by bibliometric online platforms and Excel tools. Results: In-depth keyword analysis demonstrated that “family-centered care” remained a core and stable theme. The analysis also revealed a short-term surge in searches for “COVID-19”. Emerging trends in humanistic care and psychological support were highlighted through keywords like “qualitative research” “family support” and “mental health”. Meanwhile, new keywords such as “intervention” and “impact” indicate a shift in research focus toward practical effectiveness verification. Regional contributions show significant disparities, with the United States leading at 24.3%, followed by China and the UK which have established U.S.-centric international cooperation networks. However, cooperation between developed and developing countries (particularly in Africa and Latin America) remains uneven and imbalanced. Conclusion: Research on family empowerment in care is undergoing a notable shift from theoretical exploration to practical application and validation. The integration of smart technologies (e.g., remote monitoring and data analytics) with specialized clinical scenarios (e.g., hospice care and pediatric nursing) has become a frontier research area. Nevertheless, global research collaboration imbalances continue to hinder equitable knowledge dissemination. Future efforts should focus on strengthening long-term effectiveness evaluations, cross-cultural comparative studies, and ethical reviews of technology applications, while promoting balanced development through more inclusive international cooperation.