February 2020, Volume 23，No.6 Abstracts（B）
Author：尹鹏 Source：CGP Published： [01-16] views： 274
Research Progress of Mechanism of Type D Personality on the Development of Coronary Heart Disease YI Huijie1，LIN Ping1*，LI Ling2，WANG Yini2
1.School of Nursing，Harbin Medical University，Harbin 150086，China
2.Department of Cardiology，the 2nd Affiliated Hospital of Harbin Medical University，Harbin 150086，China
*Corresponding author：LIN Ping，Professor，Chief superintendent nurse；E-mail：firstname.lastname@example.org
【Abstract】 As an important early warning indicator of coronary heart disease，more and more studies begin to pay attention to the mechanism and pathway between type D personality and the development of coronary heart disease.However，previous studies have only expounded the mechanism of type D personality on coronary heart disease from a single biomedical or behavioral psychology perspective，and no studies have clarified the mechanism from a complete perspective of biology and behavioral psychology.By summarizing the latest research evidence，this paper analyzes the relationship between type D personality and the occurrence，development and prognosis of coronary heart disease，and further explores the potential pathways between type D personality and coronary heart disease from the perspectives of biology and behavioral psychology to provide theoretical basis for clarifying the mechanism of type D personality on coronary heart disease.It provides new intervention targets for improving the clinical outcomes of patients with coronary heart disease and type D personality，so as to continuously improve the prognosis of patients with coronary heart disease，and prevent and reduce the occurrence of cardiac adverse events.
【Key words】 Type D personality；Coronary disease；Hypothalamo-hypophyseal system；Sympathetic nervous system；Mechanism；Review
Evidence Summary for Arteriovenous Fistula Protection in Maintenance Hemodialysis Patients NIE Yulu1，SHI Yuexian2*，HOU Jiaohui3，MA Li4
1.Department of Nursing，Ninagxia Hui Autonmous Region Corps Hospital，Chinese People's Armed Police Force，Yinchuan 750004，China
2.Peking University School of Nursing，Beijing 100191，China
3.Outpatient Department，Ninagxia Hui Autonmous Region Corps Hospital，Chinese People's Armed Police Force，Yinchuan 750004，China
4.Department of Hemodialysis，Ninagxia Hui Autonmous Region Corps Hospital，Chinese People's Armed Police Force，Yinchuan 750004，China
*Corresponding author：SHI Yuexian，Assistant researcher；E-mail：email@example.com
【Abstract】 Background Arteriovenous fistula is the most common vascular access in maintenance hemodialysis patients.The use time of arteriovenous fistula depends largely on the correct protection.At present，China lacks the best evidence for the maintenance of arteriovenous fistula.Objective To retrieve and analyze the relevant evidence on protection of arteriovenous fistula in maintenance hemodialysis patients，and to summarize the best evidence.Methods We performed a systematic search of evidence from computerized databases：British Medical Journal（BMJ） Best Practice，Uptodata，Cochrane Library，Joanna Briggs Institute（JBI） Library，National Institute for Health and Clinical Excellence（NICE），Registered Nurses' Association of Ontario，Canada（RNAO），Scottish Intercollegiate Guidelines Network（SIGN），National Guideline Clearinghouse（NGC），Guideline International Network（GIN），American Center for Disease Control and Prevention（CDC），PubMed and China National Knowledge Infrastructure（CNKI） from October 2017 to September 2018.Results A total of 10 literatures were selected，including one clinical decision support，six clinical practice guidelines，one expert consensus and two systematic reviews.Finally，12 items of best evidence were summarized，which included 10 A-level recommendations and 2 B-level recommendations.The contents covered the 4 aspects：the selection of the time of using arteriovenous fistula，preparation before use arteriovenous fistula，methods of puncture and needle insertion，education and training for patients and nurses.Conclusion This study summarized the best evidence for protecting arteriovenous fistula in maintenance hemodialysis patients.It is convenient for nurses in hemodialysis room to use and protect the arteriovenous fistula according to the best evidence，and instruct patients to learn how to self-protect the internal arteriovenous fistula，so as to prolong its service life.
【Key words】 Kidney diseases；Hemodiafiltration；Arteriovenous fistula；Vascular access；Evidence-based medicine
Bibliometric Analysis of Deprescribing on Web of Science PAN Jianjiang，XU Zhijie，ZHU Yue，FANG Lizheng*
Department of General Practice，Sir Run Run Shaw Hospital，Zhejiang University School of Medicine，Hangzhou 310016，China
*Corresponding author：FANG Lizheng，Chief physician；E-mail：firstname.lastname@example.org
【Abstract】 Background Inappropriate polypharmacy，especially in older people，imposes substantial burden of adverse drug events，illness，disability，hospitalization and even death.Deprescribing is the process of tapering or stopping drugs，aimed at minimizing polypharmacy and improving patient outcomes.Objective To search and analyze theoriginal researches on deprescribing from 2013 to 2018 in Web of Science，and to explore the literature distribution and research focus.Methods The retrieval date was October 10，2018.We searched medical subject headings in Web of Science Core Collection Databases，set the date ranged from 2003 to 2018 and the search formula was as follows：subject=（"deprescribing"） OR topic=（"deprescribe"）．Firstly，the retrieved literature were screened according to the inclusion criteria.Then the included literature were analyzed by bibliometric through EndNote 8.0 and the analysis and retrieval tools in Web of Science.Results A total of 70 original research papers were included in the study.From 2012 to 2014，two articles about deprescribing were published（accounting for 2.9%）．The number of published articles began to increase and 5 articles（accounting for 7.1%） were published in 2015.From January 2016 to October 2018，the number of published articles increased rapidly 〔a total of 63 articles（accounting for 90.0%）〕.BMJ Open and European Journal of Hospital Pharmacy Science and Practice published the largest number of papers（each with 5 papers），and seven SCI journals published three or more papers each.In addition，BMC Medicine had the highest influence factor（IF=9.08）．There were 21 highly cited papers（citation≥7）．The included literature were from 17 countries and regions，among which Canada，Australia and the United States were the three countries with the largest number of publications.The average author cooperation degree of the literature was 5.4，that is，each paper has an average of 5-6 authors.And the average institutional cooperation degree was 3.0，that is，an average of three institutions participated in the research of each paper.The analysis of the occupational distribution of the first authors showed that most of them were clinical pharmacists，public health scholars and general practitioners.And the research disciplines of the included literature were mainly pharmacy and internal medicine，followed by geriatrics.Conclusion Although research on deprescribing is still at an early stage，it has become a research focus.The number of published literature has increased rapidly since 2016 and Canadian，Australian and American scholars have published the most number of papers.The first authors of published literature were mainly pharmacists，public health researchers and general practitioners.
【Key words】 Bibliometrics；Deprescribing；Web of Science；Aged；Multiple drug use
Quantitative Analysis of Literature Research of General Practitioners in China from 2014 to 2018 ZHANG Zhaochun1，HU Haiyuan2，LI Chuangwei1，ZHANG Yili1*
1.School of Health Services Management，Southern Medical University，Guangzhou 510515，China
2.The Third Affiliated Hospital，Southern Medical University，Guangzhou 510630，China
*Corresponding author：ZHANG Yili，Associate professor；E-mail：email@example.com
【Abstract】 Background In recent years，Chinese government attaches great importance to the construction and development of general practitioners，and there are still some problems in the process of its rapid development.By studying the relevant literature of general practitioners in China from 2014 to 2018，we deeply understand the present situation and development trend of general practitioners in China.Objective To collect and analyze the literature of general practitioners in China from 2014 to 2018，to reveal the present situation and characteristics of general practitioners' research in China，and to provide reference for the related research of general practitioners in China in the future.Methods In January 8 2019，the literature of general practitioners in China from 2014 to 2018 was searched by CNKI database system.“General practitioners，general physicians or team of general practitioners” were used as search words，and taking the academic literature of related research journals of general practitioners retrieved from the CNKI as the research object.The inductive method，comparative analysis method and bibliometric analysis method were used to sort out and analyze the searched literature.Results A total of 1 508 articles of general practitioners were published in China from 2014 to 2018，and the number of research documents has increased since 2014.The literature of general practitioners in China was mainly the journal（90.52%）.The subject with the largest number of published literature was medical and health discipline（45.23%）.The main research methods were investigation，description and exploratory methods（46.75%）.Hospitals，colleges and universities and community health service centers were the main forces of general practitioner research in China，and their number of papers accounted for 91.98% of the total literature.The research content mainly involved training，education and training research（46.22%）.Conclusion China attaches importance to the research and development of general practitioners.The number of literature continues to increase，many of which are research-funded projects，and the related research of general practitioners is in the stage of rapid development.The research of general practitioners in China has not formed a high influence core author group，and the research area is mainly distributed in the eastern coastal economically developed cities，involving a wide range of disciplines，with diverse research methods.“Laws and regulations，service quality evaluation，Internet+，satisfaction research，performance appraisal，salary payment，evaluation index system construction”of general practitioners are the new research directions in the future.
【Key words】 Bibliometrics；General practice；Research methods；General practice；China