中华护理杂志 ›› 2025, Vol. 60 ›› Issue (15): 1824-1828.DOI: 10.3761/j.issn.0254-1769.2025.15.005
收稿日期:2024-10-11
出版日期:2025-08-10
发布日期:2025-08-05
*通讯作者:
周兰姝,E-mail:zhoulanshu@hotmail.com作者简介:许嘉乐:女,本科(硕士在读),E-mail:2547969055@qq.com
基金资助:
XU Jiale(
), WANG Qiuyi, ZHANG Zhilin, ZHOU Lanshu(
)
Received:2024-10-11
Online:2025-08-10
Published:2025-08-05
摘要:
网络分析是提升老年慢性病患者健康管理效率的重要研究方法,在精准定位干预靶点方面具有独特优势。该文对网络分析在老年慢性病患者健康管理中的应用进展进行综述,从同期网络、动态网络和个体化网络3个层面系统梳理网络分析的应用现状,以期为医护人员构建个性化健康管理方案提供理论依据与方法学支撑。
许嘉乐, 汪秋伊, 张智霖, 周兰姝. 网络分析在老年慢性病患者健康管理研究中的应用进展[J]. 中华护理杂志, 2025, 60(15): 1824-1828.
XU Jiale, WANG Qiuyi, ZHANG Zhilin, ZHOU Lanshu. Application progress of network analysis in health management of elderly patients with chronic diseases[J]. Chinese Journal of Nursing, 2025, 60(15): 1824-1828.
| [1] | 规划发展与信息化司. 健康中国行动(2019—2030年)[EB/OL]. (2019-07-15)[2025-04-24]. http://www.nhc.gov.cn/guihuaxxs/s3585u/201907/e9275fb95d5b4295be8308415d4cd1b2.shtml. |
| Department of Planning, Development and Information Tech-nology. Healthy China initiative(2019-2030)[EB/OL]. (2019-07-15)[2025-04-24]. http://www.nhc.gov.cn/guihuaxxs/s3585u/201907/e9275fb95d5b4295be8308415d4cd1b2.shtml. | |
| [2] | 牛雨婷, 赵允伍, 王晓松, 等. 基于老龄化导向的社区慢病管理实践现状及思考[J]. 南京医科大学学报(社会科学版), 2023, 23(1):7-13. |
| Niu YT, Zhao YW, Wang XS, et al. Current situation and enlightenment of chronic disease management practice based on aging orientation[J]. J Nanjing Med Univ Soc Sci, 2023, 23(1):7-13. | |
| [3] | 杨淑娟, 余彬, 董舒, 等. 基于复杂网络理论的健康相关行为与慢性非传染性疾病关系研究进展[J]. 中华流行病学杂志, 2024, 45(3):408-416. |
|
Yang SJ, Yu B, Dong S, et al. Progress in complex network theory-based studies on the associations between health-related behaviors and chronic non-communicable diseases[J]. Chin J Epidemiol, 2024, 45(3):408-416.
DOI PMID |
|
| [4] | Borsboom D, Cramer AOJ. Network analysis:an integrative approach to the structure of psychopathology[J]. Annu Rev Clin Psychol, 2013,9:91-121. |
| [5] |
蔡玉清, 董书阳, 袁帅, 等. 变量间的网络分析模型及其应用[J]. 心理科学进展, 2020, 28(1):178-195.
DOI |
|
Cai YQ, Dong SY, Yuan S, et al. Network analysis and its applications in psychology[J]. Adv Psychol Sci, 2020, 28(1):178-195.
DOI |
|
| [6] | 杨中方, 金依霖, 何加敏, 等. 基于数据类型的症状网络分类:同期网络动态网络和个体化网络[J]. 护士进修杂志, 2023, 38(24):2219-2224. |
| Yang ZF, Jin YL, He JM, et al. Classification of symptom networks based on data types:contemporaneous networks dynamic networks,and individualized networks[J]. J Nurses Train, 2023, 38(24):2219-2224. | |
| [7] |
姚林, 徐岚, 潘习, 等. 老年人健康行为生态瞬时评估的研究进展[J]. 中华护理杂志, 2022, 57(20):2542-2546.
DOI |
|
Yao L, Xu L, Pan X, et al. Research progress of ecological momentary assessment of health behavior among the elderly[J]. Chin J Nurs, 2022, 57(20):2542-2546.
DOI |
|
| [8] |
黎艳娜, 王艺桥. 我国老年人慢性病共病现状及模式研究[J]. 中国全科医学, 2021, 24(31):3955-3962,3978.
DOI |
| Li YN, Wang YQ. Prevalence and patterns of multimorbidity among Chinese elderly people[J]. Chin Gen Pract, 2021, 24(31):3955-3962,3978. | |
| [9] | Lee C, Park YH, Cho B, et al. A network-based approach to explore comorbidity patterns among community-dwelling older adults living alone[J]. Geroscience, 2024, 46(2):2253-2264. |
| [10] |
Hernández B, Reilly RB, Kenny RA. Investigation of multimorbidity and prevalent disease combinations in older Irish adults using network analysis and association rules[J]. Sci Rep, 2019, 9(1):14567.
DOI PMID |
| [11] |
孙柳, 王莹, 梁嘉贵, 等. 老年人应对慢性病共病体验的Meta整合[J]. 中华护理杂志, 2022, 57(6):748-755.
DOI |
| Sun L, Wang Y, Liang JG, et al. Experience of the elderly coping with multiple chronic conditions:a qualitative meta-synthesis[J]. Chin J Nurs, 2022, 57(6):748-755. | |
| [12] |
陈琛, 王力, 曹成琦, 等. 心理病理学网络理论、方法与挑战[J]. 心理科学进展, 2021, 29(10):1724-1739.
DOI |
|
Chen C, Wang L, Cao CQ, et al. Psychopathological network theory,methods and challenges[J]. Adv Psychol Sci, 2021, 29(10):1724-1739.
DOI |
|
| [13] | Henry TR, Marshall SA, Avis NE, et al. Concordance networks and application to clustering cancer symptomology[J]. PLoS One, 2018, 13(3):e0191981. |
| [14] | Zhou MY, Gu XX, Cheng KY, et al. Exploration of symptom clusters during hemodialysis and symptom network analysis of older maintenance hemodialysis patients:a cross-sectional study[J]. BMC Nephrol, 2023, 24(1):115. |
| [15] | Triolo F, Belvederi Murri M, Calderón-Larrañaga A, et al. Bridging late-life depression and chronic somatic diseases:a network analysis[J]. Transl Psychiatry, 2021,11:557. |
| [16] | Qiu RX, Gu YH. Network analysis of frailty indicators in hospitalized elderly patients:unveiling the role of depression and hemoglobin as core factors[J]. Aging Clin Exp Res, 2023, 35(12):3189-3203. |
| [17] | van den Houdt SCM, Mommersteeg PMC, Widdershoven J, et al. A network analysis of cardiovascular risk factors in patients with heart disease:the role of socioeconomic status and sex[J]. Psychosom Med, 2023, 85(5):417-430. |
| [18] | de la Torre-Luque A, Pemau A, Galvez-Merlin A, et al. Immunometabolic alterations in older adults with heightened depressive symptom trajectories:a network approach[J]. Aging Ment Health, 2023, 27(11):2229-2237. |
| [19] | Welch C, Bravo L, Gkoutos G, et al. Establishing predictors of acute sarcopenia:a proof-of-concept study utilising network analysis[J]. Aging Dis, 2024. |
| [20] |
尹艳茹, 周洪昌, 刘梦如, 等. 老年维持性血液透析患者社会隔离现状的调查研究[J]. 中华护理杂志, 2023, 58(7):822-829.
DOI |
|
Yin YR, Zhou HC, Liu MR, et al. Status and influencing factors of social isolation in elderly patients with maintenance hemodialysis[J]. Chin J Nurs, 2023, 58(7):822-829.
DOI |
|
| [21] |
Snow DL, Gordon JB. Social network analysis and intervention with the elderly[J]. Gerontologist, 1980, 20(4):463-467.
PMID |
| [22] | Chen YX, Zhang ZY, Yang E, et al. The effect of family physician team processes on chronic disease management performance from a structural network perspective[J]. BMC Prim Care, 2024, 25(1):292. |
| [23] | Song MK, Paul S, Happ MB, et al. Informal caregiving networks of older adults with dementia superimposed on multimorbidity:a social network analysis study[J]. Innov Aging, 2023, 7(4):igad033. |
| [24] | Chen JD, Zhang F, Zhang Y, et al. Trajectories network analysis of chronic diseases among middle-aged and older adults:evidence from the China Health and Retirement Longitudinal Study(CHARLS)[J]. BMC Public Health, 2024, 24(1):559. |
| [25] | Divo MJ, Celli BR, Poblador-Plou B, et al. Chronic Obstructive Pulmonary Disease(COPD) as a disease of early aging:Evidence from the EpiChron Cohort[J]. PLoS One, 2018, 13(2):e0193143. |
| [26] | Schlechter P, Ford TJ, Neufeld SAS. The development of depressive symptoms in older adults from a network perspective in the English Longitudinal Study of Ageing[J]. Transl Psychiatry, 2023, 13(1):363. |
| [27] | Chen JL, Qiao XY, Pan JH, et al. Network of depressive symptoms before and after a diagnosis of chronic kidney disease[J]. Health Psychol, 2024, 43(2):132-141. |
| [28] | Kroeze R, van der Veen DC, Servaas MN, et al. Personalized feedback on symptom dynamics of psychopathology:a proof-of-principle study[J]. J Pers Oriented Res, 2017, 3(1):1-10. |
| [29] | Hao M, Zhang H, Jiang S, et al. Metrics of physiological network topology are novel biomarkers to capture functional disability and health[J]. J Gerontol A Biol Sci Med Sci, 2024, 80(1):glae268. |
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