Objective To analyze the studies on self-management in patients with inflammatory bowel disease (IBD) in China and its development status, and provide a direction and idea for the further development of studies in this regard. MethodsRelevant literatures on self-management in IBD patients published since the database was established to May 2018 were retrieved from CNKI, WanFang Data, VIP and CBM. NoteExpress 3.2.0 and Excel 2016 were used to establish a database. External characteristics such as the year, journal and author as well as internal characteristics such as the research type, research subject and intervention measures were extracted from the literatures, and methodological quality assessment was conducted over the randomized controlled trails (RCT). ResultsTotally 87 articles about self-management in IBD patients were included in this study. The number of publications rose perpendicularly from 2014 to 2018. Totally 52 articles (65.82%) were published on the top 5 journals in terms of the total number of articles. The top 3 areas in terms of the total number of articles were Jiangsu (42), Zhejiang (10) and Guangdong (7). There were 64 (73.56%) co-authored articles in total, and 29 articles (36.71%) were supported by a grant. There were various types of intervention studies, but there was huge difference between them in intervention time and frequency and there was no complete assessment tool for outcome indicators yet. The blind method and random distribution were not stated in any RCT, and their quality needed to be improved. ConclusionsCurrently, China's studies on self-management in IBD patients are still in a rapid development stage. Both core journals, forums and authors have taken form, but researchers still need to develop a complete specificity assessment tool, apply complete outcome assessment indicators, and enhance the scientific and preciseness of research design and implementation,thus improving the quality of literatures.

Objective:To evaluate the effects of telemedicine on the quality of life in patients with inflammatory bowel disease (IBD) and provide effective evidence for the implementation of telemedicine in patients with IBD.Methods:Randomized controlled trails (RCT) involving telemedicine on improving the quality of life in patients with IBD which were published since the databases were established to September 23, 2018 were retrieved from PubMed, Web of Science, Embase, the Cochrane Library, Cumulative Index of Nursing & Allied Health Literature (CINAHL) , China Biology Medicine (CBM) , VIP, Wanfang Data and China National Knowledge Internet (CNKI) . Meta-analysis was performed by two researchers using RevMan 5.3 after independent selection of literature, extraction of data, and quality evaluation according to the inclusion and exclusion criteria of the literature.Results:Among the 741 articles identified in the initial search, totally 8 RCT were included, involving a total of 1 966 patients, including 1 067 patients in the intervention group and 899 patients in the control group. One study was of high quality and the remaining seven were of medium quality. Meta-analysis showed that the quality of life scores of patients in the telemedicine group were higher than those in the control group after intervention [ SMD=0.26, 95% CI (0.06, 0.46) , P=0.01]. Subgroup analysis of the follow-up evaluation time revealed that within 3 months of intervention, telemedicine could better improve the quality of life of patients compared with the control group [ SMD=0.56, 95% CI (0.02, 1.10) , P=0.04]. Subgroup analysis of age showed that telemedicine could better improve the quality of life of adult patients compared with the control group [ SMD=0.29, 95% CI (0.06, 0.52) , P=0.01]. Conclusions:The effects of telemedicine on the quality of life in patients with IBD are better than that of routine/standard care, but high-quality research is still needed to verify it. Telemedicine can be an effective alternative for the long-term disease monitoring, management and education of patients, and may also provide a reference for the formation of a scientific and effective community-family management model for patients with IBD.

Self-disclosure is a simple and effective intervention to improve the health outcomes of patients. Foreign scholars have paid attention to it and applied it in the self-management of patients with chronic diseases widely. However, there are few domestic related studies in China. This article reviewed the definition, significance, assessment tools, and summarized the influencing factors and intervention studies of self-disclosure in patients with chronic diseases. It would provide references for research of self-disclosure, further improving the self-management and mental health of patients with chronic diseases.

Objective:To understand the research status of positive psychology in the world, analyze its development trend and provide reference for the research of positive psychology in China.Methods:The research literatures on positive psychology from 2000 to 2019 were retrieved in Web of Science Core Collection database.Its built-in analytical function was used for bibliographic analysis of annual distribution, country distribution, fund supporting institutions, journal distribution, and research direction. CiteSpace 5.1.R6 software was used to draw high-frequency keywords maps to analyze research hotspots, and HistCite Pro 2.1 software was used to draw citation chronicle chart to analyze highly cited literatures.Results:A total of 4 536 literatures related to positive psychology were included, and the number of literatures showed an increasing trend year by year. The United States had the most publications, with 1 793 papers. And the number of published papers in China was 241, ranking 6th. Funding agencies and journals were scattered, but mostly from the United States. Research focused on psychology (52.491%, 2 381/4 536) , and nursing ranked 10th (1.984%, 90/4 536) . Adolescents, subjective positive experiences and personal positive traits were research hotspots.The 10 most frequently cited studies focused on positive emotions and experiences, positive psychological interventions and validation of their effectiveness.Conclusions:Positive psychology research is in a stage of continuous development and growth, and the core journal forum has not yet formed.The United States occupies a leading position in this field of research, and there is still a great room for improvement in the quantity and quality of research in this field in China.In the future, researchers can conduct in-depth studies on children, the elderly and the positive social environment, and at the same time, combine with local characteristics to explore the theoretical system and intervention mode of positive psychology suitable for China.

Objective:To explore the research hotspots and development trends of male nurses in China from 2009 to 2019 by bibliometric analysis, and provide references for related research.Methods:Relevant literature on male nurses in my country from 2009 to 2019 were retrieved through Wanfang Data, China National Knowledge Infrastructure (CNKI) , VIP, China Biology Medicine and other databases. The content of the included literature was analyzed, and word frequency analysis as well as two-way cluster analysis on keywords were performed by bicomb 2.0 software and gCLUTO 1.0 software.Results:A total of 931 journal articles were included, and 25 high-frequency keywords were obtained. Three research hotspots were obtained through cluster analysis, namely, male nurses' work advantages and management, male nurses' mental health, and male nursing students' nursing education.Conclusions:Male nurses are receiving increasing attention, and core journal forums have begun to take shape, but the overall research quality is not good. In the future, it is necessary to strengthen the scientificity and rigor of scientific research design and research implementation, so as to enhance the guiding value of literature for clinical practice.