International Journal of Mental Health Nursing最新文献

{"title":"Recognising and responding to loneliness in older people","authors":"Debra Jackson, Mark Hayter","doi":"10.1111/inm.13420","DOIUrl":"https://doi.org/10.1111/inm.13420","url":null,"abstract":"","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":5.6,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142209917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Professional Quality of Life Among Mental Health Nurses: A Systematic Review and Meta‐Analysis","authors":"Runa Lobo, S. Pavan Kumar, Rofin TM","doi":"10.1111/inm.13424","DOIUrl":"https://doi.org/10.1111/inm.13424","url":null,"abstract":"The professional quality of life (ProQOL) is increasingly applied to nurses and is a measure of the positive and negative aspects of their work. This systematic review and meta‐analysis evaluated the level of compassion satisfaction, burnout and secondary traumatic stress (STS) in empirical studies. Electronic databases Scopus, PubMed and Web of Science were searched on 7th February 2024, and the review followed PRISMA guidelines. The pooled estimate of compassion satisfaction, burnout and secondary traumatic stress mean scores using a random‐effects model for meta‐analyses was undertaken. R statistical software and the dmetar program were used to execute the analysis. Heterogeneity was evaluated with the <jats:italic>I</jats:italic><jats:sup>2</jats:sup> statistics, while publication bias was evaluated using Egger's regression test. Twenty‐four studies (sample size = 4274) were systematically reviewed and 18 studies (<jats:italic>n</jats:italic> = 3163) were incorporated into the meta‐analysis. Burnout, secondary traumatic stress and compassion satisfaction are found to be at moderate levels in this research. The qualitative analysis informs that variables such as healthy lifestyle, work environment and psychological resilience contribute towards optimum ProQOL scores. The pooled mean estimate was 32.79 (95% CI = 29.57–36) for compassion satisfaction, 24.99 (95% CI = 23.75–26.23) for burnout and 21.99 (95% CI = 18.93–25.06) for secondary traumatic stress, respectively. Mental health nurse managers need to address the factors in the work environment and promote interventions to enhance coping with burnout and STS. Subgroup analyses of country‐based economies &amp; regions and years revealed significant results.","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":5.6,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142209919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of Mental Health Nurses in Providing Care to Patients Receiving Electroconvulsive Therapy in South Korea","authors":"Suyoun Ahn, Soyoung Shin, Jaewon Joung","doi":"10.1111/inm.13423","DOIUrl":"https://doi.org/10.1111/inm.13423","url":null,"abstract":"In recent years, the demand for electroconvulsive therapy has been increasing in South Korea. However, there are problems due to mental health nurses' lack of understanding about electroconvulsive therapy and the absence of systematic education. This study aimed to explore mental health nurses' experiences of providing care to patients receiving electroconvulsive therapy in South Korea. We used content analysis to analyse the data collected from focus group interviews with 22 mental health nurses working in mental health hospitals. The results revealed four themes and 10 subthemes. More specifically, the results showed that mental health nurses consider themselves helpers in recovery. They pursue the physical and emotional well‐being of patients receiving electroconvulsive therapy and strive to ensure that patients receive electroconvulsive therapy comfortably and safely. However, contentious issues such as concerns about patient dignity and autonomy lead to differing perceptions and attitudes towards electroconvulsive therapy and cause internal conflict during therapeutic interactions. Furthermore, insufficient education on electroconvulsive therapy leads to a lack of knowledge and difficulties in fulfilling the role of an information provider. The shortage of coping measures and support systems for issues such as extensive adverse effects and restricted medication increases the work burden immensely. These findings can serve as foundational data for the development of standardised nursing practices and systematic education for electroconvulsive therapy.","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":5.6,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142209922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of Certified Peer Support Specialist Providing Formal Peer Support in Mental Health Services: A Systematic Review and Meta‐Synthesis","authors":"Hui Xian Eileen Ser, Xin Yi Vera Pua, Ziqiang Li, Yong Shian Goh","doi":"10.1111/inm.13415","DOIUrl":"https://doi.org/10.1111/inm.13415","url":null,"abstract":"Peer support specialists (PSSs) in mental healthcare services are individuals recovering from mental health conditions and providing formal peer support to clients with similar conditions. Despite evidence of the benefits of this modality and the increasing demand for it, little is known about the PSSs' experiences in mental healthcare services. This review systematically synthesises available qualitative data on the certified PSSs' experiences in providing formal peer support in mental healthcare services. A search was performed across six electronic databases and one grey literature database for all published and unpublished qualitative studies in English between 2014 and 2022. Mixed‐methods studies were included if their qualitative data were extractable. This review included PSSs who provided formal peer support to clients with similar mental health conditions. The included studies were appraised through the Critical Appraisal Skills Program Qualitative checklist, while data extraction was done through a customised tool. Our meta‐synthesis revealed an overarching theme on certified PSSs' journey in mental healthcare services, alongside four main themes: (i) emotional impacts of being PSSs, (ii) struggle to justify their roles, (iii) complex roles of PSSs and (iv) sources of support. The review has provided an insightful understanding of the PSSs' roles and needs, for which there is a need to cultivate a supportive working environment. Given the difficulties in adopting the PSSs' roles, as demonstrated by our findings, future research should explore how mental healthcare organisations can address their work‐related challenges and cultivate a supportive working environment.","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":5.6,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142209936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Psychoeducation on Caregivers of Individuals Experiencing Schizophrenia: A Systematic Review and Meta‐Analysis","authors":"Jin Yin Alicia Chow, Yu Ting Tracy Yeo, Yong Shian Goh","doi":"10.1111/inm.13421","DOIUrl":"https://doi.org/10.1111/inm.13421","url":null,"abstract":"The existing paradigm on recovery in mental health prioritises self‐empowerment and person‐centred, community‐based care, which necessitates family caregivers' collaboration to support individuals with schizophrenia in the community. However, the role of family caregivers is often under‐recognised and hence insufficiently supported. This consequently compromises caregivers' well‐being and, ultimately, the recovery of individuals with schizophrenia. Although caregiver‐targeted psychoeducation may offer practical support, its effectiveness lacks conclusive evidence. This review aimed to evaluate the impacts of psychoeducation on caregiver‐related outcomes (caregiver burden, quality of life and expressed emotion). Eight electronic databases were searched from inception to September 2023, supplemented by hand searching of end‐reference lists. Two reviewers independently conducted title and abstract screening with predetermined eligibility criteria. A third reviewer was consulted to resolve any discrepancies. A random‐effects meta‐analysis was performed to estimate pooled effect sizes alongside subgroup and sensitivity analyses where appropriate. Twenty‐one studies (totalling 1639 caregivers) were included, based on which psychoeducation contributed to a statistically significant improvement in caregiver‐related outcomes. Given substantial heterogeneity, subgroup and sensitivity analyses were done for the durations and the evaluative scales for psychoeducation. Quality appraisal revealed unclear or high bias in most studies. Notwithstanding the heterogeneity, the directions of the effect sizes consistently indicated the effectiveness of psychoeducation across all outcomes. This finding aligned with Lazarus' stress appraisal and coping theory, which states that psychoeducation improves caregivers' knowledge, coping mechanisms and situation appraisal. Our findings offer encouraging evidence to advocate the integration of psychoeducation into healthcare services, but policy‐based support is warranted for sustained implementation. Further research is merited to optimise its duration and content and appraise its long‐term impacts through disease‐specific scales for objective and subjective outcomes.","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":5.6,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142209920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emergency Department Use Following Self‐Harm and Suicide Ideation: An Analysis of the Influence of Cultural and/or Linguistic Diversity Using Data From the Self‐Harm Monitoring System for Victoria (2012–2019)","authors":"Gowri Rajaram, Jo Robinson, Lu Zhang, Katrina Witt","doi":"10.1111/inm.13411","DOIUrl":"https://doi.org/10.1111/inm.13411","url":null,"abstract":"Self‐harm and suicide ideation are global health concerns, significantly impacting culturally and linguistically diverse (CALD) populations. Emergency departments (EDs) play a role in intervening following such presentations, yet there is limited research focusing on the CALD population's use of these services in Australia. This study aimed to explore patterns in ED use for self‐harm and suicide ideation, comparing CALD and non‐CALD persons in terms of service use, presentation themes and likelihood of repeat presentations. This was a cross‐sectional analysis of data from presentations for self‐harm and suicide ideation to the ED of a major metropolitan hospital in Victoria, Australia, from 2012 to 2019. The study used thematic analysis of triage notes, recurrent event analysis and logistic and linear regressions to compare CALD and non‐CALD presentations. CALD presentations comprised 1.3% (<jats:italic>n</jats:italic> = 202) of the total (<jats:italic>n</jats:italic> = 15 606). CALD presentations were more likely to occur during business hours, less likely to be triaged as urgent and more likely to result in ward admission. Occupation stressors were more common in CALD presentations. A lower likelihood of repeat presentations was observed among CALD persons. The study also highlighted the limitations of current data collection practices in capturing the full spectrum of CALD presentations. This study found variability in the recording of CALD status, warranting further investigation into how data collection in EDs may be improved. Increased ward admission rate and lower likelihood of repeat presentation by CALD persons also indicate that further research is required to understand help‐seeking and clinical decision‐making in the CALD population.","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":5.6,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142209921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Schrödinger's Cat: The Mysteries of Mental Health Nursing","authors":"Anthony John O'Brien","doi":"10.1111/inm.13416","DOIUrl":"10.1111/inm.13416","url":null,"abstract":"&lt;p&gt;My colleagues Professors Foster and Hurley (&lt;span&gt;2024&lt;/span&gt;) make a convincing case for the continued recognition and support of the specialty of mental health nursing. In making this case, they argue against the proposition that every nurse can be considered a mental health nurse. In this response, I argue, as I did a decade ago (O'Brien &lt;span&gt;2014&lt;/span&gt;), that there is an important sense that every nurse is a mental health nurse. In this editorial, I argue that such a claim is simply a statement of the scope of nursing and does not undermine or invalidate the professional status or practice of specialist mental health nursing. I address each of the three ‘myths’ outlined by Foster and Hurley and offer an alternative reading, one which I believe allows mental health nursing to be something of a Schrödinger's cat, present or absent depending on the observer, and different depending on why we are talking about mental health nursing.&lt;/p&gt;&lt;p&gt;As Foster and Hurley outline, specialist mental health nursing is critically important for the provision of skilled and professional care of people with severe and complex mental health problems. Such care includes technical skills such as talk-based therapies and non-technical skills such as therapeutic use of self. However, these skills are not the exclusive province of mental health specialists. Almost three decades ago, Olson (&lt;span&gt;1996&lt;/span&gt;) identified the contradiction involved in claiming that the therapeutic relationship, so essential to Peplau's theory of nursing, was both fundamental to nursing generally, and the special province of the mental health specialty. Although talk-based therapy is part of the skillset of mental health nurses, it is not a defining feature of the discipline. An abundant literature reports generalist nurses' use of talk-based therapies such as cognitive therapy in care of patients with diabetes (Cuevas et al. &lt;span&gt;2019&lt;/span&gt;) cardiac disease (Holdgaard et al. &lt;span&gt;2023&lt;/span&gt;) and mental health problems such as illness related anxiety (e.g., Safari Mousavi, Ghazanfari, and Mirderikvandi &lt;span&gt;2019&lt;/span&gt;).&lt;/p&gt;&lt;p&gt;Foster and Hurley go further, however, to claim that the existence of a specialty of mental health nursing requires that other nurses resign any claim to be practising mental health nursing. Support for this position draws on historical analysis, professional positioning and the place of the specialty of mental health within generalist nursing discourse. In this response, I offer a different position in support of an argument that mental health is part of the scope of practice of every nurse. The claim that ‘every nurse is a mental health nurse’, at least as I outlined it in 2014, does not imply that every nurse is a specialist mental health nurse, but it does demand that every nurse gives expression in their practice to their mental health skills, in responding to the mental health needs of those they care for. This seems to me to be unproblematic, and in li","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.13416","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142142182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Every Nurse Is Not a Mental Health Nurse—Critical Reflections on Myths and Controversies About Mental Health Nursing","authors":"Kim Foster,&nbsp;John Hurley","doi":"10.1111/inm.13389","DOIUrl":"10.1111/inm.13389","url":null,"abstract":"<p>Myths and misunderstandings about mental health nursing are damaging not only to the discipline but also affect the quality of services experienced by people needing mental health support. Contextually, these myths and misunderstandings abound due to stigmatising attitudes towards mental health, the dominance of generalist nursing in countries such as Australia and the United Kingdom, and generic undergraduate nurse education. They are perpetuated through a lack of awareness of the history of this specialty discipline, including its professional registration, education pathways and specialist knowledge, and a loss of graduate specialist skills required for safe and effective mental health nursing practice. It is important to analyse and correct these myths and address controversies as they have ramifications for the mental health nursing profession and mental health care.</p><p>A commonly repeated myth is that all nurses are mental health nurses, including those who work in a mental health setting. While perhaps not intended, this is a damaging and inaccurate myth. It comes from a misguided, albeit well-intended, effort to acknowledge that all nurses need fundamental mental health knowledge and skills to provide care to meet patients' needs. Indeed, they do. That does not make them mental health nurses with specialist nursing knowledge and skills.</p><p>Mental health (or psychiatric) nursing is a specialty field that ‘provides holistic care to promote the physical and psychosocial well-being of individuals at risk for or experiencing mental health conditions and/or substance misuse disorders or behaviour problems’ (International Council of Nurses <span>2024</span>, 24). The mental health nurse role requires specialist qualifications in mental health. Other nurses in the field without specialist qualifications are nurses working in mental health.</p><p>This damaging myth serves to undermine and invalidate the specialty knowledge and skills of mental health nursing, as it implies any nurse can provide safe, skilled and effective mental health care, including for people with complex and severe mental health problems. This also strikes at the very identity of being a mental health nurse, an identity, knowledge and skill-base that differentiates this field from all other forms of nursing. This includes an intricate enactment of <i>technical</i> clinical skills such as talk-based therapies, risk reduction and holistic assessments. These skills are combined with <i>non-technical</i> capabilities of emotional intelligence, utilising self as a therapeutic tool and holding values and practices reflective of recovery and trauma-informed care (Hurley et al. <span>2022</span>).</p><p>This myth has other implications, including nurses without specialist mental health qualifications and experience being considered fit to teach mental health to students in undergraduate nursing programs, or nurses forgoing undertaking specialist postgraduate mental health nur","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":3.6,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.13389","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141545657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Influencing Staff Perceptions of Inpatient Psychiatric Hospitals: A Meta‐Review of the Literature","authors":"Kate A. Thompson, Matthew Modini, Maree J. Abbott","doi":"10.1111/inm.13374","DOIUrl":"https://doi.org/10.1111/inm.13374","url":null,"abstract":"Staff perceptions of inpatient psychiatric hospitals ultimately impact a range of organisational and care‐related variables, including staff retention and quality of care for inpatients. The aim of this study was to conduct a meta‐review to synthesise themes reported by staff to influence their perceptions of inpatient psychiatric hospitals. The review followed the Preferred Reporting Items for Systematic Review and Meta‐Analysis (PRISMA) guidelines for systematic reviews. PsycINFO, CINAHL, MEDLINE and EMBASE were systematically searched. Reviews were eligible for inclusion if they examined the perception/experience of paid staff involved in caring for adults with mental illnesses admitted to an inpatient psychiatric hospital. Eligible reviews were assessed for methodological quality and bias. Thematic synthesis was used to merge thematically similar findings into an aggregate summary. Fifteen reviews were included, from which seven themes were reliably extracted: staff and patient safety, views on inpatients' experiences, relationships on the ward, ward rules, knowledge and experience, service delivery issues and coercive measures. Confidence in the evidence underlying each theme was analysed using the Grading of Recommendations Assessment, Development and Evaluation—Confidence in the Evidence from Reviews of Qualitative research (GRADE‐CERQual) criteria. Results indicate that staff perceptions of inpatient psychiatric hospitals overlap with inpatients' perspectives, particularly regarding the therapeutic relationship, coercive measures and ward safety, in addition to unique experiences. Factors identified can help guide ways to improve staff retention, satisfaction and quality of treatment.","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":5.6,"publicationDate":"2024-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141529253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Mediating Role of Psychological Capital in the Relationship Between Family Sense of Coherence and Caregiver Stress Among Parents of Children With Autism Spectrum Disorder","authors":"Mohamed Ali Zoromba, Mohamed Husssien Ramadan Atta, Ahmed Salah Ali, Heba Emad El‐Gazar, Shaimaa Mohamed Amin","doi":"10.1111/inm.13383","DOIUrl":"https://doi.org/10.1111/inm.13383","url":null,"abstract":"Caregiving for children with autism spectrum disorder (ASD) poses significant stress for parents, necessitating an exploration of mitigating factors. This study investigates the interplay between Family Sense of Coherence, Psychological Capital and caregiver stress in this context. A total of 205 caregivers of children with ASD participated in this cross‐sectional study. Data were collected on Family Sense of coherence, Psychological Capital (encompassing hope, resilience, optimism and self‐efficacy) and caregiver stress. Structural equation modelling was employed to test the mediation effect of psychological capital between family sense of coherence and caregiver stress. The results indicated a strong positive correlation between family sense of coherence and all subdomains of psychological capital, with coefficients ranging from 0.541 to 0.610. Conversely, psychological capital demonstrated significant negative correlations with various domains of the Kingstone Caregiver Stress Scale, including caregiving, family issues and financial issues (coefficients from −0.443 to −0.427). Furthermore, family sense of coherence showed a direct negative effect on stress (<jats:italic>β</jats:italic> = −0.384, <jats:italic>p</jats:italic> &lt; 0.001). Notably, the study revealed a significant mediating role of psychological capital in the relationship between family sense of coherence and caregiver stress, with an indirect effect of family sense of coherence on stress through psychological capital (<jats:italic>β</jats:italic> = −0.127). The findings underscore the crucial role of family sense of coherence and psychological capital in enhancing psychological resources and mitigating stress among caregivers of children with ASD. These results suggest that interventions aimed at strengthening family coherence and building psychological capital could be effective strategies in alleviating stress among caregivers of children with ASD. Healthcare professionals should consider incorporating family coherence approaches and psychological capital techniques in their support programs for these caregivers.","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":null,"pages":null},"PeriodicalIF":5.6,"publicationDate":"2024-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141505847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}