International Journal of Mental Health Nursing最新文献

{"title":"Developing Safewards Secure for Mental Health Prison Units Using a Nominal Group Technique","authors":"Tessa Maguire,&nbsp;Maicee Young,&nbsp;Monica Najda,&nbsp;Hannah Jackson,&nbsp;Jo Ryan,&nbsp;Trentham Furness,&nbsp;Brian McKenna","doi":"10.1111/inm.70036","DOIUrl":"https://doi.org/10.1111/inm.70036","url":null,"abstract":"<p>The introduction of Safewards has resulted in the reduction of conflict and containment in general mental health units, and an adaptation has been developed for secure hospitals in forensic mental health services. Forensic mental health nurses working in bed-based prison mental health units could benefit from having a model to assist conflict and containment reduction in their unique context. The aim of this study was to develop a version of Safewards for bed-based prison mental health nurses. A literature review was conducted to identify relevant features of bed-based prison mental health units including flashpoints, and staff and consumer modifiers. A summary of the review was presented to participants prior to a Nominal Group Technique (NGT) with nurses and other disciplines (working in bed-based prison mental health units) (<i>n</i> = 12). The NGT was used to elicit feedback about the proposed model and achieve agreement on several questions related to the proposed version. Data collected were analysed thematically. Two themes were interpreted: (1) ‘Square peg, round hole’: the stark difference between custodial and Forensic Mental Health staff values and aims; and (2) nothing can happen without custodial staff support. Consensus was reached on all suggested changes/additions to the model. Findings support the need for an adapted version of Safewards (Safewards Secure-Custodial Mental Health) to assist nurses working in this setting. However, modifiers for custodial staff require development and collaboration with Correctional services will also be essential for successful implementation in this setting.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 3","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70036","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143930292","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":"Mental Health Nurses' Enforcement of Involuntary Care in Inpatient Settings: A Meta-Ethnography","authors":"Luke Molloy,&nbsp;Paul Beckett,&nbsp;Sherphard Chidarikire,&nbsp;Natalie Cutler,&nbsp;Sophie Isobel,&nbsp;Gillian Murphy,&nbsp;Joel Zugai","doi":"10.1111/inm.70044","DOIUrl":"https://doi.org/10.1111/inm.70044","url":null,"abstract":"<p>Mental health nursing practices within inpatient care aim to empower consumers to lead their treatment and recovery. However, involuntary care may be justified for safety reasons. This practice can be traumatising and harmful. Our review explores the enforcement of involuntary care by mental health nurses in inpatient settings utilising meta-ethnography. Searches of articles published over a 10-year period (2014–2024) were conducted in Cumulative Index of Nursing and Allied Health Literature (CINAHL) and MEDLINE. The searches aimed to identify rich qualitative data on this area of mental health nursing practice. Six articles were selected for inclusion and a reciprocal translation synthesis was undertaken. Three key metaphors emerged: ‘a necessary evil’, ‘the dilemmas of enforcement’ and ‘perturbed practice’. These metaphors illustrate the complex and often conflicting emotions nurses experience when enforcing involuntary care. Nurses viewed the enforcement of involuntary care as a necessary but difficult practice, justified by the belief that it ultimately benefits the person's safety and well-being. Despite justifying involuntary care as necessary, nurses faced ethical dilemmas balancing patient autonomy, safety and dignity. Enforcing involuntary care caused significant emotional distress for nurses, who experienced discomfort, guilt and moral conflict, questioning their actions and the impact on their relationships with consumers. The findings highlight the importance of minimising restrictive practices and developing supportive frameworks that prioritise patient dignity and autonomy while ensuring safety.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 3","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70044","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143930338","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":"Impact of Remote Appointments on the Outcomes of Community Mental Health Nurses in Primary Care Since the Covid Pandemic: A Retrospective Observational Cohort Study","authors":"Mark Kenwright,&nbsp;Paula Fairclough,&nbsp;Charlotte Graham","doi":"10.1111/inm.70051","DOIUrl":"https://doi.org/10.1111/inm.70051","url":null,"abstract":"<p>The move to remote working during the COVID-19 pandemic has remained an integral method of mental health service delivery. Yet there is a lack of evidence on the longer-term impact of this change, or on the comparative effectiveness of different remote formats. This retrospective observational cohort study examined the effect of the move to remote delivery on the effectiveness and practice of Community Mental Health Nurses in primary care. Data from 1634 referrals was examined across three cohorts: Those treated face-to-face pre-pandemic; those treated remotely during the pandemic restrictions; and those treated in a blended approach (remote and face-to-face) up to 16 months post-pandemic. Means, standard deviations and effect sizes for pre–post treatment change are reported for all clinical measures. Logistic regression examined predictors of reliable change. Despite increased severity in the mental health problems treated, effect sizes for remote treatment post-pandemic (0.5–0.8) were comparable to those for pre-pandemic face-to-face treatment (0.5–0.9). The blended use of online video appointments predicted better engagement and reliable improvement. The sole use of telephone appointments for complex problems predicted lower rates of engagement and improvement.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70051","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143871600","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":"Mental Health Nurses Leading the Way in the Training of Lay People Working With Young Asylum Seekers: The APT4U2 Program","authors":"Luísa Micaela Teixeira-Santos,&nbsp;Wilson Jorge Correia Pinto de Abreu","doi":"10.1111/inm.70030","DOIUrl":"https://doi.org/10.1111/inm.70030","url":null,"abstract":"<div>\u0000 \u0000 <p>Worldwide non-health professionals and volunteers (NHPV) in humanitarian settings assist asylum seekers, and they need to be empowered to recognise and refer people with mental health problems and provide psychosocial support in multicultural contexts. The APT4U2 program, aligned with mental health nurses' competencies, addresses this gap. The aim of this study was to present the development of a standardised training program for NHVP work with young asylum seekers. Following the development phase of the Medical Research Council's Complex Interventions methodology, the study follows the main steps: I – Mapping existing evidence on mental health training programs for NHPV working with asylum seekers and refugees; II – Identifying NHPVs' training needs and experiences and III – Developing the APT4U2 Program. The program underwent validation by eight experts in mental and psychiatric nursing, education, public health and psychology. The APT4U2 Program is prepared for 11 h and consists of three modules and five lessons. The APT4U2 Program is an easy-to-use training program constructed and to be administered by mental health nurses to NHPV who want to work with young asylum seekers. This evidence can guide mental health nurses in training worldwide NHPV who work with asylum seekers.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143856883","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":"Exploring the Utility of the Model for Understanding Inpatient Aggression for General Mental Health Settings","authors":"Tessa Maguire,&nbsp;Courtney Dunn,&nbsp;Trentham Furness,&nbsp;Andrew Carroll,&nbsp;Michael Daffern","doi":"10.1111/inm.70045","DOIUrl":"https://doi.org/10.1111/inm.70045","url":null,"abstract":"<p>A comprehensive understanding of factors contributing to aggression within mental health inpatient units is necessary to generate timely preventative interventions. In practice however, the focus is dominated by consideration of factors that are intrinsic to patients. The Model for Understanding Inpatient Aggression (“the model”) was developed for use in a forensic mental health service to understand and help prevent aggression by exploring distal and proximal intrinsic patient-level ‘personal’ factors and extrinsic ‘contextual’ factors'- structural, organisational and interpersonal. The model also incorporates exploration of ‘near miss events’ when aggression does not occur, to learn about aggression and support early use of effective intervention strategies. This study explored whether the model is suitable for use in civil/general mental health inpatient settings. Fifteen people (<i>n</i> = 14 nurses, and <i>n</i> = 1 lived and living experience expert) participated in one of four focus groups. Data were analysed using thematic analysis. Three themes were constructed from the data: (1) Focus remains on intrinsic factors and post event exploration and not early intervention and prevention; (2) “Turning the mirror” on ourselves: The importance of considering and addressing contextual factors; and (3) ‘For us it might fill a gap’: Benefits of using the Model for Understanding Inpatient Aggression. Participants also suggested additions to the model so that it aligns with practice in general mental health inpatient units. In conclusion, understanding and preventing aggression remains a constant challenge. Intervention efforts may be broadened when a wide range of contributing factors is considered, beyond proximal intrinsic/personal patient characteristics.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143856964","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":"Health Professionals' Attitudes Towards Traditional Healing for Mental Illness: A Systematic Review","authors":"Alemayehu Molla Wollie,&nbsp;Kim Usher,&nbsp;Kylie Rice,&nbsp;Md. Shahidul Islam","doi":"10.1111/inm.70043","DOIUrl":"https://doi.org/10.1111/inm.70043","url":null,"abstract":"<p>Combining modern treatments with traditional healing approaches has been proposed as one way to address mental health problems, especially in low-income countries where the costs of pharmaceuticals often prevent or reduce their use. Despite health professionals' involvement being crucial for the integration of this approach, their involvement has been limited to date. This systematic review is designed to explore the attitudes of health professionals towards traditional healing practices for mental illness. The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) 2020 guidelines were followed. The studies were identified from Scopus, EMBASE, PubMed, PsycINFO, and the Web of Sciences. The qualities of the included articles were assessed using the Mixed Method Appraisal Tool (MMAT) Version 2018, and mixed-method synthesis was used to narrate the results. Of the 2115 identified articles, 36 were included in the data synthesis. From the extracted data, health professionals had negative, mixed, and positive views towards traditional healing approaches for mental illness. Their negative attitude towards traditional healing approaches were due to their concerns that traditional healing may cause harm to service users, and they have no trust in the scientific basis, education, or practices of healers. Despite the fact that it is crucial for healthcare professionals to comprehend the cultural backgrounds of those receiving mental health services in order to offer care appropriately, health professionals' negative and mixed attitudinal expressions towards traditional healing approaches limit their involvement. This might be improved by identifying barriers from the perspective of practitioners and creating culturally appropriate guidelines for communication and referral between traditional healing approaches and biomedical care.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70043","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143852713","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":"Australia's Mental Health Landscape: Collaborating Across Professions to Advocate for Equitable and Well-Resourced Mental Health Care","authors":"A. O. Debra Jackson,&nbsp;Michelle Cleary,&nbsp;A. M. Kim Usher","doi":"10.1111/inm.70041","DOIUrl":"https://doi.org/10.1111/inm.70041","url":null,"abstract":"&lt;p&gt;Australia's mental health system is under continuing and unprecedented strain, with growing demand threatening to overwhelm public services. Mental health care is inherently multidisciplinary, requiring strong collaboration among nursing, medicine, and allied health professionals, alongside meaningful and authentic engagement with consumers and carers, to ensure comprehensive and effective support for patients and communities. However, for many years now, mental health services have been under resourced, and there have not been adequate services to meet demand (Roche et al. &lt;span&gt;2018&lt;/span&gt;). In 2023, Mental Health Carers NSW Inc., produced a report that said, &lt;i&gt;“The work of past inquiries has made a convincing case that a significant increase in mental health funding is a prerequisite to achieving meaningful change. This key recommendation has been largely ignored and mental health funding as a proportion of overall health funding has remained stagnant for the past two decades&lt;/i&gt;.” (p.24).&lt;/p&gt;&lt;p&gt;The consequences of this prolonged under-resourcing are becoming starkly evident. Frontline healthcare workers characterise the mental health system as overly complicated, difficult to access, occasionally ineffective, and increasingly inequitable. They highlight a system that is poorly funded, disjointed, and not serving its intended purpose (NSW Branch of the Royal Australian New Zealand College of Psychiatrists &lt;span&gt;2023&lt;/span&gt;). There are significant workforce shortages across the mental health sector, including acute and chronic shortages of mental health nurses. There is an urgent need to address the critical shortage of mental health nurses, as highlighted by the Productivity Commission, with immediate action required to support and expand the nursing workforce to ensure effective, multidisciplinary mental health care (Commonwealth of Australia (Department of Health and Aged Care) &lt;span&gt;2022&lt;/span&gt;). This may mitigate the very real issue of substituting other disciplines, which is occurring across the sector, with limited if any evaluation of such role substitution (Looi et al. &lt;span&gt;2024&lt;/span&gt;). General practitioners (GPs) have raised concerns about limited access to equitable and affordable mental health care (The Royal Australian College of General Practitioners &lt;span&gt;2024&lt;/span&gt;). Most recently, New South Wales (NSW) has seen a mass resignation of psychiatrists (Gillespie &lt;span&gt;2025&lt;/span&gt;; Dias and Donaldson &lt;span&gt;2025&lt;/span&gt;). Together, these issues have created a crisis in mental health care. In this editorial, we emphasise the need for health professionals to collaborate in advocating for adequate resourcing of mental health services.&lt;/p&gt;&lt;p&gt;For decades, mental health services in Australia have been chronically underfunded despite multiple inquiries and reforms. In New South Wales (NSW) the Richmond Report of 1983 proposed closing psychiatric hospitals in favour of well-resourced community health centres, aiming to provide community","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70041","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143836170","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":"Exploring Emergency Healthcare for Women Experiencing Intimate Partner Violence With Comorbid Psychological Distress","authors":"Shannon Dhollande,&nbsp;Diksha Sapkota,&nbsp;Silke Meyer,&nbsp;Karen-Ann Clarke,&nbsp;Maria Atiénzar-Prieto","doi":"10.1111/inm.70050","DOIUrl":"https://doi.org/10.1111/inm.70050","url":null,"abstract":"<p>Intimate partner violence (IPV) may cause significant mental and physical health deterioration. This gendered violence often results in victims seeking support from emergency healthcare providers. Yet very little is known about the care provided to these patients. The objective of this research was to provide a descriptive analysis of care provision within the emergency setting to women experiencing IPV with concurrent psychological distress. A retrospective chart review was undertaken. This included screening 300 patient charts with inclusion/exclusion criteria to arrive at a final sample size of 32 patient charts comprising 43 presentations from 2020 to 2022. Whilst IPV is being recognised within emergency healthcare, clinician responses suggest a pathologising of symptoms associated with IPV victimisation and a focus on physiological care. Pathways in place to promote patient safety and outpatient services were rarely utilised. Furthermore, paramedics were seen to have removed autonomy from patients using Public Health Legislation, potentially causing secondary re-victimisation. There are several ways in which healthcare clinicians can improve their care to patients experiencing IPV. Education surrounding healthcare roles and responsibilities and family violence legislation may be central to improving service provision. Knowledge of and referral to appropriate outpatient support services may also be a method by which to address ongoing health and safety concerns.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70050","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143836171","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":"The Provision of Matrix Support for the Care of Individuals With Mental Health Needs Resulting From the Use of Alcohol and Other Drugs","authors":"Guilherme Correa Barbosa,&nbsp;Ricardo da Silva de Jesus,&nbsp;Silvia Cristina Mangini Bocchi,&nbsp;Thiago da Silva Domingos,&nbsp;Tatiane Carolina Martins Machado Rodrigues,&nbsp;Jaciane Araújo Cavalcante","doi":"10.1111/inm.70052","DOIUrl":"https://doi.org/10.1111/inm.70052","url":null,"abstract":"<p>This study presents the findings of a workshop designed to train health professionals from the Psychosocial Care Network in matrix support for alcohol and other drug care. This experience report is based on action research and involved 45 health professionals from a municipality in northern Brazil. The workshop consisted of three interdependent meetings, with activities structured around the Constructivist Spiral framework. The meetings explored participants' perceptions of individuals who use substances and examined the technical and relational skills necessary for care delivery, teamwork and the coordination of intra- and inter-sectoral strategies. The evaluations indicated that the activities were relevant and applicable to clinical practice, addressing gaps identified by participants in their healthcare settings. The workshop was effective in raising awareness and training healthcare professionals in the care of people with substance use disorders. Implementing matrix support strategies in primary care strengthens mental health services, aligning professional training with a networked approach to care.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70052","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143836169","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":"Rural Contexts: Digital Interventions and Strategies for First Responders' Mental Health","authors":"Rikki Jones,&nbsp;Jamie Ranse,&nbsp;Kylie Rice,&nbsp;Kim Usher,&nbsp;Debra Jackson,&nbsp;Clare Sutton,&nbsp;Humayun Kabir,&nbsp;Aimee Gayed,&nbsp;Horas Wong,&nbsp;Lisa Clegg,&nbsp;Andrew Arena","doi":"10.1111/inm.70046","DOIUrl":"https://doi.org/10.1111/inm.70046","url":null,"abstract":"<p>This perspective presents a discussion on digital interventions and strategies to support the mental health of first responders working in regional, rural and remote areas. First responders are often required to respond to traumatic, violent and challenging situations. Accumulative exposure to these situations can impact first responders' mental health, and symptoms of depression, anxiety, psychological distress, and post-traumatic stress disorder (PTSD) are common. Rural first responders have similar prevalence rates of trauma to their metropolitan counterparts. However, rural first responders are likely to experience psychological difficulties exacerbated by limited access to mental health interventions due to geographical isolation and limited availability of services. Geographical location and availability of services are barriers often preventing first responders working in rural areas from accessing interventions to help them manage their mental health. Digital adaptations of mental health interventions may help to fill this gap in rural health care. Despite the popularity of first responder research developing and evaluating industry-specific mental health interventions and strategies, there is limited research focussing specifically on the effectiveness of these for Australian rural first responders, and how other mental health interventions can be digitally adapted.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70046","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143809849","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}