Journal of renal care最新文献

{"title":"Patient perspectives and experiences of remote consultations in people receiving kidney care: A scoping review","authors":"Catriona Ewart MA,&nbsp;Jyoti Baharani MD,&nbsp;Martin Wilkie MD,&nbsp;Nicola Thomas PhD","doi":"10.1111/jorc.12419","DOIUrl":"10.1111/jorc.12419","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The coronavirus disease 2019 (COVID-19) pandemic resulted in a rapid and sometimes chaotic change in how clinical care was delivered for people living with kidney disease, with increased reliance on digital technologies and the introduction of remote services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To conduct a scoping review of studies about patients' experiences and perspectives in receipt of remote consultations for kidney care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Using Arksey and O'Malley's framework, three databases were searched on EBSCO (CINAHL, MEDLINE and Psych INFO). The search included studies published in English from August 2010 to August 2021.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eight studies met the scoping review criteria (two cross-sectional, two mixed-method and four qualitative). Five themes were identified: overall satisfaction with remote services, benefits to patients (convenience, involvement in care and patient safety), barriers to remote consultations (technical difficulties, digital literacy and loss of interpersonal communication), patient concerns (need for physical examination, privacy and confidentiality) and prerequisites for successful remote care (existing patient–practitioner relationship, stable illness phase and access to technology).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Remote consultations confer multiple advantages to patients; therefore, remote consultations should be offered as an option to patients living with kidney disease beyond the COVID-19 pandemic. However, there are several barriers to remote consultation that need to be addressed and understood before implementing remote care long-term. Future research should examine the impact of remote consultations on people living with kidney disease from under-served groups to identify barriers and ensure their suitability and accessibility to the wider population for a more patient-centred approach to kidney care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"48 3","pages":"143-153"},"PeriodicalIF":1.9,"publicationDate":"2022-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9545432/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40331797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of a cognitive behavioural therapy (CBT) intervention for fatigue in patients receiving haemodialysis","authors":"Frances Waite MSc,&nbsp;Joseph Chilcot PhD,&nbsp;Rona Moss-Morris PhD,&nbsp;Ken Farrington MD, FRCP,&nbsp;Federica Picariello PhD","doi":"10.1111/jorc.12418","DOIUrl":"10.1111/jorc.12418","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>A feasibility randomised-controlled trial found that a cognitive-behavioural therapy intervention for renal fatigue has the potential to reduce fatigue in patients receiving haemodialysis, but uptake was low.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Nested in the randomised-controlled trial (RC) qualitative interviews were undertaken to understand the acceptability of renal fatigue, the facilitators of, and barriers to, engagement, and the psychosocial processes of change.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>The trial included 24 participants at baseline. Semi-structured interviews were conducted with nine participants from the intervention arm (<i>n</i> = 12). Approach Interviews were carried out immediately following treatment (3 months post-randomisation). Data were analysed using inductive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Five main themes were formulated. The overarching theme was a sense of coherence (whether the illness, symptoms and treatment made sense to individuals), which appeared to be central to acceptability and engagement. Two themes captured the key barriers and facilitators to engagement, cognitive and illness/treatment burdens and collaboration with the therapist. Participants described changes related to their activity, thoughts and social identity/interactions, which shaped perceptions of change in fatigue. Lastly, participants discussed the optimal delivery of the intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study revealed the importance of patients' understanding of fatigue and acceptance of the treatment model for the acceptability of and engagement with a cognitive-behavioural therapy-based intervention for fatigue. Overall, there was an indication that such an intervention is acceptable to patients and the mechanisms of change align with the proposed biopsychosocial model of fatigue. However, it needs to be delivered in a way that is appealing and practical to patients, acknowledging the illness and treatment burdens.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"49 2","pages":"110-124"},"PeriodicalIF":1.9,"publicationDate":"2022-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jorc.12418","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9722666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Violence and aggression prevention and management strategies in renal units: a survey after 10 years","authors":"Ilaria de Barbieri PhD,&nbsp;Alessandra Buja MD,&nbsp;Helen Noble PhD,&nbsp;Veronica Strini MScN","doi":"10.1111/jorc.12417","DOIUrl":"10.1111/jorc.12417","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nursing is considered the healthcare profession at most risk of violence. Violence in the workplace is a complex construct difficult to manage and against health workers has implications for the entire health system. A limited number of studies have evaluated this phenomenon in renal units, and there has been little related work since Zampieron's study of 2010.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To describe prevention and management strategies 10 years after the last survey of Zampieron and to identify what has changed in the management of violence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>An observational, cross-sectional study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>A convenience sample including all nurses participating in the European Dialysis and Transplant Nurses Association/European Renal Care Association Conference of 2019, who understand the English language and have a smartphone or tablet.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements</h3>\u0000 \u0000 <p>A questionnaire developed by Zampieron was used. The first part collected data concerning the characteristics of the participants' workplace; the second part included closed questions focused on the strategies of management and prevention of violence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Violence is still a frequent event in renal units, despite measures adopted as education, training, formal incident reporting procedures and indoor safety measures. Much more has been invested in recent years in the prevention of violence in the workplace through specific courses, which have led to greater complaints and reporting of episodes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study shows how actions regarding prevention and management of violence towards nurses have been implemented in renal units over the last 10 years and it suggests the greatest investment in recent years has been made in terms of staff training and education.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"48 3","pages":"207-214"},"PeriodicalIF":1.9,"publicationDate":"2022-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40319048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kidney health for all: Bridging the gap in kidney health education and literacy","authors":"Robyn G. Langham MBBS, PhD,&nbsp;Kamyar Kalantar-Zadeh MD, MPH, PhD,&nbsp;Ann Bonner RN, PhD,&nbsp;Alessandro Balducci MD,&nbsp;Li-Li Hsiao MD, PhD,&nbsp;Latha A. Kumaraswami BA,&nbsp;Paul Laffin MS,&nbsp;Vassilios Liakopoulos MD, PhD,&nbsp;Gamal Saadi MD,&nbsp;Ekamol Tantisattamo MD, MPH,&nbsp;Ifeoma Ulasi MD,&nbsp;Siu-Fai Lui MD,&nbsp;World Kidney Day Joint Steering Committee","doi":"10.1111/jorc.12414","DOIUrl":"10.1111/jorc.12414","url":null,"abstract":"","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"48 2","pages":"76-83"},"PeriodicalIF":1.9,"publicationDate":"2022-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76798763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare systems and professionals are key to improving health literacy in chronic kidney disease.","authors":"Ha T T Dinh,&nbsp;Nguyet T Nguyen,&nbsp;Ann Bonner","doi":"10.1111/jorc.12395","DOIUrl":"https://doi.org/10.1111/jorc.12395","url":null,"abstract":"<p><strong>Background: </strong>Comorbidity is prevalent in people with chronic kidney disease (CKD) and this status burdens one's health literacy skills to understand about their health, make decisions, and to adhere with treatment.</p><p><strong>Objectives: </strong>To examine health literacy in people with CKD and comorbidities.</p><p><strong>Design: </strong>A cross-sectional study was conducted between November 2018 and April 2019.</p><p><strong>Participants: </strong>Convenience sampling recruited 367 adults with CKD and at least one comorbid disease.</p><p><strong>Measurements: </strong>Data were collected using the 9-domain Health Literacy Questionnaire. Demographic and clinical characteristics were also collected. Charlson Comorbidity Index calculated comorbidity status. Parametric tests were used to distinguish health literacy between various groups.</p><p><strong>Results: </strong>Participants' average age was 58.8 years, 54.7% had CKD Grade 5, 72.5% had a severe comorbidity index (≥6), and nearly 40% were on haemodialysis. Lower health literacy proportions were found in domains related to Healthcare providers' support (58.3%) and Appraisal of health information (38.4%). Lower levels of education, income, or living in rural areas were each significantly more likely to contribute to lower health literacy levels (range 4-7 domains). Greater comorbidity severity was also significantly associated with lower health literacy in two domains.</p><p><strong>Conclusion: </strong>People with CKD had difficulties in various health literacy domains primarily related to communication and critical appraisal. These domains can be improved by healthcare professionals and changes in hospital policies. Due to frequent contact with patients in kidney services, renal clinicians have a crucial role in ensuring greater communication occurs as this will better assist patients to understand their healthcare needs.</p>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"48 1","pages":"4-13"},"PeriodicalIF":1.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/jorc.12395","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39207635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"","authors":"","doi":"10.1111/jorc.12413","DOIUrl":"https://doi.org/10.1111/jorc.12413","url":null,"abstract":"","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"48 1","pages":"3"},"PeriodicalIF":1.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39602833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intervening on health literacy by knowledge translation processes in kidney transplantation: A feasibility study.","authors":"Marit H Andersen,&nbsp;Kristin H Urstad,&nbsp;Marie H Larsen,&nbsp;Gina Fraas Henrichsen,&nbsp;Eivind Engebretsen,&nbsp;John Ødemark,&nbsp;Aud-Eldrid Stenehjem,&nbsp;Anna V Reisaeter,&nbsp;Arve Nordlie,&nbsp;Astrid K Wahl","doi":"10.1111/jorc.12379","DOIUrl":"https://doi.org/10.1111/jorc.12379","url":null,"abstract":"<p><strong>Background: </strong>Patients awaiting kidney transplantation need to be prepared ahead of the upcoming transplantation by developing targeted pre- and post-transplant knowledge. On this background, we designed a new health literacy intervention, including a film and a counselling session, based on motivational interviewing for dialysis patients provided by dialysis nurses.</p><p><strong>Aim: </strong>To explore patients' and nurses' experiences of the feasibility and acceptability of the intervention, focusing on the patient as a prepared knowledge actor.</p><p><strong>Design: </strong>An explorative qualitative study.</p><p><strong>Participants and methods: </strong>Data included in-depth interviews with nine patients and three nurses who participated in the intervention. The interviews were audiotaped and analysed following Kvale and Brinkmann's method for thematic data analysis.</p><p><strong>Findings: </strong>Three main themes were identified: a different kind of health intervention stimulating new insight; a challenging kind of health conversation and changed relationships and increased security.</p><p><strong>Conclusions: </strong>Both the patients and the nurses had an overall positive attitude toward the intervention, providing a kind of dialogue to prepare dialysis patients going through kidney transplantation. The nurses found the MI methodology to be challenging. When introducing a comprehensive communication method like MI, potential training and supervision needs for the nurses must be addressed.</p>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"48 1","pages":"60-68"},"PeriodicalIF":1.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/jorc.12379","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39032498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurse-perceived facilitators and barriers to palliative care in patients with kidney disease: A European Delphi survey.","authors":"Ilaria de Barbieri,&nbsp;Veronica Strini,&nbsp;Helen Noble,&nbsp;Stefano Amatori,&nbsp;Davide Sisti","doi":"10.1111/jorc.12371","DOIUrl":"https://doi.org/10.1111/jorc.12371","url":null,"abstract":"<p><strong>Background: </strong>The palliative care phenomenon is increasingly invested in all medicine and nursing fields, as care for people with kidney disease who do not wish to embark on dialysis: it encompasses a palliative approach to shared decision-making. To deliver patient-centred optimal care, nephrology healthcare staff should be knowledgeable about palliative care and the appropriate conservative management approach.</p><p><strong>Objective: </strong>This paper aimed to explore, using a Delphi survey, the barriers and facilitators to palliative care in patients with kidney disease.</p><p><strong>Design: </strong>An e-Delphi technique with three questionnaire rounds was performed; statements were generated using Likert scales.</p><p><strong>Participants and measurements: </strong>A list of 80 statements related to palliative care in patients with kidney disease was divided into facilitators and barriers. Questionnaires were administered to 13 nephrology nurse experts in some European countries.</p><p><strong>Results: </strong>Seven items were removed from the list of 80 statements after the first round of the Delphi study; eight items achieved a significant change of the mean between round two and three, whereas internal stability emerged in all the remaining items.</p><p><strong>Conclusions: </strong>Specific training and education in palliative care emerged as a facilitator, as well as the role of spiritual and beliefs and the role of family and caregiver. The main barriers were represented by the differences in cultures, beliefs, and practices and by the lack of experience in the role of the staff in palliative care. These statements provide a platform for future research to improve palliative care practice in patients with kidney disease.</p>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"48 1","pages":"49-59"},"PeriodicalIF":1.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/jorc.12371","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25515023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Decision-making experiences of young adults with long-term conditions.","authors":"Sarah Ofori-Ansah,&nbsp;Michelle Evans,&nbsp;Janice Jones,&nbsp;Nicola Thomas","doi":"10.1111/jorc.12367","DOIUrl":"https://doi.org/10.1111/jorc.12367","url":null,"abstract":"<p><strong>Background: </strong>Young adults with long-term conditions can struggle to accept their diagnosis and can become overwhelmed with managing their condition. Suboptimal transfer from paediatric to adult services with a resultant disengagement with the service can result in less involvement in care and decision-making. Shared decision-making can improve involvement in health decisions and increase satisfaction with treatment/therapy and care.</p><p><strong>Objectives: </strong>An integrative literature review was conducted to explore and understand young adults' experiences of decision-making in health care.</p><p><strong>Design: </strong>An integrative literature review.</p><p><strong>Data sources: </strong>CINAHL, EMCARE, PsycINFO, HMIC, EMBASE, Web of Science, PubMed, MEDLINE, EBSCOHOST and COCHRANE databases were searched for relevant literature published between January 1999 and January 2020.</p><p><strong>Findings: </strong>Thirteen primary research papers met the inclusion criteria. Four main themes were identified: (1) Information delivery and communication; (2) participation in decision-making; (3) social factors influencing decision-making and (4) emotional impact of decision-making.</p><p><strong>Conclusions: </strong>Young adults with long-term conditions have specific decision-making needs which can impact their emotional health. Research with a specific focus on young adults' experiences of decision-making in health care is needed.</p>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"48 1","pages":"24-40"},"PeriodicalIF":1.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/jorc.12367","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25441334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between arteriovenous fistula cannulation practices and dialysis adequacy: A prospective, multicenter study.","authors":"Nurten Ozen,&nbsp;Aylin Aydin Sayilan,&nbsp;Samet Sayilan,&nbsp;Dilek Mut,&nbsp;Emin B Akin,&nbsp;Suleyman T Ecder","doi":"10.1111/jorc.12365","DOIUrl":"https://doi.org/10.1111/jorc.12365","url":null,"abstract":"<p><strong>Background: </strong>Successful arteriovenous fistula cannulation ensures maximum patient benefit in the haemodialysis procedure.</p><p><strong>Objective: </strong>The aim of this study was to determine the effect of various cannulation methods used for arteriovenous fistulas on dialysis adequacy.</p><p><strong>Design: </strong>It is a descriptive, cross-sectional and multicenter study.</p><p><strong>Participants: </strong>A total of 164 dialysis patients from four dialysis centers were included.</p><p><strong>Measurements: </strong>Data were collected by determining patients' characteristics and the arteriovenous fistula cannulation method used, in addition to recording the Kt/V and urea reduction ratio values to evaluate dialysis adequacy. The mean Kt/V and urea reduction ratio values over 3 months after dialysis initiation were used. This trial is registered with ClinicalTrials.gov, NCT04270292.</p><p><strong>Results: </strong>Cannulation with the puncture method was used in 53% of the patients; the fistula needles were inserted in the antegrade direction in 43.9% of the patients; the arterial needle was rotated after fistula needle placement in 63.4% of the patients; and the arterial and venous needles were on the same vascular line in 15.2% of the patients. Placement of the fistula needle in the antegrade direction increased the Kt/V value 0.164 times (95% confidence interval: 0.002-0.212, p = .047).</p><p><strong>Conclusion: </strong>Antegrade placement could be a factor influencing dialysis adequacy. We suggest antegrade interventions to the fistula to maximize the patient benefit from the haemodialysis treatment.</p>","PeriodicalId":16947,"journal":{"name":"Journal of renal care","volume":"48 1","pages":"41-48"},"PeriodicalIF":1.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/jorc.12365","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38858854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}