Nursing Open最新文献

{"title":"A Uniform for Narrating the Nurse in the Wheel of Time: An Interpretative Phenomenological Study.","authors":"Jacopo Fiorini, Anna Marchetti, Angela Infante, Michela Piredda, Alessandro Sili","doi":"10.1002/nop2.70166","DOIUrl":"10.1002/nop2.70166","url":null,"abstract":"<p><strong>Aim: </strong>To explore the symbolic and functional value that nurses attribute to their uniforms and profession.</p><p><strong>Design: </strong>An interpretative phenomenological study.</p><p><strong>Method: </strong>A purposeful sample of 15 nurses who designed their uniforms was enrolled between October 2022 and June 2023. A focus group was held to explore the participant-designed uniforms, and an ideographic analysis was conducted.</p><p><strong>Results: </strong>Three main Experiential Statements emerged: nurses see their uniforms as tin armour, a wheel of time, and changes in time. Their professional and personal identities are shaped by their work, which also affects their time perception through past, present, and future perceptions. Nurses feel professionally motivated, even outside work, and despite society's recognition, uniforms symbolise their commitment. Nurses' identities are fused by the caring value, symbolised by their uniforms' evolution. Fostering self-worth and professional values among nurses may inspire them, reduce attrition, and boost their professional recognition.</p><p><strong>Implications for research and practice: </strong>The study emphasises that nurses embrace dual identities as both professionals and citizens, which are unified by their commitment to patient care. Even outside of work, nurses still identify with their profession. Recognising and valuing the role of nurses may encourage more students to pursue nursing and reduce turnover in the profession. Healthcare organisations should implement strategies that underscore the importance of nurses in patient care and how their professional and personal identities shape their lives.</p><p><strong>Reporting method: </strong>The COnsolidated criteria for REporting Qualitative research checklist was used to conduct and report this study.</p><p><strong>Patient or public contribution: </strong>No Patient or Public Contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 3","pages":"e70166"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517111","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":"Interventions to Increase Thriving Amongst Older People in Care Homes and Factors Contributing to Their Thriving Experience-A Scoping Review.","authors":"Ann-Sofie Silvennoinen, Harriet Finne-Soveri, Lisbeth Fagerström","doi":"10.1002/nop2.70164","DOIUrl":"10.1002/nop2.70164","url":null,"abstract":"<p><strong>Aim: </strong>The aim was to map and describe the state of knowledge regarding interventions to promote thriving amongst older people in care homes and the factors that affect their experience of thriving.</p><p><strong>Design: </strong>A scoping review.</p><p><strong>Review methods: </strong>A scoping review based on the methodological framework by Arksey and O'Malley and presented following the PAGER (Patterns, Advances, Gaps, Evidence for Practice, and Research recommendations) framework.</p><p><strong>Data sources: </strong>Five electronic databases were searched for studies published between 2012 and 2022. From a total of 185 studies found, 17 met the inclusion criteria.</p><p><strong>Results: </strong>This study recognised five factors that contribute to thriving: the resident's attitude towards living in a care home, the quality of care and caregivers, activities and interactions with others, qualities of the physical environment and health. Two studies reporting interventions were identified.</p><p><strong>Conclusion: </strong>This scoping review highlights the scarcity of knowledge regarding older people's experience of thriving in care homes. The review results could contribute to our understanding of the factors involved and interventions needed to improve thriving.</p><p><strong>Implications for the profession and/or patient care: </strong>The focus should be on education and the development of working methods that could improve thriving in care homes.</p><p><strong>Reporting method: </strong>The Prisma ScR-checklist was used.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 3","pages":"e70164"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517112","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":"The Documentation Used by the Nurses During the Transition From the Hospital to the Community Setting: A Scoping Review.","authors":"Rafael Paulino Cruz Matos Ferreira, Beatriz Ferreira Narciso, Afonso Ramos, Sara Mendes, Sara Palma, Óscar Manuel Ramos Ferreira, Cristina Lavareda Baixinho","doi":"10.1002/nop2.70148","DOIUrl":"10.1002/nop2.70148","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to identify the content of documentation used between hospital and community care and describe the communication mechanisms that allow the continuity of care.</p><p><strong>Design: </strong>We conducted a scoping review following the JBI recommendations.</p><p><strong>Methods: </strong>The sources of the information used were obtained from the MEDLINE and CINAHL databases (via EBSCO), Web of Science, SCOPUS, Joanna Briggs Institute and Cochrane Database of Systematic Reviews. Additionally, grey literature was included. The databases searched from 2018 to 2023 for articles written in English and Portuguese. Two researchers independently screened articles based on inclusion and exclusion criteria, and a third researcher adjudicated disagreements.</p><p><strong>Results: </strong>We retrieved 3217 articles, of which 5 were included. Six themes were summarised from these articles: Communication and information between clinical practice environments; Discharge letter content; The use of technologies in healthcare communication; Client empowerment in information communication; Factors hindering the safe transition of information between hospital and community; and Benefits of secure information transition between hospital and community.</p><p><strong>Implications for the profession and/or patient care: </strong>The results allow systematisation of the information that should accompany the person at the time of discharge to ensure the continuity of transitional care, including the patient/family's own perception of their difficulties and needs.</p><p><strong>Reporting method: </strong>PRISMA 2020.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 3","pages":"e70148"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11904422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143616698","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":"Ways to Cope With Paternal Postpartum Depression From Iranian Fathers' Perspective: A Qualitative Study.","authors":"Zahra Yazdanpanahi, Ziba Taghizadeh, Mahboubeh Hajifoghaha, Seyedeh Tahereh Mirmolaei","doi":"10.1002/nop2.70154","DOIUrl":"10.1002/nop2.70154","url":null,"abstract":"<p><strong>Aim: </strong>This study explores coping strategies for fathers who have postpartum depression.</p><p><strong>Design: </strong>A qualitative study with semi-structured interviews.</p><p><strong>Methods: </strong>This qualitative content analysis was conducted in Shiraz, Iran, in 2020. Data were collected through in-depth semi-structured interviews with 19 fathers with postpartum depression selected through purposive sampling.</p><p><strong>Results: </strong>The findings indicated using social support networks, having hope for future, and acquiring new skills as ways to deal with paternal PPD. The first category has three subcategories: job support, family and relative supports, and empowered spouse. Positive attitude on having a child and belief in instability of life problems over time formed the category of having hope for the future. The third category included need for parenting and communication skills training and was named acquiring new skills. In this study, the fathers believed that there were some ways to cope with PPD. Therefore, families and health care providers should be aware and use these strategies to reduce depression.</p><p><strong>Patient or public contribution: </strong>Yes.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 3","pages":"e70154"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671418","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":"Patient Safety Attitudes of Hospital Nurses: An Ethnographic Study in Four European Countries.","authors":"Nina Granel, Carolina Eva Watson, Rebeca Gómez-Ibáñez, Maria Dolors Bernabeu-Tamayo","doi":"10.1002/nop2.70165","DOIUrl":"10.1002/nop2.70165","url":null,"abstract":"<p><strong>Aim: </strong>The hospital work environment among cultures and the different social contexts among countries may influence nurses' attitudes towards patient safety. The aim of this study was to compare the attitudes of nurses working in public hospitals in four European countries towards patient safety.</p><p><strong>Design: </strong>A qualitative study with an ethnographic approach was used to observe and interview nurses at work in four European Union countries: Croatia, Hungary, Sweden and Spain.</p><p><strong>Methods: </strong>Critical case sampling was used to select participants from two public hospitals in each country. Data were coded and thematically analysed using Atlas.ti software through iterative close reading and open code review.</p><p><strong>Results: </strong>This is the first multinational ethnographic study of nurses' attitudes towards patient safety. The analysis identified two main categories: structural influences on safety attitudes and safety attitudes in practice. The analysis from this study suggests that the structural influences of safety attitudes (resources) may not be directly correlated with the actual work pressures of nurses in public hospitals in different countries, but are subject to the level of maturity of the institutions.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 3","pages":"e70165"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517113","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":"Construction of an Evidence Ecosystem-Based Postoperative Pain Management Programme for Paediatric Patients.","authors":"Jin-Xia Yang, Yue Liu, Zhen Yu, Fang Zhang, Wen-Ying Yao, Guo-Ying Wang, Zi-Sheng Ai","doi":"10.1002/nop2.70167","DOIUrl":"10.1002/nop2.70167","url":null,"abstract":"<p><strong>Aim: </strong>To construct an evidence ecosystem-based postoperative pain management programme for children with postoperative pain management.</p><p><strong>Design: </strong>A mixed research design that combines qualitative and quantitative studies.</p><p><strong>Methods: </strong>According to the literature search and analysis, the postoperative pain management programme for children was constructed from three aspects: assessment of pain intensity of children, management principles and management methods, and the preliminary draft of the programme was finally constructed to include three first-level entries and 11 second-level entries. In January-February 2023, the first draft of the postoperative pain management programme for children was developed based on a literature review using the ecosystem of evidence theory as the research framework; in March-April 2023, the postoperative pain management programme for children was revised and finalised through two rounds of Delphi expert consultation.</p><p><strong>Results: </strong>In the second round of expert consultation, the return rate of valid questionnaires was 100%, the expert authority coefficient was 0.83, the importance scores and feasibility scores of each entry were > 3.5, the coefficients of variation were < 0.25, the Kendall's harmony coefficients of the importance scores of the entries were 0.650 (χ² = 273.134, p < 0.001) and those of the feasibility scores were 0.649 (χ² = 272.720, p < 0.001). The resulting postoperative pain management programme for the affected patients included three level 1, 11 level 2 and eight level 3 entries.</p><p><strong>Patient or public contribution: </strong>The postoperative pain management programme for children constructed based on the evidence ecosystem is practical and scientific, but its effectiveness in clinical practice needs to be further verified by a controlled study design.</p><p><strong>Objectives: </strong>Evidence ecosystem; paediatrics, surgery; pain; Delphi method.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 3","pages":"e70167"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11873369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143537613","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":"Impact of Care Bundles Prevention of Hospital-Acquired Pressure Injuries: A Systematic Review and Meta-Analysis.","authors":"Ayse Silanur Demir, Ayise Karadag","doi":"10.1002/nop2.70173","DOIUrl":"10.1002/nop2.70173","url":null,"abstract":"<p><strong>Aim: </strong>To describe and synthesise current literature on care bundles in preventing hospital-acquired pressure injuries and to present a meta-analysis of experimental studies evaluating the effects of care bundles.</p><p><strong>Design: </strong>A systematic review and meta-analysis.</p><p><strong>Methods: </strong>Pubmed, Cochrane Library, Scopus, Web of Science, CINAHL, Google Scholar and Medline (OVID), and relevant articles were identified from the inception of each database until June 5, 2024. This systematic review has been registered in PROSPERO (CRD42024554497). This study examined a multicomponent intervention care bundles consisting of three or more components that was implemented and compared with standard care. Outcomes were assessed using rates of hospital-acquired pressure injuries, length of hospital stay (days) and the number of pressure injuries. Study types included randomised controlled trials, nonrandomised studies, quasi-experimental studies, and cohort studies. After completion of the search, titles, abstracts and full texts were independently assessed by two researchers in consecutive rounds according to PICOS criteria; data were extracted and study quality was independently assessed by at least two researchers. A meta-analysis using random effects was conducted, where estimates were combined as odds ratios or risk differences, along with proportions and 95% confidence intervals were calculated.</p><p><strong>Results: </strong>A total of nine published studies, including 29.572 patients (Control group: 56.8%; Intervention group: 43.2%) were included in this review. The meta-analysis results showed a significant effect of care bundle intervention on hospital-acquired pressure injuries rates, length of hospital stay and number of pressure injuries. According to the results of the study, care bundle application reduces the rate of hospital-acquired pressure injuries, shortens the duration of hospitalisation, and reduces the number and severity of pressure injuries.</p><p><strong>No patient or public contribution: </strong>Although patients and the public were not directly involved in the study, the research addresses key concerns about preventing hospital-acquired pressure injuries. By focusing on care bundles to improve patient safety and reduce pressure injury rates, this study aims to enhance the quality of care, shorten hospital stays and improve patient outcomes, ultimately benefiting both patients and the healthcare system.</p><p><strong>Trial registration: </strong>CRD42024554497.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 3","pages":"e70173"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11906361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626372","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":"Factors Contributing to Muscle Fatigue of Low Back Region in ICU Nurses: A Qualitative Study.","authors":"Yuting Yang, Jing Li, Honghong Wang, Yangyang Liu, Xuxin Wang, Su'e Yuan","doi":"10.1002/nop2.70146","DOIUrl":"10.1002/nop2.70146","url":null,"abstract":"<p><strong>Aims: </strong>To explore ICU nurses' experiences of back and waist fatigue and establish a basis for developing effective intervention strategies to reduce low back muscle fatigue in the future.</p><p><strong>Design: </strong>Qualitative study using focus group.</p><p><strong>Methods: </strong>Eighteen ICU nurses participated in focus group interviews. Data were analysed using Nvivo11.0 software with content analysis.</p><p><strong>Results: </strong>ICU nurses frequently suffer from lower back pain due to the severity of patient conditions and the use of numerous tubes and catheters, which often lead tounsafe postures. The absence of proper lifting systems exacerbates high-risk postures, contributing to acute lower back muscle injuries. Additionally, inadequate promotion of correct posture and prevention strategies, along with insufficent training on occupational hazards, futher exacerbates the issue.</p><p><strong>Conclusions: </strong>Human fator, machinery, environments, as well as their interactions significantly affect ICU nurses' experience of low back and waist muscle fatigue.</p><p><strong>Reporting method: </strong>Reported according to the SRQR (Standards for Reporting Qualitative Research) guideline.</p><p><strong>Impact: </strong>Offersnew insights into applying the human-machine-environment theory toto clinical nursing practice research. Highlightsthat the unconscious or passive adoption of poor postures by ICU nurses as a major factor contributing to muscles fatigue. Emphasizes the need for comprehensive intervention programsto prevent work-related low back muscle fatigue among ICU nurses.</p><p><strong>Patient or public contribution: </strong>Based on our findings, we have discussed the result with hospital management highlighting the urgent need for mesures to protect ICU nurses back and waist muscles. We believe this proactive approach is essentialfor ensuring the long-term well-being of healthcare professionals and maintaining the high standards of patient care.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 3","pages":"e70146"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11889409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587735","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":"Treatment Adherence and Quality of Life of Adults Living With Hypertension in Rural Ghana.","authors":"Ayisha Blessing Amadu, Kennedy Dodam Konlan, Jamilatu Barbara Amadu, Gladys Dzansi","doi":"10.1002/nop2.70198","DOIUrl":"10.1002/nop2.70198","url":null,"abstract":"<p><strong>Aim: </strong>We determined treatment adherence and quality of life of adults living with hypertension in rural Ghana.</p><p><strong>Design: </strong>A quantitative cross-sectional survey was conducted.</p><p><strong>Method: </strong>We randomly sampled 351 persons diagnosed with hypertension at the Baptist Medical Centre in Nalerigu, Ghana. A shortened version of the World Health Organization's Quality of Life (WHOQOL-BREF) questionnaire was used, and information on treatment adherence was collected using a modified Morisky Medication Adherence Scale. Data analyses were conducted with the aid of SPSS 23.0 at a 95% confidence level.</p><p><strong>Results: </strong>The study revealed a high rate of treatment adherence, 226 (64%) with low quality of life among the participants. Adherence to treatment was more associated with the males compared to females. The social health dimension of the quality of life was significantly associated with treatment adherence. The role of social networks in enhancing adherence was a major finding in this study and could be harnessed by nurses and midwives to improve the lives of persons diagnosed with hypertension. It is recommended that measures that promote remembrance and reduce forgetfulness regarding hypertension medications, such as mobile health and digital technologies, be implemented by health workers to enhance treatment adherence. Further, measures aimed at improving resource allocation for women in rural communities, such as women-economic empowerment programmes, are encouraged to enhance health-seeking and treatment adherence.</p><p><strong>Patient or public contribution: </strong>None.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 3","pages":"e70198"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693995","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":"Pain in Hospital: A Real-Word Data Analysis.","authors":"Virginie Claivaz, Malik Benmachiche, Zeina Santoro, Fabienne Hadorn, Cédric Mabire","doi":"10.1002/nop2.70126","DOIUrl":"10.1002/nop2.70126","url":null,"abstract":"<p><strong>Aim: </strong>The study aim was to describe the prevalence of pain, its assessment, and its associated characteristics in a university hospital in the French-speaking part of Switzerland.</p><p><strong>Background: </strong>Despite many advances in its management, pain is still a common and persistent symptom in hospitals. Nurses have a central role in its management. Pain assessment is essential for optimal management; it is nonetheless made insufficiently and randomly.</p><p><strong>Design: </strong>The design was a monocentric correlational descriptive study.</p><p><strong>Methods: </strong>This study was based on the secondary analysis of routine data from 22,987 computerised health records of the medical and surgical wards between 1 November 2017 and 31 March 2019.</p><p><strong>Results: </strong>The results showed that the prevalence of pain was high in medical and surgical wards. Almost one-fifth of the participants suffered from severe pain at least once during their hospital stay. There was no association between the presence of pain and hospital ward, but the likelihood of having severe pain increased if the participant was hospitalised in a medical ward. Close personalised pain monitoring should be promoted to prevent the onset of severe pain. No Patient or Public Contribution.</p>","PeriodicalId":48570,"journal":{"name":"Nursing Open","volume":"12 3","pages":"e70126"},"PeriodicalIF":2.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11868981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524921","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}