International Journal of Older People Nursing最新文献

{"title":"Ultra-Processed Research?","authors":"Sarah H Kagan","doi":"10.1111/opn.70083","DOIUrl":"10.1111/opn.70083","url":null,"abstract":"","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 3","pages":"e70083"},"PeriodicalIF":2.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943327","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":"Like Bits in a Jigsaw: Exploring Ancillary Staff Interactions With Care Home Residents.","authors":"Kritika Samsi, Olivia Luijnenburg, Caroline Norrie, Stephen Martineau, Ian Kessler, Emerita Jill Manthorpe","doi":"10.1111/opn.70075","DOIUrl":"10.1111/opn.70075","url":null,"abstract":"<p><strong>Objectives: </strong>To explore accounts of the interactions between ancillary workers and care home residents during COVID-19 pandemic lockdowns.</p><p><strong>Design: </strong>Qualitative interview study, following appropriate ethical approvals and procedures.</p><p><strong>Setting: </strong>Participants were recruited from care homes in England and through known networks. Interviews were conducted online or face-to-face when pandemic-related contact restrictions were lifted, according to participants' convenience and comfort.</p><p><strong>Participants: </strong>Sixty-three participants were interviewed: 38 ancillary workers (9 cleaners, 14 catering staff, 12 housekeeping staff and 3 ancillary staff supervisors), 8 care home managers, 5 human resource managers, 5 care home residents and 7 family members.</p><p><strong>Results: </strong>The meaningful nature of interactions between ancillary staff and care home residents was evident in participant interviews, acknowledged by family relatives, residents, care home managers and ancillary workers. Interactions with ancillary workers contributed to care practices, and many relationships were enhanced during COVID-19. Participants felt these interactions contributed to the 'jigsaw' of the care home environment, and often positively impacted on staff well-being. Management support to enable these interactions was important and could make relationship-based care more meaningful.</p><p><strong>Conclusions: </strong>Interactions between ancillary workers and care home residents are important, can contribute to staff well-being and resident quality of life by fostering relationship-based care and promote the sharing of health and care information.</p><p><strong>Implication for practice: </strong>Manager and supervisor recognition of this workforces 2019 contribution to relationship-based care and to improve overall care home environments is needed, as well as staff development opportunities to enhance these relationships too.</p>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 3","pages":"e70075"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13083543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692856","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":"Shared Decision-Making on Drinking Alcohol in Older Adults Living in Residential Care Facilities: Care Professionals' Perspectives.","authors":"Lisette de Graaf, Tineke Roelofs, Meriam Janssen, Sascha Bolt, Katrien Luijkx","doi":"10.1111/opn.70080","DOIUrl":"10.1111/opn.70080","url":null,"abstract":"<p><strong>Introduction: </strong>Older adults living in residential care facilities (RCFs) may wish to drink alcohol, despite adverse outcomes. Shared decision-making (SDM) could support care professionals in balancing residents' autonomy and well-being with the adverse outcomes to all residents and staff. This study aims to assess factors that could affect shared decision-making (SDM) and care professionals' behaviour regarding residents' alcohol use in residential care facilities (RCFs).</p><p><strong>Methods: </strong>A quantitative cross-sectional study and explorative analyses were chosen to answer the research question. Care professionals working in psychogeriatric or in somatic units of RCFs were included (N = 332) and filled out a survey. The main variables studied in this research are shared decision-making, behaviour (facilitating or limiting residents' alcohol use), care professionals personal alcohol use and their attitudes, person-centred care and organisational culture. t-tests, regression analyses and ANOVA analyses were conducted using SPSS.</p><p><strong>Results: </strong>Care professionals' attitudes towards residents' alcohol use are significantly associated with personal alcohol use; the level of SDM; and the level of enabling residents to drink alcohol. SDM is associated with person-centred care (PCC) and significantly differs between somatic units and psychogeriatric units.</p><p><strong>Conclusion: </strong>SDM could be used in dilemmas regarding residents' alcohol use. Care professionals' personal alcohol use and attitudes towards residents' alcohol use could affect whether they discuss and facilitate this use. This may cause inconsistencies in care towards residents' alcohol use, which endangers PCC.</p><p><strong>Implications for practice: </strong>SDM could support care professionals in dilemmas regarding residents' alcohol use. Care professionals should learn about the possible role of their personal alcohol use and attitudes regarding this topic. Finally, organizations should consider potential complicating factors when developing and implementing organizational policies regarding residents' alcohol use.</p>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 3","pages":"e70080"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730305","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":"Academic Nurse Educators' Experiences and Perceptions of Supporting Adult Nursing Students in Clinical Placements in Nursing Homes: An Interpretative Phenomenological Analysis.","authors":"Julie Cooke, Helen Aveyard, Kathleen Greenway, Sue Schutz","doi":"10.1111/opn.70076","DOIUrl":"10.1111/opn.70076","url":null,"abstract":"<p><strong>Aim: </strong>This paper explores nurse educators' perceptions of nursing home placements and their experiences of supporting adult nursing students undertaking placements within them.</p><p><strong>Background: </strong>The global population is ageing and requires the provision of skilled Registered Nurses to meet their needs. However, concerns exist that students do not view nursing homes favourably compared to hospital placements.</p><p><strong>Design: </strong>Interpretative Phenomenological Analysis.</p><p><strong>Methods: </strong>Semi-structured interviews with eight nurse educators were conducted online between December 2020 and March 2021 and transcribed verbatim. The cross-group analysis elicited individual and shared experiences.</p><p><strong>Results: </strong>A curriculum focussed on hospital-based technical skills can result in placement settings such as nursing homes becoming overlooked within nurse education. Participants suggested that student, faculty and nursing home nurses' negative perceptions of the value of nursing home clinical placements make it more challenging to build trusting relationships, and support everyone involved in nursing homes to recognise the potential of their skills and contribution to nurse education.</p><p><strong>Conclusions: </strong>There is evidence that negative perceptions of nursing home placements are apparent in the nursing faculty and those who support nursing home placements are unwittingly contributing to these negative perceptions, the Registered Nurses who work in them and the skills practised within them. Student nurses are therefore unprepared and unwilling to work in nursing homes, and nursing home staff lack confidence in supporting nursing students. Implementing Care Home Education Facilitators (CHEF) could be a first step to improving this situation. Nurse educators are challenged to ensure the nursing curriculum actively addresses the value of fundamental care throughout the nurse education programme and supports student nurses undertaking clinical placements in nursing homes.</p><p><strong>Implications for practice: </strong>Nursing home RNs require better support in their educational roles to improve student experiences of clinical placements in these settings. While technical skills are important for students to learn, overemphasis on them within nurse education programmes can lead to a deficit in the preparation of nurses to deliver fundamental complex care to older people.</p>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 3","pages":"e70076"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730316","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":"Stakeholder Perspectives on Integrating ADEPT Into End-Of-Life Care for Nursing Home Residents With Dementia: A Qualitative Descriptive Study.","authors":"Susanny J Beltran, Latarsha Chisholm, Emily Jaijairam","doi":"10.1111/opn.70081","DOIUrl":"10.1111/opn.70081","url":null,"abstract":"<p><strong>Background: </strong>Nursing homes care for a significant proportion of individuals with advanced dementia, yet timely hospice referrals remain a challenge. The Advanced Dementia Prognostic Tool (ADEPT) is a mortality risk score instrument that holds promise for improving care planning by providing a standardised, accessible method for identifying residents at risk of death within 6 months.</p><p><strong>Aims: </strong>To describe current nursing home processes for identifying residents with dementia for hospice referral and gather stakeholder input on integrating ADEPT into routine assessment practices.</p><p><strong>Methodology: </strong>A qualitative descriptive design guided by the Consolidated Framework for Implementation Research (CFIR) was employed. Data were gathered through online surveys and individual interviews (n = 5) as well as a focus group (n = 4) with interdisciplinary staff from six Florida nursing homes. Analysis involved deductive coding using a CFIR-based codebook and thematic synthesis.</p><p><strong>Reporting method: </strong>The Standards for Reporting Qualitative Research (SRQR) checklist was followed.</p><p><strong>Results: </strong>Current processes for identifying hospice-eligible residents rely on regular assessments and interdisciplinary collaboration but reveal significant gaps, including delays in referrals and inconsistent practices. Participants viewed ADEPT as a promising tool to complement goals-of-care conversations and enhance care planning, rather than exclusively triggering hospice initiation. Implementation barriers included the need for electronic system integration, regulatory compliance and staff education, while facilitators encompassed strong leadership support, interdisciplinary coordination and alignment with existing workflows.</p><p><strong>Conclusion: </strong>ADEPT has the potential to improve hospice referral processes in nursing homes by providing a structured, accessible framework to support care planning and interdisciplinary discussions. Addressing barriers through targeted training, leadership engagement and pilot testing is essential to optimise its implementation and impact.</p><p><strong>Implications for practice: </strong>ADEPT could support end-of-life care in nursing homes by fostering timely, goal-directed care planning for residents with dementia, ultimately enhancing both care quality and staff decision-making processes.</p>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 3","pages":"e70081"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822542","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":"Psychometric Properties of an Arabic Translation of the Older People's Quality of Life-Brief (OPQOL-Brief) Scale.","authors":"Souheil Hallit, Marwa Ibrahim Mahfouz Khalil, Zeinab Bitar, Reem Said Shaala, Enas Fouad Sayed Mousa, Reem Farag Mahrous Menessy, Mayar Elnakeeb, Feten Fekih-Romdhane","doi":"10.1111/opn.70082","DOIUrl":"10.1111/opn.70082","url":null,"abstract":"<p><strong>Background: </strong>This investigation scrutinises the psychometric qualities of the Arabic version of the Older People's Quality of Life-Brief (OPQOL-brief) scale in a sample of Arabic-speaking older adults to support culturally appropriate assessment of lived experience and person-centred care in later life and to strengthen gerontological nursing assessment and evaluation across settings.</p><p><strong>Method: </strong>A cross sectional study included 539 Arabic-speaking older Egyptians (50.3% women; 60.7% aged 65-75). Forward-backward translation and cultural adaptation procedures support linguistic and cultural equivalence. Data collection uses a mixed-mode approach (face-to-face and online) to support inclusive participation; procedures were standardised across modes to minimise measurement differences.</p><p><strong>Results: </strong>The scale yielded a three-factor structure reflecting the multidimensional nature of quality of life in older adults. Internal consistency was high for the total score (Cronbach's alpha and McDonald's omega = 0.92). Measurement properties did not differ significantly by gender, supporting cross-gender interpretability. Concurrent validity showed a strong positive correlation between Arabic OPQOL-brief and resilience scores (r = 0.60, p < 0.001), supporting its relevance to nursing care planning and outcome monitoring. Psychometric testing in this study includes factor structure, internal consistency reliability, concurrent validity and measurement invariance.</p><p><strong>Conclusion: </strong>This research closes a gap in the literature and supports the Arabic OPQOL-brief as a robust tool for assessing quality of life in Arabic-speaking older adults.</p><p><strong>Implications for practice: </strong>The new scale can help support nurse-led person-centred assessment, care coordination and evaluation of interventions.</p>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 3","pages":"e70082"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147949960","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":"A Home-Based Online Psychoeducation Programme on Subjective Well-Being Amongst Community-Dwelling Older Adults With Frailty: A Pilot Randomised Controlled Trial.","authors":"An Tao, Helen Yue Lai Chan, Sarah Xiao, Ken Hok Man Ho","doi":"10.1111/opn.70079","DOIUrl":"10.1111/opn.70079","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the feasibility and acceptability of a home-based online psychoeducation (HOPE) programme amongst community-dwelling older adults with frailty.</p><p><strong>Design: </strong>This study adopted a single-blinded, two-arm randomised controlled trial design.</p><p><strong>Methods: </strong>Participants were randomly assigned to either the intervention or control group. All participants received 60-min weekly group-based online sessions at home via a videoconferencing platform for 12 weeks. The intervention group received psychoeducation sessions guided by self-determination theory to empower the participants to cope with frailty proactively. By contrast, the control group received educational sessions for general health management. Feasibility was assessed based on eligibility, recruitment and attrition rates; acceptability was evaluated through attendance rate, satisfaction survey and qualitative interviews. Physical and psychosocial outcomes were measured at baseline and 12 weeks post-allocation. The Mann-Whitney U test and Wilcoxon signed-rank test were performed for data analysis, as appropriate. Interview transcripts were analysed using qualitative content analysis.</p><p><strong>Results: </strong>Twenty-four participants were recruited with a mean age of 77.7 years (SD = 6.2), and most of them (91.7%) were female. The study demonstrated good feasibility with eligibility, recruitment and attrition rates of 55.8%, 82.8% and 16.7%, respectively. The mean satisfaction score was 4.6 out of 5. Participants experienced physical and psychological benefits, despite some practical challenges. Improvements in subjective well-being and agility were observed in the intervention group across 12 weeks, and the intervention group showed significantly higher subjective well-being compared to the control group at 12 weeks.</p><p><strong>Conclusion: </strong>The HOPE programme is feasible and acceptable for community-dwelling older adults with frailty. Suggested improvements include technical support during sessions, flexible scheduling, practical examples and content consolidation.</p><p><strong>Implications for practice: </strong>Home-based online delivery mode is a feasible, acceptable for providing psychological support for older adults with frailty. To optimise participation, practitioners should provide technical training and flexible scheduling that accounts for individual health fluctuations.</p><p><strong>Reporting method: </strong>This study adhered to the CONSORT guidelines for pilot and feasibility trials.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p><p><strong>Trial registration: </strong>WHO Primary Registry-Clinical Trials Registry Identified: NCT06415617.</p>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 3","pages":"e70079"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13086927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700133","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":"Development of a Nurse-Led, Family-Oriented Resilience Intervention for Caregivers of Older Adults With Disabilities: A Multi-Method Study.","authors":"Xiaoling Bai, Shihong Guo, Yutian Niu, Ting Lou, Zengzhen Yang, Zhongsha Cheng, Xiangyin Li, Anni Wang","doi":"10.1111/opn.70077","DOIUrl":"10.1111/opn.70077","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Most older adults with disabilities in China and across Eastern Asian prefer to age in place, relying on home- and community-based care. Their family caregivers frequently encounter significant challenges, including a pronounced lack of knowledge and skills for providing daily living assistance, highlighting a critical need for accessible, practical training. Furthermore, existing community-based support programmes for caregivers often fail to incorporate an integrated family perspective. This oversight neglects the crucial dynamics and internal interactions within the family unit, which are fundamental to the overall adaptation and resilience of the entire family system.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This study aims to develop a nurse-led, family-oriented resilience intervention programme for caregivers of older adults with disabilities. The programme is designed to enhance caregivers' practical competencies and to strengthen overall family adaptation within the context of Chinese community settings.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Method: &lt;/strong&gt;We followed the Medical Research Council (MRC) framework for developing and evaluating complex interventions to guide the development process. This involved integrating empirical evidence from our prior studies, identifying relevant theories of family resilience, and validating the preliminary intervention content. We employed a two-round Delphi method with an expert panel to validate the initial programme draft. For each proposed activity, we calculated the coefficient of variation (CV) and Kendall's coefficient of concordance (Kendall's W) to assess expert consensus.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Result: &lt;/strong&gt;The two-round Delphi consultation yielded high positive and authority coefficients. In the first round, the mean importance scores for items ranged from 4.19 to 4.96 (overall mean 4.77 ± 0.21), with a coefficient of variation (CV) between 0.04 and 0.16 and Kendall's W was statistically significant (p &lt; 0.01). In the second round, scores ranged from 4.16 to 4.96 (overall mean 4.82 ± 0.19), with a CV between 0.04 and 0.15, and a significant Kendall's W (p &lt; 0.01). Based on this expert feedback, we refined the intervention into an 8-week programme, delivered via weekly home visits, integrating two core components: caregiving skill and family resilience. The weekly themes are (1) Getting to know each other; (2) I am not fighting alone (cleaning care and coping, social support for caregivers); (3) Thank you, embrace you (family resilience and internal support); (4) Love flows through communication (dietary care and coping, family communication and coping); (5) Riding the wind and waves together (excretion care and coping, social support for peers); (6) Community with me (mobile care and coping, social support for community); (7) Supplementing energy (safety protection and basic first aid, social support for external systems); and (8) Radiating the caregiver's radiance (individual self-resilien","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 3","pages":"e70077"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822570","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":"Meaning and Influencing Factors of a Good Death for Community-Dwelling Individuals With Dementia: An Integrative Review.","authors":"Jong Sun Park, Hannah Cho, Won Seok Park, Hyejin Kim","doi":"10.1111/opn.70078","DOIUrl":"10.1111/opn.70078","url":null,"abstract":"<p><strong>Introduction: </strong>The rising prevalence of dementia highlights the need to ensure good quality of life for those affected. This integrative review aimed to clarify what constitutes a good death for community-dwelling people with dementia and their family caregivers and to identify structural and process factors that support or hinder its attainment.</p><p><strong>Methods: </strong>Using Whittemore and Knafl's integrative review approach, a literature search was conducted in PubMed, CINAHL, Embase, Scopus and Web of Science using key terms, including dementia, community-dwelling and death. Following the screening process, 21 articles were analysed using the structure-process-outcome framework.</p><p><strong>Results: </strong>Of the 21 articles included, nine explored the concept of good death, 16 addressed structural factors, and 19 examined process factors associated with quality end-of-life care that may facilitate good death. From the perspective of people with dementia and their family caregivers, a good death involves dying peacefully while preserving dignity and autonomy. Structural factors included community-based healthcare and social support resources, such as access to hospice and palliative care, a skilled professional workforce and services that support daily living and caregiver needs. Process factors included comprehensive approaches to patient care: advance care planning, symptom management, person-centred care, emergency and safety management, health management and education for family caregivers.</p><p><strong>Conclusions: </strong>This review highlights that achieving a good death for community-dwelling people with dementia requires accessible, comprehensive, person-centred end-of-life care and robust support for family caregivers. Strengthening policies and developing integrated community care models are essential for upholding end-of-life dignity and honouring care preferences.</p><p><strong>Implications for practice: </strong>These findings suggest that healthcare professionals should implement community-based, person-centered care models that provide structured education and psychological support for family caregivers to facilitate a 'good death' for people with dementia.</p>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"21 3","pages":"e70078"},"PeriodicalIF":2.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13070890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677868","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}

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