Clinical Simulation in Nursing最新文献_第5页

Pediatric critical care nursing empowerment through distance education and simulation in Accra, Ghana 在加纳阿克拉通过远程教育和模拟提高儿科危重症护理能力

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-10-03 DOI: 10.1016/j.ecns.2024.101616

Marie Nader MD , Rebecca L. Silvers DNP , Uma P. Phatak MD MHS , Lauren J. White MD , Margret Jaeger DPhil , Travis M. Whitfill MPH MPhil PhDc , Frank Owusu-Sekyere MD , Gifty D. Boateng MSN RN CPAN , Gifty Y. Lano RN BSN CNOR RNFA , Michael F. Canarie MD , Isabel T. Gross MD PhD MPH

{"title":"Pediatric critical care nursing empowerment through distance education and simulation in Accra, Ghana","authors":"Marie Nader MD , Rebecca L. Silvers DNP , Uma P. Phatak MD MHS , Lauren J. White MD , Margret Jaeger DPhil , Travis M. Whitfill MPH MPhil PhDc , Frank Owusu-Sekyere MD , Gifty D. Boateng MSN RN CPAN , Gifty Y. Lano RN BSN CNOR RNFA , Michael F. Canarie MD , Isabel T. Gross MD PhD MPH","doi":"10.1016/j.ecns.2024.101616","DOIUrl":"10.1016/j.ecns.2024.101616","url":null,"abstract":"<div><h3>Background</h3><div>The study assessed a distance simulation and education intervention designed to improve nursing empowerment in the pediatric intensive care unit (PICU) in Korle Bu Teaching Hospital (KBTH) in Ghana.</div></div><div><h3>Methods</h3><div>This was a single center, mixed methods, longitudinal simulation-based pilot study. A distance pediatric critical care nursing curriculum that combined interactive learning via Zoom and distance simulation using the Virtual Resus Room was designed and delivered from the United States to KBTH PICU nursing staff.</div></div><div><h3>Results</h3><div>The Clinical Teamwork Scale, used to assess team performance after each simulation, demonstrated an upward trend over time in all categories. The modified Simulation Effectiveness Tool was utilized to evaluate the learners' perceptions of the effectiveness of the simulation in meeting their learning objectives. Qualitative content analysis of this free-text feedback highlighted the course's educational content, organizational aspects, learning experience, simulation case scenarios and relevance to pediatric critical care in Ghana.</div></div><div><h3>Conclusions</h3><div>A distance pediatric critical care nursing curriculum, relevant to local practice and resources, was implemented through an international partnership and contributed to nursing empowerment through improved learning and confidence.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"96 ","pages":"Article 101616"},"PeriodicalIF":3.4,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Simulation-based training to improve provider-preparedness for amniotic fluid embolism: A lived experience 通过模拟培训，提高医护人员对羊水栓塞的防范能力：亲身经历

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-09-27 DOI: 10.1016/j.ecns.2024.101617

Kristen Bertrand DNP, CRNA , Julie Pearson PhD, CRNA , Casey Toler MSN, AGCNS-BC, RNC-OB, IBCLC , Virginia C. Simmons DNP, CRNA, CHSE-A, FAANA, FAAN

{"title":"Simulation-based training to improve provider-preparedness for amniotic fluid embolism: A lived experience","authors":"Kristen Bertrand DNP, CRNA , Julie Pearson PhD, CRNA , Casey Toler MSN, AGCNS-BC, RNC-OB, IBCLC , Virginia C. Simmons DNP, CRNA, CHSE-A, FAANA, FAAN","doi":"10.1016/j.ecns.2024.101617","DOIUrl":"10.1016/j.ecns.2024.101617","url":null,"abstract":"<div><h3>Background</h3><div>Amniotic fluid embolism (AFE) is a rare, yet deadly obstetric (OB) crisis. Simulation-based training (SBT) can promote provider self-confidence and protocol adherence for multidisciplinary OB care teams during AFE.</div></div><div><h3>Methods</h3><div>Two multidisciplinary samples of participants were included in this quality improvement project. Sample 1 engaged in SBT for which they were assessed for confidence and protocol adherence at three timepoints: baseline, immediate post-simulation and four months post-simulation. During the implementation phase of this project, an inpatient experienced AFE, leading to increased staff interest in AFE education and training and the need for a second sample.</div></div><div><h3>Results</h3><div>Sample 1: Significant improvement was shown for all confidence items between baseline and initial post-simulation assessments (<em>p</em> < .05) which was sustained at four months post-simulation. Significant improvement in protocol adherence scores were shown between the baseline and repeat simulations (<em>p</em> = .004) which were sustained at four months. Sample 2: Significant improvement was noted for 4 out of 5 confidence items between pre- and post-simulation confidence assessments (<em>p</em> < .001).</div></div><div><h3>Conclusion</h3><div>This project demonstrated that SBT contributed to increased confidence in management of AFE.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"96 ","pages":"Article 101617"},"PeriodicalIF":3.4,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142327335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Examination of the effect of different techniques (demonstration, telesimulation and game-based training) in teaching the management of shoulder dystocia: A randomized controlled trial 研究不同技术（示范、远程模拟和游戏式培训）在肩难产处理教学中的效果：随机对照试验

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-09-26 DOI: 10.1016/j.ecns.2024.101611

Ilknur M. Gönenç PhD , Menekşe Nazlı Aker PhD , Yeşim Çetinkaya Şen PhD

{"title":"Examination of the effect of different techniques (demonstration, telesimulation and game-based training) in teaching the management of shoulder dystocia: A randomized controlled trial","authors":"Ilknur M. Gönenç PhD , Menekşe Nazlı Aker PhD , Yeşim Çetinkaya Şen PhD","doi":"10.1016/j.ecns.2024.101611","DOIUrl":"10.1016/j.ecns.2024.101611","url":null,"abstract":"<div><h3>Background</h3><div>This study evaluated the effect of demonstration, telesimulation and game-based training in teaching SD management for midwifery students.</div></div><div><h3>Methods</h3><div>This randomized controlled trial was completed with 123 participants. To collect data, the ‘Introductory Information Form’, ‘Self-efficacy Visual Analog Scale (VAS)’, ‘Shoulder Dystocia Skill Checklist’, and ‘Instructional Materials Motivation Survey (IMMS) were used.</div></div><div><h3>Results</h3><div>After the training, mean VAS scores of self-efficacy in diagnosing and intervening SD were higher in the telesimulation and demonstration groups, and mean VAS scores of self-efficacy in evaluating the postpartum mother and infant were higher in all intervention groups than in the control group (<em>p</em> < .001). There is a difference between the control group and all intervention groups in terms of total skill score in SD management (<em>p</em> < .001). Demonstration group's mean total score of MMS of students is higher than kahoot and control groups (<em>p</em> < .005).</div></div><div><h3>Conclusion</h3><div>It was seen that all three methods were more effective than theoretical training in gaining SD management skills, but telesimulation was more effective than other methods.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"96 ","pages":"Article 101611"},"PeriodicalIF":3.4,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142322489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluating anxiety and self-confidence in nursing students: Adaptation and validation of the NASC-CDM scale for high-fidelity simulation training 评估护理专业学生的焦虑和自信：为高仿真模拟训练改编和验证 NASC-CDM 量表

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-09-25 DOI: 10.1016/j.ecns.2024.101618

Geert Van de Weyer RN, MSc , Krista White RN, PhD, CCRN, CNE , Erik Franck RN, MScPSY, PhD , Deborah Hilderson RN, MSc, PhD , Filip Haegdorens RN, MSc, PhD

{"title":"Evaluating anxiety and self-confidence in nursing students: Adaptation and validation of the NASC-CDM scale for high-fidelity simulation training","authors":"Geert Van de Weyer RN, MSc , Krista White RN, PhD, CCRN, CNE , Erik Franck RN, MScPSY, PhD , Deborah Hilderson RN, MSc, PhD , Filip Haegdorens RN, MSc, PhD","doi":"10.1016/j.ecns.2024.101618","DOIUrl":"10.1016/j.ecns.2024.101618","url":null,"abstract":"<div><h3>Background</h3><div>Anxiety and self-confidence impact performance and decision-making during high-fidelity simulation in nursing education. A validated tool to assess these factors is lacking.</div></div><div><h3>Methods</h3><div>The Nursing Anxiety and Self-Confidence with Clinical Decision-Making© scale (NASC-CDM) was translated, adapted for high-fidelity simulation and validated using a five-step approach. This included a Content Validity Index review by experts and pilot-testing with first-year nursing students. Construct validity and internal consistency were evaluated using Exploratory Factor Analysis and Cronbach's alpha.</div></div><div><h3>Results</h3><div>A total of 187 first-year nursing students participated. Exploratory Factor Analysis identified constructs for anxiety (two factors, 60.72% variance) and self-confidence (three factors, 61.22% variance). The tool demonstrated high internal consistency, with Cronbach's alpha values of 0.956 for anxiety and 0.955 for self-confidence.</div></div><div><h3>Conclusion</h3><div>The 19-item Dutch Nursing Anxiety and Self-Confidence with Clinical Decision-Making for High-Fidelity Simulation scale is a valid and reliable instrument measuring anxiety and self-confidence in nursing students during high-fidelity simulation.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"96 ","pages":"Article 101618"},"PeriodicalIF":3.4,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142319387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Immersive Virtual Reality Simulation for Suicide Risk Assessment Training: Innovations in Mental Health Nursing Education 用于自杀风险评估培训的沉浸式虚拟现实模拟：心理健康护理教育创新

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-09-24 DOI: 10.1016/j.ecns.2024.101608

Alexander G. Bahadur , Rachel Antinucci , Fabienne Hargreaves , Michael Mak , Rola Moghabghab , Sanjeev Sockalingam , Petal S. Abdool

{"title":"Immersive Virtual Reality Simulation for Suicide Risk Assessment Training: Innovations in Mental Health Nursing Education","authors":"Alexander G. Bahadur , Rachel Antinucci , Fabienne Hargreaves , Michael Mak , Rola Moghabghab , Sanjeev Sockalingam , Petal S. Abdool","doi":"10.1016/j.ecns.2024.101608","DOIUrl":"10.1016/j.ecns.2024.101608","url":null,"abstract":"<div><h3>Background</h3><div>The complexity of psychiatric patient presentations requires the standardization of nursing education through simulation-based education to ensure essential skills development. Technological advances like virtual reality offer an innovative opportunity to enhance simulation-based nursing education. Our study aimed to improve nursing education by examining the impact of an immersive virtual reality simulation (iVRS)-based education program regarding suicide risk assessment (SRA) training on the educational outcomes, learner experience, and user satisfaction of nursing students, with comparison to a nonimmersive computer desktop version.</div></div><div><h3>Methods</h3><div>Two VR SRA case scenarios were developed depicting virtual patients with acutely and chronically elevated suicide risk. These simulations were created in two formats: an iVRS (n = 52) that used a VR headset and handheld controllers, and a computer desktop virtual reality simulation (dVRS, n = 187).</div></div><div><h3>Results</h3><div>iVRS and dVRS had comparable improvements regarding educational outcomes, user engagement and overall user experience for SRA training.</div></div><div><h3>Conclusions</h3><div>The benefit of iVRS compared to other simulation modalities in psychiatric nursing education may vary depending on the type of content being taught.</div></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"96 ","pages":"Article 101608"},"PeriodicalIF":3.4,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1876139924001002/pdfft?md5=b452d32d959691a75eee416dbb6a5459&pid=1-s2.0-S1876139924001002-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142314663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Embracing quick response technology to bring assessments to life during simulation 在模拟过程中采用快速反应技术，使评估工作生动活泼

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-09-19 DOI: 10.1016/j.ecns.2024.101613

Lisa A. Brening MSN, RN, Tracey Post MSN, RN

引用次数: 0

Combining storytelling and a scenario re-enactment of Mt. Everest expeditions to practice cognitive and social skills 结合讲故事和珠穆朗玛峰探险的情景再现，锻炼认知和社交能力

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-09-18 DOI: 10.1016/j.ecns.2024.101591

Peter Dieckmann PhD, Dipl-Psych, FSSH, Psychodrama Director , Suzan Suzie Kardong-Edgren PhD. RN, ANEF, FSSH, FAAN , Michelle Aebersold PhD, RN, CHSE, FSSH, FAAN , Scott B. Crawford MD, FACEP, FSSH, CHSOS , William B. Belk M.Sc, CHSE , Bruce R Williams MS, MSN, RN, CHSE, CHSOS , Samantha Smeltzer DNP, RN, CHSE , Matthew D. Charnetski MSMS, NRP, CHSOS, CHSE, FSSH

引用次数: 0

Psychometric Testing of NASA-TLX to Measure Learners’ Cognitive Load in Individual and Group Nursing Simulations 对 NASA-TLX 进行心理测试，以测量学习者在个人和小组护理模拟中的认知负荷

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-09-17 DOI: 10.1016/j.ecns.2024.101607

Jeremy W. Hutson MSN, RN, Ashley E. Franklin PhD, RN, CNE, CHSE-A, Beth A. Rogers PhD, RN, CNE, CHSE, Danielle Walker PhD, RN, CNE

{"title":"Psychometric Testing of NASA-TLX to Measure Learners’ Cognitive Load in Individual and Group Nursing Simulations","authors":"Jeremy W. Hutson MSN, RN, Ashley E. Franklin PhD, RN, CNE, CHSE-A, Beth A. Rogers PhD, RN, CNE, CHSE, Danielle Walker PhD, RN, CNE","doi":"10.1016/j.ecns.2024.101607","DOIUrl":"10.1016/j.ecns.2024.101607","url":null,"abstract":"<div><h3>Background</h3><p>The National Aeronautics and Space Administration-Task Load Index (NASATLX) is a subjective instrument for measuring cognitive load. Originally designed for aviation, it has proven a valid and reliable instrument across disciplines. Despite extensive use, its ability to measure cognitive load in group and individual nursing simulation has yet to be explored.</p></div><div><h3>Methods</h3><p>This secondary analysis investigates NASA-TLX psychometric properties among 488 surveys completed by learners from a Bachelor's nursing program during individual and group simulation. Psychometric tests included item analysis, Cronbach's alpha, inter-item correlations, and exploratory factor analysis.</p></div><div><h3>Results</h3><p>NASA-TLX demonstrated acceptable reliability and validity in individual simulation; however, there was less reliability in group simulations.</p></div><div><h3>Conclusion</h3><p>Administration variances across individual and group simulation impact NASATLX validity and reliability.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"95 ","pages":"Article 101607"},"PeriodicalIF":3.4,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142242043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Becoming a team player: Evaluating a simulation interprofessional activity between third year nursing students and second year medical radiation science students - A feasibility study 成为团队成员：评估护理专业三年级学生和医学放射科学专业二年级学生之间的模拟跨专业活动 - 可行性研究

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-09-14 DOI: 10.1016/j.ecns.2024.101610

Kym Barry , Amy Barnett , Caroline Nabasenja , Pauletta Irwin

{"title":"Becoming a team player: Evaluating a simulation interprofessional activity between third year nursing students and second year medical radiation science students - A feasibility study","authors":"Kym Barry , Amy Barnett , Caroline Nabasenja , Pauletta Irwin","doi":"10.1016/j.ecns.2024.101610","DOIUrl":"10.1016/j.ecns.2024.101610","url":null,"abstract":"<div><h3>Background</h3><p>Simulation activities allow students to engage in interprofessional learning in safe, low-risk environments conducive to learning. This enables students to make connections between different health professionals outside of the clinical setting to help improve their practical patient centered care.</p></div><div><h3>Sample</h3><p>Third year nursing and second year medical radiation sciences students.</p></div><div><h3>Method</h3><p>Participants were invited to take part in an interprofessional simulation activity. Participants could then choose to complete an online survey after the practical simulation activity.</p></div><div><h3>Results</h3><p>Survey results showed that most participants found the simulation IPL activity to be useful.</p></div><div><h3>Conclusion</h3><p>Simulation education can be implemented to raise awareness of the roles of nursing and medical radiation science student practitioners by other student practitioners. There is scope to incorporate interprofessional simulation activities in future curriculum educational design to aid student interprofessional awareness, communication and collaboration.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"95 ","pages":"Article 101610"},"PeriodicalIF":3.4,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1876139924001026/pdfft?md5=f21b7e8ae9fbbd7bdfd19de947296b39&pid=1-s2.0-S1876139924001026-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142232911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Interprofessional Learning for Nursing Students during a Mass Casualty Incident Simulation 护理专业学生在大规模伤亡事件模拟中的跨专业学习

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-09-12 DOI: 10.1016/j.ecns.2024.101604

Sabrina D․ Ehmke DNP, RNC-OB, NPD-BC, PHN, Megan Dohm DNP, RN, PHN, CHSE, Jennifer Marr DNP, APRN, CNP, PNP-C

{"title":"Interprofessional Learning for Nursing Students during a Mass Casualty Incident Simulation","authors":"Sabrina D․ Ehmke DNP, RNC-OB, NPD-BC, PHN, Megan Dohm DNP, RN, PHN, CHSE, Jennifer Marr DNP, APRN, CNP, PNP-C","doi":"10.1016/j.ecns.2024.101604","DOIUrl":"10.1016/j.ecns.2024.101604","url":null,"abstract":"<div><h3>Introduction</h3><p>Traditional nursing education often lacks interprofessional collaboration across different levels of education. The Interprofessional Education Collaborative (IPEC) provides competencies to foster such collaboration. Updates by the American Association of Colleges of Nursing (AACN) emphasize interprofessional partnerships and population health.</p></div><div><h3>Method</h3><p>This mixed-methods study involved senior nursing students in a simulated mass casualty incident (MCI) with paramedic students and standardized patients. Pre- and post-surveys measured students' perceptions and preparedness, supplemented by qualitative data from open-ended survey questions. The simulation included Sort, Assess, Life-saving interventions, Treatment triage training and a structured debriefing session.</p></div><div><h3>Results</h3><p>A total of 35 (62.5%) students completed surveys. Post-simulation, significant improvements were observed in perceived preparedness (<em>p</em> = .00) and team engagement (<em>p</em> = .02). Qualitative analysis identified four themes: Art of nursing, Lived experience of a nurse, Teamwork, and Triage, highlighting enhanced communication and teamwork skills.</p></div><div><h3>Conclusions</h3><p>The simulated MCI effectively improved students' preparedness and interprofessional collaboration skills, though leadership and critical thinking, showed nonsignificant statistical changes. Future simulations should address design limitations to better reflect real-world dynamics and enhance interprofessional interactions.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"95 ","pages":"Article 101604"},"PeriodicalIF":3.4,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142171737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0