Clinical Simulation in Nursing最新文献_第8页

Mobile Skills and Simulation Cart: Demonstrating Value of a New Simulation Program 移动技能和模拟车：展示新模拟计划的价值

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-08-02 DOI: 10.1016/j.ecns.2024.101587

Jennifer Dale-Tam RN MSN, CNCC(c), CCSNE, CHSE , Nicole Spence RN, MHPE, BNSc, BHSc , Prudy Menard RN, MScN, MEd (HPE), CMSN(C) , Jessica Hodgson , Megan Lascelles , Aparna Manohar , Megan Winters , Glenn Barton RN, MSN, EdD

{"title":"Mobile Skills and Simulation Cart: Demonstrating Value of a New Simulation Program","authors":"Jennifer Dale-Tam RN MSN, CNCC(c), CCSNE, CHSE , Nicole Spence RN, MHPE, BNSc, BHSc , Prudy Menard RN, MScN, MEd (HPE), CMSN(C) , Jessica Hodgson , Megan Lascelles , Aparna Manohar , Megan Winters , Glenn Barton RN, MSN, EdD","doi":"10.1016/j.ecns.2024.101587","DOIUrl":"10.1016/j.ecns.2024.101587","url":null,"abstract":"<div><h3>Background</h3><p>The COVID-19 pandemic disrupted nursing students' clinical training, resulting in under preparedness of novice nurses in acute care hospitals due to gaps in knowledge and skills. Portable simulation-based education programs could be used to meet nurses’ learning needs.</p></div><div><h3>Methods</h3><p>The Mobile Skills and Simulation Cart (MSSC) program was developed based on needs assessment, followed by implementation and a mixed methods program evaluation.</p></div><div><h3>Results</h3><p>A total of 688 session evaluations were completed by nurses who participated in the MSSC program indicating they were extremely satisfied with the program and reported increased knowledge. It improved nurses’ confidence and skills. Additionally, during the program evaluation phase, 32 nurses who participated in MSSC sessions, along with sixteen clinical leaders, reported integration of learning into clinical practice. Patient safety incident reports showed fewer chest tube issues, and increased safety surrounding heparin infusion practices. Overall, nursing turnover remained stable with early signs of potential improvement and increased morale.</p></div><div><h3>Conclusion</h3><p>The MSSC has proven effective in enhancing nurses’ knowledge, confidence, and comfort with skills. Simulation may positively impact patient care and safety, with early indications of potential benefits on nursing turnover.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"94 ","pages":"Article 101587"},"PeriodicalIF":3.4,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141961367","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

Inclusion of Advanced Practice Providers in Simulation-Enhanced Interprofessional Education 将高级执业医师纳入模拟强化跨专业教育

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-08-02 DOI: 10.1016/j.ecns.2024.101578

Jodi Freeman MMS, PA-C, CHSE , Tia Andrighetti DNP, APRN, CNM, CHSE-A, CNE, FACNM , Kathryn J. Vanderzwan DNP, APRN, ACNP-BC, CHSE

引用次数: 0

Development and Evaluation of a Metric-based Clinical Simulation Procedure for Assessing Ostomy Care in Nursing Practice 开发和评估基于指标的临床模拟程序，用于评估护理实践中的造口护理

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-08-01 DOI: 10.1016/j.ecns.2024.101579

Marketa Haughey BSc , Melinda Harman PhD , Casey Hopkins PhD, RN, WHNP-BC , Amanda Watson BSN , Corbin Goodwin BS , Jenna Hines BS , Katelyn Sullivan BSN , Chris Gonzaga BS , Abigail Washburn BSN, RN, CWOCN , David M. Neyens PhD MPH

{"title":"Development and Evaluation of a Metric-based Clinical Simulation Procedure for Assessing Ostomy Care in Nursing Practice","authors":"Marketa Haughey BSc , Melinda Harman PhD , Casey Hopkins PhD, RN, WHNP-BC , Amanda Watson BSN , Corbin Goodwin BS , Jenna Hines BS , Katelyn Sullivan BSN , Chris Gonzaga BS , Abigail Washburn BSN, RN, CWOCN , David M. Neyens PhD MPH","doi":"10.1016/j.ecns.2024.101579","DOIUrl":"10.1016/j.ecns.2024.101579","url":null,"abstract":"<div><h3>Background</h3><p>There is a need to understand the clinical decision-making and work practices within ostomy nursing care to support expanding nursing training.</p></div><div><h3>Objective</h3><p>To develop and evaluate a new metric-based simulation for assessing ostomy nursing care using a human factors approach.</p></div><div><h3>Sample</h3><p>This pilot study involved eleven stakeholders in the needs assessment, six nurse participants performing simulated ostomy care, and three independent observers assessing procedure reliability.</p></div><div><h3>Method</h3><p>We conducted a needs assessment of ostomy nursing care and training, developed an enhanced metric-based simulation for ostomy appliance change procedures, and statistically evaluated its reliability for measuring the simulated tasks.</p></div><div><h3>Results</h3><p>The enhanced metric-based simulation captured different tasks within four task categories: product selection; stoma and peristomal skin care; baseplate sizing and adhesion; and infection control strategies. The video review procedure was reliable for assessing continuous (average ICC≥0.96) and categorical (average κ>0.96) variables.</p></div><div><h3>Conclusion</h3><p>The new metric-based simulation was suitable for characterizing a broad range of clinical decision-making and work practices in ostomy nursing care.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"94 ","pages":"Article 101579"},"PeriodicalIF":3.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1876139924000719/pdfft?md5=5fba833daacdf84c914e8716f9e976bc&pid=1-s2.0-S1876139924000719-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141961368","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

Developing and Exploring the Usability of an Immersive Virtual Reality Simulator on Medication Administration Safety 开发沉浸式虚拟现实模拟器并探索其在用药安全方面的可用性

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-08-01 DOI: 10.1016/j.ecns.2024.101582

Kelly L. Rossler PhD, CHSE, CNE , Ganesh Sankaranarayanan PhD , Adam Ryason PhD , Anna Czoski BFA, BS

引用次数: 0

Learning the Nursing Process Through Simulation: From Development to Implementation of a Scenario in Pediatrics 通过模拟学习护理过程：儿科情景模拟从开发到实施

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-07-31 DOI: 10.1016/j.ecns.2024.101580

George Oliveira Silva MSN, RN , Natália Del' Angelo Aredes PhD, RN , Karina Machado Siqueira PhD, RN , Agueda Maria Ruiz Zimmer Cavalcante PhD, RN , Suzanne Hetzel Campbell PhD, RN, IBCLC, CCSNE

{"title":"Learning the Nursing Process Through Simulation: From Development to Implementation of a Scenario in Pediatrics","authors":"George Oliveira Silva MSN, RN , Natália Del' Angelo Aredes PhD, RN , Karina Machado Siqueira PhD, RN , Agueda Maria Ruiz Zimmer Cavalcante PhD, RN , Suzanne Hetzel Campbell PhD, RN, IBCLC, CCSNE","doi":"10.1016/j.ecns.2024.101580","DOIUrl":"10.1016/j.ecns.2024.101580","url":null,"abstract":"<div><h3>Objectives</h3><p>To develop and validate a simulation scenario focusing on the nursing process applied to children with respiratory diseases and their families, and to implement the simulation scenario with nursing students.</p></div><div><h3>Method</h3><p>Methodological study carried out in two phases: (a) Construction of the simulation scenario with a recurrent case in pediatrics and validation by experts; (b) Testing and implementation of the simulation scenario.</p></div><div><h3>Results</h3><p>The scenario was validated on all items (CVI >90%) by 11 experts and the suggested adjustments were incorporated into the final version. The implementation was carried out with 26 students, who obtained good knowledge scores with use of the nursing process, satisfaction, and self-confidence from the simulation and achieved satisfactory quality nursing care plans. Most of the outcomes showed excellent reliability (>0.90) and positive correlations were identified between debriefing and self-confidence (<em>p</em> < .05), knowledge and the quality of the nursing process record (<em>p</em> < .01), and self-confidence and the formulation of nursing diagnoses (<em>p</em> < .05).</p></div><div><h3>Conclusion</h3><p>The simulation scenario can contribute to teaching the nursing process applied to child health, promoting innovations in teaching-learning strategies at the undergraduate or continuing education teaching levels in pediatrics.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"94 ","pages":"Article 101580"},"PeriodicalIF":3.4,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141961370","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

The Effect of Simulation Teaching Method on Midwifery Students' Knowledge and Skills of Vaginal Examination in Labor: A Randomized Controlled Study 模拟教学法对助产士学生分娩阴道检查知识和技能的影响：随机对照研究

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-07-20 DOI: 10.1016/j.ecns.2024.101574

Döndü Batkın Ertürk PhD, Ayşenur Kahraman MSc, Ayşe Çataloluk PhD

{"title":"The Effect of Simulation Teaching Method on Midwifery Students' Knowledge and Skills of Vaginal Examination in Labor: A Randomized Controlled Study","authors":"Döndü Batkın Ertürk PhD, Ayşenur Kahraman MSc, Ayşe Çataloluk PhD","doi":"10.1016/j.ecns.2024.101574","DOIUrl":"10.1016/j.ecns.2024.101574","url":null,"abstract":"<div><h3>Background</h3><p>In recent years, simulation teaching has been widely used as a teaching method to improve midwifery students' practical skills. This study was conducted to evaluate the effect of the simulation teaching method on midwifery students' knowledge and skills of vaginal examination in labor.</p></div><div><h3>Method</h3><p>This is a randomized controlled experimental study and was conducted between November 08, 2022 and August 18, 2023. The research group consisted of third-year students in the midwifery department of a state university in Turkey . The study was completed with 32 students in the experimental group and 30 students in the control group. Student Identification Form, Vaginal Examination Procedural Information Form, Vaginal Examination Findings Record Form, and Vaginal Examination Knowledge Test were used as data collection tools.</p></div><div><h3>Results</h3><p>In the study, the Vaginal Examination Procedural Information Form score was found to be statistically significantly higher in the experimental group (<em>p</em> = .001). There was no significant difference between the groups in terms of the Vaginal Examination Knowledge Test score. Cervical effacement (U = 3.930; <em>p</em> < .001), cervical dilatation (U = 4.781; <em>p</em> < .001), and fetal descent (U = 4.608; <em>p</em> < .001) accuracy scores were significantly higher in the experimental group compared to the control group.</p></div><div><h3>Conclusion</h3><p>Teaching vaginal examination in labor with simulation improved midwifery students' vaginal examination skills by increasing their procedural knowledge and accuracy in vaginal examination assessments in the clinical setting.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"94 ","pages":"Article 101574"},"PeriodicalIF":3.4,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141732300","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

High-Fidelity Simulation in Wound Care Education: A Qualitative Evaluation of Efficacy and Acceptability 伤口护理教育中的高仿真模拟：疗效和可接受性的定性评估

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-07-16 DOI: 10.1016/j.ecns.2024.101573

Sharon MacLean RM, RN, PhD , Fiona Geddes PhD , Michelle A. Kelly RN, PhD , Janie Brown RN,PhD

{"title":"High-Fidelity Simulation in Wound Care Education: A Qualitative Evaluation of Efficacy and Acceptability","authors":"Sharon MacLean RM, RN, PhD , Fiona Geddes PhD , Michelle A. Kelly RN, PhD , Janie Brown RN,PhD","doi":"10.1016/j.ecns.2024.101573","DOIUrl":"10.1016/j.ecns.2024.101573","url":null,"abstract":"<div><h3>Background</h3><p>High-fidelity simulation is an effective tool in nursing education, but a research gap exists in its application to wound care training. This study explored the acceptability of working with simulated patients (SPs) with moulaged wounds to improve students' wound care skills.</p></div><div><h3>Method</h3><p>This descriptive qualitative study used semi-structured interviews with 14 student nurses who competed a high-fidelity wound simulation. Data were analysed using a deductive thematic approach.</p></div><div><h3>Findings</h3><p>Findings are presented with reference to the Australian Standards of Wound Prevention and Management guidelines. Four main themes (and six subthemes) were identified: realism (moulage and SPs), situational awareness (decision making and task focus), reflective practice (learning from others and self-reflection), and consolidation of practice.</p></div><div><h3>Conclusion</h3><p>The standards-based simulation proved effective and acceptable to students.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"94 ","pages":"Article 101573"},"PeriodicalIF":3.4,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1876139924000653/pdfft?md5=8a0085a7e995e9c739509adce91daf8b&pid=1-s2.0-S1876139924000653-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141629848","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

Examining the Effectiveness of a Simulation Training Program on Enhancing Nursing Students' Efficacy About Managing Nonphysical Violence 研究模拟培训计划对提高护理专业学生处理非身体暴力的能力的效果

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-07-11 DOI: 10.1016/j.ecns.2024.101577

Sajedah Al-hamzat MSN, RN, Jehad A. Rababah PhD, RN, Mohammed Munther Al-Hammouri PhD, MA-ABA, CHPE, RN

{"title":"Examining the Effectiveness of a Simulation Training Program on Enhancing Nursing Students' Efficacy About Managing Nonphysical Violence","authors":"Sajedah Al-hamzat MSN, RN, Jehad A. Rababah PhD, RN, Mohammed Munther Al-Hammouri PhD, MA-ABA, CHPE, RN","doi":"10.1016/j.ecns.2024.101577","DOIUrl":"https://doi.org/10.1016/j.ecns.2024.101577","url":null,"abstract":"<div><h3>Background</h3><p>The literature regarding using simulation-based training to manage nonphysical violence among Jordanian nursing students is limited. The aim of this study was to examine the effectiveness of simulation-based training on nursing students’ efficacy about managing nonphysical violence.</p></div><div><h3>Method</h3><p>This study was conducted using a single-group, pre-test, post-test experimental design. Non-probability convenience sampling method was used to recruit the nursing students in the current study (N = 67). The participants attended a simulation-based training session about violence in healthcare settings. The data collection consisted of a demographics questionnaire, the perception of aggression scale (POAS), and the Defence Styles Questionnaire-40 (DSQ-40). A paired sample t-test was performed to compare the mean scores of POAS and DSQ-40 pre- and postintervention.</p></div><div><h3>Results</h3><p>The results of this study showed that the simulation training program did not produce a significant impact on enhancing nursing students’ efficacy about managing nonphysical violence.</p></div><div><h3>Conclusion</h3><p>While no statistically significant differences were observed in the outcome measures, this study informs future research by reporting findings from a single simulation exposure and adding to the literature about using simulation interventions to impact education outcomes.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"93 ","pages":"Article 101577"},"PeriodicalIF":3.4,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141594639","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

Integrating Branching Spherical Video Learning into Mental Health Nursing Clinical Education: Feasibility, Efficacy, and Student Impact 将球形分支视频学习融入心理健康护理临床教育：可行性、有效性和对学生的影响

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-07-08 DOI: 10.1016/j.ecns.2024.101571

Don M. Leidl RN, BSN, MN, EdD , Hua Li RN, BSN, MN, PhD , Manal Kleib RN, BSN, MN, PhD , Jay Wilson BA, BEd, MEd, EdD, MBA

{"title":"Integrating Branching Spherical Video Learning into Mental Health Nursing Clinical Education: Feasibility, Efficacy, and Student Impact","authors":"Don M. Leidl RN, BSN, MN, EdD , Hua Li RN, BSN, MN, PhD , Manal Kleib RN, BSN, MN, PhD , Jay Wilson BA, BEd, MEd, EdD, MBA","doi":"10.1016/j.ecns.2024.101571","DOIUrl":"https://doi.org/10.1016/j.ecns.2024.101571","url":null,"abstract":"<div><h3>Background</h3><p>Nursing education faces significant challenges in providing students with adequate clinical learning experiences, particularly in mental health. Anxiety among nursing students related to clinical practice is well-documented and can hinder effective learning and performance.</p></div><div><h3>Methods</h3><p>This pilot study aimed to assess the feasibility and effectiveness of using Branching spherical video learning scenarios to reduce student anxiety and enhance mental health assessment knowledge in undergraduate nursing students. A mixed-methods approach, including quasi-experimental design and qualitative interviews, was employed. Participants were randomly assigned to intervention and control groups, with the intervention group experiencing the learning scenario during their clinical course.</p></div><div><h3>Results</h3><p>Quantitative analysis revealed reductions in anxiety and increases in confidence among the intervention group postintervention. Qualitative interviews confirmed reduced anxiety, increased confidence, and enhanced mental status examination (MSE) knowledge among participants.</p></div><div><h3>Conclusion</h3><p>Branching spherical video learning scenarios show promise in alleviating student anxiety and improving mental health assessment knowledge in nursing education. The study underscores the potential of immersive VR technologies to enhance learning experiences and prepare students for clinical practice.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"93 ","pages":"Article 101571"},"PeriodicalIF":3.4,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S187613992400063X/pdfft?md5=3de34755d49b3fd4df29b62b5aae3721&pid=1-s2.0-S187613992400063X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141583326","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

The Impact of Simulation-Based Learning on Nursing Decision-Making Ability: A Meta-Analysis 模拟学习对护理决策能力的影响：元分析

IF 3.4 3区医学

Clinical Simulation in Nursing Pub Date : 2024-07-08 DOI: 10.1016/j.ecns.2024.101576

Wei ZHAO, Meng-meng XU, Qi TIAN, Yu-jie HAN, Zi-qi WANG, Wei ZHANG PhD

{"title":"The Impact of Simulation-Based Learning on Nursing Decision-Making Ability: A Meta-Analysis","authors":"Wei ZHAO, Meng-meng XU, Qi TIAN, Yu-jie HAN, Zi-qi WANG, Wei ZHANG PhD","doi":"10.1016/j.ecns.2024.101576","DOIUrl":"https://doi.org/10.1016/j.ecns.2024.101576","url":null,"abstract":"<div><h3>Background</h3><p>In multi-level health care environments, the complexity of nursing decisions is increasing, which places greater demands on nurses’ decision-making ability. Compared with traditional teaching methods, simulation has gradually been introduced into nursing decision-making training curricula because of the advantages of simulation-based learning (SBL).</p></div><div><h3>Methods</h3><p>Meta-analysis.</p></div><div><h3>Results</h3><p>This meta-analysis included 11 studies. SBL showed statistically significant improvements in nursing decision-making ability (SMD = 0.89, 95% CI = [0.39, 1.38], <em>p</em> < .001), knowledge (SMD = 0.46, 95% CI = [0.14, 0.79], <em>p</em> = .006), critical thinking (SMD = 0.50, 95% CI = [0.15, 0.84], <em>p</em> = .005), and skills (SMD = 0.34, 95% CI = [0.10, 0.58], <em>p</em> = .005). Subgroup analyses revealed that SBL was more helpful for nursing students than for registered nurses. The effects of a computer-based simulation were similar to those of a people-based simulation. Interventions conducted for “2-8 weeks” and immediate measurement were found to be more effective.</p></div><div><h3>Conclusions</h3><p>SBL is an effective method for improving nurses’ decision-making ability, knowledge, critical thinking and skills.</p></div>","PeriodicalId":48753,"journal":{"name":"Clinical Simulation in Nursing","volume":"93 ","pages":"Article 101576"},"PeriodicalIF":3.4,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141583324","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