Journal of Pediatric Nursing-Nursing Care of Children & Families最新文献

{"title":"Effectiveness of a therapeutic bath for pain relief in hospitalized children with respiratory conditions: Randomized controlled clinical trial","authors":"Danton Matheus de Souza ,&nbsp;Vanessa Dias Fogaça ,&nbsp;Vanderlei Amadeu Rocha ,&nbsp;Joese Aparecida Carvalho ,&nbsp;Maria Eduarda Pires Yamamoto ,&nbsp;Lisabelle Mariano Rossato","doi":"10.1016/j.pedn.2024.10.043","DOIUrl":"10.1016/j.pedn.2024.10.043","url":null,"abstract":"<div><h3>Aim</h3><div>To assess the effectiveness of a therapeutic bath combined with analgesic medication versus the use of analgesic medication alone in alleviating generalized acute pain in hospitalized children with respiratory conditions.</div></div><div><h3>Methods</h3><div>A randomized controlled clinical trial, with parallel groups, with children aged 28 days to 3 years who were hospitalized for respiratory conditions with associated pain. Participants were allocated into two groups: 40 children to a control group (CG), which received isolated analgesic medication at same time, and 40 children to an intervention group (IG), which received both a therapeutic bath and analgesic medication. In the IG, baths were administered by a family member, the researcher, or a staff member. Each bath lasted a minimum of 5 min, with the water temperature maintained between 37 and 39 °C and 2/3 of the child's body submerged. The child was removed from the bath before the water temperature reached 36 °C. Pain was assessed in both groups at T0 (initial assessment by the researcher), T1 (15 min), T2 (30 min), and T3 (60 min) after medication. Data received descriptive and inferential analysis. International ethical recommendations were followed.</div></div><div><h3>Results</h3><div>Eighty children were recruited, 40 allocated to each group, with no statistical differences at the pretest. The IG exhibited a faster and more pronounced decrease in pain scores at various reevaluation times, including a significant reduction at T1. This decrease was consistent across all assessment scale parameters.</div></div><div><h3>Conclusion</h3><div>A therapeutic bath combined with analgesic medication effectively relieved pain in hospitalized children with respiratory conditions.</div><div><strong>Trial and Protocol Registration:</strong> Brazilian Clinical Trials Registry.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages 24-31"},"PeriodicalIF":2.1,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630391","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":"Social support, resilience and life satisfaction in families with special needs children","authors":"A. Emel Sardohan Yildirim ,&nbsp;Özlem Altindağ Kumaş ,&nbsp;Tansel Yazicioğlu","doi":"10.1016/j.pedn.2024.11.001","DOIUrl":"10.1016/j.pedn.2024.11.001","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to investigate the intricate relationships among resilience, life satisfaction, and perceived social support in Turkish families raising children with special needs, emphasizing the importance of understanding these variables for enhancing family well-being.</div></div><div><h3>Design and methods</h3><div>The study involved a sample of 317 parents of children with special needs. Pearson's correlation analysis was conducted due to the normal distribution of scale scores. Structural equation modeling (SEM) was used to explore the mediating effects of social support on the relationship between resilience and life satisfaction, with analyses performed using Jamovi 2.3.28.</div></div><div><h3>Results</h3><div>The findings revealed a positive correlation between life satisfaction and resilience among these families and a strong association between perceived social support and life satisfaction.</div></div><div><h3>Conclusions</h3><div>These results provide valuable insights into the development of support programs aimed at improving family resilience and life satisfaction.</div></div><div><h3>Practical implications</h3><div>The involvement of pediatric nursing is crucial in implementing and designing these support programs to effectively address the unique challenges faced by families raising children with special needs.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages 16-23"},"PeriodicalIF":2.1,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630610","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":"Menstrual poverty and genital hygiene behaviors among adolescents: A cross-sectional study.","authors":"Ayse Ozge Deniz, Serap Acikgoz","doi":"10.1016/j.pedn.2024.10.028","DOIUrl":"https://doi.org/10.1016/j.pedn.2024.10.028","url":null,"abstract":"<p><strong>Purpose: </strong>Period poverty is an important public health problem that negatively affects genital hygiene behaviors. This study was conducted to examine period poverty and genital hygiene behaviors in adolescents.</p><p><strong>Design and methods: </strong>This cross-sectional study was conducted with 397 adolescents between May 1, 2023 and November 30, 2023 by using a \"Personal Information Form,\" a \" Menstrual Cycle Characteristics Form,\" a \"Period Poverty Characteristics Form,\" and the \"Genital Hygiene Behavior Scale.\" The data were analyzed using SPSS 27.0 program and according to the results of descriptive statistical methods and normality analysis, t-test, Mann Whitney U test and Kruskal Wallis H test analysis were used in independent groups.</p><p><strong>Results: </strong>The total mean Adolescents' Genital Hygiene Behavior Scale score was 86.58 ± 10.03. The genital hygiene behavior scale score was low in adolescents who had financial difficulties purchasing hygiene products, whose frequency of changing hygiene products was negatively affected by economic reasons, who were worried about running out of hygiene products during the last period, and who thought that menstrual education was inadequate (p < 0.001).</p><p><strong>Conclusion: </strong>Our results indicated that period poverty in adolescents negatively affected their genital hygiene behaviors.</p><p><strong>Practical implications: </strong>It is recommended that adolescents be addressed within the scope of social policies for better access to affordable menstrual products.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship among nursing support for parents of adolescents diagnosed with Type 1 Diabetes, parental monitoring of adolescents and the self-efficacy of adolescents with Type 1 Diabetes","authors":"Gülay Öztaş ,&nbsp;Ayla İrem Aydın ,&nbsp;Meryem Atak ,&nbsp;Nurcan Özyazıcıoğlu ,&nbsp;Halil Sağlam","doi":"10.1016/j.pedn.2024.10.040","DOIUrl":"10.1016/j.pedn.2024.10.040","url":null,"abstract":"<div><h3>Background</h3><div>This study aims to explore the connection between parental monitoring in the treatment of adolescents with type 1 diabetes mellitus (T1DM), the self-efficacy of adolescents with diabetes, and nurse assistance provided to parents of adolescents with T1DM.</div></div><div><h3>Methods</h3><div>This cross-sectional descriptive study consisted of 115 adolescents aged 10–18 with T1DM and their parents. Study data were collected through the “Diabetes Management Self-Efficacy Scale in Adolescents with T1DM”, “Introductory Information Form”, “Nurse-Parent Support Tool (NPST)” and “Parental Monitoring of Diabetes Care Questionnaire in Adolescents with T1DM”.</div></div><div><h3>Results</h3><div>Only 31.3 % of the study adolescent participants reported monitoring their blood sugar less than four times per day, and the frequency of blood sugar monitoring increased with increasing parental supervision (<em>p</em> = 0.021). When diabetes was managed only by parents, adolescents' perceptions of their self-management were statistically significant and high (<em>p</em> = 0.015). Neither the level of nurse-parent support nor the connection between parental monitoring and adolescents' self-efficacy was statistically significant.</div></div><div><h3>Conclusions</h3><div>Adolescents with T1DM should receive support from both parents and medical professionals. In particular, nurses should closely inquire about the adolescent's and family's disease management strategies during hospital visits and health monitoring.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages 9-15"},"PeriodicalIF":2.1,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630633","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 novel simulation to prepare maternal caregivers of children diagnosed with a critical congenital heart defect.","authors":"Kathy Murphy, Jenna Shackleford, Nneka Alexander, Leslie Brunson, Kathryn Morgan, Brittany McKemie, Ginger Weido, Kendall Haney, Laura Lei Castillo, Ashley Pierson, Christina Calamaro, Leandra Prempeh, Melissa Osborne","doi":"10.1016/j.pedn.2024.10.034","DOIUrl":"https://doi.org/10.1016/j.pedn.2024.10.034","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this feasibility study was to determine the effectiveness of an interprofessional led low-fidelity simulation program over three timepoints on maternal caregivers' perceived stress, sense of competence and discharge readiness for care of critical congenital heart disease (CCHD) infants requiring neonatal cardiac surgery.</p><p><strong>Design and methods: </strong>The Perceived Stress Scale (PSS) was administered to simulation and non-intervention groups at three timepoints: prenatal period, Cardiac Acute Care Unit (CACU) transfer, and rooming-in. Parental Sense of Competence (PSOC) was measured at timepoint two and three, and Readiness for Hospital Discharge (RDHS) was measured at timepoint three for the simulation group. A linear mixed model was used to examine PSS and PSOC scores over time.</p><p><strong>Results: </strong>Of the thirty-three maternal caregivers, twelve were in the simulation group and twenty-one were in the non-intervention group. In the simulation group, the odds of having moderate-high stress were significantly lower at rooming-in compared to the prenatal period. From timepoint two to rooming-in, there was a positive change in PSOC scores. RDHS scores represented good readiness for discharge.</p><p><strong>Conclusion: </strong>Findings suggest that simulation may improve maternal caregiver stress from prenatal CCHD diagnosis to discharge home after cardiac surgery. Future work should include random treatment assignment to assess causal relationships.</p><p><strong>Practice implications: </strong>Infants with CCHD require extensive postoperative recovery and specialized home care. Maternal caregivers of critically ill CCHD neonates are at increased risk for stress. Results from this study suggest engagement with nurses and interdisciplinary team during the prenatal period may reduce caregiver stress.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629738","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":"Home visit-based baby tailored support program for infants","authors":"Hyeji Shin ,&nbsp;Yoonjung Kim ,&nbsp;Jeonghyun Choi","doi":"10.1016/j.pedn.2024.11.002","DOIUrl":"10.1016/j.pedn.2024.11.002","url":null,"abstract":"<div><h3>Purpose</h3><div>According to the annual developmental screening tests in South Korea, an increasing number of infants require further evaluation for the early assessment and treatment of developmental disabilities. We developed the Home Visit-Based Baby Tailored Support Program (H-BTS) and explored its potential effectiveness on infants' cognitive, language, and motor development, as well as their mothers' knowledge of infant development, parenting anxiety, and parenting efficacy.</div></div><div><h3>Methods</h3><div>We employed a non-equivalent control group pretest-posttest design with 49 infants and mothers in Seoul, Korea. The experimental group (<em>n</em> = 25) received 24H-BTS sessions at home, biweekly for three months, with a daily care diary for mothers. The control group (<em>n</em> = 24) underwent developmental assessments only. Both the groups underwent pre- and post-tests.</div></div><div><h3>Results</h3><div>We found significant differences in the motor and cognitive development indices between the experimental and control groups, but not in the language development index. The experimental group demonstrated significant improvements in mothers' knowledge of infants' development and parenting efficacy scores.</div></div><div><h3>Conclusion</h3><div>Our results can serve as foundational data in community care, expanding infant care beyond disease nursing to include screening and preventive approaches, thereby supporting psychological development and enhancement of maternal confidence in caregiving.</div></div><div><h3>Practice applications</h3><div>This study provides an opportunity to nurses to deliver care for infant development outside the hospital and within the community. Therefore, nurses can educate primary caregivers on effective developmental play methods, thereby fostering stronger relationships and enhancing maternal confidence in caregiving.</div></div>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":"80 ","pages":"Pages 1-8"},"PeriodicalIF":2.1,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630620","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 qualitative study on the experiences of Turkish caregivers of learning clean intermittent catheterization.","authors":"Canan Sarı, Mukaddes Kalyoncu, Birsel Canan Demirbağ","doi":"10.1016/j.pedn.2024.11.003","DOIUrl":"https://doi.org/10.1016/j.pedn.2024.11.003","url":null,"abstract":"<p><strong>Purpose: </strong>The process of caregivers learning to implement clean intermittent catheterization (CIC) affects both children and caregivers negatively. The aim of this study was to examine the experiences of caregivers performing CIC on their children with spina bifida (SB).</p><p><strong>Design and methods: </strong>This study was conducted with a qualitative design between June 5 and September 25, 2022, with the caregivers of 17 children. The data were collected using a semi-structured questionnaire and analyzed using a thematic analysis technique. The COREQ guidelines were followed in the study.</p><p><strong>Results: </strong>The data were grouped under fourteen sub-themes: \"not knowing CIC, having knowledge about CIC, positive and supportive, negative and compelling, family support, health personnel support, loneliness, sharing responsibility, taking on the role of caregiver, satisfaction, sadness, indecisiveness, limitation of social life, change in social life routine\". Caregivers had both positive and negative experiences in this period.</p><p><strong>Conclusion: </strong>Caregivers face various challenges during the implementation of CIC for children with SB. The results reveal the importance of identifying the performance of caregivers. Nurses who are aware of the difficulties faced by caregivers in this period can be actively involved in personalized care-oriented health education, counseling, and support for caregivers.</p><p><strong>Implications for clinical practice: </strong>Failure to provide adequate support to caregivers during the CIC application process causes both children and caregivers to be negatively affected in this process. For this reason, protocols or guidelines should be created by nurses in order to reduce the negative experiences of caregivers who apply CIC to their children.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629707","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":"Balancing life with type 1 diabetes mellitus: A qualitative study of jordanian adolescents.","authors":"Khulood Kayed Shattnawi, Sumiah Mohammed Mahassneh","doi":"10.1016/j.pedn.2024.10.039","DOIUrl":"https://doi.org/10.1016/j.pedn.2024.10.039","url":null,"abstract":"<p><strong>Objectives: </strong>To explore the lived experiences of Jordanian adolescents with type 1 diabetes mellitus (T1DM) and identify their specific needs.</p><p><strong>Methods: </strong>Qualitative interviews were conducted with 10 Jordanian adolescents. Thematic analysis was used to identify key themes.</p><p><strong>Results: </strong>Three main themes emerged: (1) Living with diabetes as a constant struggle, including emotional turbulence, social withdrawal, and difficulty with treatment regimens; (2) Restoring balance in life through social support, following treatment protocols, and accepting the disease; and (3) Adolescents' needs for a better environment, including improved knowledge, resources, and social integration.</p><p><strong>Conclusions: </strong>Adolescents with T1DM face significant challenges, including emotional distress, social isolation, and difficulties managing their disease. This study provides valuable insights into their experiences and highlights the importance of comprehensive support.</p><p><strong>Practice implications: </strong>To effectively support adolescents with T1DM, healthcare providers and educators should focus on providing emotional support, social support, and practical assistance. Additionally, improving knowledge and awareness about T1DM among adolescents and their families is crucial, as well as increasing access to resources that can help them manage their disease and live fulfilling lives.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629820","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":"Child-friendly healthcare: A concept analysis.","authors":"Wei Xiao Huang, Mei Chan Chong, Li Yoong Tang, Xiao Xia Liu","doi":"10.1016/j.pedn.2024.10.035","DOIUrl":"https://doi.org/10.1016/j.pedn.2024.10.035","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to analyze the concept of Child-friendly Healthcare (CFH) using Walker and Avant's conceptual analysis framework to clarify its meaning, attributes, and implications for clinical practice.</p><p><strong>Method: </strong>The study employed Walker and Avant's conceptual analysis method, which involves a systematic process comprising concept selection, setting objectives, exploring potential uses, defining attributes, constructing a model case, identifying contrary cases, determining antecedents and consequences, and examining empirical referents. A scoping review was conducted across multiple sources, including online dictionaries, scientific databases, and grey literature, with a focus on literature relevant to CFH.</p><p><strong>Result: </strong>A total of 37 articles were reviewed, revealing diverse definitions and interpretations of CFH across various contexts. The concept was defined by five key attributes: (1) child interests-prioritized quality services, (2) child-friendly environments and spaces, (3) social interaction, (4) child participation, and (5) development facilitation. The study also identified the antecedents and consequences of CFH, developed model and contrary cases, and examined empirical referents to offer a comprehensive understanding of the concept.</p><p><strong>Conclusion: </strong>This analysis effectively clarified the concept of CFH, highlighting its core attributes and providing valuable insights for clinical nursing practice. The findings suggest that CFH can be used as a framework to guide child-centered healthcare practices, thereby enhancing the quality of care provided to pediatric patients.</p><p><strong>Implications: </strong>Conducting a concept analysis of CFH can significantly contribute to improving patient health outcomes, supporting institutional development, and fostering future research and practical applications in child healthcare settings.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629838","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":"Nurses' care experiences with generation alpha based on Watson's human care theory.","authors":"Bahar Aksoy, Vildan Apaydin Cirik","doi":"10.1016/j.pedn.2024.10.041","DOIUrl":"https://doi.org/10.1016/j.pedn.2024.10.041","url":null,"abstract":"<p><strong>Purpose: </strong>To explain the care experiences and views of pediatric nurses for generation alpha based on Watson's Theory of Human Caring.</p><p><strong>Methods: </strong>A descriptive phenomenological design. The data were collected between January 2022 and April 2022 from purposively selected with maximum variation nurses in a pediatric clinic at a hospital. The study adhered to the Consolidated criteria for reporting qualitative research (COREQ) guidelines. The data were collected from 14 nurses using individual in-depth interviews, a personal information form, a semi-structured interview form, and observation notes, and analyzed using Giorgi's five stages based on the descriptive phenomenological method.</p><p><strong>Results: </strong>Nurses' views and care experiences for generation alpha were explained under the 3 main themes; facilitating curative care behaviors (first theme), barriers to curative care behaviors (second theme), and maintaining ideal authentic care (third theme), and 7 sub-themes.</p><p><strong>Conclusion: </strong>Based on Human Caring, this study revealed novel, and powerful information about establishing and maintaining the caring relationship between nurses and the alpha generation. It is recommended that nurses take the theory of human care as a guide, raise awareness about this theory, and receive training while caring for generation alpha.</p><p><strong>Practice implications: </strong>The knowledge gained through this study can be used to shape nursing care for alpha children, develop curative care behaviors, maintain care, and plan relevant training.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630249","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}