Journal of Perianesthesia Nursing最新文献

{"title":"Validity and Reliability of the Turkish Adaptation of the Feeling Safe During Surgery Scale.","authors":"Hatice Çakır, Seda Cansu Yeniğün, Seçil Taylan","doi":"10.1016/j.jopan.2025.05.017","DOIUrl":"10.1016/j.jopan.2025.05.017","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to assess the validity and reliability of the Turkish adaptation of the Feeling Safe During Surgery Scale.</p><p><strong>Design: </strong>This study was methodological and descriptive.</p><p><strong>Methods: </strong>This study used data collected from a sample of 182 patients between November 2022 and December 2023. Various analytical techniques were applied, including the Index of Content Validity, Exploratory and Confirmatory Factor Analyses, Cronbach's α, test-retest reliability evaluations, and correlation analyses between individual items and total scores.</p><p><strong>Findings: </strong>The scale's Content Validity Index was calculated as determined to be 0.980. Factor analysis revealed two subdimensions that together explained 83.475% of the variance, with model fit values indicating strong suitability. The Cronbach's α coefficient was 0.951.</p><p><strong>Conclusions: </strong>The findings suggest that the Turkish version of the Feeling Safe During Surgery Scale is a reliable and valid tool for assessing patients' perceptions of safety in the perioperative period under regional anesthesia.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145287118","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":"The Relationship Between Anxiety and Quality of Recovery in Hepatobiliary Surgery Patients.","authors":"Zuleyha Aykut, Hulya Karakaya, Esma Ozsaker","doi":"10.1016/j.jopan.2025.05.019","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.05.019","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the study was to investigate the relationship between preoperative and postoperative anxiety and the postoperative quality of recovery in hepatobiliary surgery patients.</p><p><strong>Design: </strong>This study is a cross-sectional descriptive study.</p><p><strong>Methods: </strong>In total, 133 hepatobiliary surgery patients admitted for surgery at a university hospital between January and September of 2023 comprised the sample of this study. Data were collected using the Patient Information Form, the Quality of Recovery-40 Scale (QoR-40), and the State-Trait Anxiety Inventory (STAI)-State and Trait Anxiety Scale.</p><p><strong>Findings: </strong>The mean STAI-Trait Anxiety score was 38.85 ± 8.60, the mean STAI-State Anxiety score was 38.12 ± 11.23 preoperatively and 32.54 ± 7.82 postoperatively. The total postoperative QoR-40 score was 178.63 ± 16.79. Anxiety level and quality of recovery showed a negative correlation. The length of hospital stay, anxiety level, and anesthesia duration all showed a significant positive correlation; the quality of recovery showed a substantial negative correlation. We found that anxiety levels were higher in patients who were female, had lower levels of education, underwent major surgery, and underwent open surgery.</p><p><strong>Conclusions: </strong>Hepatobiliary surgery patients had low anxiety levels, good postoperative physical and emotional well-being, and that patients with low anxiety levels had better quality of recovery.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145287158","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":"Prevalence, Determinants, and Correlation of Anxiety With Multiple Risk Factors Among Preoperative Adult Patients at a Tertiary Care Hospital in Saudi Arabia.","authors":"Victoria Semaan, Pamela Matondo, Yousra El Zahabi, Samira Elbanna","doi":"10.1016/j.jopan.2025.05.015","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.05.015","url":null,"abstract":"<p><strong>Purpose: </strong>Preoperative anxiety significantly impacts patients' well-being and surgical outcomes, yet research on this issue is limited in Saudi Arabia, highlighting the need for studies in this cultural context. This study assessed the prevalence of preoperative anxiety and its associated factors among patients undergoing various surgical procedures at a private tertiary hospital in Saudi Arabia.</p><p><strong>Design: </strong>A cross-sectional descriptive study.</p><p><strong>Methods: </strong>A total of 385 participants were enrolled. Data collected included demographic information, medical history, procedural characteristics, and anxiety levels measured by the Amsterdam Preoperative Anxiety and Information Scale (APAIS).</p><p><strong>Findings: </strong>The study found that 42.3% of participants experienced preoperative anxiety. Anxiety was significantly higher among younger participants (P < .0001), females (P < .0001), those with children (P = .043), and individuals with higher education (P = .027) or a medical history (P = .032). Anxiety levels were also higher among those undergoing general anesthesia (P = .029), specifically those in general surgery, otolaryngology, and urology (P = .024). Some of the key factors contributing to anxiety included concerns about procedural knowledge (APAIS score: 17.00 ± 7.05), the use of needles (17.25 ± 6.17), postoperative complications (15.13 ± 5.33), and pain post-op (15.45 ± 5.97), and intra-op (18.14 ± 5.33). Moreover, participants who received information from their doctors had lower anxiety scores (P = .024).</p><p><strong>Conclusions: </strong>This study found a high prevalence of preoperative anxiety among surgical patients in Saudi Arabia, driven by various factors. Effective preoperative education and anxiety management, including detailed explanations of procedures, personalized anxiety-reduction techniques, and addressing cultural barriers, were shown to enhance patient well-being and surgical outcomes. Future research should assess the effectiveness of these strategies to improve preoperative care practices.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276407","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":"Risk Factors Contributing to Inadvertent Postoperative Hypothermia in Adult Patients Following Hepatobiliary Surgery.","authors":"Yan Ji, Yi Wang, Peipei Fei, Fei Chai, Shuqing Xia, Li Li","doi":"10.1016/j.jopan.2025.06.005","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.06.005","url":null,"abstract":"<p><strong>Purpose: </strong>This investigation focused on identifying the incidence and risk factors associated with inadvertent postoperative hypothermia in patients undergoing hepatobiliary surgery.</p><p><strong>Design: </strong>This is an observational cohort study.</p><p><strong>Methods: </strong>This study, conducted at a single center, tracked adults undergoing hepatobiliary procedures from January 1, 2023, to January 1, 2024. Upon entering the Post-Anesthesia Care Unit (PACU), core body temperature measurements were recorded, along with demographic information, clinical metrics, and details of the surgical procedure. The patients admitted to the PACU were categorized into hypothermia and non-hypothermia groups based on whether their core body temperature was below 36°C. Logistic regression analysis was conducted to identify the risk factors contributing to inadvertent hypothermia during recovery from general anesthesia in this patient population.</p><p><strong>Findings: </strong>In this study, 373 patients were enrolled: 205 were allocated to the hypothermia group and 168 to the non-hypothermia group. The independent risk factors for postoperative inadvertent hypothermia included duration of anesthesia (odds ratio [OR] = 1.01, CI: 1.00 to 1.02, P = .001), times of hepatic inflow occlusion (OR = 1.61, CI: 1.06 to 2.47, P = 0.027), use of infusion warming (OR = 14.19, CI: 1.88 to 107.25, P = .01), operation level (OR = 0.07, CI: 0.03 to 0.18, P < .001), American Society of Anesthesiologists' (ASA) classification (OR = 16.95, CI: 5.34 to 53.74, P < .001), type of surgery (open surgery) (OR = 3.80, CI: 2.10 to 6.90, P < .001), surgical site (liver) (OR = 7.07, CI: 2.80 to 17.82, P < .001), and surgical site (hepatobiliary) (OR = 5.29, CI: 2.09 to 13.37, P < .001).</p><p><strong>Conclusions: </strong>The investigation revealed a significant incidence of hypothermia (54.95%) in patients undergoing hepatobiliary surgery upon their arrival at the PACU. A substantial correlation was established between hypothermia and various factors in the post-anesthesia recovery phase for those undergoing hepatobiliary operations. Influential factors included the duration of anesthesia, the times of hepatic inflow occlusion, application of infusion warming, the operation level, the ASA classification, and whether the procedure was an open surgery specifically targeting the liver or hepatobiliary region.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276444","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":"Telehealth Applications Used in Perioperative Patient Care: A Systematic Review.","authors":"Ayşe Yilmaz Çelik, Hande Cengiz Açıl, Nilgün Sert Baş, Dilek Aygin","doi":"10.1016/j.jopan.2025.05.012","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.05.012","url":null,"abstract":"<p><strong>Purpose: </strong>Monitoring patients outside the hospital through communication tools in perioperative care is becoming increasingly prevalent. This systematic review explores the evolving role of mobile applications in perioperative care, highlighting their current scope and impact.</p><p><strong>Design: </strong>A systematic review.</p><p><strong>Methods: </strong>A systematic search was conducted using PubMed, Scopus, and ClinicalTrials.gov to identify articles published between January 1, 2012, and December 1, 2022. Only studies written in English that examined the use of telephone, email, teleconference, and a mobile health application in the perioperative setting (immediate preoperative, intraoperative, and postoperative) were included. 54 full texts were evaluated.</p><p><strong>Findings: </strong>Telehealth methods were used for preoperative patient preparation and postoperative patient follow-up. Telehealth was shown to improve patient compliance with the surgical process, save time and money, and improve access to health care services for patients living far from the hospital. The majority of studies also indicated that patients, caregivers, and health care professionals were satisfied with telehealth.</p><p><strong>Conclusions: </strong>Telehealth methods continue to create a potential field in classical health care delivery. Although studies show the benefits of telehealth in the surgical process, further research is needed to optimize patient selection and technological infrastructure using these methods.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276485","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":"Use of Virtual Reality in Providing Pain Management, Comfort, and Satisfaction After Thyroid-Parathyroid Surgery: A Randomized Controlled Study.","authors":"Berna Yilmaz, Sacide Yildizeli Topcu","doi":"10.1016/j.jopan.2025.06.011","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.06.011","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study is to investigate the impact of virtual reality (VR) application on pain management, comfort, and care satisfaction in patients undergoing thyroidectomy-parathyroidectomy.</p><p><strong>Design: </strong>This study was a randomized controlled experimental study including control and intervention groups.</p><p><strong>Methods: </strong>The research was conducted at a university hospital with a total of 69 patients who underwent planned thyroidectomy or parathyroidectomy. The intervention group consisted of 34 patients, whereas the control group consisted of 35 patients. Patients were randomly allocated to the intervention and control groups. Patients in the intervention group were shown a VR video displaying nature and sea images and containing background music for 15 minutes on the first day after the surgery. Patients' pain levels assessed before the procedure were re-evaluated at the end of the VR application. In the control group, pain assessment was made at the 0th and 15th minutes. After pain assessments, patients' comfort and satisfaction levels were also evaluated. Data were assessed using descriptive statistical methods, t test, variance analysis, and correlation analysis, with a 95% confidence interval, significance set at P less than .05.</p><p><strong>Findings: </strong>While the decrease in pain levels assessed before and after the intervention was statistically significant in both groups, there was a difference between the groups in terms of pain and comfort levels after the intervention. In the intervention group, pain levels were lower and comfort levels were higher after the VR application. In the control group, there was a negative relationship between postoperative pain and comfort.</p><p><strong>Conclusions: </strong>VR applications after thyroidectomy-parathyroidectomy can be an auxiliary method that can increase patients' comfort by contributing to effective pain management of the patients. VR applications can be used as a simple and risk-free method in nursing care, which aims to provide postoperative pain management and patient comfort. New studies should be conducted with larger samples examining the effectiveness of VR application in different surgical interventions.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276428","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":"Effect of Inspiratory Muscle Training on Functional Capacity, Lung Function, and Quality of Life in Operated Adolescent Idiopathic Scoliosis: A Double-blind Randomized Controlled Trial.","authors":"Ukbe Sirayder, Sabri Batin, Oguzhan Yilmaz, Emre Yurdakul, Ildeniz Akcadag","doi":"10.1016/j.jopan.2025.07.009","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.07.009","url":null,"abstract":"<p><strong>Purpose: </strong>Adolescent idiopathic scoliosis (AIS) negatively impacts general health due to impaired lung function. While previous studies have explored exercise training for AIS, the effectiveness of postsurgical inspiratory muscle training (IMT) remains unexamined. This study aimed to evaluate IMT's effectiveness during the early postsurgical period in AIS patients.</p><p><strong>Design: </strong>A double-blind, randomized, parallel-group clinical trial was conducted. Participants were unaware of group allocation.</p><p><strong>Methods: </strong>Functional capacity (6-minute walk test), lung function, respiratory and peripheral muscle strength, quality of life (Scoliosis Research Society-22, Oswestry Disability Index), and dyspnea were assessed. The study included 24 AIS patients scheduled for surgery: 12 in the IMT group (IMG) and 12 in the control group (CG). IMT was administered at 60% maximum inspiratory pressure (MIP) for the IMG and 5% MIP for the CG. Primary outcomes were functional capacity; secondary outcomes included lung function, dyspnea, muscle strength, and quality of life.</p><p><strong>Findings: </strong>Both groups experienced significant postoperative declines in forced expiratory volume in 1 second, peak expiratory flow, and forced expiratory flow at 25% to 75% of the pulmonary volume values on the second day. After 6 weeks, the IMG demonstrated significantly improved functional capacity, lung function, respiratory muscle strength, dyspnea, and quality of life compared with the CG (P < .05). Peripheral muscle strength did not differ significantly between groups (P > .05).</p><p><strong>Conclusions: </strong>AIS patients experienced reduced functional capacity, lung function, and quality of life post surgery. Six weeks of IMT significantly improved these parameters, demonstrating its safety, efficacy, and clinical applicability in AIS patients.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145252049","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":"Perspectives of Health Care Professionals on Barriers to the Clinical Implementation of Preoperative Short Fasting Recommendations: A Phenomenological Study.","authors":"Fadime Ertural, Gülden Küçükakça Çeli̇k, Seçil Taylan, Salime Mucuk","doi":"10.1016/j.jopan.2025.06.013","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.06.013","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to identify the barriers to translating evidence-based recommendations on preoperative fasting durations into clinical practice.</p><p><strong>Design: </strong>The study used a phenomenological design within qualitative research methodology.</p><p><strong>Methods: </strong>Criterion sampling, a purposive sampling method, was used to select the study group. Semistructured interview questions served as the data collection tool. All interviews were audio-recorded, and content analysis was employed for data analysis.</p><p><strong>Findings: </strong>Four main themes (A Reliable Method: The Nil Per Os Protocol, Concerns About the Proper Implementation of New Recommendations, Perspectives on Protocol Change, and Suggestions for Protocol Modification) and 13 subthemes emerged from the analysis of the data.</p><p><strong>Conclusions: </strong>The study concluded that the two primary barriers to implementing evidence-based practices in clinical settings are flexible operation schedules and the low socioeconomic status of patients.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253092","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":"Do Compression Stockings Used During Cesarean Sections Affect Intraoperative Hypotension and Nausea? A Single-Blinded Randomized-Controlled Study.","authors":"Seçil Yavaş, Tülay Bülbül, Gökhan Yavaş, Makbule Purtaş","doi":"10.1016/j.jopan.2025.06.012","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.06.012","url":null,"abstract":"<p><strong>Purpose: </strong>The present study aimed to determine the effects of compression stockings used during cesarean section on intraoperative hypotension.</p><p><strong>Design: </strong>The study had a randomized-controlled single-blind design.</p><p><strong>Methods: </strong>Seventy-two women were included in the study (36 in the intervention group and 36 in the control group). The closed envelope method was used for randomization. Women in the intervention group were fitted with compression stockings. During surgery, vital signs were monitored every 5 minutes using noninvasive methods, a Maternal Follow-up Form was filled out, and medications used were recorded. Standardization was achieved by applying the same protocol for spinal anesthesia, and preoperative and intraoperative fluid replacement in all women. This study adhered to the Consolidated Standards of Reporting Trials (CONSORT) checklist for reporting.</p><p><strong>Findings: </strong>In the group where compression stockings were used, mean systolic blood pressure (8.5%), diastolic blood pressure (15.6%), and mean arterial pressure (11.5%) values were higher, and nausea (36%), vomiting (93%), antiemetic use (38%) and vasopressor agent use (53%) were reduced.</p><p><strong>Conclusions: </strong>Compression stockings are a feasible method in cesarean section surgeries because they are a simple, accessible method that reduces reliance on pharmacological agents.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253326","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":"Effect of Increased Perioperative Communication Program on Short-term Outcomes in Elective Primary Knee Arthroplasty Patients: A Randomized Controlled Trial.","authors":"Cigdem Canbolat Seyman, Selda Urfa, Yasemin Cicibas, Hayriye Ünlü, Ahmet Özgür Yıldırım","doi":"10.1016/j.jopan.2025.05.020","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.05.020","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to determine the effect of an increased perioperative communication program (IPCP) in patients with total knee arthroplasty (TKA) on early postoperative outcomes.</p><p><strong>Design: </strong>A randomized controlled trial design was employed.</p><p><strong>Methods: </strong>This study was conducted with a total of 70 patients with TKA, 35 in the intervention group (IG) and 35 in the control group (CG). Eligible TKA patients were randomly allocated to IG and CG, respectively. While patients in the CG received routine perioperative care, patients in the IG were included in IPCP. All patients were followed for one month after discharge.</p><p><strong>Findings: </strong>The level of postoperative pain, length of hospital stay, postoperative early complications, and unplanned readmission rate was significantly reduced in the IG compared with the CG.</p><p><strong>Conclusions: </strong>IPCP was a useful, satisfactory intervention and kept patients better informed. Results support that postoperative complications in TKA patients may be reduced with a well-designed preoperative preparation process, sustainable communication, and postdischarge follow-up.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240155","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}