Journal of Perianesthesia Nursing最新文献

{"title":"Mapping the Nursing Literature on Postoperative Pain: A Bibliometric Analysis","authors":"Havvane Kulaksızoğlu MSc ,&nbsp;Seçil Taylan PhD ,&nbsp;Fatma Eti Aslan PhD","doi":"10.1016/j.jopan.2025.01.017","DOIUrl":"10.1016/j.jopan.2025.01.017","url":null,"abstract":"<div><h3>Purpose</h3><div><span><span>To evaluate nursing research related to </span>postoperative pain through </span>bibliometric analysis and to provide a structured macroscopic overview of the characteristics and development of this research.</div></div><div><h3>Design</h3><div>A bibliometric analysis.</div></div><div><h3>Methods</h3><div>The Web of Science database was selected for the bibliometric analysis study, with data included up to August 30, 2024. The analysis was performed using the \"biblioshiny\" application available in the Bibliometrics R package.</div></div><div><h3>Findings</h3><div><span>A total of 3,410 nursing articles on postoperative pain were published in 976 sources from 1975 to 2024. The journals with the highest number of publications were </span><span><em>Pain Management</em><em> Nursing</em></span>, <span><em>Journal of </em><em>Perianesthesia Nursing</em></span>, and <em>Journal of Clinical Nursing</em><span>. According to Bradford's law-based analyses, there are 26 journals in the first zone, 168 journals in the second zone, and 782 journals in the third zone. Wang J, Kehlet J, and He HK were the most prolific authors. The study found that the distribution of authors did not follow Lotka's law. Developed countries were the most prolific in nursing publications on postoperative pain, and these countries had the highest number of collaborative publications. Keywords focused on “management,” “surgery,” “nursing,” and “pain,” with “management,” “surgery,” and “postoperative pain” being the most concentrated themes in the thematic map. Gaps in the literature included “education,” “women,” “mortality,” “programme,” and “rehabilitation,” while key themes requiring further development were identified as “pain,” “analgesia,” “anaesthesia,” “quality of life,” “risk factors,” and “risk.”</span></div></div><div><h3>Conclusions</h3><div>This bibliometric study provides a comprehensive and integrative review of the global literature on postoperative pain in nursing.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 5","pages":"Pages 1386-1395"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327491","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":"Optimization of a Push Notification System to Improve First-case Delays: A Quality Improvement Project","authors":"Chelsea Secondino DNP, APRN, FNP-BC,&nbsp;Samantha Tortora DNP, APRN, FNP-BC,&nbsp;Kerry A. Milner DNSc, APRN, FNP-BC, EBP-C","doi":"10.1016/j.jopan.2024.11.012","DOIUrl":"10.1016/j.jopan.2024.11.012","url":null,"abstract":"<div><h3>Purpose</h3><div>To increase first-case on-time start (FCOTS) rates at a large New England hospital by optimizing the use of a preoperative (pre-op) push notification system to reduce delays and improve operating room efficiency.</div></div><div><h3>Design</h3><div>The project employed a quality improvement approach guided by the Model for Improvement from the Institute for Healthcare Improvement.</div></div><div><h3>Methods</h3><div>A push notification system integrated into the electronic health record was used to enhance communication between surgeons and pre-op nurses across three surgical pavilions. Mandatory education sessions were provided for all enrolled staff, and Plan-Do-Study-Act cycles were conducted to refine processes and monitor outcomes. Data on notification usage and FCOTS rates were tracked from pre implementation (August 2023) through the implementation phase (December 2023).</div></div><div><h3>Findings</h3><div>Training resulted in 87% (n = 60) of nurses completing the push notification education, and 31% (n = 28) of surgeons confirmed reviewing training materials. Initial implementation increased push notification use among nurses from 26% to a peak of 51% in October 2023, though this later declined to 39% by year-end with net gain of 17%. Among surgeons, push notification usage peaked at 18%, with a net gain of 2% over the baseline. The East pavilion maintained relatively high FCOTS rates, decreasing slightly from 82% in October to 78% by year-end. In the North and South pavilions, increased push notification usage by nurses aligned with gradual FCOTS improvements: the North pavilion rose from 63% to 65%, while the South pavilion experienced fluctuations, ultimately achieving a 12% increase from baseline to reach 57% in December.</div></div><div><h3>Conclusions</h3><div>These findings suggest that while increased push notification use among nurses helped improve FCOTS in some pavilions, limited surgeon participation may have hindered the overall impact on reducing delays. Future strategies should focus on increasing engagement from all staff, improving workflow integration, and implementing ongoing performance tracking to optimize surgical efficiency across all pavilions. Enhancing FCOTS not only improves the patient experience by reducing wait times and increasing satisfaction, but also benefits staff by streamlining workflows and reducing stress. Ultimately, these improvements support organizational goals for greater efficiency and cost-effectiveness in perioperative care.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 5","pages":"Pages 1111-1115"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191052","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":"Perioperative Health Education for Patients With Daytime Anorectal Surgery: An Evidence-based Practice Change","authors":"Weige Sun MD ,&nbsp;Fei Wu MD ,&nbsp;Aman Li MD ,&nbsp;Wenshuang Wang RN ,&nbsp;Jie Luo RN ,&nbsp;Huajun Zhang RN ,&nbsp;Ran Zhang MD ,&nbsp;Weixin Cai MD","doi":"10.1016/j.jopan.2024.11.017","DOIUrl":"10.1016/j.jopan.2024.11.017","url":null,"abstract":"<div><h3>Purpose</h3><div>To develop and implement an evidence-based perioperative health education program for patients undergoing daytime anorectal surgery, and to enhance patients’ knowledge scores pertaining to anorectal diseases.</div></div><div><h3>Design</h3><div>An evidence-based quality improvement project.</div></div><div><h3>Methods</h3><div>Adhering to the evidence-based practice model of the Joanna Briggs Institute, we developed 17 audit<span> criteria grounded in the best available evidence. This evidence-based practice was subsequently applied to patients scheduled for daytime anorectal surgery between March 2023 and May 2024. The project progressed through three distinct phases: a baseline audit, implementation of practice changes, and a post evidence application audit. Specifically, we compared the execution rates of the audit criteria by the nursing staff, patients’ scores on anorectal disease knowledge, patient satisfaction, and incidence of postoperative complications before and after implementation of the evidence-based practice.</span></div></div><div><h3>Findings</h3><div>After implementation of the evidence-based practice, there was a statistically significant difference in the execution rates of audit indicators 1, 2, 5, 6, 8, and 10 to 17 (<em>P</em> &lt; .05). After implementation, patients’ average score on anorectal disease knowledge was 74.14 ± 14.40, higher than the average baseline audit phase score of 63.67 ± 12.31 (<em>P</em> = .004). Patients were likely to recommend the hospital’s daytime anorectal surgery to others (<em>P</em> = .036). There were no statistically significant differences in patient satisfaction scores or complication incidence between the two groups.</div></div><div><h3>Conclusions</h3><div>Current evidence suggests that the program may regulate nurse behavior, enhance patients’ health knowledge, and improve patients’ overall medical experience. Continuous quality supervision and audit should be further conducted in the future.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 5","pages":"Pages 1125-1133"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634507","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 Preoperative Anxiety Levels of Patients Undergoing Total Knee Arthroplasty and Postoperative Recovery","authors":"Sevim Çelik PhD ,&nbsp;Rümeysa Birkanim BSN ,&nbsp;Sibel Altintaş PhD ,&nbsp;Elif Karahan PhD","doi":"10.1016/j.jopan.2024.12.004","DOIUrl":"10.1016/j.jopan.2024.12.004","url":null,"abstract":"<div><h3>Purpose</h3><div>Surgical interventions are significant factors that cause anxiety in individuals. This study aimed to determine the effect of preoperative anxiety on postoperative recovery<span> in patients undergoing total knee arthroplasty.</span></div></div><div><h3>Design</h3><div>A cross-sectional and correlational study.</div></div><div><h3>Methods</h3><div>This study was conducted between February 2023 and September 2023 with 204 patients scheduled for total knee arthroplasty. Data were collected through face-to-face interviews using the Patient Information Form, Surgical Anxiety Questionnaire for Adult Patients, and Postoperative Recovery Index (PRI).</div></div><div><h3>Findings</h3><div><span>The Surgical Anxiety Questionnaire for Adult Patients' mean score was 31.38 ± 13.91 and the PRI total score was 2.98 ± 0.76. The subscale showed that the highest scores were 12.14 ± 4.97 for health-related anxiety. The anxiety scores concerning recovery, surgical procedures, and invasive procedures were lower. Patients experienced moderate difficulty in the recovery of intestinal symptoms (2.55 ± 0.98) and psychological symptoms (2.43 ± 0.88), significant difficulty in the recovery of desire-wish symptoms (&gt;2.5), and extreme difficulty in the recovery of physical symptoms (3.87 ± 0.81). A positive and statistically significant relationship was found between surgical anxiety levels and postoperative recovery index mean scores (</span><em>P</em> &lt; .001).</div></div><div><h3>Conclusions</h3><div>The study showed that preoperative surgical anxiety negatively impacts postoperative recovery. Identifying preoperative anxiety levels and implementing interventions to reduce or eliminate surgical anxiety will be beneficial in achieving positive outcomes in the postoperative recovery process.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 5","pages":"Pages 1203-1209"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765582","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":"Effects of Sevoflurane and Propofol During Mechanical Ventilation: A Meta-analysis of Randomized Controlled Trials","authors":"Peixia Yu BD ,&nbsp;Lijun Bo PhD","doi":"10.1016/j.jopan.2024.12.001","DOIUrl":"10.1016/j.jopan.2024.12.001","url":null,"abstract":"<div><h3>Purpose</h3><div>To compare the inflammatory response, hemodynamic<span><span> stability, and postoperative recovery<span><span> of sevoflurane versus </span>propofol after </span></span>mechanical ventilation during surgery, to provide references for rational anesthesia utility in clinical practice by meta-analysis.</span></div></div><div><h3>Design</h3><div>Systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>Pubmed, Web of Science, Cochrane Library, Wanfang Data, China National Knowledge Infrastructure, and Chinese BioMedical Literature Database were searched by computer for trials on the anesthetic effects of sevoflurane<span> and propofol after mechanical ventilation during surgery. A random- or fixed-effects model was applied to analyze the clinical indicators and adverse impact based on heterogeneity.</span></div></div><div><h3>Findings</h3><div><span>As of April 21, 2023, 912 articles were retrieved, and 36 eligible articles were finally identified after screening, covering 2,691 surgical patients for meta-analysis. The combined results exhibited that the level of tumor necrosis factor (TNF)-α in alveolar lavage was significantly different between the 2 groups (−0.94, 95% confidence interval [CI]: −1.82 to −0.05, </span><em>P</em> = .038). Compared with sevoflurane, propofol significantly increased TNF-α levels in alveolar lavage. In plasma or serum, propofol significantly increased the levels of interleukin-10 (−0.73, 95% CI: −1.36 to −0.10, <em>P</em> = .023) and TNF-α (−0.65, 95% CI: −1.21 to −0.09, <em>P</em> = .022).</div></div><div><h3>Conclusions</h3><div>At alveolar lavage and serum or plasma levels of inflammatory factors, the proinflammatory factor TNF-α was significantly lower in the sevoflurane group than in the propofol group. This indicates that sevoflurane has a certain role in alleviating local and systemic lung inflammation. However, more randomized controlled studies are warranted in the future to confirm whether there is a difference in hemodynamic stability and postoperative recovery of patients.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 5","pages":"Pages 1333-1345.e4"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812765","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":"Reducing Pain With IV Insertion Using a Needleless Anesthetic Device in the Pediatric Ambulatory Surgery Unit","authors":"Lisa Schaeg Merritt DNP, APRN, CPNP-PC/AC,&nbsp;Catherine Sweet MSN, APRN, CPNP,&nbsp;Jaiden Newman BSN, RN,&nbsp;Kaity Roberts BS, CCLS,&nbsp;Natalie Featherston BS, CCLS","doi":"10.1016/j.jopan.2024.11.006","DOIUrl":"10.1016/j.jopan.2024.11.006","url":null,"abstract":"<div><h3>Purpose</h3><div>To reduce pain scores with intravenous (IV) insertion by 50% over 2 months among children in the ambulatory surgery center within a pediatric academic hospital.</div></div><div><h3>Design</h3><div>Evidence-based quality improvement project.</div></div><div><h3>Methods</h3><div>The project was implemented on a pediatric ambulatory surgery unit within a large, urban pediatric academic hospital. Interventions included implementing an evidence-based needleless anesthetic (J-Tip) with 1% buffered lidocaine. The team collected baseline data based on the standard unit practice before implementation. Our primary outcome was the mean pain scores during IV insertions for children receiving a peripheral IV for ambulatory surgery, and our secondary outcomes were pain scores with the application of the anesthetics and the number of IV attempts. This was carried out through practice changes implemented in Plan-Do-Study-Act (PDSA) cycles.</div></div><div><h3>Findings</h3><div>Mean pain scores decreased by 72%. This was a statistically significant improvement (<em>P</em> &lt; .05) from baseline (x̄ = 5.3) to post intervention (x̄ = 1.5). We found a slight decrease in IV attempts in the intervention group, from 1.47 to 1.35.</div></div><div><h3>Conclusions</h3><div>This quality improvement project significantly enhanced the quality of care for pediatric patients in the ambulatory surgery unit by effectively decreasing pain associated with IV insertions. By implementing evidence-based strategies such as needleless anesthetic devices, perianesthesia nurses can minimize pain and create a less intimidating environment for pediatric patients.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 5","pages":"Pages 1104-1110"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732539","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":"Music Interventions to Reduce Anxiety and Pain in Surgical Patients: An Umbrella Review","authors":"Heather Parr DNAP, APRN-CRNA ,&nbsp;Jiale Hu PhD, RN, FAAN","doi":"10.1016/j.jopan.2024.11.009","DOIUrl":"10.1016/j.jopan.2024.11.009","url":null,"abstract":"<div><h3>Purpose</h3><div>Anxiety and pain are two of the most prevalent clinical problems seen in the perioperative period<span>. Music intervention has been shown to decrease anxiety and pain levels in patients undergoing surgery. This umbrella review<span> aimed to summarize current evidence regarding music listening and its effects on patient anxiety and pain during the perioperative period.</span></span></div></div><div><h3>Design</h3><div><span>Qualitative umbrella review including </span>systematic reviews and meta-analyses.</div></div><div><h3>Methods</h3><div><span><span>A detailed search strategy of systematic reviews and meta-analyses published between 2007 and 2023 was conducted on MEDLINE (Pubmed), </span>CINAHL (EBSCO), </span>EMBASE<span><span> (OVID), PsycINFO (EBSCO), and Cochrane. </span>Data extraction and methodological quality grading was performed independently by two separate authors.</span></div></div><div><h3>Findings</h3><div>Most included reviews found a statistically significant effect of music listening on anxiety and pain levels. All music interventions had high heterogeneity due to differing music types and characteristics. Music intervention by a certified music therapist and music preferences chosen by patients proved to have better results than listening to preassigned music.</div></div><div><h3>Conclusions</h3><div>Music listening is a safe, cost-effective, and easy-to-implement intervention that can be used as a sole approach or complementary therapy to decrease anxiety and pain levels during the perioperative period.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 5","pages":"Pages 1316-1324.e3"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192423","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 Prevalence and Effect of Prewarming on Unintentional Perioperative Hypothermia in Patients Undergoing Major Abdominal Surgery Walking to the Operating Room: A Non-randomized Prospective Intervention Study","authors":"Charlotte Rosenkilde MSc, MCN, RNA ,&nbsp;Dorthe Hasfeldt PhD, MSc, RNA ,&nbsp;Hanne Irene Jensen PhD, MHSc, CCN","doi":"10.1016/j.jopan.2025.01.021","DOIUrl":"10.1016/j.jopan.2025.01.021","url":null,"abstract":"<div><h3>Purpose</h3><div>The purpose of the study was to determine the prevalence of unintentional perioperative hypothermia with and without preoperative warming and evaluate the effect of prewarming on core temperature in patients undergoing major abdominal surgery walking to the operating room (OR).</div></div><div><h3>Design</h3><div>A non-randomized prospective intervention study.</div></div><div><h3>Methods</h3><div><span>Participants were patients scheduled for major abdominal surgery and walking to the OR. The control group received a forced-air warming system during the surgery, whereas the intervention group received a forced-air warming system throughout the </span>perioperative period<span><span>. Core temperature was assessed on arrival to the OR and in 30-minute intervals after induction of anesthesia and during surgery and on arrival at the </span>postanesthesia care unit (PACU).</span></div></div><div><h3>Findings</h3><div>Overall, 30 patients were included in the control group and 30 patients in the intervention group. Five patients (16.7%) in the intervention group and 19 patients (63.6%) in the control group were hypothermic at a given time in the perioperative period<span>. The prevalence of hypothermia was significantly lower in the intervention group from 30 minutes after induction of anesthesia until arrival in the postanesthesia care unit. Prewarming reduced the drop in core temperature.</span></div></div><div><h3>Conclusions</h3><div>The prewarming method combined with peroperative active warming with forced-air warming in patients walking to the OR reduces the drop in core temperature and the prevalence of unintentional perioperative hypothermia throughout the perioperative period.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 5","pages":"Pages 1275-1280"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210030","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":"Corrigendum to “Evaluation of Brachial Plexus Nerve Variations in Axilla by Ultrasonography” [Journal of PeriAnesthesia Nursing 39 (2024) 523-526]","authors":"Hale Aksu MD ,&nbsp;Murat Özçelik MD ,&nbsp;Damla Kaytancı MD ,&nbsp;Elvan Öçmen MD ,&nbsp;Ayşe S. Kızıl MD ,&nbsp;Semih Küçükgüçlü MD ,&nbsp;Kubra Erdogan MD","doi":"10.1016/j.jopan.2025.05.011","DOIUrl":"10.1016/j.jopan.2025.05.011","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 5","pages":"Page 1412"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144651008","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":"Leadership Development: Facilitating Effective Leadership","authors":"Sandra J. Galura PhD, RN, NE-BC","doi":"10.1016/j.jopan.2025.07.002","DOIUrl":"10.1016/j.jopan.2025.07.002","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 5","pages":"Pages 1404-1406"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145183559","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}