Journal of Perianesthesia Nursing最新文献

{"title":"Effect of Esketamine and Etomidate on Postoperative Cognitive Function in Elderly Patients Undergoing Painless retain-->Bronchoscopy: A Randomized Controlled Trial.","authors":"Xiaofeng Xu, Nayu Yang, Wujian Zhu, Jing Yu, Yuan Zhou, Ligang Shan","doi":"10.1016/j.jopan.2025.03.010","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.03.010","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the effects of different doses of esketamine with etomidate on anesthesia and postoperative cognitive function of elderly patients undergoing painless tracheoscopy.</p><p><strong>Design: </strong>This was a double-blind, randomized controlled trial.</p><p><strong>Methods: </strong>In this study, 150 patients over 65 were divided into group A (low-dose: 0.15 mg/kg esketamine + 0.3 mg/kg etomidate), group B (medium-dose: 0.3 mg/kg esketamine + 0.3 mg/kg etomidate), and group C (high-dose: 0.5 mg/kg esketamine + 0.3 mg/kg etomidate), with 50 patients in each group. The primary outcomes included analgesic and sedative effects evaluated via Visual Analog Scale and Ramsay Sedation Score, and cognitive function assessed via the Mini-Mental State Examination preoperatively and at 1 and 3 days postoperatively. Changes in hemodynamic parameters (heart rate and mean arterial pressure), operation duration, and adverse events were also analyzed.</p><p><strong>Findings: </strong>Demographic characteristics of patients in both groups were comparable. Group C exhibited the best analgesic and sedative effects with more stable hemodynamics, with significant differences in the heart rate and mean arterial pressure. The recovery time was prolonged in group C, while no significant differences were noted in operation duration or adverse events, although group C experienced more complications.</p><p><strong>Conclusions: </strong>Different doses of esketamine with etomidate had better analgesic and sedative effects, reduced the postoperative cognitive impairment, and provided hemodynamic stability and better safety. A high-dose combination was most effective in analgesia, sedation, and hemodynamic parameter stabilization, while a medium-dose combination yielded the best results for cognitive recovery and fewer adverse effects.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993710","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 Crucial Role of the Perianesthesia Nurse in Preadmission Assessment With Unexpected Findings: A Case Report.","authors":"Sara Edwards, Jeanie M Bochenek, Tracy Taylor, Stephen McGhee","doi":"10.1016/j.jopan.2025.03.008","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.03.008","url":null,"abstract":"<p><p>Tetralogy of Fallot is a congenital heart condition comprising four hallmark structural heart defects: ventricular septal defect, pulmonary stenosis, overriding aorta, and right ventricular hypertrophy, which may lead to patients experiencing low levels of oxygen saturation. Patients with tetralogy of Fallot may appear cyanotic; however, patients with adequate pulmonary blood flow may remain asymptomatic and undetected. The preadmission history and assessment skills of the perianesthesia nurse are essential to provide patient-centered care. This paper highlights the importance of the role of the perianesthesia nurse when completing comprehensive health histories and physical assessments before any procedures and care provided.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993959","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":"Comparison of the Teleflex Vasc Band Hemostat and the Terumo Radial (TR) Band Compression Device After Transradial Cardiac Catheterization: A Retrospective Study.","authors":"Andrea Lacourciere, Ray Brittany Gannon","doi":"10.1016/j.jopan.2025.02.015","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.02.015","url":null,"abstract":"<p><strong>Purpose: </strong>Transradial access has emerged as the preferred approach for cardiac catheterization. A comprehensive evaluation of the available hemostatic compression devices is necessary, as their use may impact clinical outcomes. This study aimed to compare the time to hemostasis and the rate of early local vascular complications in patients greater than or equal to 18 years of age treated with either a Vasc Band hemostat or a Terumo Radial (TR) Band compression device after transradial cardiac catheterization.</p><p><strong>Design: </strong>Single-center, retrospective cohort study.</p><p><strong>Methods: </strong>The sample included 250 patients who underwent transradial cardiac catheterization from September 2022 to December 2022 at a 280-bed community hospital. Data were manually extracted from the electronic medical record system. The Mann-Whitney U test was used to assess the difference in time to hemostasis between groups. The χ² analyses was used to determine differences in rates of early local vascular complications between the groups.</p><p><strong>Findings: </strong>There were no statistical differences in baseline and procedural characteristics between the two groups. For patients who underwent a diagnostic left heart catheterization only, there was a significant difference in time (minutes) to hemostasis between the two devices: (Md = 57, n = 164), U = 3517, z = 2.940, P = .003. Time (minutes) to hemostasis was reduced with Vasc Band (Md = 54.5, n = 118) than TR Band (Md = 68.5, n = 46). No significant differences in time to hemostasis were found between the two devices among patients who underwent percutaneous coronary intervention: (Md = 154.5, n = 56), U = 343, z = 0.205, P = .838. There were no significant differences in bleeding, hematoma formation, or ecchymosis between the band types.</p><p><strong>Conclusions: </strong>This study is the first to compare outcomes of cardiac catheterization patients treated with the Vasc Band compared with the TR Band. Future prospective studies should assess the clinical outcomes of the Vasc Band in comparison with other radial artery compression devices.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975681","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":"\"Who Does the Operating Room Resuscitation?\" Experiences of Operating Room Nurses and Anesthesia Technicians Regarding Intraoperative Cardiopulmonary Resuscitation: A Qualitative Study.","authors":"Ozlem Sahin Akboga, Esra Ozbudak Arıca, Rukıye Hobek Akarsu, Betul Unsal","doi":"10.1016/j.jopan.2025.06.004","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.06.004","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to determine the opinions, experiences, and recommendations of operating room (OR) nurses and anesthesia technicians in intraoperative cardiopulmonary resuscitation (IO-CPR) management.</p><p><strong>Design: </strong>A qualitative design was used in the present study.</p><p><strong>Methods: </strong>This study was conducted using in-depth interviews with OR nurses (n = 8) and anesthesia technicians (n = 7) working in the OR unit of a tertiary hospital in Türkiye. The analysis and synthesis of the data were conducted through the use of an inductive thematic approach.</p><p><strong>Findings: </strong>As a result of the data analysis, three main and eight subthemes were identified: (1) information insufficiency (insufficient knowledge about the patient and the surgical process, the management of the IO-CPR process), (2) roles related to the IO-CPR management process (not being involved in process management, conveniences, and challenges), and (3) recommendations for IO-CPR management (preoperative evaluation, intraoperative monitoring, and training and cooperation of the OR team).</p><p><strong>Conclusions: </strong>The OR nurses did not actively participate in the process of IO-CPR management and only observed the general condition of the patient during the CPR management process. Anesthesia technicians played an active role in the management of IO-CPR and often took the lead in coordinating the actions of the OR team. A comprehensive review of the roles and responsibilities of OR nurses during intraoperative cardiac arrest is warranted, with the aim of informing appropriate structural and procedural revisions to enhance team performance and patient outcomes.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975674","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":"Incidence and Risk Factors of Pressure Injury in Patients Undergoing Spinal Surgery in the Prone Position: A Retrospective Cohort Study.","authors":"Thanyawit Ninlaphut, Nittaya Boonsri, Nichawan Koompong","doi":"10.1016/j.jopan.2025.03.006","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.03.006","url":null,"abstract":"<p><strong>Purpose: </strong>This study was performed to investigate the incidence rate and risk factors associated with pressure injuries (PIs) in patients undergoing spinal surgery in the prone position.</p><p><strong>Design: </strong>A retrospective cohort study.</p><p><strong>Methods: </strong>A total of 590 patients who underwent spinal surgery in the prone position were compared for potential risk factors-related PIs. The preoperative patient characteristics, intraoperative factors, and postoperative outcomes were collected using a patient record form based on existing literature. Univariate and multivariate logistic regression analyses were conducted to identify independent risk factors for the occurrence of PIs.</p><p><strong>Findings: </strong>The overall incidence rate of PIs was 26.94%. The most commonly affected areas were the face, chest, and anterior superior iliac spine (89.94%, 89.30%, and 77.35%, respectively). Most patients developed stage 1 (89.30%) and stage 2 (11.70%) PIs. Multivariate analysis revealed that anemia (adjusted odds ratio [AOR] = 2.13, 95% confidence interval [CI] = 1.09 to 4.16, P = .026), obesity (AOR = 2.29, 95% CI = 1.26 to 4.97, P = .004), operation time exceeding 6 hours (AOR = 4.49, 95% CI = 2.31 to 8.74, P < .001), and blood loss greater than 750 mL (AOR = 6.45, 95% CI = 2.42 to 25.95, P < .001) were significant risk factors for PI occurrence. In the subgroup analysis, the risk of PIs was evaluated based on the operation time. Anemia significantly increased the risk of PIs in surgeries lasting more than 6 hours (AOR = 2.75, 95% CI = 1.34 to 4.79, P = .004). Obesity was a significant risk factor for both shorter surgeries (AOR = 2.59, 95% CI = 2.06 to 5.97, P = .004) and longer surgeries (AOR = 4.50, 95% CI = 2.75 to 8.44, P = .001). Blood loss greater than 750 mL was a significant risk factor for PI occurrence in both shorter surgeries (AOR = 4.42, 95% CI = 2.42 to 19.95, P < .001) and longer surgeries (AOR = 8.24, 95% CI = 2.98 to 45.86, P < .001).</p><p><strong>Conclusions: </strong>Health care professionals play a crucial role in optimizing patient health before surgery, particularly patients with anemia, obesity, significant blood loss, and prolonged operation times. Intraoperative management strategies should be implemented to prevent PIs during spinal surgeries in the prone position.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975708","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":"Bibliometric and Visual Analysis of Inadvertent Perioperative Hypothermia: A Last 20 Years of Research (2004 to 2024).","authors":"Dianye Yao, Jingchan Qiu, Qingqing Liang","doi":"10.1016/j.jopan.2025.05.179","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.05.179","url":null,"abstract":"<p><strong>Purpose: </strong>To comprehensively and objectively visualize the landscape, trends, and key contributors in Inadvertent Perioperative Hypothermia (IPH) research using bibliometric analysis, addressing the current lack of such synthesized reports.</p><p><strong>Design: </strong>A bibliometric and mapping analysis of the global IPH research literature.</p><p><strong>Methods: </strong>IPH-related publications (2004-2024) were retrieved from the Web of Science core collection. Bibliometric assessment and visualization were performed using R, Citespace, and VOSviewer.</p><p><strong>Findings: </strong>Analysis of 1,272 publications revealed a fluctuating upward trend in output. The United States, China, and Germany emerged as the most influential countries. Journal of PeriAnesthesia Nursing published the most articles. Braeuer Anselm and Sessler Daniel I. were the most prolific authors, while Rajagopalan S authored the most cited paper. Key research clusters included IPH terms (hypothermia, anesthesia), surgical operations (surgery, wound infection), preventive measures (prewarming, forced-air warming), and complications (blood loss, mortality). Recent hotspots focus on \"outcomes,\" \"perioperative care,\" \"cesarean delivery,\" and \"risk factors.\" Keyword evolution indicates emerging interests in \"hypothermia in cesarean delivery\" and \"risk prediction modeling.\" Publications on heating device innovation increased significantly (17%), while research on nursing compliance lagged (8%).</p><p><strong>Conclusions: </strong>This analysis identifies research hubs, authoritative authors, and evolving trends, providing a roadmap for interdisciplinary collaboration. Findings highlight the dominance of anesthetic-driven studies (high citations) versus nursing journals' focus on prevention and prewarming. The significant growth in device innovation research compared to compliance studies reveals a translational gap. These insights offer an evidence-based foundation for optimizing thermal management protocols and prioritizing research to advance perioperative nursing quality.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975743","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 \"Effects of Three Different Heating Devices on Patients Undergoing Surgery: A Network Meta-Analysis\" [Journal of PeriAnesthesia Nursing 39 (2024) 839-846].","authors":"Hao C He, Bi J Yu, Shu Y Mai, Ye Liu, Meng Y Li, Xiao Y Yan, Xiao H Huang","doi":"10.1016/j.jopan.2025.03.001","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.03.001","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975654","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 Effect of Ginger and Mint on Postoperative Nausea and Vomiting in Patients Undergoing Total Thyroidectomy.","authors":"Sona Pashaei, Nuray Akyüz, Yeliz Emine Ersoy","doi":"10.1016/j.jopan.2025.02.004","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.02.004","url":null,"abstract":"<p><strong>Purpose: </strong>Postoperative nausea and vomiting (PONV) is a group of symptoms that develop in patients within 24 hours after surgical intervention and are undesirable outcomes complicating patients' postoperative recovery. The purpose of this study was to establish the impact of ginger and peppermint essential oil inhalation for PONV in patients who underwent total thyroidectomy.</p><p><strong>Design: </strong>Our study was designed as a randomized controlled experimental study.</p><p><strong>Methods: </strong>Participants consisted of patients who underwent thyroidectomy surgery at Bezmialem Vakif University General Surgery Clinic between February 2021 and August 2022. The subjects were first divided randomly into three groups: a ginger group, a peppermint group, and a routine care group. Patients' pain, nausea, and vomiting severity were measured at 2, 6, and 24 hours. Patients' outcome was assessed using the visual analog scale and the Rhodes Nausea and Vomiting Index.</p><p><strong>Findings: </strong>Significantly lower pain and nausea severity was found in the ginger group compared with the control group. Similarly, the peppermint group also showed significantly lower pain and nausea severity compared with the control group. Rhodes 1 item score was 0.48 ± 0.51 in the ginger group, 1.11 ± 0.64 in the peppermint group, and 1.37 ± 0.49 in the control group (P < .001). These findings suggest that both ginger and peppermint essential oils are effective in alleviating PONV symptoms, with each group showing significant improvement compared with the control group.</p><p><strong>Conclusions: </strong>Results support that ginger and mint might have a positive effect if used to improve postoperative recovery quality. This nursing intervention is recommended to prevent and minimize the PONV occurrence and is made of ginger and mint.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975679","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":"Surgical Nurses' Perceptions and Self-confidence Levels Regarding Family Involvement in Cardiopulmonary Resuscitation Practices: A Cross-sectional Study.","authors":"Nurdan Gezer, Esma Özaydın, Ezgi Arslan, Halise Çi̇nar","doi":"10.1016/j.jopan.2025.05.008","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.05.008","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to determine the perceptions of surgical nurses regarding family presence during resuscitation and their confidence levels and the factors affecting them.</p><p><strong>Design: </strong>The study used a cross-sectional research method.</p><p><strong>Methods: </strong>The study was conducted with 145 nurses working in surgical units of a university hospital in southern Turkey between June and December 2021. The Sociodemographic Characteristics Form and the Family Presence During Resuscitation Perception Form were used to obtain demographic data and the scores on the Family Presence Risk-Benefit Scale and the Family Presence Self-Confidence Scale of participants. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist was used to report this study.</p><p><strong>Findings: </strong>The mean Family Presence Risk-Benefit Scale and Family Presence Self-Confidence Scale scores of nurses were 2.89 ± 0.895 and 2.31 ± 0.68, respectively. The analyses revealed that the mean scores of both were moderate. No significant differences were observed between the nurses' demographic characteristics and both scale scores. When asked, \"What is your opinion on family presence during resuscitation?\" most nurses indicated that it could interfere with team communication, increase the risk of aggression, elevate stress levels, and result in unnecessary procedures. When asked, \"Has any family member ever requested to be in the room during resuscitation?\" more than half of the nurses responded negatively.</p><p><strong>Conclusions: </strong>This study found that the nurses perceived family presence during resuscitation practices as more risky and less beneficial. Similarly, the low Family Presence Self-Confidence Scale scores suggested a lack of confidence in these practices. Hence, in-service training programs incorporating various educational technologies to improve nurses' knowledge, attitudes, and confidence regarding family presence during resuscitation practices should be implemented.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975688","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":"Effectiveness of Music Intervention on Perioperative Anxiety and Physiological Indicators in Orthopedic Surgery Patients: A Pilot Randomized Controlled Trial.","authors":"Ming-Yu Hsieh, Cheng Chen, Yong-Hsin Chen, Chiu-Hsiang Lee","doi":"10.1016/j.jopan.2025.05.177","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.05.177","url":null,"abstract":"<p><strong>Purpose: </strong>This pilot study aimed to evaluate the effectiveness of music intervention in reducing perioperative anxiety and improving physiological indicators in patients undergoing orthopedic surgery.</p><p><strong>Design: </strong>A randomized controlled trial design was employed.</p><p><strong>Methods: </strong>Participants scheduled for elective orthopedic surgery were randomly assigned to either the music intervention group or the control group. The intervention group received 30 minutes of calming instrumental music via headphones before surgery, while the control group received routine care without music. Anxiety levels were measured using the Visual Analogue Anxiety Rating (VIRA), and physiological indicators including blood pressure (BP), heart rate, and respiratory rate were recorded before and after the intervention.</p><p><strong>Findings: </strong>The music group showed a significant reduction in anxiety scores compared to the control group (p < .05). Additionally, there were notable improvements in systolic blood pressure and heart rate within the music group post-intervention. No adverse effects were reported.</p><p><strong>Conclusions: </strong>Music intervention is a simple, non-invasive, and effective method to reduce perioperative anxiety and stabilize physiological parameters in orthopedic surgical patients. This intervention may be considered as part of routine preoperative care.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975650","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}