Nursing Research最新文献

{"title":"Exercise Behavior to Prevent Osteoporosis.","authors":"Sahar Mohammadnabizadeh, Maryam Mohammadi","doi":"10.1097/NNR.0000000000000832","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000832","url":null,"abstract":"<p><strong>Background: </strong>Although the benefits of exercise in osteoporosis prevention are well documented, research indicates that women's engagement in physical activity remains suboptimal.</p><p><strong>Objectives: </strong>The aim of this study was to assess the Health Belief Model constructs and the self-regulation concept derived from Social Cognitive Theory concerning exercise behaviors for osteoporosis prevention.</p><p><strong>Methods: </strong>The study used a cross-sectional survey of 250 women who were premenopausal (ages 30-49 years). The data collection instruments were comprised of health beliefs, self-regulation, awareness, and exercise behavior questionnaires.</p><p><strong>Results: </strong>The average score for exercise behavior was notably low. Within the integrated model, exercise behavior was significantly linked to increased levels of perceived benefits, perceived susceptibility, self-efficacy, health motivation, and self-regulation, as well as decreased levels of perceived barriers.</p><p><strong>Discussion: </strong>In the final model, perceived benefits and self-efficacy emerged as the most influential predictors of exercise behavior. Therefore, implementing strategies to improve effectiveness in practice, such as boosting self-efficacy through motivational counseling and educating individuals on the advantages of the recommended behavior, is likely to result in more successful health promotion initiatives for middle-aged women aimed at preventing osteoporosis.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":"74 5","pages":"385-390"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976387","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 of Health Behaviors and Symptom Status Mediated by Digital Health Literacy in Persons With Heart Failure.","authors":"Esra Nur Dibek, Merve Gulbahar Eren, Havva Sert, İbrahim Kocayİgİt","doi":"10.1097/NNR.0000000000000828","DOIUrl":"10.1097/NNR.0000000000000828","url":null,"abstract":"<p><strong>Background: </strong>In a digitalized world, accessing disease information through online platforms has become essential in influencing health-promoting behaviors among patients with heart failure. Patients must possess sufficient digital health literacy to obtain accurate and reliable information from digital platforms; however, there is no known data about the mediating role of digital health literacy in the relationship between health behaviors and symptom burden among persons with heart failure.</p><p><strong>Objective: </strong>To examine the relationship between digital health literacy, health behaviors, and symptom status (frequency, severity, and level of discomfort) in persons with heart failure and the mediating role of digital health literacy in the relationship between health behaviors and symptom status.</p><p><strong>Methods: </strong>This cross-sectional, correlational study was conducted between November 2023 and June 2024 with 250 persons diagnosed with heart failure. Data were collected using the Heart Failure Health Behavior Scale, e-Health Literacy Scale, and Heart Failure Symptom Status Scale. Pearson correlation analysis, linear regression, and hierarchical regression analysis with PROCESS Model 4 were used to analyze the continuous variables.</p><p><strong>Results: </strong>Digital health literacy was positively but weakly correlated with health behavior and negatively correlated with symptom status. The mediation analysis revealed that part of the effect of health behaviors on symptom status was mediated by digital health literacy.</p><p><strong>Discussion: </strong>Health behaviors directly affected symptom status and indirectly affected symptom status through digital health literacy. Strategies developed by nurses to enhance digital health literacy could play a critical role in improving the health of persons with heart failure by reducing symptom burden and promoting health behaviors. Research is needed on the influence of various predictors on symptom burden and assessing whether interventions to enhance digital health literacy can improve health outcomes among those with heart failure.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"349-356"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056831","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":"Racial Concordance of Nurses and Patients Across Hospitals.","authors":"Eileen T Lake, Christin Iroegbu, John F Rizzo, Celsea C Tibbitt, Kimi Li, Jessica G Smith, Douglas O Staiger, Nehemiah Weldeab, Jeanette A Rogowski","doi":"10.1097/NNR.0000000000000844","DOIUrl":"10.1097/NNR.0000000000000844","url":null,"abstract":"<p><strong>Background: </strong>A structurally fluent workforce is essential to demonstrate structural competency-the ability to recognize and address how social, political, and economic structures affect health. Such a workforce understands the role of external factors and social determinants in health inequities. Evidence shows that minority patients receive better care from a diverse workforce. The racial composition of hospital nurses and its correlation to patients remains unreported.</p><p><strong>Objective: </strong>The aim of this study was to evaluate patient-nurse racial concordance at the hospital level in a large geographically representative hospital sample.</p><p><strong>Methods: </strong>A cross-sectional descriptive study design was employed using the 2015 Annual Registered Nurse Survey of the National Database of Nursing Quality Indicators and 2019 Medicare patient data. Concordance was measured by subtracting the hospital nurse percentage from the patient percentage. We defined Black-serving hospital (BSH) status by classifying hospitals into categories (25/50/25) by low, medium, and high representation of Black patients. Descriptive and correlation statistics were calculated on nurse and patient race and their concordance at the hospital and BSH levels.</p><p><strong>Results: </strong>Among 574 hospitals, the proportion of Black nurses was significantly lower than that of Black patients, with considerable variation across hospitals. The representation of Black nurses and patients was strongly associated with hospitals that served more Black patients and generally employed more Black nurses. When grouped into low, medium, and high BSHs, the percentage of Black nurses differed considerably across the categories. High BSH had the greatest discordance.</p><p><strong>Discussion: </strong>Although Black nurses and Black patients are often clustered in the same hospitals, there are relatively few Black nurses in hospitals where Black patients primarily receive care. This study underscores the urgent need for healthcare institutions and policymakers to prioritize building structural competency and diversifying the nursing workforce, particularly in hospitals serving higher Black patient populations. Future research is warranted on whether patient-nurse racial concordance or a nursing workforce more reflective of the patient population it serves reduces disparities.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"405-409"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530727","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 Truth About Science.","authors":"Rita H Pickler","doi":"10.1097/NNR.0000000000000841","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000841","url":null,"abstract":"","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":"74 5","pages":"410"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976527","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":"Advancing Global Cancer Symptom Science: Insights and Strategies From the Inaugural Cancer Symptom Science Expert Meeting.","authors":"Sara Colomer-Lahiguera, Rachel A Pozzar, Carolyn S Harris, Jeannine M Brant, Yvette P Conley, Mary E Cooley, Manuela Eicher, Pamela S Hinds, Doris Howell, Sandra A Mitchell, Karin Ribi, Margaret Quinn Rosenzweig, Susan W Wesmiller, Christine Miaskowski, Marilyn J Hammer","doi":"10.1097/NNR.0000000000000840","DOIUrl":"10.1097/NNR.0000000000000840","url":null,"abstract":"<p><strong>Background: </strong>The inaugural \"Cancer Symptom Science Expert Meeting,\" held in Lausanne, Switzerland, on October 11-12, 2023, brought together 40 nurse scientists from seven countries to enhance collaboration across the global symptom science community; identify common research interests, gaps in knowledge, and opportunities for research; and develop strategies to address challenges and accelerate symptom science research internationally.</p><p><strong>Objectives: </strong>The aim of this white paper were to summarize the discussions and recommendations deliberated during the meeting and introduce the Global Research Alliance in Symptom Science (GRASS).</p><p><strong>Methods: </strong>This 2-day meeting featured presentations that highlighted critical issues and unanswered questions in cancer symptom science and other chronic conditions. Attendees identified four core topic areas based on the knowledge gaps reflected throughout the presentations. Four working groups (WGs) were formed to identify gaps and opportunities associated with each topic and to outline strategic directions and essential actions to advance symptom science.</p><p><strong>Results: </strong>The WGs developed recommendations on four core topic areas. WG1 explored optimal approaches to collect, analyze, and use symptom data for research and clinical purposes. WG2 addressed the development of a minimum dataset or common data model for symptom science research. WG3 focused on enhancement of best practices in implementation science strategies to improve uptake of evidence-based symptom management strategies in routine clinical care. WG4 addressed the questions of capacity building and infrastructure for the creation of a global alliance in symptom science (GRASS).</p><p><strong>Discussion: </strong>WGs' recommendations underscore the commitment of an international coalition of scientists to advance symptom science. The symposium established the groundwork for the group to constitute GRASS, a global research alliance dedicated to symptom science in cancer and other chronic conditions. Future directions include establishing regular scientific meetings, fostering interdisciplinary collaboration, and engaging with symptom scientists.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":"335-348"},"PeriodicalIF":2.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795987","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":"Efficacy of Transitional Care Services for Patients With Stroke: Systematic Review and Meta-Analysis.","authors":"Su Kyoung Kim, Heui Sug Jo, Yukyung Park, Inhyeok Yim","doi":"10.1097/NNR.0000000000000858","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000858","url":null,"abstract":"<p><strong>Background: </strong>Approximately 60% of patients who have a stroke are discharged to their homes, after which they require ongoing community-based rehabilitation to support long-term recovery. Transitional care services (TCS) serve as an intervention aimed at reducing hospital readmissions by maintaining treatment continuity, either when patients transition between different levels of care within the same setting or when they move to a new care environment.</p><p><strong>Objectives: </strong>The purpose of this review was to evaluate the efficacy of TCS in reducing readmission rates, enhancing functional outcomes, improving self-efficacy, and boosting the quality of life for patients who had a stroke while also alleviating caregiver burden.</p><p><strong>Methods: </strong>To review randomized clinical trials performed between January 2014 and December 2023, we adhered to the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines for reporting systematic reviews. We established a search strategy combining \"Transitional Care,\" \"Stroke,\" \"Cerebrovascular Disorders,\" \"Patient Discharge,\" and \"Continuity of Patient Care\" and used the PubMed, Embase, Cochrane Library, and CINAHL databases. We selected readmission rate and functional status as the primary outcomes and quality of life, self-efficacy, and care burden as secondary outcomes. We conducted a meta-analysis for each outcome indicator where quantitative synthesis was possible. For the meta-analysis, we used RevMan 5.4 and performed subgroup analyses according to intervention intensity, post-discharge intervention method, and intervention duration.</p><p><strong>Results: </strong>In the meta-analysis for each outcome indicator, we observed that TCS was effective in reducing the readmission rate of individuals living with stroke and improving their functional status. Additionally, patients with stroke who received TCS showed better quality of life, improved self-efficacy, and reduced caregiver burden compared to those who received usual care. Subgroup analyses revealed that patients with stroke who received moderate or higher intensity TCS for 2 months demonstrated improvements in functional status compared to those who received lower intensity or 3-month interventions.</p><p><strong>Discussion: </strong>This is the first known systematic review to synthesize studies on the efficacy of TCS for patients with stroke over the past 10 years, examining outcome indicators such as readmission rates and functional status. Based on subgroup analysis, we derived an effective TCS strategy (e.g., intensity and duration) to improve functional status.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994244","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":"Dating Violence Victimization and Depressive Symptoms and Suicidality by Sex.","authors":"Tyshaneka Saffold, Nancy M H Pontes, Manuel C F Pontes","doi":"10.1097/NNR.0000000000000854","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000854","url":null,"abstract":"<p><strong>Background: </strong>Adolescents who experience dating violence victimization (DVV) have much higher rates of suicidal ideation and suicide attempts.</p><p><strong>Objectives: </strong>This research investigates the association between DVV and depressive symptoms and suicidality among high school (HS) students by sex in the United States. This research also investigates whether students who dated and did not experience physical or sexual dating violence are at greater risk of depressive symptoms and suicidality than students who never dated.</p><p><strong>Methods: </strong>The HS Youth Risk Behavior Survey is a cross-sectional nationally representative U.S. survey conducted biennially by the Centers for Disease Control and Prevention. For this research, data were analyzed from four waves (2013-2019) to investigate the relationship between DVV and depressive symptoms and suicidality by sex. The R survey package was used for analyses.</p><p><strong>Results: </strong>Results showed a high prevalence of depressive symptoms and suicidality among students who reported DVV. Also, DVV was significantly associated with each of the variables: depressive symptoms, suicidal ideation, and suicide attempts. Additive interactions show that the positive association between DVV and depressive symptoms within the past year was significantly greater among female HS students; additive interactions showing a positive association between DVV and suicidal ideation or suicide attempts within the past year did not vary significantly by sex. Both male and female students who did not date were significantly less likely to have depressive symptoms, suicidal ideation, and suicide attempts than those who dated but did not experience dating violence.</p><p><strong>Discussion: </strong>Results from this study highlight the importance of dating violence prevention and screenings for female and male adolescents.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976360","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":"Cognitive Function, Physical Activity, and Sweat Cytokines in Older Adults With Dementia.","authors":"Jo Woon Seok, Ae Young Cho, Ji Yeon Lee, Hyangkyu Lee, Kyung Hee Lee","doi":"10.1097/NNR.0000000000000850","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000850","url":null,"abstract":"<p><strong>Background: </strong>Inflammatory cytokines are linked to cognitive function in older adults with dementia; however, their associations with physical activity (PA) and noninvasive biomarkers, such as sweat, remain unclear.</p><p><strong>Objectives: </strong>This study aimed to examine the relationships among cognitive function, PA, and sweat cytokines, as well as the moderating effect of cognitive function on the association between PA and cytokine levels.</p><p><strong>Methods: </strong>Data from 40 older adults with dementia were analyzed to assess correlations between cognitive function, PA measured via wearable devices and sweat cytokine levels. Pearson's correlation, multiple linear regression, and the Johnson-Neyman method were employed to evaluate these associations. Interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-α) levels were measured from sweat samples, and cognitive function was assessed using standardized cognitive tests.</p><p><strong>Results: </strong>PA was positively associated with IL-6 and TNF-α, while lower cognitive function was linked to higher TNF-α levels. Cognitive function moderated the association between PA and TNF-α; specifically, higher PA was associated with lower TNF-α levels among participants with moderate-to-severe levels of dementia.</p><p><strong>Discussion: </strong>These findings suggest that sweat cytokine measurement is a viable noninvasive biomarker for inflammatory responses in dementia and that the effect of PA on inflammation may be influenced by cognitive function. Nurses should consider patients' cognitive function when interpreting the association between PA and cytokine levels.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144664102","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":"Creating a Community of Safety in Black Maternal Health Research.","authors":"Alexis Dunn Amore, Abby J Britt, Renee Byfield, Kareena Cumberbatch, Oluwatomisin Faith-Tomi Wilson, Kamisha Milton, Raquibah Raheem, Shelley Gutierrez, Tietra Jones, Amanda Mullen, Nicole S Carlson","doi":"10.1097/NNR.0000000000000849","DOIUrl":"https://doi.org/10.1097/NNR.0000000000000849","url":null,"abstract":"<p><strong>Background: </strong>Health disparities in maternal health outcomes persist among Black birthing populations in the United States. Given the historical harms experienced by Black populations in research, culturally tailored approaches to ensure ethical research are needed. Community-engaged research strategies have been found to be effective in a variety of investigations; however, little has been documented regarding their use within biologically focused research among pregnant populations.</p><p><strong>Objective: </strong>The purpose of this paper is to describe the process of engaging with a community advisory board of a biologically focused research study focused on reducing perinatal health disparities and promoting health equity. Specifically, we outline the methods followed to meaningfully involve the community in each step of the research process.</p><p><strong>Methods: </strong>The research team utilized intentional team-building activities and feedback methods to relay information between the community and research partners regarding study protocols and community-led dissemination strategies. Online sessions with community partners were created utilizing community-engaged research principles to guide the sessions. Information obtained from the community advisory board (CAB) during these sessions was used to modify and optimize this study's data collection protocol, recruitment strategies, and dissemination efforts. A quantitative and qualitative survey was conducted during the process to gather feedback from CAB members about their experiences.</p><p><strong>Results: </strong>The CAB (n = 8 community members) shared in the operation of the project and collaborated on everything from study onset, recruitment/retention strategies, informed consent processes, and dissemination to data sharing. Scores from the quantitative questionnaire (n = 5) about their experiences demonstrated that members overall reported good or excellent experiences as participants in the CAB. Additionally, feedback from community members about how they felt working within a research team included feeling that they were (a) making the research study better, (b) learning about research, (c) providing voice for the community, and (d) building a community of trust. Detailed feedback on each session resulted in changes in study protocols, recruitment practices, and dissemination activities.</p><p><strong>Discussion: </strong>Safety is a crucial tenant of all research investigations. When research focuses on populations who have experienced perpetual harm, utilization of community expertise is necessary to ensure just and equitable research experiences.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144664104","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":"Perceived Need and Utilization of Mental Health Services by Registered Nurses.","authors":"Shira Winter, Robert H Pietrzak, Celestine He, Jonathan M DePierro, Bevin Cohen, Chi Chan, Sydney Starkweather, Cara Faherty, Emma Benn, Uraina Clark, Nihal Mohamed, Lauren Peccoralo, Jonathan Ripp","doi":"10.1097/NNR.0000000000000852","DOIUrl":"10.1097/NNR.0000000000000852","url":null,"abstract":"<p><strong>Background: </strong>Nurses experience high rates of mental health stressors. Mental health support services can mitigate the burden of these stressors and mental health sequelae, but nurses may not access them due to stigma, unavailability, or concerns regarding professional standing.</p><p><strong>Objective: </strong>To examine the association between nurse characteristics and perceived need for and utilization of mental health services and identify barriers to nurses accessing mental health services.</p><p><strong>Methods: </strong>Cross-sectional survey data were analyzed from 367 nurses in one large urban health system. Descriptive statistics and multinomial logistic regression were used to examine demographic, workplace, and mental health characteristics that were independently associated with perceived need for and utilization of mental health services.</p><p><strong>Results: </strong>Nurses who reported experiences of verbal abuse, anxiety, or burnout and who were younger and partnered were more likely to have utilized mental health services and have perceived they would benefit from these services. The most prevalent barriers to care included not knowing how to find a provider, inconvenient hours, and embarrassment or concerns about judgment from others.</p><p><strong>Discussion: </strong>Several barriers prevent nurses who perceive a need for mental health services from accessing them. Interventions targeting these barriers may help mitigate the burden of mental health conditions in this population.</p>","PeriodicalId":49723,"journal":{"name":"Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144664106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}