Journal of Psychiatric and Mental Health Nursing最新文献

{"title":"Artificial Intelligence in Mental Health Nursing: Balancing Clinical Efficiency and the Human Touch-A Quest for a New Synthesis.","authors":"Erman Yıldız","doi":"10.1111/jpm.13173","DOIUrl":"https://doi.org/10.1111/jpm.13173","url":null,"abstract":"<p><strong>Background: </strong>Artificial intelligence (AI) applications are increasingly being integrated into mental health nursing, presenting opportunities alongside challenges.</p><p><strong>Aim: </strong>This article aims to examine the complex balance between leveraging AI for clinical efficiency and preserving indispensable human elements such as empathy and the therapeutic relationship in mental health nursing.</p><p><strong>Method: </strong>Utilizing a review of literature, theoretical approaches, and insights from field observations, this debate essay explores the integration of AI, focusing on potential benefits, risks, and ethical considerations.</p><p><strong>Results: </strong>Findings indicate that while AI offers undeniable contributions to diagnostic processes and care coordination, its role should be complementary, not substitutive. Excessive reliance on algorithms risks damaging the patient-nurse relationship, potentially reducing individuals to data points. Significant ethical issues, including data privacy and algorithmic bias, require careful consideration.</p><p><strong>Conclusion: </strong>AI should be implemented to enhance, not replace, human interaction in mental health nursing. A new synthesis is proposed where AI systems support efficiency, thereby allowing nurses more time to address patients' complex emotional needs. Key recommendations include restructuring nursing education, creating robust feedback channels, and establishing comprehensive ethical principles to preserve the essential human dimension of care.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755119","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":"Film Therapy and Anxiety Disorders, Self-Esteem and Quality of Life. Report From Research.","authors":"Armen Mekhakyan, Agata Szulc","doi":"10.1111/jpm.13166","DOIUrl":"https://doi.org/10.1111/jpm.13166","url":null,"abstract":"<p><strong>Background: </strong>The article explores the applicability of film therapy in anxiety disorders, focusing on its role in enhancing self-esteem and improving quality-of-life assessments in patients. Anxiety is characterized as a serious clinical issue occurring in the context of numerous mental and emotional disorders.</p><p><strong>Aims: </strong>This study aims to analyze the theoretical foundations and research findings regarding film therapy as a psychotherapeutic method, with a particular focus on its impact on anxiety reduction, self-esteem, and quality of life.</p><p><strong>Materials and methods: </strong>The study presents key theoretical considerations, tools used, and research methodology. A selection of self-esteem issues and their significance for mental health is examined. The research process includes an evaluation of film therapy's effectiveness through specific assessment tools.</p><p><strong>Results: </strong>The findings indicate that film therapy significantly contributes to reducing anxiety, improving self-esteem, and enhancing quality-of-life measures. The therapeutic process involving film therapy is particularly effective in a long-term perspective.</p><p><strong>Discussion: </strong>The study highlights the key tenets of film therapy and its integration into psychotherapeutic practice. The interconnections between film therapy and broader psychological and emotional processes are examined.</p><p><strong>Conclusion: </strong>Film therapy is a valuable therapeutic method that plays a crucial role in anxiety management, self-esteem improvement, and quality-of-life enhancement. Future studies should explore its broader applications and long-term benefits.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677370","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 Role of Acceptance of Aversive Experiences and Perceived Social Support on the Probability of Relapse Among Patients With Substance Use Disorders.","authors":"Heba Mohamed Abdelaal, Ayman Mohamed El-Ashry, Mira Naguib Abdelrazek","doi":"10.1111/jpm.13170","DOIUrl":"https://doi.org/10.1111/jpm.13170","url":null,"abstract":"<p><strong>Background: </strong>Substance use disorders are prevalent and pose significant challenges to successful treatment outcomes, with high rates of relapse being a major obstacle. Perceived social support and acceptance of aversive experiences have been identified as potential factors influencing relapse outcomes among patients with substance use disorders. However, their combined influence and mediating effects remain less explored in the literature.</p><p><strong>Aim: </strong>Examine the role of acceptance of aversive experiences and perceived social support on the probability of relapse among patients with substance use disorders.</p><p><strong>Design and methods: </strong>A descriptive correlational study was conducted on 200 patients with substance use disorders who were recruited to complete the Acceptance and Action Questionnaire-II, the Multidimensional Scale of Perceived Social Support, and the Advance WArning of RElapse Questionnaire.</p><p><strong>Results: </strong>The findings revealed a significant positive correlation between acceptance of aversive experiences and social support. Additionally, a significant negative correlation was observed between the probability of relapse and acceptance of aversive experiences, as well as between the probability of relapse and total social support. Most patients exhibited a high level of acceptance of aversive experiences, and a substantial proportion had a low probability of relapse. The study also identified that all variables, except perceived social support from friends and essential people, significantly predicted the probability of relapse.</p><p><strong>Conclusion: </strong>The study emphasises the significant roles of acceptance of aversive experiences and perceived social support in reducing the likelihood of relapse among patients with substance use disorders. It suggests that incorporating acceptance-based coping strategies and strengthening social support networks can enhance treatment outcomes and prevent relapse. These findings have important implications for the training and education of psychiatric nurses involved in the treatment of patients with substance use disorders.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677363","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":"Implementation of the Chief Nursing Officer for England's National Strategy for Nursing Research in Mental Health Service Provider Organisations: A Mixed-Methods Study.","authors":"Jonny Green, Imogen Byrne, Nicola Clibbens, Carrie-Ann Black, Geoffrey Dickens","doi":"10.1111/jpm.13169","DOIUrl":"https://doi.org/10.1111/jpm.13169","url":null,"abstract":"<p><strong>Background: </strong>In 2021, the Chief Nursing Officer (CNO) for England launched the strategic plan for research with the aim of empowering nurses to lead, participate in, and deliver research.</p><p><strong>Aim and objectives: </strong>To determine whether mental health service providers have engaged with the CNO's strategy, the extent to which they have developed research leadership roles for nurses, and to identify their related plans.</p><p><strong>Method: </strong>A convergent mixed-methods (quantitative plus qualitative) study was conducted. Data were gathered from an online census survey of informants from English NHS mental health service provider organisations, freedom of information requests and web searches. Quantitative data were analysed descriptively, and qualitative data were analysed thematically.</p><p><strong>Results: </strong>Information was elicited regarding 40/51 relevant provider organisations, n = 14 from survey responses and n = 26 from Freedom of Information requests. In a subset of provider organisations, dedicated roles for nursing research leadership had been developed, but they lacked consistency in terms of focus, responsibilities and pay grade. We did not identify any specific nursing research strategies; organisation-wide strategies generally covered all clinical professional groups.</p><p><strong>Discussion: </strong>The CNOs strategy has had limited influence on providers' research strategy developments. Some provider organisations have actively developed their plans to boost nursing research, but others need to increase their efforts to do likewise or risk missing out on the benefits that accrue to research-active services, their staff, and service users. We make recommendations for future activity aimed at strengthening nursing research leadership in provider organisations.</p><p><strong>Relevance to mental health nursing: </strong>Mental health nursing aspires to be an evidence-based profession, but the contribution made by nurses to the evidence through the conduct and, particularly, the leadership of clinical research has lagged behind that of professional colleagues. Recent attempts to build capacity and capability for research in the mental health nursing workforce have had unclear take-up and impact. This paper describes how one such initiative, the Chief Nursing Officer for England's strategy for nursing research, has been used in mental health service provider organisations in England.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674893","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":"Exploration of Perceptions of Mental Health and Self-Stigma Related to Psychological Care Seeking Among Female Refugees From War-Torn Ukraine.","authors":"Rada Artzi-Medvedik, Yuliya Lozynska, Daria Kuperberg, Lyudmyla Tsikholska, Ilana Azulay Chertok","doi":"10.1111/jpm.13163","DOIUrl":"https://doi.org/10.1111/jpm.13163","url":null,"abstract":"<p><strong>Introduction: </strong>War, displacement, and relocation are traumatic events affecting mental health and require professional attention. As the war in Ukraine continues, the mental health needs of refugees persist.</p><p><strong>Aim: </strong>To explore Ukrainian refugees' perceived mental health, self-stigma related to psychological care-seeking, and mental health services utilisation.</p><p><strong>Method: </strong>A mixed-methods study was conducted using semi-structured interviews and self-stigma surveys of twenty-one Ukrainian refugee women who relocated to the United States and shared their experiences.</p><p><strong>Results: </strong>Five themes were identified: perception and knowledge of mental health and illness; impact of war on mental health; self-management; finding inner peace; and seeking mental health services. Additionally, participants demonstrated a high likelihood of self-stigma.</p><p><strong>Discussion: </strong>Understanding refugees' perceptions and reducing self-stigma related to mental health can be important for promoting psychological care seeking.</p><p><strong>Limitations: </strong>Including only female refugees who were interested in participating increased the risk of self-selection bias.</p><p><strong>Implications: </strong>These findings inform nurses and other healthcare professionals of the unique mental health needs of Ukrainian female refugees to support culturally sensitive and appropriate mental health care.</p><p><strong>Recommendations: </strong>It is imperative to conduct similar research with male refugees, particularly with those who have been exposed to combat, to identify and mitigate mental health problems.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665177","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 Role of Perceived Social Support in the Association Between Stress and Creativity Self-Efficacy Among Adolescents With Attention Deficit Hyperactivity Disorder.","authors":"Mohamed Hussein Ramadan Atta, Shaimaa Mohamed Amin, Nagwa Ibrahim Mohamed Hamad, Ahmed Abdellah Othman, Yahia Mohamed Sayed, Hanan Salem Sanad, Ahmed Abdelwahab Ibrahim El-Sayed","doi":"10.1111/jpm.13171","DOIUrl":"https://doi.org/10.1111/jpm.13171","url":null,"abstract":"<p><strong>Introduction: </strong>Adolescents with attention deficit hyperactivity disorder (ADHD) face significant challenges related to stress, inattention and impulsivity, which can impair their creativity self-efficacy. Social support is a critical protective factor that mitigates stress and enhances resilience, yet its role in fostering creativity self-efficacy among adolescents with ADHD remains underexplored.</p><p><strong>Aim: </strong>To examine the levels of stress, perceived social support and creativity self-efficacy among adolescents with ADHD and to explore the mediating role of social support in the relationship between stress and creativity self-efficacy.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 305 adolescents diagnosed with ADHD from six preparatory schools. Validated tools, including the Adolescence Stress Scale, Creative Self-Efficacy Scale and Multidimensional Scale of Perceived Social Support, were used to measure key variables. Data were analysed using Pearson correlation and mediation analysis.</p><p><strong>Results: </strong>Stress was negatively correlated with CSE (r = -0.791, p < 0.001), while perceived social support positively correlated with creativity self-efficacy (r = 0.548, p < 0.001). Social support significantly mediated the relationship between stress and creativity self-efficacy, buffering the negative impact of stress on creativity (B = -0.149, t = 7.987, p < 0.001).</p><p><strong>Discussion: </strong>The findings underscore the vital role of social support in alleviating stress and bolstering creativity self-efficacy among adolescents with ADHD. Supportive relationships from family, peers, and mentors enhance confidence in creative abilities, creating a nurturing framework for resilience and innovation.</p><p><strong>Conclusion: </strong>Perceived social support effectively mitigates the adverse effects of stress on creativity self-efficacy, highlighting its importance in promoting adaptive outcomes for adolescents with ADHD.</p><p><strong>Implications for practice: </strong>Nursing interventions should prioritise strengthening social support systems for adolescents with ADHD. Educating families, schools and communities about the impact of social support can foster resilience, reduce stress and enhance creativity.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659601","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":"Enhancing Person-Centred Care in Suicide Prevention: A Nursing Perspective.","authors":"Matias Gay","doi":"10.1111/jpm.13168","DOIUrl":"https://doi.org/10.1111/jpm.13168","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Suicide prevention within nursing has historically been dominated by biomedical models that emphasize risk assessment and symptom management. While these frameworks offer structure and liability reduction, they often fail to capture the deeply personal and existential dimensions of suicidality. The reliance on predictive tools with modest accuracy, such as the Columbia-Suicide Severity Rating Scale (C-SSRS), has led to a gap between assessment and meaningful intervention. Critics argue that this model fosters a procedural approach that discourages patient disclosure and limits therapeutic engagement. In contrast, person-centered care (PCC) emphasizes relational trust, individualized understanding, and the integration of patient narratives into clinical decision-making. This paper examines the need to shift from standardized, symptom-focused approaches toward a dynamic, patient-centered framework.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This paper critically evaluates the limitations of biomedical suicide prevention strategies by synthesizing theoretical contributions from key suicidologists, including Edwin Shneidman, Antoon Leenaars, Konrad Michel, Igor Galynker, and David Jobes. Evidence-based, person-centered models such as the Collaborative Assessment and Management of Suicide (CAMS) and the Narrative Crisis Model (NCM) are explored in contrast to traditional suicide risk assessments. Additionally, barriers to implementing PCC in nursing-such as time constraints, administrative demands, and gaps in professional training-are examined.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;While biomedical models provide standardized risk management strategies, their over-reliance on quantifiable indicators fails to address suicidality's multidimensional nature. The predictive limitations of suicide screening tools often lead to overestimation or underestimation of risk, increasing the likelihood of missed intervention opportunities. Furthermore, systemic factors such as high-acuity environments and compassion fatigue contribute to nurses' challenges in engaging with person-centered interventions. Models like CAMS and NCM have demonstrated greater efficacy in fostering trust, enhancing clinical engagement, and addressing the subjective experiences of suicidal individuals, ultimately improving outcomes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The limitations of traditional biomedical approaches underscore the necessity of integrating person-centered care into nursing practice. Suicide prevention should not be dictated solely by standardized risk assessments but should instead prioritize therapeutic alliance, empathy, and the co-construction of meaning. Nurses, given their frontline role in patient care, are uniquely positioned to transform suicide prevention through narrative-based interventions and compassionate engagement. However, achieving this paradigm shift requires institutional support, expanded nursing education, and systemic recognition o","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659595","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":"Experiences of Functioning in Mood Disorders: Systematic Review and Qualitative Meta-Synthesis.","authors":"Kate Eggleston, Bridgette Thwaites, Katie M Douglas, Richard J Porter, Marie T Crowe","doi":"10.1111/jpm.13155","DOIUrl":"https://doi.org/10.1111/jpm.13155","url":null,"abstract":"<p><strong>Introduction: </strong>A key responsibility of mental health nursing practice is enhancing recovery from mood disorders, including facilitating improvements in daily functioning. However, in mood disorders, current definitions and measurements of functioning are led by researchers and clinicians.</p><p><strong>Aim/question: </strong>We aimed to gain a comprehensive qualitative understanding of patients' experiences of functioning in mood disorders (major depressive disorder [MDD] and bipolar disorder [BD]).</p><p><strong>Method: </strong>Databases were systematically searched for qualitative articles examining experiences of functioning in mood disorders. Findings were analysed and synthesised using inductive thematic synthesis.</p><p><strong>Results: </strong>Thirty-eight studies (n = 679, 43.5% BD, 61% female) from seventeen countries were included. While most studies were high quality, some (n = 4) had moderate to serious methodological issues. Four meta-themes were identified: sense of self; connection; mood management; and stigma. The contribution of stigma predominantly related to studies of BD rather than MDD.</p><p><strong>Discussion: </strong>This study highlights the potential breadth of functioning experiences described by people with mood disorders, ranging from general understandings of functioning (work, relationships) to broader aspects like sense of self and stigma.</p><p><strong>Implications for practice: </strong>Mental health nurses have an important role in addressing stigma and can offer strategies to improve mood management, connection, and sense of self, which will improve functioning and promote recovery for people with mood disorders.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625839","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":"My Week of Denial and Disorientation: A Lived Experience Narrative of a Stay in a Psychiatric Emergency Department.","authors":"Emilie Hudson, Lewys Beames","doi":"10.1111/jpm.13167","DOIUrl":"https://doi.org/10.1111/jpm.13167","url":null,"abstract":"<p><strong>Background: </strong>Psychiatric emergency departments (EDs) are common settings in which patients receive crisis care, yet their experiences in these environments remain understudied.</p><p><strong>Aim: </strong>This lived experience narrative recounts the first author's week-long stay in a psychiatric ED, providing insight into the experiences and challenges of inpatient psychiatric care.</p><p><strong>Methods: </strong>The first author used a narrative approach to develop a series of vignettes that captured significant moments of her inpatient experience. Both authors reflected on these experiences, drawing on professional expertise and existing literature.</p><p><strong>Findings: </strong>The narrative reveals a lack of communication on the unit, power imbalances between patients and staff and the dismissal of patients' concerns, experiences and identities. It illustrates how patients' behaviours are often misinterpreted, contributing to further distress and disempowerment.</p><p><strong>Discussion: </strong>The authors examine systemic problems in mental health care, such as epistemic injustice, the dominance of the biomedical model and restrictive control over patient autonomy. They argue for the need to shift to a more compassionate, pluralistic and trauma-informed approach to mental health care.</p><p><strong>Conclusion: </strong>This narrative highlights the need for reforms in emergency psychiatric care. By centring patients' voices, mental health services can foster a more respectful and healing environment for people in crisis.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617707","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":"Combined Exercise Programmes for Improving the Mood and Mental Health of Older People With Mild Cognitive Impairment.","authors":"Eunjae Lee, Sang-Hyuk Park, Seung-Taek Lim","doi":"10.1111/jpm.13165","DOIUrl":"https://doi.org/10.1111/jpm.13165","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544392","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}