Journal of Clinical Nursing最新文献

{"title":"An Investigation of the Barriers to Care of Adult Patients With a Tracheostomy in Intensive Care Units and General Wards: Secondary Analysis of Qualitative Interview Data.","authors":"A Akroute, S T D Fredriksen, A Hovland, B S Brinchmann","doi":"10.1111/jocn.17601","DOIUrl":"https://doi.org/10.1111/jocn.17601","url":null,"abstract":"<p><strong>Aims and objectives: </strong>To investigate the barriers experienced by intensive care nurses and registered nurses and to provide optimal nursing for adult patients with a temporary tracheostomy in intensive care and general wards.</p><p><strong>Background: </strong>Tracheostomy is widely used in intensive care units, around 20% of intensive care unit patients undergo tracheostomy insertions and expect high quality of care. Caring for patients with a tracheostomy is complex and challenging task. An investigation of barriers to care for adult patients with a temporary tracheostomy in a hospital setting is essential to ensure that these patients receive the highest quality of care and to identify areas for improvement.</p><p><strong>Design: </strong>This paper applied secondary analysis to data from two qualitative studies, including narrative interviews and maximum variation sampling.</p><p><strong>Methods: </strong>Secondary analysis of primary qualitative datasets is appropriate when the analysis extends rather than exceeds the primary. The analysis was based on interview data collected from six intensive care nurses and six registered nurses from two university teaching hospitals in Norway. The interviews were audio-recorded and transcribed. The data was analysed using the qualitative analysis suggested by Graneheim and Lundman. This study adhered to the consolidated criteria for reporting in a qualitative research (COREQ) checklist.</p><p><strong>Results: </strong>Four main themes were identified as barriers to care for adult patients with a temporary tracheostomy in the hospital: encountering ambivalence, inadequate staffing levels, lack of patient continuity of care and lack of systematic follow-up.</p><p><strong>Conclusions: </strong>Understanding barriers to care is crucial for hospitals and healthcare organisations to develop targeted interventions and educational programs to address these barriers and improve the care provided to adult patients with tracheostomies in hospital settings.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Nursing Practice Environment, Nurse Staffing, Overtime and Hand Hygiene on Hospital-Acquired Infections in a Tertiary Teaching Hospital.","authors":"Tamer Al-Ghraiybah, Luise Lago, Ritin Fernandez, Luke Molloy, Jenny Sim","doi":"10.1111/jocn.17618","DOIUrl":"https://doi.org/10.1111/jocn.17618","url":null,"abstract":"<p><strong>Aims: </strong>To investigate the impact of the nursing practice environment, nurse staffing, working overtime and compliance with hand hygiene standards on hospital-acquired infections.</p><p><strong>Design: </strong>A multi-source quantitative study.</p><p><strong>Methods: </strong>Nursing data were collected from selected wards in one hospital between 18 January 2021 and 15 March 2021. Hand hygiene compliance data were obtained retrospectively from Hand Hygiene Australia Audits between July 2018 and June 2021. Patient data were gathered from July 2018 to June 2021. Data from the three sources were linked together at the episode of care level. Descriptive statistics were used to summarise participant characteristics, and multiple logistic regression was employed to assess associations between the nursing practice environment, nurse staffing, overtime and hand hygiene with hospital-acquired infections.</p><p><strong>Results: </strong>A total of 361 nurses participated in the nursing survey. There were 13,440 hand hygiene moments assessed, and 10,924 (81.3%) correct practices were observed. There were 71,257 patient care episodes, including 2037 with hospital-acquired infections. The odds of hospital-acquired infections decreased by 19% for every 10% increase in nurses' compliance with hand hygiene and decreased by 7% for each one standard deviation increase in the nursing practice environment scale. Each additional patient per nurse was associated with a 42% increase in the odds of a hospital-acquired infection.</p><p><strong>Conclusion: </strong>This study found evidence that a favourable nursing practice environment, reduced nurse workload and compliance with hand hygiene are linked to a lower risk of hospital-acquired infections.</p><p><strong>Impact: </strong>A favourable nursing practice environment contributes to fewer hospital-acquired infections. Monitoring of hand hygiene compliance provides important local information to support improvements in practice. Findings from this study can be used to support the implementation of safe nurse staffing policies that guide implementation of nurse-to-patient ratios.</p><p><strong>Reporting method: </strong>RECORD Checklist.</p><p><strong>Patient or public contribution: </strong>No Patient/Public Contribution.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to Editor on 'Effectiveness of Telehealth-Based Exercise Interventions on Pain, Physical Function and Quality of Life in Patients With Knee Osteoarthritis: A Meta-Analysis'.","authors":"Pengpeng Liu, Zikang Xie","doi":"10.1111/jocn.17590","DOIUrl":"https://doi.org/10.1111/jocn.17590","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global Comparison of Codes of Ethics for Nurses: A Mixed-Method Collective Case Study Differentiating Aspirational and Mandatory Ethics.","authors":"Min Ji Kim, Jiyeon Choi","doi":"10.1111/jocn.17557","DOIUrl":"https://doi.org/10.1111/jocn.17557","url":null,"abstract":"<p><strong>Aims: </strong>To identify the characteristics and compare the codes of ethics enacted by the Korean Nursing Association and International Council of Nurses.</p><p><strong>Design: </strong>A mixed-method collective case study.</p><p><strong>Methods: </strong>This study adopted interpretive approaches comprising case definition and selection, data collection, analysis and interpretation. Based on the developed aspirational versus mandatory ethics analytic framework, we differentiated the aspirational and mandatory codes of the Korean Nursing Association and International Council of Nurses.</p><p><strong>Results: </strong>The Korean Nursing Association placed greater emphasis on aspirational ethics (73.3%) than the International Council of Nurses (53.6%). The Korean Nursing Association addressed legal implications regarding adequate services and patient safety, whereas the International Council of Nurses emphasised informed consent and authorised practice. Compared to the Korean Nursing Association's code, the International Council of Nurses' code had one additional chapter and 67 more units. The additional chapter focused on global health.</p><p><strong>Conclusion: </strong>Some implications can be considered for future revisions of the code of ethics for Korean nurses. Informed consent needs to be addressed as a legal implication for respecting the patient's right to self-determination. Furthermore, nurses' attention to global health could be discussed in the context of globalisation.</p><p><strong>Implications for the profession: </strong>The findings of the analysis of the current codes of ethics of national and international nursing organisations may provide scientific evidence for future revisions. An evidence-based revision of ethical guidelines, as proposed by the findings, underscores the importance of fostering a moral identity consistent with established professional norms and values for nursing.</p><p><strong>Reporting method: </strong>We adhered to the Standards for Reporting Qualitative Research.</p><p><strong>No patient or public contribution: </strong>Given that this study is based on the literature, namely the codes of ethics, there is no direct/indirect involvement of patients or the public.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Validation of a Nomogram for Predicting Frailty Risk Among Older Patients With Ischaemic Stroke.","authors":"Dongdong Shen, Jingjie Li, Shuang Teng, Mei Li, Xianping Tang","doi":"10.1111/jocn.17627","DOIUrl":"https://doi.org/10.1111/jocn.17627","url":null,"abstract":"<p><strong>Aim: </strong>To investigate the risk factors associated with frailty in older patients with ischaemic stroke, develop a nomogram and apply it clinically.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Methods: </strong>Altogether, 567 patients who experienced ischaemic strokes between March and December 2023 were temporally divided into training (n = 452) and validation (n = 115) sets and dichotomised into frail and non-frail groups using the Tilburg Frailty Indicator scale. In the training set, feature selection was performed using least absolute shrinkage and selection operator regression and random forest recursive feature elimination, followed by nomogram construction using binary logistic regression. Internal validation was performed through bootstrap re-sampling and the validation set was used to assess model generalisability. The receiver operating characteristic curve, Hosmer-Lemeshow test, Brier score, calibration curve, decision curve analysis and clinical impact curve were used to evaluate nomogram performance.</p><p><strong>Results: </strong>The prevalence of frailty was 58.6%. Marital status, smoking, history of falls (in the preceding year), physical exercise, polypharmacy, albumin levels, activities of daily living, dysphagia and cognitive impairment were predictors in the nomogram. Receiver operating characteristic curve analysis indicated outstanding discrimination of the nomogram. The Hosmer-Lemeshow test, calibration curve and Brier score results confirmed good model consistency and predictive accuracy. The clinical decision and impact curve demonstrated notable clinical utility. This free, dynamic nomogram, created for interactive use and promotion, is available at: https://dongdongshen.shinyapps.io/DynNomapp/.</p><p><strong>Conclusion: </strong>This nomogram may serve as an effective tool for assessing frailty risk in older patients with ischaemic stroke.</p><p><strong>Relevance to clinical practice: </strong>The nomogram in this study may assist healthcare professionals in identifying high-risk patients with frailty and understanding related factors, thereby providing more personalised risk management.</p><p><strong>Reporting method: </strong>TRIPOD checklist.</p><p><strong>Patient or public contribution: </strong>No patient or public contribution.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor 'Parallel Mediating Roles of Social Support and Self-Efficacy in the Relationship Between Frailty and Depression in Elderly Patients After Percutaneous Coronary Intervention'.","authors":"Feifei Hong, Xiaoyan Wen, Hong Chen","doi":"10.1111/jocn.17633","DOIUrl":"https://doi.org/10.1111/jocn.17633","url":null,"abstract":"","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spirituality and Work-Related Outcomes Among Nurses During the COVID Pandemic: An Observational Study.","authors":"Foroozan Atashzadeh-Shoorideh, Elizabeth Johnston Taylor, Fataneh Ghadirian","doi":"10.1111/jocn.17632","DOIUrl":"https://doi.org/10.1111/jocn.17632","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to identify the spiritual responses of nurses providing direct patient care during the COVID pandemic and explore how religious/spiritual struggles are associated with selected nurse outcomes.</p><p><strong>Methods: </strong>A quantitative, cross-sectional observational study was conducted, based on the STROBE checklist, with 364 registered nurses recruited via convenience sampling between January 24 and March 12, 2022, in hospitals in Iran admitting COVID-19 patients. Data were collected through a self-report questionnaire, including the Moral Injury Symptom Scale-Health Professionals, Religious/Spiritual Struggles Scale-Short Form, Posttraumatic Growth Inventory, Job Satisfaction Scale, Copenhagen Burnout Inventory, Turnover Intention Scale, and Employee Engagement Scale.</p><p><strong>Results: </strong>Nurses reported high levels of moral injury during the pandemic, with an average score of 43.79 ± 15.20. Religious/spiritual struggles were generally low, with demonic struggles scoring the lowest (0.36 ± 0.68) and ultimate meaning struggles the highest (1.54 ± 0.99). Posttraumatic growth scores for spiritual change were moderately high (26.17 ± 4.73). Work-related burnout was moderate (64.31 ± 100.00), intention to leave was low (8.84 ± 3.92), and job satisfaction was moderate (3.67 ± 1.75).</p><p><strong>Conclusion: </strong>The study found that nurses experienced both positive and negative spiritual responses during the pandemic. While most nurses reported a high level of moral injury and moderate job satisfaction, they experienced low religious/spiritual struggles and some spiritual growth. Incorporating spirituality into nursing practice may enhance professional fulfilment and nurse outcomes.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 the Simulation in Supporting Newly Graduated Nurses in Their First 5 Months of Working Transition: Findings From a Mixed-Method Study.","authors":"Maura Mesaglio, Sara Dentice, Luca Grassetti, Illarj Achil, Anna Bernardinis, Davide Caruzzo, Anna Inserra, Irene Mansutti, Elisa Mattiussi, Sandra Menegoz, Tommaso Piani, Elena Vanzo, Stefania Chiappinotto, Alvisa Palese","doi":"10.1111/jocn.17617","DOIUrl":"https://doi.org/10.1111/jocn.17617","url":null,"abstract":"<p><strong>Aims: </strong>To understand the role of simulation in ensuring the development of the competencies expected by newly graduated register nurses (NGRNs) from the work initiation up to 5 months of transition.</p><p><strong>Methods: </strong>Mixed-method study design. A longitudinal phase employing the Nurse Competence Scale (NCS, from 0 to 100, excellent) to assess the perceived competencies among NGRNs (N = 151) at three time points (first day of work up to fifth month); followed by a qualitative phase involving four focus groups of preceptors (N = 16) to explore the potential role of simulation in the NGRNs' working transition. Integration was performed at findings level, using the building procedures and joint displaying the results.</p><p><strong>Results: </strong>During the different time periods, variations emerged in the NCS scores from 64.41 out of 100 in the first day of work to 61.82 after 15 days, reaching 69.25 and 73.21 at 3 and 5 months. Nine potentialities have been identified as having simulation supporting NGRNs during their transition to independent practice. Simulation may contribute to develop competencies in some competence domains (diagnostic function, managing situation, therapeutic intervention, quality assurance and working role) while not in others (helping role and teaching-coaching).</p><p><strong>Conclusion: </strong>Early interventions, through integration of simulation sessions into strategies offered at the unit's level may be useful to ensure an effective working transition.</p><p><strong>Impact: </strong>Problem the study addresses: Challenges in transition from education to working settings are increasing given the difficulties of the units in providing time and support to NGRNs.</p><p><strong>Main findings: </strong>Competencies of NGRNs' are fluctuant in the five first months of work, and sub-optimal in certain domains. Simulation may support the full development of most competencies. Impact on research: Healthcare organisations can support NGRNs to ensure smoother transitions by integrating simulations in their strategy.</p><p><strong>Reporting method: </strong>This study was conducted following the Good Reporting of a Mixed-Methods Study.</p><p><strong>Patient or public contribution: </strong>Only healthcare professionals were involved.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do Extended Reality Interventions Benefit Patients Undergoing Elective Cardiac Surgical and Interventional Procedures? A Systematic Review and Meta-analysis.","authors":"Emma Harris, Steven Fenton, John Stephenson, Fiona Ewart, Salime Goharinezhad, Hyunkook Lee, Felicity Astin","doi":"10.1111/jocn.17578","DOIUrl":"https://doi.org/10.1111/jocn.17578","url":null,"abstract":"<p><strong>Background: </strong>Extended reality (XR) interventions have the potential to benefit patients undergoing elective cardiac surgical and interventional procedures. However, there are no systematic reviews with meta-analyses to guide clinical care.</p><p><strong>Aim: </strong>To critically evaluate the evidence on the effectiveness of XR interventions on patient anxiety and pain and other associated outcomes.</p><p><strong>Design: </strong>Systematic review and meta-analysis following the PRISMA 2020 statement.</p><p><strong>Data sources: </strong>A systematic search of five databases (CENTRAL, CINAHL, MEDLINE, PsycInfo, Scopus) from inception to July 2023.</p><p><strong>Methods: </strong>Screening and data extraction was conducted independently by multiple reviewers. Stata (Version 17) was used to conduct meta-analyses for patient anxiety and pain. Secondary patient outcomes were summarised in a synthesis. The Cochrane Risk of Bias (Version 2) tool was applied to trials and the NHLBI Study Quality Assessment tools to all other study designs.</p><p><strong>Results: </strong>Of the 3372 records identified, 22 were included, 10 of which were eligible for inclusion in the meta-analyses. Fifty-seven percent of randomised trials were rated as high risk of bias. Virtual reality (VR) was the only XR technology evaluated. VR significantly reduced pre-procedural anxiety (standardised mean difference: -1.29; 95% confidence interval - 1.96, -0.62, p < 0.001), and peri-procedural anxiety (standardised mean difference: -0.50; 95% confidence interval - 0.83, -0.18, p < 0.003) but did not reduce pain levels, compared with usual care. VR increased pre-procedural knowledge and postsurgical physical and pulmonary function. VR interventions may also improve emotional wellbeing, care delivery and physiological outcomes, but evidence was inconsistent.</p><p><strong>Conclusions: </strong>XR potentially benefits cardiac patients undergoing elective invasive procedures and surgery by reducing pre- and peri-procedural anxiety and increasing procedural knowledge and physical function.</p><p><strong>Relevance to clinical practice: </strong>Cardiac nurses' role can be supported by VR interventions to improve the patient experience and several aspects of patient care.</p><p><strong>Patient or public contribution: </strong>Not applicable as this is a systematic review.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing Cost Analysis for Acute Exacerbation of Chronic Obstructive Pulmonary Disease in the Intensive Care Unit.","authors":"Haizhou Mao, Zhi Chen, Wei Li, Xinyue Pang, Xinmei Cao, Jiaqi Shi, Danwen Zhuang, Lijie Mao","doi":"10.1111/jocn.17603","DOIUrl":"https://doi.org/10.1111/jocn.17603","url":null,"abstract":"<p><strong>Objective: </strong>To determine nursing costs for intensive care unit (ICU) patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD), assess the correlation with diagnosis-related group (DRG) payments and identify cost determinants.</p><p><strong>Design: </strong>Prospective, descriptive and quantitative study.</p><p><strong>Methods: </strong>From January to December 2022, we selected ICU patients with AECOPD and used time-driven activity-based costing method to calculate the overall nursing costs. We examined the cost recovery rate, correlations between nursing costs and DRG Relative Weight, and factors influencing nursing costs using nonparametric tests, Spearman's rank correlation and quantile regression.</p><p><strong>Results: </strong>The median nursing charge was US$1001.88, the median nursing cost was US$678.51, and the average cost recovery rate was 68.39%. Nursing costs correlated with the DRG Relative Weight but not with payments. Length of stay, oxygen therapy mode and noninvasive ventilator use days impacted costs.</p><p><strong>Conclusions: </strong>Nursing costs exceeded charges, with a moderate cost recovery rate. DRG payments do not fully reflect nursing cost variations.</p><p><strong>Relevance to clinical practice: </strong>Our findings indicate the need to enhance the reimbursement system for nursing costs and to manage ICU nursing expenses by addressing the determinants of these costs.</p><p><strong>Reporting method: </strong>The authors adhered to the EQUATOR network guidelines STROBE to report observational cross-sectional studies.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}