Cancer Nursing最新文献

{"title":"The Effect of Touch Therapy on Symptoms and Psychosocial Variables in Individuals Diagnosed With Cancer: A Systematic Review and Meta-analysis.","authors":"Gamze Muz, Aylin Bilgin, Gülyeter Erdoğan Yüce, Ayser Döner","doi":"10.1097/NCC.0000000000001238","DOIUrl":"10.1097/NCC.0000000000001238","url":null,"abstract":"<p><strong>Background: </strong>Touch therapy is used in the control of physical and psychological symptoms in cancer patients. However, its effectiveness has not been well studied.</p><p><strong>Objectives: </strong>The aim of this study was to examine the effectiveness of touch therapy intervention on symptoms and psychosocial factors for patients with cancer.</p><p><strong>Method: </strong>Four electronic databases were used to identify all experimental studies that examine the effects of touch therapy on symptoms and psychosocial factors for patients with cancer. The standardized mean differences between groups in levels of symptoms and psychosocial factors for postintervention were computed for each study.</p><p><strong>Result: </strong>The pooled results suggest that touch therapy intervention effectively reduces pain, fatigue, anxiety, and negative mood among patients with cancer postintervention. However, touch therapy intervention did not affect the quality of life and stress.</p><p><strong>Conclusion: </strong>A significant effect of touch therapy was the reduction of physical and psychological symptoms in cancer patients.</p><p><strong>Implications for practice: </strong>Touch therapy could be safely integrated into the clinical practice of patients with cancer.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"99-111"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9337696","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 Experiences of Female Partners of Patients With Erectile Dysfunction Due to Prostate Cancer Treatment in China: A Qualitative Exploration.","authors":"Tong Wang, Hui-Lin Cheng, Kai-Wen Li, Ping Kit Kitty Wong, Wen Dong","doi":"10.1097/NCC.0000000000001282","DOIUrl":"10.1097/NCC.0000000000001282","url":null,"abstract":"<p><strong>Background: </strong>Because of sociocultural factors, Chinese female partners of patients with prostate cancer (PC) may have perspectives and needs that differ from the more published reports of female partners living in Western cultures.</p><p><strong>Objectives: </strong>The aim of this study was to explore the experiences of female partners of patients with PC experiencing erectile dysfunction in China.</p><p><strong>Interventions/methods: </strong>In this interpretive descriptive design, qualitative data were collected from semistructured telephone interviews with purposively sampled participants from the urology outpatient unit in a hospital in South China. The interviews were audiotaped, transcribed, and analyzed using a constant comparison approach.</p><p><strong>Results: </strong>Three themes emerged from the analysis of the participants' narratives: ( a ) acceptance of ceasing sex; ( b ) preserving intimacy through caregiving; and ( c ) the need for sexual health-related information.</p><p><strong>Conclusion: </strong>Participants in this study reported that their own sexuality and intimacy were affected by their partner's erectile dysfunction, but they adjusted to sexuality and intimacy changes through their caregiving of their husbands owing to Chinese traditional perspectives on women's obligations. They also reported having unmet informational needs in improving sexual well-being for the sake of their partners, lending further support to the likely benefit of couple-based educational interventions addressing sexual wellness in dyads affected by PC and erectile dysfunction.</p><p><strong>Implications for practice: </strong>The present study findings highlighted the need for more research attention to the support of Chinese female partners of patients with PC regarding sexual and intimate topics.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"131-137"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41156277","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 Effects of an App-Based Physical Activity Program on Colorectal Cancer Patients Undergoing Chemotherapy: A Randomized Controlled Trial.","authors":"Yun Jeong Hwang, Ik Yong Kim, Hea Kung Hur, Ji Yong Lee, SoMi Park","doi":"10.1097/NCC.0000000000001322","DOIUrl":"10.1097/NCC.0000000000001322","url":null,"abstract":"<p><strong>Background: </strong>Colorectal cancer is one of the most common malignancies worldwide. Oxaliplatin, which is used as adjuvant chemotherapy, affects quality of life by causing oxaliplatin-induced peripheral neuropathy in colorectal cancer patients.</p><p><strong>Objectives: </strong>This study examined the effects of an application (app)-based physical activity program for alleviating peripheral neuropathy symptoms in colorectal cancer patients undergoing chemotherapy.</p><p><strong>Methods: </strong>This was a randomized controlled study that included 34 patients undergoing chemotherapy after being diagnosed with colorectal cancer. Outcomes were compared between patients who participated in a 6-week app-based physical activity program (experimental group; n = 17) and who received standard booklet education (control group; n = 17). Data were collected using questionnaires, and exercise time was recorded to evaluate intervention adherence.</p><p><strong>Results: </strong>Significant differences were observed between the groups in peripheral neuropathy symptoms ( F = 8.93, P = . 002), interference with activities ( Z = -2.55, P = .011), and quality of life ( F = 7.65, P = . 003). The experimental group showed significantly higher average exercise times at 1 to 4 weeks ( Z = -2.10, P = . 026), 5 to 6 weeks ( Z = -4.02, P < . 001), and 1 to 6 weeks ( Z = -3.40, P = . 001) than the control group.</p><p><strong>Conclusions: </strong>The app-based physical activity program had a positive effect on participants' exercise adherence and reduced peripheral neuropathy symptoms. Thus, we propose the adoption of a mobile health app that can be used at any time or place as an intervention for preventing or alleviating adverse effects during the treatment of cancer patients.</p><p><strong>Implications for practice: </strong>An app-based physical activity program using the mobile health app can be used as a nursing intervention to manage symptoms and increase the health behavior adherence in cancer patients.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E90-E97"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139522029","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":"Experiences of Using Patient Decision Aids for Decisions About Cancer Treatment: A Meta-Aggregation of Qualitative Studies.","authors":"Li-Ting Huang Longcoy, Asha Mathew, Min Kyeong Jang, Masako Mayahara, Ardith Z Doorenbos","doi":"10.1097/NCC.0000000000001263","DOIUrl":"10.1097/NCC.0000000000001263","url":null,"abstract":"<p><strong>Background: </strong>Inconsistent results have been found regarding the effects of patient decision aids (PtDAs) in supporting patients' decision-making for cancer treatment.</p><p><strong>Objective: </strong>This qualitative meta-aggregation presents the experiences of using PtDAs, as perceived by adult patients with cancer, and highlights the components they perceived as important.</p><p><strong>Methods: </strong>We used the 3-phase process for meta-aggregation suggested by Joanna Briggs Institute to identify published studies with qualitative evidence from CINAHL, Ovid-MEDLINE, APA PsycINFO, and EMBASE databases. The selected studies involved adults with various cancer diagnoses. The phenomenon of interest and the context for this review were people's experiences of using PtDAs for decisions about first-line cancer treatment.</p><p><strong>Results: </strong>A total of 16 studies were included. The authors achieved consensus on 5 synthesized findings about PtDAs: (1) improved understanding of treatment options and patient values and preferences; (2) served as platforms for expressing concerns, obtaining support, and having meaningful conversations with healthcare providers; (3) facilitated active personal and family engagement in decision-making; (4) enabled recall of information and evaluation of satisfaction with decisions; and (5) presented potential structural barriers.</p><p><strong>Conclusions: </strong>This study used qualitative evidence to demonstrate the usefulness of PtDAs and identify aspects patients with cancer find particularly beneficial.</p><p><strong>Implications for practice: </strong>Nurses play a crucial role in supporting patients and family caregivers throughout the decision-making process for cancer treatment. Patient decision aids that balance complex treatment information with simple language and illustrations or graphs can enhance patients' comprehension. The integration of values clarification exercises into care can further improve patients' decisional outcomes.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"81-88"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10782815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9757518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Health Education on Self-efficacy, Negative Emotions, and Life Quality in Breast Cancer Patients: A Systematic Review and Meta-analysis.","authors":"Tan Xie, Qingxia Zhang, Shengnan Zhang, Yiyan Huang","doi":"10.1097/NCC.0000000000001472","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001472","url":null,"abstract":"<p><strong>Background: </strong>Breast cancer patients encounter challenges managing acute and chronic symptoms during and after treatment, leading to emotional fluctuations and diminished quality of life. Health education aims to improve knowledge and life skills; however, its specific impact on breast cancer patients' self-efficacy is unclear.</p><p><strong>Objective: </strong>To assess the effects of health education on self-efficacy, depressive symptoms, anxiety, distress, and life quality in breast cancer patients.</p><p><strong>Methods: </strong>Randomized controlled studies were systematically screened in 7 databases from inception of the database to May 1, 2024. Literature quality was assessed using the Cochrane Risk of Bias Assessment tool. Results were pooled using random-effects meta-analyses and reported as standardized mean difference. Heterogeneity was reported using I2 statistic.</p><p><strong>Results: </strong>Sixteen articles were included. Participants in the intervention group exhibited enhanced self-efficacy in posttest (standardized mean difference [SMD], 0.12; 95% confidence interval [CI], 0.01-0.23; P = .04, I2 = 8%) and during the follow-up period (SMD, 0.30; 95% CI, 0.09-0.52; P = .006, I2 = 63%), decreased depressive symptoms (SMD, -0.30; 95% CI, -0.52 to -0.08; P = .0007, I2 = 17%), and increased life quality (SMD, 0.25; 95% CI, 0.01-0.49; P = .04, I2 = 48%) during the follow-up period.</p><p><strong>Conclusions: </strong>Health education can enhance self-efficacy, reduce depressive symptoms, and improve the life quality of breast cancer patients. However, more rigorous research is needed to evaluate their effectiveness due to suboptimal blinding.</p><p><strong>Implications for practice: </strong>The study underscores the critical role of health education in breast cancer management, emphasizing the necessity of integrating comprehensive health education programs into standard care protocols.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558727","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":"Current Status and Influencing Factors of Self-management Positivity in Patients With Head and Neck Neoplasms: A Cross-sectional Study.","authors":"Zhuoran Gao, Siyu Li, Yanzhongcheng Xu, Xinghua Bai","doi":"10.1097/NCC.0000000000001475","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001475","url":null,"abstract":"<p><strong>Background: </strong>Self-management positivity is important for patients to improve treatment outcomes, reduce healthcare costs, and provide an intrinsic motivation to gain hope and self-confidence in coping with their illness. In clinical practice, it has been found that head and neck cancer (HNC) patients have a lower level of self-management positivity.</p><p><strong>Objective: </strong>To investigate the degree of self-management positivity among patients with HNC and analyze its influencing factors.</p><p><strong>Methods: </strong>A cross-sectional survey of 215 patients in the radiotherapy department was conducted using the Patient Activation Measure 13 (PAM13), Health Literacy Management Scale, Acceptance of Illness Scale, Cancer Loneliness Scale, and General Self-efficacy Scale.</p><p><strong>Results: </strong>The PAM13 score of patients with HNC was 63.48 ± 14.7 at level 3. Multiple linear regression analysis showed that widowhood (β = -.127; P < .05), monthly family income per capita (β = .234; P < .01), disease duration (β = .154; P < .01), health literacy (β = .215; P < .01), loneliness (β = -.128; P < .05), disease acceptance (β = .144; P < .05), and self-efficacy (β = .152; P < .01) were the influencing factors of self-management positivity, which accounted for 37.9% of the total variance.</p><p><strong>Conclusion: </strong>Patients' self-management positivity still needs to be improved. Medical staff should attach great importance to patients' psychological dynamics and actively popularize health knowledge in order to effectively enhance self-management enthusiasm.</p><p><strong>Implications for practice: </strong>It is imperative that we give adequate attention to the self-management positivity of HNC patients. In addition, our country can try to incorporate PAM13 into the healthcare system, using the scale to identify patients who lack self-management awareness, knowledge, and ability and are at risk of readmission upon admission or discharge.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558726","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":"Latent Profile Analysis and Related Factors of Colorectal Cancer Knowledge and Health Beliefs and Their Associations With Screening Behavior and Intention Among Urban Populations in China.","authors":"Bingzi Shi, Jing Zhang, Haixin Wang, Xue Rao, Yujing Sun, Wenming Cui","doi":"10.1097/NCC.0000000000001479","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001479","url":null,"abstract":"<p><strong>Background: </strong>Colorectal cancer (CRC) incidence is rising in urban China, and screening participation remains low. Understanding the influence of knowledge and health beliefs on CRC screening behaviors can inform targeted interventions.</p><p><strong>Objective: </strong>To identify latent profiles of CRC knowledge and health beliefs among average-risk urban adults in China and examine factors influencing profile membership.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 500 urban adults, utilizing validated questionnaires on CRC knowledge and health beliefs. Latent profile analysis identified distinct profiles, and multinomial logistic regression assessed sociodemographic predictors.</p><p><strong>Results: </strong>Three profiles emerged: profile 1, \"moderately informed and believing\" (48.0%, n = 240); profile 2, \"underinformed and skeptical\" (18.8%, n = 94); and profile 3, \"well-informed and strongly believing\" (33.2%, n = 166). Unstable employment and low health literacy predicted membership in profile 2, whereas higher social support and proximity to health centers were associated with profile 3. Profile 2 negatively predicted screening behavior (β = -0.516) and intention (β = -0.786), whereas profile 3 showed positive associations (β = 0.541 and β = 0.969, respectively).</p><p><strong>Conclusions: </strong>These findings highlight distinct CRC knowledge and health belief profiles, suggesting that tailored interventions addressing subgroup-specific gaps and barriers could enhance CRC screening engagement in urban China.</p><p><strong>Implications for practice: </strong>Nurses can efficiently identify at-risk populations through brief assessments of employment status, health literacy, and social support and implement targeted interventions such as patient navigation, simplified health education, and social support enhancement to improve screening uptake.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143473256","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":"A Systematic Review of Interventions Targeting Cancer-Related Financial Hardship: Current Evidence and Implications: Erratum.","authors":"","doi":"10.1097/NCC.0000000000001457","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001457","url":null,"abstract":"","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442678","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":"Assessing the Effects of Yoga on Cognition and Immune Function in Colorectal Cancer: A Feasibility Study.","authors":"Moira A Visovatti, Mi Sook Jung, Diane Von Ah","doi":"10.1097/NCC.0000000000001473","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001473","url":null,"abstract":"<p><strong>Background: </strong>Cancer-related cognitive impairment can interfere with daily functioning and negatively affect quality of life. To date, there are no validated treatments. Yoga may be a promising intervention that combines physical activity and meditation to improve cognition.</p><p><strong>Objectives: </strong>The aim of this study was to assess the feasibility of a randomized controlled trial with yoga, physical activity, and waitlist control arms in colorectal cancer survivors, determine effect sizes, and explore differences among groups.</p><p><strong>Methods: </strong>Interventions included 2 weekly 90-minute sessions over 12 weeks. Participants were assessed before, after, and 3 months after completion of the intervention. Measures included feasibility and acceptability, attention (Attentional Function Index, Attention Network Test, Digit Span, Digit Substitution Test, Trail Making Test), and circulating immune markers (interleukin [IL] 1β, tumor necrosis factor α, IL-6, IL-8, IL-12p70, IL-1 receptor antagonist, tumor necrosis factor receptor II, C-reactive protein, and neopterin). Data analyses included descriptive statistics, comparative analyses, Cohen d statistics, and reliable improvement percentages.</p><p><strong>Results: </strong>Enrollment, retention, and intervention fidelity rates were 39%, 74%, and >75%, respectively. Exploratory analyses showed the yoga group improved performance in alertness at 3 months postintervention at time 3, with 60% of the group demonstrating reliable improvement, and improved cognitive control at time 3, with 30% of the group demonstrating reliable improvement (P < .05).</p><p><strong>Conclusion: </strong>Findings suggest that this randomized controlled trial study is feasible, and yoga may have a positive benefit on cognition.</p><p><strong>Implication for practice: </strong>Yoga is a possible intervention, but to optimize function in colorectal cancer survivors, further validation is needed.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442679","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 Effect of Women's Perceptions of Their Nurses' Communication on Their Distress and Fear of Cancer During Colposcopy: A Multicenter Study.","authors":"Gizem Akıncı, Ruveyde Aydın","doi":"10.1097/NCC.0000000000001469","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001469","url":null,"abstract":"<p><strong>Background: </strong>Effective communication between nurses and women can help determine women's stress and fear levels during colposcopy and enable appropriate interventions to be taken.</p><p><strong>Objective: </strong>This study aimed to examine the effect of women's perceptions of nurse communication on their levels of distress and cancer worry during colposcopy.</p><p><strong>Methods: </strong>This descriptive and correlational study was conducted with 227 women who underwent colposcopy at three hospitals between December 2023 and May 2024. Data collection instruments included the Descriptive Information Form, the Health Care Communication Questionnaire (HCCQ), the Cervical Dysplasia Distress Questionnaire (CDDQ), and the Cancer Worry Scale (CWS). Descriptive statistics, Pearson correlation analysis, and hierarchical multiple regression analysis were used for statistical analyses.</p><p><strong>Results: </strong>The average age of participants was 36.28 ± 7.75 years, with 92.5% being married and 41% being high school graduates. A strong negative correlation was found between HCCQ and CDDQ (r = -0.714, P = .000) and CWS (r = -0.718, P = .000). A strong positive relationship was also identified between CDDQ and CWS scores (r = 0.759, P = .000). Descriptive characteristics and the HCCQ significantly explained 73.4% of the variance in the CDDQ (R2 = 0.734, P = .000). Additionally, descriptive characteristics, the HCCQ, and the CDDQ significantly explained 82% of the variance in the CWS (R2 = 0.820, P = .000).</p><p><strong>Conclusion: </strong>The study demonstrated that women's descriptive characteristics and their perceptions of nurse communication are significant predictors of cervical dysplasia distress and cancer fear during colposcopy.</p><p><strong>Implications for practice: </strong>By gaining effective communication skills and equipping themselves with psychoeducation, nurses can take initiatives to reduce women's stress and cancer fear levels during colposcopy.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442683","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}