Cancer Nursing最新文献

{"title":"Identifying Adolescent and Young Adults' Preferences for Oncology Symptom Management Clinical Trial Participation.","authors":"Robert Knoerl, Liat Smener, Katherine Grandinetti, Leslie A Fecher, N Lynn Henry, Yasmin Karimi, Kristen Pettit, Scott Schuetze, Emily Walling, Anao Zhang, Debra Barton","doi":"10.1097/NCC.0000000000001463","DOIUrl":"10.1097/NCC.0000000000001463","url":null,"abstract":"<p><strong>Background: </strong>Most studies to date exploring facilitators and barriers to adolescent and young adults' (AYAs') participation in clinical trials have been focused on external factors to AYAs' participation or recruitment strategies.</p><p><strong>Objective: </strong>The purpose of this mixed-methods study was to determine AYA cancer survivors' preferences for oncology symptom management clinical trial participation.</p><p><strong>Methods: </strong>Semistructured interviews and conjoint analysis were conducted to clarify potential attributes (eg, characteristics) and levels (eg, value of the characteristic) that may be important to AYA cancer survivors when considering clinical trial participation (n = 19). The final list of attributes and levels was administered within a choice-based conjoint analysis survey (n = 52). The utility score for each level was analyzed using hierarchical Bayes estimation, and the feature importance for each attribute was quantified.</p><p><strong>Results: </strong>The type of new treatment (22.9%) and perceived importance of study topic (19.5%) were the most important attributes identified by participants. The levels with the highest utility scores within each attribute included prescription medicine treatment with mild side effects, electronic surveys, under-30-minute study visits, no follow-up visits, 4-week treatment period, and once-a-week treatment frequency.</p><p><strong>Conclusion: </strong>The data support that study designs with low participant burden, interventions with few side effects, and the involvement of AYAs in determining the priority of the research topic are appealing to AYAs when considering participation in symptom management trials.</p><p><strong>Implications for practice: </strong>AYA participation in clinical trials is necessary to develop new symptom management modalities. Clinicians may use the results to introduce clinical trials containing trial characteristics that appeal to AYA cancer survivors.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069456","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":"Administrator, Provider, and Staff Perspectives on Implementing Acupuncture in Medically Underserved Breast Cancer Survivors.","authors":"Hongjin Li, Ardith Z Doorenbos, Hannah Choi, Judith M Schlaeger, Nia I Butler, Zhengjia Chen, Oana Danciu, Natalie Lif, Crystal L Patil","doi":"10.1097/NCC.0000000000001499","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001499","url":null,"abstract":"<p><strong>Background: </strong>Breast cancer survivors on endocrine therapy frequently experience multiple symptoms that significantly impact their quality of life. Acupuncture has shown potential in managing these symptoms but remains less accessible for medically underserved populations.</p><p><strong>Objective: </strong>This study aimed to explore the acceptability, challenges, and facilitators of acupuncture integration from the perspective of health system partners.</p><p><strong>Interventions/methods: </strong>Using a convergent mixed-methods approach and the Consolidated Framework for Implementation Research, we conducted interviews (n = 14) and surveys (n = 13) with administrators, providers, and staff from a federally qualified health center and oncology clinic between September 2023 and May 2024. Interviews were analyzed through directed content analysis, and descriptive statistics assessed demographics and acupuncture experience, as well as 6 key Consolidated Framework for Implementation Research constructs.</p><p><strong>Results: </strong>Five key themes emerged: acceptability and willingness to use acupuncture, limited experience and awareness of its effectiveness, and perceived challenges and facilitators to implementation. Survey results highlighted a positive organizational culture, strong leadership engagement, and a supportive learning environment, although clinic stress was noted as a concern. High receptivity to acupuncture was evident, with challenges (eg, limited insurance coverage) and facilitators (eg, leadership support and collaboration with community partners) identified for its integration.</p><p><strong>Conclusions: </strong>There is strong support among administrators, providers, and staff for integrating acupuncture into care for underserved breast cancer survivors. Addressing challenges while leveraging facilitators will aid successful implementation.</p><p><strong>Implications for practice: </strong>Enhancing patient/provider education, establishing acupuncture spaces, fostering supportive clinic environments, securing funding, and addressing insurance coverage issues are vital steps to advancing equitable access to acupuncture.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143997362","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":"Self-reported Sexual Health-Related Outcomes in Gynecological Cancer Survivors: Results From a Quasi-experimental Multicenter Intervention Study on Follow-up After Gynecological Cancer Treatment.","authors":"Anita Paulsen, Liv Fegran, Milada Hagen, Ingvild Vistad","doi":"10.1097/NCC.0000000000001493","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001493","url":null,"abstract":"<p><strong>Background: </strong>Gynecological cancer survivors often face sexual health challenges posttreatment, making interventions to address these issues essential.</p><p><strong>Objective: </strong>The aim of this study was to investigate changes in sexual health-related outcomes among gynecological cancer survivors comparing 2 different follow-up models.</p><p><strong>Methods: </strong>This preplanned substudy utilized data from the Lifestyle and Empowerment Techniques in Survivorship of Gynecologic Oncology study. Participants were assigned to either the intervention or control group based on their treatment hospital. The control group received standard follow-up care, whereas the intervention group received shared follow-up care with sexual health communication. Analyses included 686 participants with sexual activity as the primary outcome. Secondary outcomes included feelings of reduced physical attractiveness for all, sexual enjoyment and vaginal dryness (sexually active participants), and reasons for sexual inactivity (sexually inactive participants). Assessments were conducted at the end of treatment and at 6 and 12 months posttreatment.</p><p><strong>Results: </strong>No statistically significant group differences were found in any of the outcomes at 12 months. The intervention group showed a more favorable trend in sexual activity at 6 months, not sustained at 12 months. Both groups experienced an increase in vaginal dryness. The absence of a partner was the most common reason for sexual inactivity.</p><p><strong>Conclusions: </strong>Findings suggest that nurse-led sexual health communication during routine follow-up consultations may have a limited impact on the sexual health-related outcomes measured in this study.</p><p><strong>Implications for practice: </strong>More intensive and individualized interventions may be necessary for significant improvements in the outcomes of this study.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994406","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 Important Value of Nursing \"Compassionate Care\": A Phenomenological Study From the Perspective of Patients Living With a Cancer Diagnosis.","authors":"Tuğba Pehlivan Sarıbudak, Besti Üstün, Servet Cihan","doi":"10.1097/NCC.0000000000001487","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001487","url":null,"abstract":"<p><strong>Background: </strong>Although the number of studies on the reflection of compassionate care practices in patient experiences has increased in recent years, the issue is still not sufficiently studied and clearly defined, and no study has been conducted with patients living with a cancer diagnosis in Türkiye.</p><p><strong>Objective: </strong>This study aimed to examine the perspectives of compassionate care and compassionate care experiences of cancer patients in-depth using qualitative methods.</p><p><strong>Methods: </strong>Between March and August 2024, 22 phenomenological semistructured interviews were conducted with cancer patients. The data were analyzed using Colaizzi's 7-step descriptive analysis approach.</p><p><strong>Results: </strong>Five themes emerged from the analysis: (1) compassionate care behaviors, (2) noncompassionate care behaviors, (3) the value of compassionate care for the patients, (4) perceptions of compassionate care barriers, and (5) suggestions to improve compassionate care.</p><p><strong>Conclusions: </strong>Compassionate care from cancer patients' perspectives involves being friendly, respectful, and responsive to needs, whereas noncompassionate care behaviors mainly involve ineffective communication skills. Compassionate care has a positive effect on the outcomes of cancer patients with a long and challenging treatment journey. On the contrary, it may adversely affect communication, leading to an increase in unmet needs and a poor impact on cancer prognosis.</p><p><strong>Implications for practice: </strong>Cancer nurses should be trained to gain awareness of compassionate care and practices to ensure compassionate care, and training should be repeated regularly. For institution managers, reducing the patient-nurse ratio, monitoring cancer nurses for compassion fatigue, implementing prevention and coping programs, and creating a corporate culture to provide compassionate care are recommended.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812854","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":"Male Spouses' Experiences in Providing Support and Care for Women With Breast Cancer: A Qualitative Systematic Review and Metasynthesis.","authors":"Liyun Kong, Huichen Yang, Yi Li, Xulin Wang, Huaxiu Xu","doi":"10.1097/NCC.0000000000001506","DOIUrl":"10.1097/NCC.0000000000001506","url":null,"abstract":"<p><strong>Background: </strong>The global incidence of breast cancer is increasing, making the care of breast cancer survivors a priority for health services worldwide. Spouses are often the primary caregivers for breast cancer survivors, and understanding their caregiving experiences is essential for developing supportive programs aimed at reducing the burden on these caregivers.</p><p><strong>Objective: </strong>The aim of this study was to synthesize qualitative research evidence on male spouses' experiences in providing support and care for breast cancer survivors.</p><p><strong>Methods: </strong>Three databases were comprehensively searched, and the Joanna Briggs Institute qualitative synthesis method was used to evaluate the quality of the studies and synthesize the results.</p><p><strong>Results: </strong>A total of 14 studies identified 4 themes: male spouses have negative and positive emotional responses to breast cancer; male spouses experience physical, economic, and social consequences associated with breast cancer care; male spouses experience changes in child-rearing and intimate relationships; and male spouses use a range of strategies to cope with caregiving for an ill spouse.</p><p><strong>Conclusions: </strong>Spouses face numerous physical, psychological, and economic challenges when caring for breast cancer survivors. Therefore, support programs for caregivers should be multifaceted. Healthcare professionals should identify these challenges early and develop personalized intervention strategies to effectively enhance caregiving competence and facilitate adaptation to role transitions.</p><p><strong>Implications for practice: </strong>Healthcare providers should emphasize positive feedback and a sense of benefit in the process of spousal caregiving, enhance training in professional skills, provide diversified support, and promote positive spousal changes to improve the caregiving experience.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812843","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":"Themes of Personal Becoming: An Exploration of Cancer Caregiver Narratives.","authors":"Charlotte R Weiss, Rachel Johnson-Koenke, Sean M Reed, Danny G Willis, Karen H Sousa","doi":"10.1097/NCC.0000000000001492","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001492","url":null,"abstract":"<p><strong>Background: </strong>The radical shift introduced by cancer can biographically rupture the life of the family caregiver (FCG). The life shift experienced by cancer FCGs calls for stories and storytelling to create meaning and make sense of how their lives can be reshaped and evolve despite the changes and ambiguity that cancer introduces to the family system.</p><p><strong>Objective: </strong>This study aimed to explore advanced cancer FCGs' experiences of personal becoming across the multifaceted dimensions of self.</p><p><strong>Methods: </strong>Grounded in unitary-transformative nursing science theories, we used narrative inquiry alongside photo elicitation to create and analyze 5 cancer caregiver narratives. Thematic narrative analysis was used to identify patterns related to personal becoming within and across the narratives.</p><p><strong>Results: </strong>The findings of personal becoming include multiple themes of transforming in ways of living and knowing: (1) past caring informs present caring of another and self, (2) meaning of life and purpose of self, (3) relationships with others, (4) relating to the natural world, (5) patterns of spiritual knowing, and (6) patterns of aesthetic knowing.</p><p><strong>Conclusions: </strong>The findings illustrate that cancer FCGs may incorporate new patterns of knowing, perceiving, and understanding themselves, others, and the natural world. Themes of personal becoming illuminate a greater understanding of the complex experience of caring in family relationships affected by advanced cancer.</p><p><strong>Implications for practice: </strong>Nurses have a vital role in actively engaging cancer FCGs in deriving meaning from their lived experiences of caring through stories and healing modalities that illuminate and facilitate their transformation of self.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796879","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":"Psychological Journey of Delayed Medical Consultation in Patients With Breast Cancer Who Have Giant Tumors.","authors":"Yi-Ping Weng, Shu-Chen Chen, Rei-Mei Hong, Wanyu Huang, Ying-Hsiang Wang, Yao-Hsu Yang, Hwey-Fang Liang","doi":"10.1097/NCC.0000000000001503","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001503","url":null,"abstract":"<p><strong>Background: </strong>Despite Taiwan's advanced healthcare system, many women delay seeking medical attention for breast abnormalities, leading to worsened health outcomes and increased medical costs.</p><p><strong>Objective: </strong>To explore the psychological journeys of patients with breast cancer who delayed medical consultation and presented with large tumors.</p><p><strong>Methods: </strong>A phenomenological qualitative study was conducted using purposive sampling and semistructured interviews with 12 participants. Giorgi's phenomenological method guided the data analysis.</p><p><strong>Results: </strong>Most participants (75%) were aged 50 or younger and had at least a high school education. Delays in seeking medical care ranged from 3 to 36 months, worsening disease severity, complicating treatment, and causing significant breast disfigurement. Four themes emerged from their journeys: being ignorant, inner turmoil, hesitation to move forward, and breaking through.</p><p><strong>Conclusions: </strong>Participants delayed care due to insufficient awareness, cognitive biases, emotional struggles, and reliance on self-treatment. Consequently, all participants were diagnosed at stage 3 or higher. Addressing barriers such as low health literacy, cultural stigmas, and limited access to care is essential to encourage early detection and timely medical consultation.</p><p><strong>Implications for practice: </strong>To prevent delays in seeking care, healthcare systems should enhance education on low awareness, cognitive biases, and self-treatment. Targeted interventions can empower women to recognize early symptoms and seek timely care. Healthcare professionals should be trained to address patients' fears and hesitations with empathetic, culturally sensitive communication. Reducing barriers, such as low health literacy, cultural stigmas, and limited access to care through community outreach and improved screening services, is essential for early detection and better outcomes.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804723","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 Virtual Reality on Chemotherapy-Associated Stress (Cortisol Value), Anxiety, and Pain Symptoms of Mastectomy Patients: A Randomized Controlled Pilot Study.","authors":"Vesile Eskici İlgin, Ayşegül Yayla, Rümeysa L Toraman, Zeynep K Özlü, Tülay Kılınç, İbrahim Özlü","doi":"10.1097/NCC.0000000000001478","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001478","url":null,"abstract":"<p><strong>Background: </strong>Pain, anxiety, and stress are the most common symptoms experienced by patients receiving chemotherapy after breast surgery. Virtual reality (VR) can be used as a method to manage these symptoms.</p><p><strong>Objective: </strong>To determine the effect of VR on chemotherapy-associated stress (salivary cortisol value), anxiety, pain, and vital signs of mastectomy patients.</p><p><strong>Methods: </strong>A total of 62 participants were enrolled in this randomized, 2-group design. Participants in the experimental group watched videos with VR glasses during their chemotherapy treatments. Saliva samples were collected from participants in both the control and experimental groups before and immediately after their chemotherapy treatments. The Personal Information Form, state anxiety component of the State-Trait Anxiety Inventory, visual analog scale, and the patients' vital signs were also collected.</p><p><strong>Results: </strong>The State-Trait Anxiety Inventory state anxiety component and visual analog scale scores and the stress value mean scores differed significantly between the 2 groups at the second data point. There was also a statistically significant decrease in systolic blood pressure and diastolic blood pressure after chemotherapy in the experimental group.</p><p><strong>Conclusion: </strong>The use of VR in women receiving chemotherapy significantly reduced their pain, anxiety, stress and blood pressure from before to immediately following the chemotherapy infusion.</p><p><strong>Implications for practice: </strong>VR can be an appropriate intervention to reduce pain, anxiety, and stress in patients receiving chemotherapy after mastectomy.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781791","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":"Predictors of Spiritual Well-being Among Oncology Nurses in Oman.","authors":"Fatema Al-Abdalii, Mohammad Al Qadire, Ahmad Musa, Omar Al Omari, Hanan Abdelrahman","doi":"10.1097/NCC.0000000000001500","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001500","url":null,"abstract":"<p><strong>Background: </strong>Spiritual care is a crucial component of oncology nursing, addressing patients' holistic needs. However, limited research has explored spiritual well-being, competence, practices, and barriers among oncology nurses, particularly within specific cultural and religious contexts.</p><p><strong>Objective: </strong>To assess spiritual well-being and its predictors, including perceived competence, practices, and barriers to providing spiritual care among oncology nurses in Oman.</p><p><strong>Methods: </strong>A descriptive correlational study was conducted with 422 oncology nurses from 3 cancer care centers in Muscat, Oman. Convenience sampling was used, and data were collected through validated instruments, including the Spiritual Well-being Scale, Spiritual Care Competence Scale, Nurse Spiritual Care Therapeutics Scale, and Spiritual Care Practice Questionnaire. SPSS version 27 was used for data analysis, using descriptive statistics, Pearson correlation, independent t tests, analysis of variance, and multiple linear regression.</p><p><strong>Results: </strong>Nurses exhibited high spiritual well-being (mean, 102.1 [SD, 14.7]) and moderate spiritual care competence (mean, 96.1 [SD, 19.1]), yet spiritual care practices were infrequent (mean, 37.6 [SD, 13.1]). Major barriers included beliefs about the privacy of patients' spirituality (59.5%) and lack of time (54.7%). Higher competence and prior oncology training were significantly associated with greater spiritual well-being.</p><p><strong>Conclusions: </strong>Although oncology nurses in Oman report high spiritual well-being, barriers such as time constraints and role perceptions hinder spiritual care practices.</p><p><strong>Implications for practice: </strong>Targeted education and training programs are essential to enhance spiritual care delivery. Addressing systemic challenges, including time management and role clarity, can foster a supportive environment for integrating spiritual care into oncology nursing.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781788","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":"Ensuring Equitable and Inclusive Cancer Care for Immigrant Communities.","authors":"Cannas Kwok","doi":"10.1097/NCC.0000000000001505","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001505","url":null,"abstract":"","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781779","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}