Cancer Nursing最新文献

{"title":"Utilizing Community Engagement Studios to Improve Participation of African American Cancer Survivors in Couples-Based Exercise Research.","authors":"Lyndsey M Hornbuckle, Cristina S Barroso, Jakevious Rosser, Kerri M Winters-Stone","doi":"10.1097/NCC.0000000000001622","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001622","url":null,"abstract":"<p><strong>Background: </strong>Evidence suggests exercise can improve health outcomes for individuals with cancer and their caregiving partners. Research to improve outcomes in African American (AA) couples coping with cancer is scarce, despite known disparities in AA survivors. Incorporating community-engaged, culturally relevant strategies to enhance intervention development may encourage AA couple engagement in exercise research.</p><p><strong>Objective: </strong>To consult AA cancer survivors and their caregiving partners using a community engagement studio approach and collect feedback about improving recruitment strategies and participation in an existing couples-based exercise trial.</p><p><strong>Methods: </strong>AA adults currently or previously diagnosed with any cancer and their partners were recruited. Three community engagement studio sessions were conducted virtually to collect participants' perceptions using semi-structured discussion guides. Verbatim transcripts were coded by two independent investigators using an open approach to identify themes.</p><p><strong>Results: </strong>Twenty participants (mean age 60.6 ± 9.7 years; 90% AA; 85% survivors; 75% women) completed the study. Four themes emerged: Suggested Exercise Trial Improvements, Exercise Prescription Used in the Trial, Connections to the AA Cancer Community, and The Cancer Experience. Participants quickly developed camaraderie as AAs coping with cancer and expressed gratitude for the opportunity to connect. Caregiving partners were underrepresented, limiting dyadic findings.</p><p><strong>Conclusion: </strong>These qualitative data informed strategies to promote racial diversity in the exercise trial examined. Community input can benefit future exercise research to help reduce cancer-related disparities.</p><p><strong>Implications for practice: </strong>Future exercise oncology research should include community-driven recruitment approaches, hiring diverse staff and study advocates, individual exercise tailoring, and facilitating the development of an AA cancer support community.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921500","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 Meaning of a Cancer Diagnosis for the Rural Patient Through the Lenses of Merleau-Ponty and Heidegger: A Hermeneutic Phenomenological Study.","authors":"Martha S Curtin, Darryl Somayaji, Suzanne S Dickerson","doi":"10.1097/NCC.0000000000001629","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001629","url":null,"abstract":"<p><strong>Background: </strong>In a rural setting, individuals who receive a cancer diagnosis experience an interconnected group of challenges that contribute to the lived experience of space and time. Philosophers offer a perspective of human experience that provides insight into how individuals manage life challenges.</p><p><strong>Objective: </strong>To understand the lived experiences by inserting the lenses of Merleau-Ponty (MP) and Heidegger as they relate to space and time, and work toward a holistic practice that is maximally effective.</p><p><strong>Methods: </strong>This qualitative secondary analysis applied hermeneutic phenomenology when reviewing interview transcripts from 15 participants. Participants discussed their experiences in ways that resonated with philosophical work from MP and Heidegger, highlighting their applicability to the nature of the participants' experiences.</p><p><strong>Results: </strong>Two main themes and several subthemes were identified and interpreted using philosophical viewpoints. Theme 1, Experiencing limitations in one's space, and subthemes Sacrificing independence and personal space and Leaving the rural environment, are well explicated by MP's notion of \"being-in-the-world.' Theme 2, Being thrown into life with a cancer diagnosis, and subthemes Prioritizing health, Striving for normalcy, and Living authentically, are well explained by Heidegger's impressions of temporality and thrownness.</p><p><strong>Conclusions: </strong>Incorporation of philosophers' viewpoints is valuable in providing a holistic understanding of the lived experience of participants. Nurses are on the frontline of healthcare and can ensure that individual needs are met while providing best-practice care for rural patients.</p><p><strong>Implications for oncology nursing practice: </strong>Providing authentic care, recognizing the strengths of the rural community, and practicing advocacy for the rural patient are important.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921535","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":"Reconfiguring Priorities: Breastfeeding Decision-making Among Young Breast Cancer Survivors.","authors":"Ariadna Huertas-Zurriaga, Sandra Cabrera-Jaime, Isabel Navarri, Iris Teruel-Garcia, Juan Manuel Leyva-Moral","doi":"10.1097/NCC.0000000000001455","DOIUrl":"10.1097/NCC.0000000000001455","url":null,"abstract":"<p><strong>Background: </strong>Breast cancer survivors face unique challenges in breastfeeding decisions. Limited research exists on the experiences and decision-making processes of young women with breast cancer regarding breastfeeding.</p><p><strong>Objective: </strong>To explain the decision-making processes of young women with breast cancer in relation to breastfeeding throughout the cancer trajectory.</p><p><strong>Methods: </strong>A constructivist grounded theory approach was used. Semistructured interviews were conducted with 12 women diagnosed with breast cancer and 8 healthcare professionals. Data were analyzed using constant comparative analysis.</p><p><strong>Results: </strong>The core category \"Reconfiguring Priorities: The Secondary Role of Breastfeeding in the Context of Breast Cancer in Young Women\" emerged, encompassing 3 subcategories: (1) scars over time, (2) omitting breastfeeding in oncological care, and (3) self-management of breastfeeding.</p><p><strong>Conclusions: </strong>Breastfeeding decision-making among young breast cancer survivors is not driven by conscious will but by a constant struggle with the conditioning factors of the oncological process: mortality and toxicity of drugs to breast milk. The lack of professional support leads women to develop their own strategies for managing breastfeeding, marked by ambivalence between motivations and personal challenges.</p><p><strong>Implications for practice: </strong>Healthcare professionals should integrate breastfeeding discussions into oncological care for young breast cancer survivors. Specialized lactation consultants with oncology expertise should be incorporated into the care team. Peer support programs can provide valuable guidance based on lived experiences, empowering women to make informed decisions about breastfeeding after breast cancer.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"355-364"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958473","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":"How Do People Living With Cancer Navigate Health Systems?: A Multi-Grounded Theory.","authors":"Emma Hennessey, Amy Kirkegaard, Lauren Ball","doi":"10.1097/NCC.0000000000001468","DOIUrl":"10.1097/NCC.0000000000001468","url":null,"abstract":"<p><strong>Background: </strong>Cancer and its physiological and psychological effects are well defined, but how these factors impact health system navigation for people living with cancer (PLWC) is lacking.</p><p><strong>Objective: </strong>To develop a theory explaining how PLWC navigate health systems to meet their health and well-being needs.</p><p><strong>Methods: </strong>This study used multi-grounded theory to explain how PLWC navigate health systems to meet their needs. Individuals more than 6 months postdiagnosis participated in semistructured interviews. The theory was grounded with the Health Beliefs Model and Socioecological Model to generate a candidate theory.</p><p><strong>Results: </strong>Eighteen participants were interviewed (n = 12 female); the most prominent cancer type was breast (50%). The theory comprised 5 components describing how PLWC navigate health services: (1) \"being on the journey\" referenced a core care team and differing utilization over time; (2) \"adjusting to a new identity\" addressed feeling lost and isolated and a desire to be around people who have experienced cancer; (3) \"assimilating knowledge\" included knowledge about cancer, timing, and source of information; (4) \"navigating the health system\" found health-seeking attitudes and behaviors dictated whether services were accessed; and (5) \"policy environment\" acknowledged how policy set the context within which all theory components exist.</p><p><strong>Conclusions: </strong>The candidate theory depicts core factors influencing how PWLC navigate health and well-being services over their cancer journey and into survivorship.</p><p><strong>Implications for practice: </strong>The theory identifies factors that influence access to healthcare, including trust and knowledge, which can form the basis of navigational initiatives and programs.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"317-326"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069451","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":"Quality of Life and Cancer-Related Experiences of Late-Stage and Metastatic Colorectal Cancer Survivors: A Mixed-Methods Study.","authors":"Krista A Brown, Katrina M Poppert Corts, Sharon Medcalf, Melissa Acquazzino, Robin M Lally","doi":"10.1097/NCC.0000000000001480","DOIUrl":"10.1097/NCC.0000000000001480","url":null,"abstract":"<p><strong>Background: </strong>People with late-stage and metastatic colorectal cancer (CRC) are living longer, with rates increasing over time, necessitating a greater understanding of their survivorship experiences.</p><p><strong>Objective: </strong>The purpose of this study was to explore the quality of life (QoL) and cancer-related experiences of stages III and IV CRC survivors and to inform oncology nursing practice and survivorship care.</p><p><strong>Interventions/methods: </strong>This sequential, explanatory mixed-method study used a cross-sectional Functional Assessment of Cancer Therapy-Colorectal survey and semistructured interviews to explore QoL and cancer-related experiences of stages III and IV CRC survivors. The study was guided by the Ferrell QoL model. Descriptive statistics and directed and summative content analysis were utilized, followed by integration using joint displays.</p><p><strong>Results: </strong>Thirty-one CRC survivors participated in the study; 24 completed the Functional Assessment of Cancer Therapy-Colorectal, and 12 participated in the semistructured interviews. Results identified 8 QoL themes: control, acceptance, normalcy, resilience, trust, isolation, and anger/frustration with support needs, including ostomy appliance management and shared experiences from other CRC survivors.</p><p><strong>Conclusions: </strong>Stage III/IV CRC survivors experience substantial physical, psychological, social, and spiritual cancer-related challenges. Integration of quantitative and qualitative data in this study highlighted QoL domains for future clinical intervention.</p><p><strong>Implications for practice: </strong>These data inform oncology nurses and other healthcare providers regarding QoL domains that may warrant greater assessment among late-stage and metastatic CRC survivors experiencing low, moderate, or high QoL. Interventions to facilitate social and community support for late-stage and metastatic CRC survivors through support groups, one-on-one interactions, or virtual online platforms are warranted.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E612-E623"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568682","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":"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":"E591-E600"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","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":"A Scoping Review of the Perceptions and Experiences of People From Underserved Groups of Being on Personalized Stratified Follow-Up Following Treatment for Breast Cancer.","authors":"Katie Sutton, Sophie McGrevey, Verna Lavender, Lorraine Marke, Jo Armes","doi":"10.1097/NCC.0000000000001631","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001631","url":null,"abstract":"<p><strong>Background: </strong>Personalized Stratified Follow-Up (PSFU) is an approach to cancer follow-up involving patients re-accessing care when they need to, rather than attending predetermined appointments. The benefits of this approach are a more personalized experience for patients and increased capacity in clinics.</p><p><strong>Objective: </strong>To understand the evidence relating to the experiences of people on PSFU following breast cancer treatment, specifically in terms of the perceptions of people from underserved groups.</p><p><strong>Methods: </strong>A scoping review of the relevant evidence was conducted. Screening was conducted independently by 2 researchers. Data extracted were charted using a predetermined checklist for summary and analysis.</p><p><strong>Results: </strong>A total of 2728 results were identified through databases; 11 papers were included. Nineteen gray literature resources were also identified. Findings were presented as: (1) key components of PSFU for breast cancer; (2) experiences and perceptions of patients and health professionals in relation to PSFU for breast cancer; (3) suggestions to enhance PSFU; and (4) evidence relating to underserved groups on PSFU for breast cancer.</p><p><strong>Conclusion: </strong>Patients on PSFU are generally satisfied with their care and are confident in managing their own condition. Unmet needs include psychological support and re-accessing clinical teams. This review has highlighted that little is known about the experiences of underserved groups.</p><p><strong>Implications for nursing practice: </strong>Nurses should be aware of the importance of providing patients on PSFU with information about self-examination, signs of recurrence, side effects, and re-accessing the clinical team. PSFU services should be designed to ensure that patients from underserved groups do not experience inequalities in their care.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867389","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":"Needs Assessment to Guide the Development of a Pediatric Survivorship Program to Promote the Physical and Psychological Well-being of Children After Cancer Treatment.","authors":"Oi Kwan Joyce Chung, William Ho Cheung Li, Shirley Siu Yin Ching, Sau Ying Chiu, Shuk Yan Mak, Godfrey Chi Fung Chan","doi":"10.1097/NCC.0000000000001464","DOIUrl":"10.1097/NCC.0000000000001464","url":null,"abstract":"<p><strong>Background: </strong>Studies have provided insights into the major challenges and needs of young children who survive cancer. Many such challenges are related to a lack of support during the patient's transition back to normal life. Survivorship programs are designed to help survivors cope with potential late effects of treatment and to provide psychosocial support. However, there is not yet a survivorship program in Hong Kong that provides young survivors with continuous care.</p><p><strong>Objectives: </strong>To explore the challenges and needs faced by pediatric cancer survivors during their transition from patient to survivor and to guide the development of the survivorship program.</p><p><strong>Methods: </strong>A qualitative descriptive design utilizing purposive sampling was used. Semistructured interviews were conducted with 30 pediatric cancer survivors aged between 9 and 18 years, along with their parents/caregivers, as well as 5 pediatric cancer oncology nurses and 3 pediatric oncologists.</p><p><strong>Results: </strong>The interviews yielded 4 overarching themes: (1) challenges in school reintegration, (2) concerns relating to physical and psychological well-being, (3) lack of social support and adaptation difficulties, and (4) needs for supportive care services.</p><p><strong>Conclusion: </strong>The findings provide insights into the needs of pediatric cancer survivors, their parents, and other key stakeholders. These insights suggest that a pediatric cancer survivorship program should be established in Hong Kong as an essential component of the continuum of cancer care.</p><p><strong>Implications for practice: </strong>Survivor clinic care should be enhanced to provide continuous support for children who have completed medical treatment and their caregivers, incorporating the perspectives of all stakeholders.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"365-372"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034717","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":"Identifying Core Self-reported Adverse Events Associated With Chemotherapy Among Patients With Breast Cancer: A Network Analysis.","authors":"Qingmei Huang, Hao Zhang, Chunfang Yu, Yang Yang, Yeping Zheng, Zheng Zhu, Xuqian Zong, Changrong Yuan, Fulei Wu","doi":"10.1097/NCC.0000000000001458","DOIUrl":"10.1097/NCC.0000000000001458","url":null,"abstract":"<p><strong>Background: </strong>Women in treatment for breast cancer and undergoing chemotherapy often experience multiple chemotherapy-related adverse events simultaneously, making it essential for healthcare providers to pinpoint the core adverse event that can be targeted for more precise interventions.</p><p><strong>Objective: </strong>To identify the core chemotherapy-related adverse events using network analysis in Chinese patients with breast cancer.</p><p><strong>Methods: </strong>Data were collected from September 1, 2022, to November 30, 2022. Network analysis was used to construct an adverse events network. Node centrality was assessed using strength, closeness, and betweenness centralities. Comparisons of networks by different chemotherapy cycles were also made.</p><p><strong>Results: </strong>A total of 195 patients were eligible for data analysis. In the overall network, fatigue ( rS  = 7.0612, rC  = 0.0136, rB  = 76) was the most central adverse event, followed by decreased appetite ( rS  = 6.8378, rC  = 0.0124, rB  = 42). In the comparison of networks by different chemotherapy cycles, muscle pain was the most central adverse event in the early phase of chemotherapy; fatigue was the most central adverse event in the middle phase of chemotherapy and remained the most central adverse event in the late phase of chemotherapy.</p><p><strong>Conclusion: </strong>This study confirmed the core roles of fatigue and decreased appetite in chemotherapy-related adverse events in patients with breast cancer from patient-reported outcomes.</p><p><strong>Implications for practice: </strong>Healthcare providers should focus their interventions on core adverse events to improve the efficiency of managing adverse events in patients with breast cancer undergoing chemotherapy.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E490-E497"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13506192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081956","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":"The Gender Blind Spot in Breast Cancer Care: Addressing the Systemic Neglect of Male Patients.","authors":"Chinomso Ugochukwu Nwozichi","doi":"10.1097/NCC.0000000000001608","DOIUrl":"10.1097/NCC.0000000000001608","url":null,"abstract":"","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"396-397"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148521383","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}