Cancer Nursing最新文献

{"title":"Online Experiences, Internet-Fostered Connection, Resilience, and Adjustment Among Adolescent Siblings of Children With Cancer.","authors":"Sarah E Wawrzynski, Kristin G Cloyes, Kamyar Arasteh, Jia-Wen Guo, Lauri Linder, Maija Reblin, Melissa A Alderfer","doi":"10.1097/NCC.0000000000001284","DOIUrl":"10.1097/NCC.0000000000001284","url":null,"abstract":"<p><strong>Background: </strong>Pediatric cancer disrupts the lives of siblings in many ways, including physical separations from family and friends that increase risk for distress. Research suggests that siblings use technology and social media to connect with friends and family and seek social support and interaction. However, this may expose siblings to negative online experiences that can erode self-esteem, reducing resilience.</p><p><strong>Objective: </strong>This study explored the relationship between online experiences, internet-fostered connection, resilience, and psychosocial health among siblings of children with cancer.</p><p><strong>Methods: </strong>Participants included adolescent siblings (N = 81; aged 12-17 years) of children with cancer. Most were female (56.8%), and 50.6% represented racially or ethnically minoritized groups. Online experiences, social media use, resilience, and psychosocial health were self-reported and analyzed using structural equation modeling.</p><p><strong>Results: </strong>A majority of siblings reported moderate to severe posttraumatic stress symptoms (PTSSs) (59%) and elevated emotional and behavioral difficulties (EBDs) (53%). Experiencing more positive online experiences was associated with greater perceived connection to family and friends online, but not resilience, PTSSs, or EBDs. In contrast, higher negative online experience scores were significantly associated with more PTSSs and EBDs. In addition, the association between negative online experiences and EBDs was significantly mediated by a negative association between negative online experiences and resilience.</p><p><strong>Conclusions: </strong>Although social media may be a valuable tool for helping siblings of children with cancer garner social support, negative online experiences may be detrimental to their adjustment.</p><p><strong>Implications for practice: </strong>Efforts should be made to preserve and foster resilience among siblings who use social media for support.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E1-E8"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11031615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49684599","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":"Gender Equity in the Oncology Workforce: Barriers, Impacts, and Addressing Recommendations.","authors":"Winnie K W So, Wenqian Zhao","doi":"10.1097/NCC.0000000000001416","DOIUrl":"10.1097/NCC.0000000000001416","url":null,"abstract":"","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"77"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142562997","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":"Dietary Composition, Meal Timing, and Cancer-Related Fatigue: Insights From the Women's Healthy Eating and Living Study.","authors":"Amber S Kleckner, Ian R Kleckner, Cynthia L Renn, Paula Y Rosenblatt, Alice S Ryan, Shijun Zhu","doi":"10.1097/NCC.0000000000001305","DOIUrl":"10.1097/NCC.0000000000001305","url":null,"abstract":"<p><strong>Background: </strong>Cancer-related fatigue is difficult to treat, and dietary interventions are promising yet underused.</p><p><strong>Objective: </strong>We explored associations between dietary patterns and fatigue, and the effect of a dietary intervention versus control on fatigue using Women's Healthy Eating and Living study data, plus mediators and moderators of the intervention effect.</p><p><strong>Methods: </strong>The Women's Healthy Eating and Living study was a randomized controlled trial among early-stage breast cancer survivors. The 4-year intervention encouraged fruits, vegetables, fiber, and 15% to 20% calories from fat. Fatigue outcomes included a 9-item energy scale and a single-item tiredness question. Dietary quality was estimated using a modified Healthy Eating Index (24-hour dietary recall) and serum carotenoid concentrations. Nutrient timing was obtained from 4-day food logs.</p><p><strong>Results: </strong>Among 2914 total participants, lower body mass index was associated with less tiredness and more energy at baseline ( P < .001 for both). Earlier start and end times for daily eating windows were associated with less tiredness ( P = .014 and P = .027, respectively) and greater energy ( P = .006 and P = .102, respectively). The intervention did not lead to improvements in fatigue on average ( P > .125). However, the intervention was more effective for participants who were younger, had fewer comorbidities, and did not have radiation treatment. Mediators included increases in serum carotenoids, increases in the modified Healthy Eating Index, and weight loss/maintenance.</p><p><strong>Conclusion: </strong>Diet quality and earlier eating windows were associated with less fatigue.</p><p><strong>Implications for practice: </strong>Programs that encourage high diet quality and a morning meal and discourage nighttime eating should be tested for efficacy in reducing cancer-related fatigue in survivorship.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"19-30"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11136880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464163","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":"Impact of the Practice Environment on Oncology and Hematology Nurses: A Scoping Review.","authors":"Amy O'Dea, Rebecca Caulfield, Michael Roche","doi":"10.1097/NCC.0000000000001264","DOIUrl":"10.1097/NCC.0000000000001264","url":null,"abstract":"<p><strong>Background: </strong>Practice environments have a significant impact on nurses' practice and their retention within the oncology and hematology specialty. Understanding how specific elements of the practice environment impact nurse outcomes is important for creating supportive and safe practice environments.</p><p><strong>Objective: </strong>To evaluate the impact of the practice environment on oncology and hematology nurses.</p><p><strong>Methods: </strong>A scoping review was conducted according to the PRISMA-ScR Statement Guidelines. Electronic databases (MEDLINE, CINAHL, PsychINFO, Google Scholar, and Scopus) were searched using key terms. Articles were assessed according to the eligibility criteria. Data extraction was conducted with results explained through descriptive analysis.</p><p><strong>Results: </strong>One thousand seventy-eight publications were screened with 32 publications meeting the inclusion criteria. The 6 elements of the practice environment (workload, leadership, collegial relations, participation, foundations, and resources) were found to significantly impact nurses' job satisfaction, psychological well-being, levels of burnout, and intention to leave. Negative practice environment elements were linked to increased levels of job dissatisfaction, higher levels of burnout, greater prevalence of psychological distress, and greater intention to leave both oncology and hematology nursing and the nursing profession.</p><p><strong>Conclusions: </strong>The practice environment has a significant impact on nurses, their job satisfaction, well-being, and intention to stay. This review will inform future research and forthcoming practice change to provide oncology and hematology nurses with practice environments that are safe and lead to positive nurse outcomes.</p><p><strong>Implications for practice: </strong>This review provides a foundation upon which to develop and implement tailored interventions that best support oncology and hematology nurses to remain in practice and provide high-quality care.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E18-E28"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9766848","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":"\"Being a Good Parent\" During Times of Illness as Defined by Chinese Children With Cancer, Their Parents, and Providers.","authors":"Zihe Zhang, Haiying Huang, Mingxia Duan, Ling Yu, Lei Cheng","doi":"10.1097/NCC.0000000000001329","DOIUrl":"10.1097/NCC.0000000000001329","url":null,"abstract":"<p><strong>Background: </strong>Identifying the definition of \"being a good parent\" facilitates the understanding of parents' personal beliefs and deeds regarding their ill child.</p><p><strong>Objective: </strong>The aim of this study was to explore the concept of \"being a good parent to my ill child\" during pediatric cancer treatment from the perspective of Chinese children, parents, and providers.</p><p><strong>Methods: </strong>A descriptive qualitative study was conducted with 6 children, 18 parents, 5 doctors, 19 nurses, and 3 social workers by semistructured interviews at 3 Chinese hospitals.</p><p><strong>Results: </strong>Except for \"letting the Lord lead,\" 7 themes from the original conceptual model were validated, for example, \"being there for my child\" (n = 51, 100.0%); \"doing right by my child\" (n = 38, 74.5%), \"being an advocate for my child\" (n = 27, 52.9%), \"conveying love to my child\" (n = 26, 51.0%), \"making my child healthy\" (n = 18, 35.3%), \"being a good life example\" (n = 13, 25.5%), and \"not allowing suffering\" (n = 13, 25.5%). A new theme, \"rebuilding myself\" (n = 39, 76.5%), emerged in the Chinese context. \"Being a good parent to my ill child\" is perceived differently among stakeholders. Healthcare professionals' facilitation to fulfill the concept included \"recognizing the individualized good-parent definition,\" \"providing best available care\" and \"establishing a supportive environment.\"</p><p><strong>Conclusion: </strong>\"Being a good parent to my ill child\" is meaningfully expressed by Chinese parents and recognized by children and providers during pediatric cancer treatment.</p><p><strong>Implications for practice: </strong>It is important to support parents in conveying their internal good parent definition and sharing it with stakeholders. Attention should be paid to related cultural influencers, a supportive family-friendly environment, and shared decision making involving the child's voice.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"71-76"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139713365","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":"Factors Related to Functional Capacity Deterioration in Surgical Lung Cancer Patients: A Systematic Review.","authors":"Xinyi Xu, Xiaohang Liu, Mu-Hsing Ho, Pui Hing Chau, Denise Shuk Ting Cheung, Chia-Chin Lin","doi":"10.1097/NCC.0000000000001269","DOIUrl":"10.1097/NCC.0000000000001269","url":null,"abstract":"<p><strong>Background: </strong>A decline in functional capacity is anticipated after lung resection. However, the factors related to functional capacity deterioration in surgical lung cancer patients have not been systematically reviewed.</p><p><strong>Objective: </strong>To investigate the factors related to functional capacity deterioration and the trajectory of functional capacity after lung cancer surgery.</p><p><strong>Methods: </strong>PubMed, CINAHL, Scopus, and SPORTDiscus were searched between January 2010 and July 2022. Two reviewers conducted a critical appraisal of individual sources. Twenty-one studies met the inclusion criteria.</p><p><strong>Results: </strong>This review presents evidence for risk factors related to functional capacity deterioration after lung cancer surgery, including patient characteristics (age), preoperative clinical factors (vital capacity, quadriceps force, B-type natriuretic peptide level), surgery-related factors (surgical procedure, duration of chest tube drainage, postoperative complications), and postoperative clinical factor (C-reactive protein level). Most patients had a significant decline in functional capacity in the short term (≤1 month from surgery). In the medium term (1 to ≤6 months from surgery), although the functional capacity did not return to the preoperative level, the decline became insignificant.</p><p><strong>Conclusions: </strong>This study is the first to review factors related to functional capacity in lung cancer patients. The findings can help clinicians to better identify patients at risk of functional capacity decline and allocate clinical resources more efficiently.</p><p><strong>Implications for practice: </strong>The risk factors related to the functional capacity decline in surgical lung cancer patients should be evaluated routinely during perioperative nursing assessments. Preoperative and postoperative nursing interventions can potentially improve modifiable risk factors and prevent functional capacity deterioration.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E29-E38"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9766844","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 Predictive Model of Severe Cytokine Release Syndrome After Coadministration of CD19- and CD22-Chimeric Antigen Receptor T-Cell Therapy in Children With B-Cell Hematological Malignancies Based on Patient-Reported Outcomes.","authors":"Kangjia Zhao, Jiwen Sun, Mengxue He, Haishan Ruan, Geng Lin, Nanping Shen","doi":"10.1097/NCC.0000000000001275","DOIUrl":"10.1097/NCC.0000000000001275","url":null,"abstract":"<p><strong>Background: </strong>Chimeric antigen receptor T-cell therapy-related severe cytokine release syndrome (sCRS) has seriously affected the life safety of patients.</p><p><strong>Objective: </strong>To explore the influencing factors of sCRS in children with B-cell hematological malignancies and build a risk prediction model.</p><p><strong>Methods: </strong>The study recruited 115 children with B-cell hematological malignancies who received CD19- and CD22-targeted chimeric antigen receptor T-cell therapy. A nomogram model was established based on symptomatic adverse events and highly accessible clinical variables. The model discrimination was evaluated by the area under the receiver operating characteristic curve. The calibration of our model was evaluated by the calibration curve and Hosmer-Lemeshow test. The bootstrap self-sampling method was used to internally validate.</p><p><strong>Results: </strong>Thirty-seven percent of the children experienced sCRS. Indicators included in the nomogram were tumor burden before treatment, thrombocytopenia before pretreatment, and the mean value of generalized muscle weakness and headache scores. The results showed that the area under the receiver operating characteristic curve was 0.841, and the calibration curve showed that the probability of sCRS predicted by the nomogram was in good agreement with the actual probability of sCRS. The Hosmer-Lemeshow test indicated that the model fit the data well ( χ2 = 5.759, P = .674). The concordance index (C-index) obtained by internal validation was 0.841 (0.770, 0.912).</p><p><strong>Conclusions: </strong>The nomogram model constructed has a good degree of discrimination and calibration, which provides a more convenient and visual evaluation tool for identifying the sCRS.</p><p><strong>Implications for practice: </strong>Incorporation of patient-reported outcomes into risk prediction models enables early identification of sCRS.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"3-11"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9954669","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":"Effectiveness of Meaning-Centered Coaching on the Job of Oncology Nurses on Spiritual Care Competences: A Participatory Action Research Approach.","authors":"Linda Modderkolk, Jacqueline van Meurs, Veronique de Klein, Yvonne Engels, Anne B Wichmann","doi":"10.1097/NCC.0000000000001255","DOIUrl":"10.1097/NCC.0000000000001255","url":null,"abstract":"<p><strong>Background: </strong>Nurses' competences in providing spiritual care can increase quality of care for and quality of life of patients with cancer and job satisfaction but are often suboptimal. Training to improve this mostly takes place off-site, although implementation in daily care practice is key.</p><p><strong>Objectives: </strong>The aims of this study were to implement a meaning-centered coaching on the job intervention and to measure its effects on oncology nurses' spiritual care competences and job satisfaction, and factors influencing this.</p><p><strong>Methods: </strong>A participatory action research approach was adopted. Mixed methods were used to assess intervention effects in which nurses of an oncology ward in a Dutch academic hospital participated. Spiritual care competences and job satisfaction were quantitatively measured and complemented with content analysis of qualitative data.</p><p><strong>Results: </strong>Thirty nurses participated. A significant increase in spiritual care competences was found, particularly regarding communication, personal support, and professionalization. More self-reported awareness of personal experiences in caring for patients, and an increase in mutual communication and involvement around meaning-centered care provision as a team were found. Mediating factors were related to nurses' attitudes, support structures, and professional relations. No significant impact was found on job satisfaction.</p><p><strong>Conclusion: </strong>Meaning-centered coaching on the job increased oncology nurses' spiritual care competences. Nurses developed a more exploratory attitude in their communication with patients-instead of acting based on their own assumptions about what is of meaning.</p><p><strong>Implications for practice: </strong>Attention to and improving spiritual care competences should be integrated into existing work structures, and terminology used should match existing understandings and sentiments.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"55-63"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11610914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9752547","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":"Decisional Conflict, Patient Involvement, and the Associated Psychological Factors Relating to Mastectomy Decisions Among Women With Breast Cancer: A Cross-sectional Study.","authors":"Jing Liu, Sally Wai-Chi Chan, Dongmei Guo, Qin Lin, Sharyn Hunter, Jiemin Zhu, Regina Lai Tong Lee","doi":"10.1097/NCC.0000000000001256","DOIUrl":"10.1097/NCC.0000000000001256","url":null,"abstract":"<p><strong>Background: </strong>Most women with breast cancer in China have received a mastectomy despite emerging breast-conserving alternatives. Their decision-making relating to mastectomy is unclear.</p><p><strong>Objective: </strong>To investigate decisional conflict, women's involvement, and psychological factors relating to mastectomy decisions.</p><p><strong>Methods: </strong>Women with breast cancer 18 years and older who had a mastectomy were recruited from 2 hospitals in China. A conceptual framework adapted from the Ottawa Decisional Support Framework was used to guide this study. Data were collected using the 16-item Decisional Conflict Scale, the 9-item Shared Decision-Making Questionnaire, and a 19-item psychological factor list.</p><p><strong>Results: </strong>A total of 304 women participated. Overall, they reported a low-level conflict and high-level involvement. \"Cancer not return\" was rated as the most important psychological factor influencing mastectomy decisions. Lower decisional conflict was predicted by higher involvement. Higher involvement was predicted by younger age and increased family income.</p><p><strong>Conclusions: </strong>This study is the first to demonstrate decisional conflict, involvement, and the associated factors specifically in Chinese women undergoing mastectomy. Results determined the importance of several psychological factors influencing mastectomy decisions. Future qualitative studies are required to deepen understanding of women's decision-making experiences regarding this surgery.</p><p><strong>Implications for practice: </strong>Nurses need to provide support to Chinese women in making treatment decisions, especially for older women, and those who are economically disadvantaged. Measures are needed to promote their involvement and improve their understanding of breast cancer and its treatments, which may help reduce decisional conflict, and potentially improve their satisfaction with treatment and quality of life.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"45-54"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9689294","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 Video Information Before Insertion of an Implantable Port Catheter on Cancer Patients' Fear of Pain and Pain Levels.","authors":"Ayse G Işıklı, Duygu Soydaş, Fatma Önüt, Hakan Şen","doi":"10.1097/NCC.0000000000001267","DOIUrl":"10.1097/NCC.0000000000001267","url":null,"abstract":"<p><strong>Background: </strong>Implantable port catheters and their needles may cause cancer patients to experience fear of pain.</p><p><strong>Objective: </strong>The aim of this article was to study the effect of video information provided before implantable port catheter insertion on the fear of pain and on postoperative pain level.</p><p><strong>Methods: </strong>The study is a randomized controlled trial conducted between July and December 2022 at a university hospital with a total of 84 cancer patients: intervention group (42) and control group (42). Descriptive analyses, χ 2 analysis, the Mann-Whitney U test, and Student's t test were used to assess the data.</p><p><strong>Results: </strong>In the preoperative period, the mean score of the fear of severe pain subdimension of the patients in the control group was found to be higher than that of the patients in the intervention group ( P < .05). When the postoperative pain levels of the patients were evaluated, no difference between the visual analog scale scores of the experimental and control groups was found ( P > .05).</p><p><strong>Conclusion: </strong>Video information provided before the insertion of an implantable port catheter was found to reduce the fear of severe pain in cancer patients, but postoperative pain levels were not affected.</p><p><strong>Implications for practice: </strong>The use of audiovisual materials such as videos for multimedia-based information is effective in making remembering the information easy. Video-based information may be more useful in managing fear of pain in patients than traditional verbal information. The findings of this study can serve as a guide for clinical work and for developing targeted measures to reduce fear of pain.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"64-70"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9764250","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}