Applied Nursing Research最新文献

{"title":"Exploring the perspectives of early-stage postoperative glioblastoma patients and their caregivers on end-of-life care planning: An exploratory qualitative interview study","authors":"Chia-Yi Chien ,&nbsp;Lu-Ting Kuo ,&nbsp;Cheng-Pei Lin","doi":"10.1016/j.apnr.2024.151897","DOIUrl":"10.1016/j.apnr.2024.151897","url":null,"abstract":"<div><h3>Aim</h3><div>Compare the convergent and divergent viewpoints of early-stage postoperative patients with glioblastoma and their caregivers on end-of-life care planning in Taiwan.</div></div><div><h3>Background</h3><div>Decision-making capacity in patients with glioblastoma may be compromised as disease progresses, making early future care planning essential to ensure that the provided care aligns with patients' goals. However, within many Asian cultures, the tendency to avoid discussions about death can lead patients to feel hesitant about addressing end-of-life care options. This reluctance may impact the quality of care provided and increase the surrogate decision-making burden on caregivers.</div></div><div><h3>Methods</h3><div>An exploratory qualitative study with semi-structured qualitative interviews was conducted on early-stage postoperative glioblastoma–caregiver dyads at a medical center in Northern Taiwan informed by social constructivism. Thematic analysis with analytical rigor enhanced by dual coders and exploration of convergent and divergent views.</div></div><div><h3>Results</h3><div>We interviewed 7 patient–caregiver dyads (<em>n</em> = 14). More than half of patients were male (median age: 62 y/o). Primary Caregivers were primarily their spouses (median age: 47 y/o). Convergent viewpoints include death-prolonging treatment refusal, end-of-life fulfillment, timing of end-of-life care discussions, end-of-life concerns, and advance end-of-life care arrangement. Divergent viewpoints include life value (quality vs. quantity), lack <em>transparent and shared discussions</em> (explicit vs. implicit), and decision-making paradigm (individualistic vs. collective).</div></div><div><h3>Conclusions</h3><div>Early end-of-life care discussions for patients with glioblastoma are crucial to address differing values and cultural emphasis on family harmony. Transparent communication reduces caregiver stress and supports informed decisions on advance care planning, symptom management, and financial or social support.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151897"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Translation and psychometric validation of the Evidence-Based Practice Competency Questionnaire for Registered Nurses (EBP-COQ Prof©) in Bahasa Indonesia","authors":"Erfina Erfina ,&nbsp;Kusrini Semarwati Kadar ,&nbsp;Hapsah Hapsah ,&nbsp;Rini Rachmawaty ,&nbsp;Rosyidah Arafat ,&nbsp;Wa Ode Nur Isnah Sabriyanti ,&nbsp;Gulzar Malik","doi":"10.1016/j.apnr.2024.151881","DOIUrl":"10.1016/j.apnr.2024.151881","url":null,"abstract":"<div><h3>Aims</h3><div>This study aims to translate, cross-culturally adapt, and conduct initial psychometric testing of the EBP-COQ Prof© to Bahasa Indonesia.</div></div><div><h3>Background</h3><div>The availability of evidence-based practice competency tools evaluating nurses' knowledge, skills attitudes and adoption in the context of Indonesian nursing practice are limited. A valid tool in EBP that measures nurses' self-perceived competency in knowledge, skills, attitudes, and utilization was used in this study for translation and psychometric validation.</div></div><div><h3>Methods</h3><div>This study used a seven-step approach to translate, cross-culturally adapt and validate the EBP-COQ Prof© questionnaire in the Bahasa language. Using a cross-sectional study design, the questionnaire was tested with nurses' working in direct patient care. Analysis was conducted to establish the questionnaire's reliability and construct validity.</div></div><div><h3>Results</h3><div>The content validity of the questionnaire at the item level showed a range between 0.81 and 1.0 and at the scale level was 0.95. The construct validity was conducted using confirmatory factor analysis which showed RMSEA value was 0.109 (average/mediocre fit), CFI value = 0.981 (fit), TLI value 0.979 (fit), Bentler - Bonett Normed Fit Index (NFI) = 0.967 (fit) after removing an item which had similar meanings in the Bahasa version. The reliability of the questionnaire was assessed using Cronbach's alpha was calculated as 0.94, indicating excellent reliability.</div></div><div><h3>Conclusions</h3><div>The translated version of EBP COQ Prof© in Bahasa is a reliable and valid instrument that is adapted cross-culturally and can be used to measure Indonesian nurses' attitudes, knowledge, skills, and utilization of EBP in future research.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151881"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comfort and patient activation in patients with myocardial infarction: A cross-sectional study","authors":"Hande Arici Türk ,&nbsp;Selma Turan Kavradim","doi":"10.1016/j.apnr.2024.151890","DOIUrl":"10.1016/j.apnr.2024.151890","url":null,"abstract":"<div><h3>Aims</h3><div>To examine comfort and patient activation, affecting factors, and the relationship between comfort and patient activation in patients with myocardial infarction.</div></div><div><h3>Background</h3><div>Comfort is an important requirement for managing the treatment and patients' well-being and patient activation improves patient engagement. Assessment of comfort, patient activation and associated factors are important to reduce complications and ensure adherence.</div></div><div><h3>Method</h3><div>This cross-sectional study was conducted between May and August 2023 on 138 patients in the cardiology clinic who met the inclusion criteria. The research data were collected using a Personal Information Form, a General Comfort Scale, and the Patient Activation Measure.</div></div><div><h3>Results</h3><div>It was determined that 67.4 % of the patients were male, and the mean age of patients was 55.47 ± 13.59 years. Comfort was found to be moderate and patient activation level was in the first stage in 50.7 % of the patients. A relationship was found between comfort and gender, education status, health perception, hospitalization experience and number, complications, having chronic disease and medication use, source of information and symptoms, while education and employment status, regular exercise, having chronic disease and symptoms affected patient activation. There was a significant, positive correlation between comfort and the patient activation.</div></div><div><h3>Conclusions</h3><div>Comfort and patient activation levels of patients with myocardial infarction are related to sociocultural and disease-related factors. Individualized nursing interventions should be planned in line with the affecting factors to increase comfort and patient activation. Also, controlled studies should be conducted in individuals identified as risk groups are important for clinical applications.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151890"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the role of lifestyle, knowledge and health beliefs in performing preventive behaviours against human papilloma virus in married women","authors":"Sahar Mohammadnabizadeh ,&nbsp;Maryam Mohammadi","doi":"10.1016/j.apnr.2025.151901","DOIUrl":"10.1016/j.apnr.2025.151901","url":null,"abstract":"<div><h3>Objectives</h3><div>The aim of this research was investigating the role of lifestyle, knowledge and health beliefs in performing preventive behaviours against HPV in married women.</div></div><div><h3>Background</h3><div>Human Papilloma Virus (HPV) is a significant public health concern in Iran, with a relatively high prevalence in the general female population.</div></div><div><h3>Methods</h3><div>The study utilized a cross-sectional survey among 260 married women working at the university. The data collection instruments comprised knowledge, lifestyle, and health belief model (HBM) questionnaires. The data analysis was performed using SPSS.</div></div><div><h3>Findings</h3><div>The study's notable strength lies in its examination of the influential factors affecting HPV preventive behaviours through the HBM, utilizing a culturally relevant questionnaire tailored to Iranian circumstances. Notably, self-efficacy and perceived benefits merged as the strongest predictors of engaging in preventive behaviours against HPV, respectively.</div></div><div><h3>Conclusion</h3><div>Notably, self-efficacy and perceived benefits merged as the strongest predictors of engaging in preventive behaviours against HPV, respectively. Therefore, it is crucial for future interventions to focus on addressing these constructs to promote HPV vaccination and other preventive behaviours effectively. Besides, it is essential to recognize the close relationship between self-efficacy and perceived barriers. Understanding the key barriers to HPV vaccination and other preventive behaviours is crucial, as addressing these barriers can enhance individuals' self-efficacy and, in turn, promote the adoption of these preventive measures effectively.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151901"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postoperative pain intensity and patient satisfaction: A multicentre observational study","authors":"María-Pilar Córcoles-Jiménez ,&nbsp;María-Victoria Ruiz-García ,&nbsp;Beatriz Cervera-Monteagudo ,&nbsp;Rubén Bernal-Celestino ,&nbsp;María-Lucía Herreros-Saez ,&nbsp;Ana-Belén Flores-Bautista","doi":"10.1016/j.apnr.2024.151898","DOIUrl":"10.1016/j.apnr.2024.151898","url":null,"abstract":"<div><h3>Background</h3><div>Postoperative pain remains a prevalent issue, whose intensity is often inadequately controlled. This could lead to complications, longer hospital stays and unnecessary suffering. Understanding surgical patients' perspectives on pain management can help to identify areas for improvement.</div></div><div><h3>Objective</h3><div>Determine postoperative pain prevalence and intensity, and satisfaction with pain management, of hospitalised patients. Methods: Multicentre, cross-sectional correlational study. Participants: Aged over 18 years who underwent surgery, provided voluntary consent and were able to complete a survey. Variables: socio-demographic and clinical characteristics, surgical speciality, pain during hospitalisation, information, expectations and satisfaction with received care. An anonymous self-administered questionnaire adapted from the American Pain Society was used.</div></div><div><h3>Results</h3><div>1327 patients answered the survey, 927 (69.9 %) reported postsurgery pain. The mean pain intensity at rest was 5.23 (SD = 2.75; 95%CI: 5.05–5.40), and was 5.7 (SD = 2.69; 95%CI: 5.53–5.87) when moving. Satisfaction with pain management was high, with 301 (22.7 %) patients feeling satisfied and 786 (59.2 %) very satisfied. In the multivariate linear regression, the factors that were statistically and significantly associated with higher pain intensity were presence of presurgical chronic pain, various surgical specialities and female gender. The belief that pain can be relieved was associated with lower intensity.</div></div><div><h3>Conclusions</h3><div>The percentage of patients who reported being satisfied or very satisfied with the way their pain was managed exceeded 80 %. Pain prevalence was high, with a mean intensity of 5.23 at rest and one of 5.7 when moving (0–10 scale).</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151898"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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 women diagnosed with precancerous cervical lesions, and their spouses, according to the Roy Adaptation Model: Model-based qualitative research","authors":"Nigar Çelik ,&nbsp;Aynur Saruhan","doi":"10.1016/j.apnr.2024.151894","DOIUrl":"10.1016/j.apnr.2024.151894","url":null,"abstract":"<div><h3>Purpose</h3><div>The aim of this study was to examine the experiences of women diagnosed with precancerous cervical lesions, and their spouses, according to the Roy Adaptation Model.</div></div><div><h3>Method</h3><div>A phenomenological design was used in this study, with its conceptual framework being formed by the Roy Adaptation Model. The sample was composed of women with precancerous cervical lesions (n:23) and their spouses (n:5). Data was collected through in-person, semi-structured, in-depth interviews, and have been evaluated through content analysis and the thematic approach. This study has been conducted and reported in accordance with Consolidated Criteria for Reporting Qualitative Research.</div></div><div><h3>Results</h3><div>The average age of the participants is 37.82 ± 08.01. Ten categories have been determined, as per the thematic approach, under four main themes: physiological, self-concept, role function and interdependence mode.</div></div><div><h3>Conclusion</h3><div>The participants experienced many changes in addition to being diagnosed with PCL. The Roy Model of Adaptation proved to be a useful model for understanding the experiences of women and their partners, and the results obtained provided a snapshot of the adaptation of women diagnosed with PCL, and their spouses, in the diagnosis and treatment process. Certain conditions arose, such as depressive symptoms, social isolation, change in roles, and deterioration in sexuality, which had a negative effect on adaptation, but there were also positive effects such as the development of healthy living and spiritual approaches. It was also clear that women and their partners required information and psychological support.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151894"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurse's perspective: Evaluating importance and satisfaction with hospital patient infotainment terminal","authors":"Cheng-Hsun Ho PhD ,&nbsp;Chia-Lin Chang MS ,&nbsp;Hsyien-Chia Wen PhD ,&nbsp;Yu-Tien Chang PhD ,&nbsp;Nai-Chia Chang MS ,&nbsp;Heng-Ching Lin MS","doi":"10.1016/j.apnr.2025.151902","DOIUrl":"10.1016/j.apnr.2025.151902","url":null,"abstract":"<div><h3>Background</h3><div>The Patient Infotainment Terminal (PIT) plays a pivotal role in Smart Health, enabling hospitals to actively pursue the objective of fostering Shared Decision-Making. By providing General information, Medical information, and Entertainment options, the system fosters effective patient-clinician communication and significantly elevates the standard of care.</div></div><div><h3>Objective</h3><div>This study aimed to investigate how registered nurses utilized the PIT and prioritized functions based on their perception of importance and satisfaction to find out high-importance but low-satisfaction PIT functions.</div></div><div><h3>Method</h3><div>Our study included registered nurses who served in the medical, surgical, gynecological, and pediatric wards of a hospital in northern Taiwan. We employed a structured questionnaire grounded in the Importance-Satisfaction model to gather nurses' perceptions of “importance” and “satisfaction” with Patient Infotainment Terminal functions.</div></div><div><h3>Results</h3><div>We collected 189 valid questionnaires with a recovery rate of 85 %. The results showed that nurses scored highest on the importance and satisfaction of the “Medical information” function of the PIT (mean: 4.05; 3.28), followed by “ general information” (3.82 and 3.25) and “entertainment” (3.55 and 3.13). Among the subcategories of “Medical information,” the “My Examination” feature, which enables patients to access their examination schedules and results, was highlighted as a critical area. Despite its high importance (mean: 3.98), the feature received lower satisfaction scores (mean: 3.17), reflecting the need for improvements in scheduling precision and user experience.</div></div><div><h3>Conclusions</h3><div>Most nurses expressed satisfaction with the PIT functions, and prioritized enhancement should be directed toward the “My Examination” feature to better align with user expectations and improve patient-centered care.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151902"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parnell, T. A. (2015). Health literacy in nursing: Providing person-centered care. Springer Publishing Company","authors":"Alsacia L. Sepúlveda-Pacsi","doi":"10.1016/j.apnr.2024.151895","DOIUrl":"10.1016/j.apnr.2024.151895","url":null,"abstract":"","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151895"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring EntrepreNursing: The influence of internal locus of control and organizational innovativeness on nurses' innovative behavior - A cross-sectional study","authors":"Gillie Gabay ,&nbsp;Sigal-Shafran Tikva ,&nbsp;Ilya Kagan","doi":"10.1016/j.apnr.2025.151900","DOIUrl":"10.1016/j.apnr.2025.151900","url":null,"abstract":"<div><h3>Background</h3><div>The concept of ‘EntrepreNursing’ improves healthcare outcomes by enhancing quality, accessibility, and cost-effectiveness, but remains underutilized by clinical nurses. Research on how to promote EntrepreNursing is scant.</div></div><div><h3>Purpose</h3><div>To examine how personal characteristics (internal locus of control, capacity to innovate) and organizational innovativeness influence nurses' innovative behaviors.</div></div><div><h3>Method</h3><div>A cross-sectional study of 205 registered nurses from diverse clinical settings completed a validated 62-item questionnaire measuring innovativeness and related factors.</div></div><div><h3>Findings</h3><div>The results revealed that internal locus of control strongly predicts innovative behaviors and correlates with organizational innovativeness. Nurses in managerial positions demonstrate significantly higher personal innovativeness. A combination of internal locus of control, personal innovativeness, and organizational culture explained 54 % of the variance in innovative behaviors.</div></div><div><h3>Discussion</h3><div>Findings suggest that strengthening nurses' internal locus of control through targeted organizational support and professional development may enhance healthcare innovation. Implementation strategies should focus on building both individual and organizational innovation capabilities.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151900"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between adolescents' knowledge and perception of HPV vaccination and parents' characteristics: A cross-sectional study","authors":"Valentina Simonetti ,&nbsp;Giancarlo Cicolini ,&nbsp;Marco Tomietto ,&nbsp;Barbara Forastefano ,&nbsp;Francesco Pastore ,&nbsp;Patrizia Ballerini ,&nbsp;Antonio Di Lorenzo ,&nbsp;Silvio Tafuri ,&nbsp;Dania Comparcini","doi":"10.1016/j.apnr.2025.151899","DOIUrl":"10.1016/j.apnr.2025.151899","url":null,"abstract":"<div><h3>Background</h3><div>In Italy, the anti-Human Papillomavirus (HPV) vaccination campaign began in 2008. To date, despite the effectiveness and safety of HPV vaccines, coverage among Italian adolescents is still suboptimal. Evidence suggests that different factors could influence parents' choices regarding their children's vaccination uptake.</div></div><div><h3>Aim</h3><div>This study aimed to assess the association of parents' sociodemographic characteristics and vaccine hesitancy with adolescents' perceptions and knowledge of the HPV/HPV vaccine.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted among Italian students aged 11–13 and their parents. The data were collected by structured questionnaires including sociodemographic questions, the HPV Adolescent Vaccine Intervention Questionnaire (HAVIQ) to assess students' knowledge and perceptions on HPV/HPV vaccination, and the Parent Attitudes about Childhood Vaccines (PACV) Survey to measure parents' vaccine hesitancy.</div></div><div><h3>Results</h3><div>This study involved 74 adolescents and 74 parents. Overall, adolescents showed high levels of confidence in “involvement in decision-making”, “self-efficacy”, “feelings” and “knowledge” factors of the HAVIQ. 94.6 % of parents were categorized as “non-hesitant” reporting a PACV overall score &lt; 50. Having one or both parents with a university degree in the family was statistically associated with higher students' knowledge (<em>p</em> = 0.048) and lower feelings of fear and anxiety (<em>p</em> = 0.011).</div></div><div><h3>Conclusions</h3><div>This study identified parents' characteristics related to adolescents' knowledge and perceptions regarding the HPV/HPV vaccination. Specifically, results showed that parents' educational level was associated with adolescents' knowledge and feelings about HPV and HPV vaccination. These factors in turn could play a pivotal role in a shared vaccine decision-making process between parents and their children.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"81 ","pages":"Article 151899"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}