The Journal of the Association of Nurses in AIDS Care : JANAC最新文献_第2页

Multilevel Barriers and Facilitators to HIV Care Engagement Among Virally Unsuppressed People Living With HIV in the U.S. Deep South: A Qualitative Study. 在美国南部腹地未受病毒抑制的HIV感染者中，HIV护理参与的多层次障碍和促进因素：一项定性研究。

IF 1.5

The Journal of the Association of Nurses in AIDS Care : JANAC Pub Date : 2026-10-05 DOI: 10.1097/JNC.0000000000000701

Ching-Yu Wang, Claudia L Michaels, Maeve Brin, Dylan B Yates, Caitlin Kelly, Mauda Monger, Makailya Drake, Jessica Schwiesow, Tracy Wynne, Sekiyah Jackson, Kelly Turner, Meredith E Clement, Clare Kelsey, Audrey Hang Hai, Corina T Lelutiu-Weinberger, D Scott Batey, Rebecca Schnall

{"title":"Multilevel Barriers and Facilitators to HIV Care Engagement Among Virally Unsuppressed People Living With HIV in the U.S. Deep South: A Qualitative Study.","authors":"Ching-Yu Wang, Claudia L Michaels, Maeve Brin, Dylan B Yates, Caitlin Kelly, Mauda Monger, Makailya Drake, Jessica Schwiesow, Tracy Wynne, Sekiyah Jackson, Kelly Turner, Meredith E Clement, Clare Kelsey, Audrey Hang Hai, Corina T Lelutiu-Weinberger, D Scott Batey, Rebecca Schnall","doi":"10.1097/JNC.0000000000000701","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000701","url":null,"abstract":"Abstract: The U.S. South experiences disproportionate HIV-related morbidity and persistently lower viral suppression rates. Achieving Ending the HIV Epidemic goals requires understanding multilevel influences on care engagement among virally unsuppressed people living with HIV. We conducted in-depth qualitative interviews with 30 virally unsuppressed people living with HIV receiving care across Alabama, Louisiana, and Mississippi. Guided by the Modified Social Ecological Model, we examined individual, interpersonal, clinic, community, and policy-level factors shaping engagement and antiretroviral therapy adherence. Participants described intersecting structural and psychosocial barriers, including financial insecurity, transportation challenges, depression, and internalized stigma. Social networks functioned as both support and stigma, particularly within family and faith contexts. Clinics served as critical anchors when providing confidential, holistic services addressing social needs, although inefficiencies and resource constraints disrupted continuity. Persistent discrimination, restrictive policies, funding instability, and HIV criminalization further threatened engagement, underscoring the need for multilevel interventions to improve viral suppression.","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149130228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Influence of Infection Duration on Physical, Psychological, and Quality of Life Responses to Combined Training in People With HIV in Brazil: A Nonrandomized Clinical Trial Protocol From the CALM-HIV Study. 感染持续时间对巴西艾滋病毒感染者对联合训练的生理、心理和生活质量反应的影响：来自CALM-HIV研究的非随机临床试验方案

IF 1.5

The Journal of the Association of Nurses in AIDS Care : JANAC Pub Date : 2026-10-01 DOI: 10.1097/JNC.0000000000000700

Igor Massari Correia, Chimenny Auluã Lascas C de Moraes, Joana Brilhadori, Jeferson Roberto Collevatti Dos Anjos, Euripedes Barsanulfo Gonçalves Gomide, Jéssica Fernanda Corrêa Cordeiro, Juliana Borges, Dalmo Roberto Lopes Machado, André Pereira Dos Santos

{"title":"Influence of Infection Duration on Physical, Psychological, and Quality of Life Responses to Combined Training in People With HIV in Brazil: A Nonrandomized Clinical Trial Protocol From the CALM-HIV Study.","authors":"Igor Massari Correia, Chimenny Auluã Lascas C de Moraes, Joana Brilhadori, Jeferson Roberto Collevatti Dos Anjos, Euripedes Barsanulfo Gonçalves Gomide, Jéssica Fernanda Corrêa Cordeiro, Juliana Borges, Dalmo Roberto Lopes Machado, André Pereira Dos Santos","doi":"10.1097/JNC.0000000000000700","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000700","url":null,"abstract":"Abstract: Antiretroviral therapy (ART) has increased life expectancy for people with HIV (PWH), but prolonged infection and ART exposure contribute to early-onset sarcopenia, frailty, and metabolic dysfunction. Combined aerobic and strength training may mitigate these complications, although responses may vary according to clinical history. This clinical trial will include PWH aged 50 years and older, stratified by time since HIV diagnosis and ART exposure. Participants will be allocated to a 12-week, supervised, combined training program (three sessions per week) or a control group. Outcomes include physical performance (strength, frailty, gait), body composition assessed by dual-energy x-ray absorptiometry, biochemical markers (lipid profile, CD4/CD8 ratio, inflammatory biomarkers), and psychosocial measures (quality of life, anxiety, depression, and cognitive function). Findings are expected to clarify differential responses across clinical subgroups and inform personalized exercise prescriptions for aging PWH.","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149123909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence and Correlates of Joint Pain in Chicago Midlife Women With HIV: A Cross-sectional Study. 芝加哥中年妇女感染HIV后关节疼痛的患病率及其相关因素：一项横断面研究。

IF 1.5

The Journal of the Association of Nurses in AIDS Care : JANAC Pub Date : 2026-09-15 DOI: 10.1097/JNC.0000000000000695

Ryan D Ross, Elizabeth Daubert, Stacey M Cahoon, Ruby Hernandez, Darlene Johnson, Tracey E Wilson, Audrey L French, Mardge H Cohen, Kathleen M Weber

{"title":"Prevalence and Correlates of Joint Pain in Chicago Midlife Women With HIV: A Cross-sectional Study.","authors":"Ryan D Ross, Elizabeth Daubert, Stacey M Cahoon, Ruby Hernandez, Darlene Johnson, Tracey E Wilson, Audrey L French, Mardge H Cohen, Kathleen M Weber","doi":"10.1097/JNC.0000000000000695","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000695","url":null,"abstract":"Abstract: Joint pain is among the most common and disabling forms of chronic pain in women. Whether joint pain is more prevalent among women with versus without HIV (WWH/WWoH) and contributes to greater impairment is unknown. The Pain, Enjoyment, and General Activity instrument assessed joint pain in midlife WWH versus WWoH to determine associations with frailty, loneliness, and depressive/anxiety symptoms. Moderate/severe pain was more commonly reported in WWH than WWoH (44.1 vs. 38.3%) but not significantly. Women with moderate/severe joint pain were more likely to be prefrail/frail (aOR 3.05; confidence interval [CI]: 1.65-5.63) and report greater depressive symptomology (aOR 2.42; CI: 1.31-4.47), anxiety (aOR 3.38; CI: 1.53-7.43), and loneliness (aOR 1.84; CI: 1.02-3.29). Joint pain is highly prevalent in mid-life WWH and WWoH and associated with frailty, depression, anxiety, and loneliness. Identifying and addressing joint pain and associated conditions may improve multiple health domains in midlife women with and without HIV.","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148984609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

From Law to Practice, Emergency Department Leaders' Experiences With Universal HIV Testing in New York City: A Qualitative Research Brief. 从法律到实践，急诊科领导在纽约市普遍进行艾滋病毒检测的经验：一项定性研究简报。

IF 1.5

The Journal of the Association of Nurses in AIDS Care : JANAC Pub Date : 2026-09-15 DOI: 10.1097/JNC.0000000000000689

Christine Tagliaferri Rael, Stefanie Mayorga, Tatiana Gonzalez-Argoti, Lilian Ha, Samantha Stonbraker, Yvette Calderon, Susie Hoffman, Ethan Cowan, Laurie J Bauman, Joanne E Mantell

引用次数: 0

Motivations of Pregnant Women Initiating HIV Preexposure Prophylaxis Within Routine Antenatal Clinics Enrolled in a Randomized Trial in Western Kenya. 在肯尼亚西部的一项随机试验中，孕妇在常规产前诊所开始HIV暴露前预防的动机。

IF 1.5

The Journal of the Association of Nurses in AIDS Care : JANAC Pub Date : 2026-09-10 DOI: 10.1097/JNC.0000000000000696

Salphine Watoyi, Anna Larsen, Eunita Akim, Tessa Concepcion, Jerusha Mogaka, Felix Abuna, Laurén Gómez, Nancy Ngumbau, Ben O Odhiambo, Emma M Nzove, John Kinuthia, Grace John-Stewart, Jillian Pintye

引用次数: 0

A Commentary on Nurse-Led Pre-exposure Prophylaxis Care in Carceral Settings as a Critical Element to Addressing and Ending the HIV Epidemic. 评论护士主导的暴露前预防护理在监狱设置作为解决和结束艾滋病毒流行的关键因素。

IF 1.5

The Journal of the Association of Nurses in AIDS Care : JANAC Pub Date : 2026-09-08 DOI: 10.1097/JNC.0000000000000683

Matthew Murphy, Patricia A Cioe, Leigh Hubbard, Nicole Schachman, Nyx Gomes, Anne M Teitelman, Susan Ramsey

{"title":"A Commentary on Nurse-Led Pre-exposure Prophylaxis Care in Carceral Settings as a Critical Element to Addressing and Ending the HIV Epidemic.","authors":"Matthew Murphy, Patricia A Cioe, Leigh Hubbard, Nicole Schachman, Nyx Gomes, Anne M Teitelman, Susan Ramsey","doi":"10.1097/JNC.0000000000000683","DOIUrl":"10.1097/JNC.0000000000000683","url":null,"abstract":"Abstract: Incarceration is deeply intertwined with the global HIV epidemic. Initiating pre-exposure prophylaxis (PrEP) during incarceration and continuing PrEP upon community reentry is a critical component of the HIV epidemic response and is recommended by the World Health Organization and the Centers for Disease Control and Prevention. Despite the impact that offering PrEP to incarcerated populations could have on reducing HIV transmission, particularly given the number of incarcerated individuals likely to be indicated for PrEP use, relatively little is known about the status of PrEP implementation and effective approaches to offering the medication within carceral facilities. Nurse-led approaches to providing PrEP care offer an innovative, cost-effective, and evidence-based approach to addressing many barriers to scaling PrEP use in this unique setting. While some gaps remain about how to best implement nurse-led PrEP care delivery, carceral systems can take steps to expand PrEP use through nurse-led approaches as a key step toward ending the HIV epidemic.","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148915051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Characteristics and Needs of US Adult Lifetime Survivors With HIV: A Cross-Sectional Study-Medical Monitoring Project 2015-2022 Cycles. 美国成年HIV终身幸存者的特征和需求：一项横断面研究-医学监测项目2015-2022周期

IF 1.5

The Journal of the Association of Nurses in AIDS Care : JANAC Pub Date : 2026-09-08 DOI: 10.1097/JNC.0000000000000692

Margaret A Lampe, Kate Buchacz, Xin Anne Yuan, Sahithi Kalari, Alexis Henderson, John Weiser, Athena P Kourtis, Jason Craw, Joseph Prejean, Kimberly Canady, Alexandra Balaji, Linda Beer

{"title":"Characteristics and Needs of US Adult Lifetime Survivors With HIV: A Cross-Sectional Study-Medical Monitoring Project 2015-2022 Cycles.","authors":"Margaret A Lampe, Kate Buchacz, Xin Anne Yuan, Sahithi Kalari, Alexis Henderson, John Weiser, Athena P Kourtis, Jason Craw, Joseph Prejean, Kimberly Canady, Alexandra Balaji, Linda Beer","doi":"10.1097/JNC.0000000000000692","DOIUrl":"10.1097/JNC.0000000000000692","url":null,"abstract":"Abstract: To characterize U.S. adults with perinatally acquired HIV (lifetime survivors), a cross-sectional analysis of adults at least 18 years old and born with HIV or received an HIV diagnosis within 12 months of birth ( N = 292) using 2015-2022 cycle Medical Monitoring Project data was conducted. Weighted percentages and 95% confidence intervals for demographics, social determinants, and HIV outcomes were calculated. On average, lifetime survivors were 62% women, 58% Black, and 26% Hispanic/Latino; one third were more than 30 years old. Half lived in poverty, 21% had unstable housing, 93% received HIV care, but only 43% had sustained viral suppression over the past 12 months. Most rated their health good or better and were satisfied with HIV care. Lifetime survivors face major socioeconomic challenges and low rates of viral suppression. Expanding adherence support, responsive trauma-informed care, access to long-acting ART, and addressing housing could improve outcomes and quality of life and well-being.","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148915065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Strategies for Promoting Antiretroviral Therapy Adherence Among Participants at a U.S. Long-Term Care Facility for People With HIV: A Qualitative Study. 促进美国HIV感染者长期护理机构参与者坚持抗逆转录病毒治疗的策略：一项定性研究。

IF 1.5

The Journal of the Association of Nurses in AIDS Care : JANAC Pub Date : 2026-09-04 DOI: 10.1097/JNC.0000000000000690

Aneeka Ratnayake-Sargent, Mark Brennan-Ing, Laura Senier, Gloria Horton, Donnamarie Lynch, Brianne Olivieri-Mui

{"title":"Strategies for Promoting Antiretroviral Therapy Adherence Among Participants at a U.S. Long-Term Care Facility for People With HIV: A Qualitative Study.","authors":"Aneeka Ratnayake-Sargent, Mark Brennan-Ing, Laura Senier, Gloria Horton, Donnamarie Lynch, Brianne Olivieri-Mui","doi":"10.1097/JNC.0000000000000690","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000690","url":null,"abstract":"Abstract: Evidence suggests that HIV antiretroviral therapy (ART) adherence is suboptimal in long-term care (LTC) settings. We studied an HIV-specialized LTC facility to understand how a person-centered care model impacts ART adherence among older adults with HIV (OAWH). We conducted semistructured, in-depth interviews with 11 OAWH and five LTC staff/clinicians asking about barriers and facilitators to ART adherence. Interviews were recorded, transcribed verbatim, and analyzed using deductive and inductive rapid analysis matrices. Three themes emerged: functional support, routines, and fostering resident autonomy, which were achieved by the facility through increased availability of prescribing authorities, highly collaborative efforts in patient care planning, and medication reconciliation that prioritized interdisciplinary communication. The significant social and personal challenges of OAWH preadmission provided context emphasizing the magnitude of improvement from nearly none to 100% ART adherence. This facility's approach may serve as the basis for demonstration projects aimed at revising procedures in non-HIV-specialized LTC facilities.","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148893321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Promoting Physical Activity in the Context of Clinical Care for People With HIV and Unhealthy Substance Use in the United States: A Qualitative Study. 促进身体活动的背景下，临床护理的人与艾滋病毒和不健康的物质使用在美国：一个定性研究。

IF 1.5

The Journal of the Association of Nurses in AIDS Care : JANAC Pub Date : 2026-09-04 DOI: 10.1097/JNC.0000000000000687

Colleen Mistler, Christie Idiong, Dini Harsono, Linda S Pescatello, Lydia A Barakat, Sydney Kang, Jaimie P Meyer, E Jennifer Edelman

{"title":"Promoting Physical Activity in the Context of Clinical Care for People With HIV and Unhealthy Substance Use in the United States: A Qualitative Study.","authors":"Colleen Mistler, Christie Idiong, Dini Harsono, Linda S Pescatello, Lydia A Barakat, Sydney Kang, Jaimie P Meyer, E Jennifer Edelman","doi":"10.1097/JNC.0000000000000687","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000687","url":null,"abstract":"Abstract: Using qualitative methods, we investigated barriers and facilitators to promoting physical activity in an HIV clinic in New Haven, CT. We conducted focus groups with HIV clinicians/staff (n = 12) and interviews among people with HIV with unhealthy substance use (n = 10). Data collection and deductive analysis were guided by the Health Equity Implementation Framework domains. Innovation barriers included lack of evidence-based interventions; facilitators included behavioral strategies and app-based programs. Clinical encounter barriers included lack of protocols and competing priorities; facilitators included discussing the benefits of physical activity. Recipient-level barriers included cost, physical capacity restrictions, and unhealthy substance use; facilitators included social support and tailoring interventions to individual interests/fitness levels. Contextual barriers included budget restrictions and lack of billing options; facilitators included having a physical activity specialist and infrastructure to link patients to physical activity services. Future research should investigate the feasibility of implementing a physical activity intervention into HIV clinical care.","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148893287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sleep Quality and Depressive Symptoms Mediate the Relationship Between Pain and Everyday Function: A Cross-Sectional Study of Adults Living With HIV in Birmingham, Alabama. 睡眠质量和抑郁症状介导疼痛和日常功能之间的关系：阿拉巴马州伯明翰成年人艾滋病毒感染者的横断面研究

IF 1.5

The Journal of the Association of Nurses in AIDS Care : JANAC Pub Date : 2026-09-03 DOI: 10.1097/JNC.0000000000000677

Philemon Domoyeri, Edwin N Aroke, Khalid W Freij, Jasmine K Vickers, David E Vance, Pariya L Fazeli

{"title":"Sleep Quality and Depressive Symptoms Mediate the Relationship Between Pain and Everyday Function: A Cross-Sectional Study of Adults Living With HIV in Birmingham, Alabama.","authors":"Philemon Domoyeri, Edwin N Aroke, Khalid W Freij, Jasmine K Vickers, David E Vance, Pariya L Fazeli","doi":"10.1097/JNC.0000000000000677","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000677","url":null,"abstract":"Abstract: Pain in people living with HIV (PWH) is associated with greater psychological distress, poor sleep quality, and functional limitations. Yet the interconnections among these relationships remain understudied. Our study examined whether (a) sleep quality mediates the relationship between pain and depressive symptoms, (b) depressive symptoms mediates the relationship between pain and functional limitations, and (c) pain is associated with functional limitations through a serial pathway. A cross-sectional secondary analysis of 261 PWH was conducted. Pain was assessed using the pain subscale from the Medical Outcomes Study HIV Health Survey; lower scores indicated worse pain. Participants also completed the Pittsburgh Sleep Quality Index, the Center for Epidemiologic Studies Depression scale, and the Lawton and Brody Instrumental Activity of Daily Living (IADL) scale. Mediation analysis was performed using age, race, and education as covariates. Sleep quality partially mediated the relationship between pain and depressive symptoms, accounting for approximately 42% of the total effect. Depressive symptoms partially mediated the association between pain and IADL impairments (22%), whereas the serial pathway through sleep and depressive symptoms explained 8.4% of pain's total effect on IADL impairments. Improving sleep quality and depressive symptoms may reduce the negative impacts of pain on everyday functioning.","PeriodicalId":520809,"journal":{"name":"The Journal of the Association of Nurses in AIDS Care : JANAC","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148890179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0