{"title":"Digital device use, perceptions and intention to use digital healthcare among urban and rural older adults: A cross-sectional descriptive study.","authors":"So-Hi Kwon, Young-Joo Kim, Seo-Hye Park","doi":"10.17079/jkgn.2025.00255","DOIUrl":"10.17079/jkgn.2025.00255","url":null,"abstract":"<p><strong>Purpose: </strong>Older adults are potential beneficiaries of digital health technologies but remain vulnerable to the digital divide. This study aimed to compare digital accessibility, perceptions, and intention to use digital healthcare services among urban and rural older adults, and to identify associated factors.</p><p><strong>Methods: </strong>A cross-sectional descriptive study was conducted with 140 community-dwelling older adults aged 65 and above in urban and rural areas. Data were collected using structured questionnaires covering digital device ownership, usage patterns, perceived ease of use, digital self-efficacy, and perceptions of digital healthcare-assessed in four dimensions: expectations, concerns, emotional responses, and perceived necessity. Statistical analyses included t-tests, chi-square tests, and binary logistic regression.</p><p><strong>Results: </strong>Urban older adults had higher ownership and usage rates of smartphones (χ2=5.78, p=.016) and the internet (χ2=18.53, p<.001), and significantly more experience with digital device education compared to rural older adults (χ2=5.85, p=.016). While no significant differences were found in expectations, concerns, and emotional responses, rural participants showed significantly higher perceived necessity (t=-2.30, p=.023). The overall intention to use digital healthcare services was high in both groups, and binary logistic regression analysis revealed that expectations (odds ratio [OR]=1.78, 95% confidence interval [CI]=1.10~2.89, p=.019) and perceived necessity (OR=2.24, 95% CI=1.39~3.60, p=.001) were significant predictors of intention to use.</p><p><strong>Conclusion: </strong>Promoting digital healthcare adoption among older adults requires enhancing individual expectations and perceived needs beyond simply providing technology. In rural areas, strategies should focus on improving digital accessibility and offering tailored education programs.</p>","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"28 2","pages":"219-229"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13226796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Concept analysis of well-dying among older adults living alone in the community: A hybrid model approach.","authors":"Jaehee Lee, Rhayun Song","doi":"10.17079/jkgn.2025.00213","DOIUrl":"10.17079/jkgn.2025.00213","url":null,"abstract":"<p><strong>Purpose: </strong>With the increasing trends of an aging population and the rise in single-person households, understanding the concept of well-dying among older adults living alone has become increasingly important. This study aimed to systematically identify the concept of well-dying among older adults living alone.</p><p><strong>Methods: </strong>Schwartz-Barcott and Kim's hybrid model for concept analysis was employed. In the theoretical phase, a literature review of 1,020 publications was conducted, and 13 relevant articles were selected. In the fieldwork phase, in-depth interviews were conducted with 12 older adults living alone, and the data were analyzed using qualitative content analysis. In the final analytical phase, findings from the theoretical and fieldwork phases were synthesized to define the concept and identify its attributes.</p><p><strong>Results: </strong>The concept of well-dying, as perceived by older adults living alone, is a comprehensive construct encompassing both preparation for death and the dying experience itself. Participants defined well-dying as 'living independently with health and meaning until the end of life, positively accepting death as a natural process, proactively preparing for death in concrete ways, and ultimately experiencing a dignified and comfortable death without loneliness.'</p><p><strong>Conclusion: </strong>The findings of this study provide meaningful insights for gerontological nursing practice and health policy development aimed at supporting older adults living alone. These results offer a foundation for designing individualized nursing interventions and community-based programs that promote well-dying, and suggest the need for future validation research in diverse cultural contexts.</p>","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"28 2","pages":"195-208"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13226806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hee Jung Kim, Sun Ju Chang, Yujin Park, Joo Ri Kim, Yeon Woo Jung, Gi Won Choi
{"title":"Factors associated with glycemic control in Korean older adults with diabetes living alone: A secondary analysis.","authors":"Hee Jung Kim, Sun Ju Chang, Yujin Park, Joo Ri Kim, Yeon Woo Jung, Gi Won Choi","doi":"10.17079/jkgn.2025.00416","DOIUrl":"10.17079/jkgn.2025.00416","url":null,"abstract":"<p><strong>Purpose: </strong>Older adults living alone face challenges in managing diabetes, yet research on glycemic control in this group is limited. This study analyzed data from the Korean National Health and Nutrition Examination Survey (2016~2021) to identify factors associated with glycemic control in 453 older adults with diabetes living alone.</p><p><strong>Methods: </strong>Glycemic control was categorized as good (glycated hemoglobin [HbA1c]<7.0%) or poor (HbA1c≥7.0%). Complex sample logistic regression examined demographic, disease and health-related, behavioral, and psychological factors associated with glycemic control.</p><p><strong>Results: </strong>Older adults aged ≥80 years had better glycemic control than those aged 65~69 years, while a diabetes duration of ≥15 years and higher body mass index were linked to poorer control. Strength training 5~7 days per week was associated with better control, whereas non-adherence to a healthy diet was unexpectedly linked to better outcomes.</p><p><strong>Conclusion: </strong>These findings highlight the need for tailored interventions to improve diabetes self-management and support healthy aging among older adults living alone. They also offer practical insights into shaping community-based health programs and social support systems for this population.</p>","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"28 2","pages":"148-160"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13226795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Artificial intelligence in nursing practice for older adults with dementia: A narrative review informed by bibliometric mapping and implications for nurse-led research.","authors":"Dukyoo Jung, Hyein Seo, Leeho Yoo","doi":"10.17079/jkgn.2026.00143","DOIUrl":"10.17079/jkgn.2026.00143","url":null,"abstract":"<p><strong>Purpose: </strong>This narrative review aimed to (1) map the global research landscape of artificial intelligence (AI) in dementia care, (2) characterize domestic Korean research, and (3) propose priority directions for nurse-led AI research.</p><p><strong>Methods: </strong>International literature was retrieved from PubMed (January 2015 to December 2025; n=5,710) and analyzed using VOSviewer with the Leiden algorithm. Korean literature from RISS (n=265) was synthesized narratively.</p><p><strong>Results: </strong>Publications increased substantially since 2015, with acceleration after 2024 driven by large language models. Five thematic clusters emerged: (1) care, daily living, and digital health; (2) aging and brain structure; (3) risk prediction and clinical data; (4) early screening and behavioral biomarkers; and (5) Alzheimer's diagnosis and deep learning. Four domains were most relevant to nursing: monitoring technologies, digital biomarkers, AI chatbots for caregivers, and clinical decision support systems. Korean research concentrated on emotional support robots with methodological limitations.</p><p><strong>Conclusion: </strong>Rigorous nurse-led trials with multidimensional outcomes are needed to establish AI's clinical value in dementia nursing.</p>","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"28 2","pages":"125-133"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13226804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Associations of psychological insulin resistance, diabetes-related stress, and intention to use complementary and alternative diets with self-management among older adults with type 2 diabetes: A cross-sectional study.","authors":"Kyung Min Kim, Hwal Lan Bang","doi":"10.17079/jkgn.2025.00262","DOIUrl":"10.17079/jkgn.2025.00262","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigated the associations of psychological insulin resistance (PIR), diabetes- related stress, and intention to use complementary and alternative diets (CAD) with self-management in older adults with type 2 diabetes.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 180 adults aged ≥65 with type 2 diabetes at a primary clinic in Korea. Data were collected using structured questionnaires between March and June, 2024. SPSS was used for descriptive statistics, independent t-tests, one-way ANOVA, Pearson's correlation, and multiple regression analysis.</p><p><strong>Results: </strong>The average age of participants was 73.79±5.59 years. PIR (mean, 57.54±8.81), diabetes-related stress (mean, 41.62±7.65), intention to use CAD (mean, 3.56±1.32), and self-management (mean, 38.11±5.98) were measured. The PIR was positively correlated with self-management (r=.31, p<.001), whereas diabetes-related stress was negatively correlated with self-management (r=-.24, p<.001). PIR (β=.47, p<.001) and diabetes-related stress (β=-.41, p<.001) were significant predictors of self-management (R2=24.6%).</p><p><strong>Conclusion: </strong>PIR positively correlated with self-management and was the most influential factor, suggesting that resistance to insulin treatment may paradoxically motivate individuals to engage in better self-management behaviors. Intention to use CAD was weakly positively correlated with PIR, indicating that individuals with higher insulin resistance may explore alternative dietary options. Diabetes-related stress negatively affects self-management, highlighting the importance of stress management for improving diabetes self-management. These findings highlight the significance of psychological factors in the development of tailored self-management education programs for older adults with type 2 diabetes.</p>","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"28 2","pages":"161-171"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13226793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of nursing professionalism, ethical issues experience, and hospital ethical climate on ethical nursing competence of nurses in long-term care hospitals: A cross-sectional study.","authors":"Seang Ryu","doi":"10.17079/jkgn.2025.00311","DOIUrl":"10.17079/jkgn.2025.00311","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined factors associated with ethical nursing competence among nurses working in long-term care hospitals (LTCHs), focusing on nursing professionalism, experiences with ethical issues, and the hospital ethical climate.</p><p><strong>Methods: </strong>Using a descriptive cross-sectional design, we recruited nurses via convenience sampling who had at least 6 months of LTCHs inpatient-care experience in J Province and G City. Data were collected with a structured, self-administered questionnaire from February 24 to March 14, 2025. Analyses included descriptive statistics, independent t-tests, one-way ANOVA with Scheffé post-hoc tests, Pearson's correlation coefficients, and multiple linear regression.</p><p><strong>Results: </strong>The mean ethical nursing competence score was 3.18 out of 4, with ethical behavior being the highest-scoring subdomain and ethical reflection the lowest. Ethical nursing competence was positively correlated with nursing professionalism (r=.33, p<.001) and the hospital ethical climate (r=.37, p<.001), and negatively correlated with experiences of ethical issues (r=-.27, p<.001). In multiple regression, significant predictors of ethical nursing competence were the hospital ethical climate (β=.35, p<.001) and completion of ethics education (β=.20, p=.006).</p><p><strong>Conclusion: </strong>Strategies to enhance ethical nursing competence through hospital ethical climate are needed, particularly those that prioritize facilitating an ethical climate of nursing organizations. In-service programs that consider the content and methods of ethics education appropriate to the characteristics of nursing practice in LTCHs are also needed.</p>","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"28 2","pages":"230-240"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13226805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Factors influencing fear of falling among community-dwelling older women living alone based on the senescent sleep model: A descriptive correlational study.","authors":"Young Joo Lee, Yong Soon Shin","doi":"10.17079/jkgn.2025.00269","DOIUrl":"10.17079/jkgn.2025.00269","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate sleep quality and the fear of falling among community- dwelling older women living alone and to identify the factors influencing the fear of falling.</p><p><strong>Methods: </strong>This descriptive correlational study included 178 community-dwelling older women living alone. Data were collected from December 10, 2023, to February 29, 2024. The collected data were analyzed using t-tests, analysis of variance, Pearson's correlation coefficients, and hierarchical multiple linear regression.</p><p><strong>Results: </strong>The results of this study showed that age (β=.29, p<.001), community activity (β= -.23, p<.001), depression (β=.29, p<.001), social participation (β=-.18, p=.004), and sleep quality (β=.37, p<.001) were significantly associated with the fear of falling.</p><p><strong>Conclusion: </strong>Identifying the factors influencing the fear of falling, including sleep quality, among community-dwelling older women living alone highlights the need to develop preventive programs tailored to the characteristics of this population.</p>","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"28 2","pages":"172-182"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13226797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Factors associated with family caregiver stress related to behavioral and psychological symptoms of dementia: A stress process model-based path analysis.","authors":"Eunkyo Kim, Minhee Yang","doi":"10.17079/jkgn.2025.00367","DOIUrl":"10.17079/jkgn.2025.00367","url":null,"abstract":"<p><strong>Purpose: </strong>Family caregivers of people living with dementia (PLWD) may experience mental and physical health issues. The purpose of this study was to examine factors associated with family caregiver outcomes and to describe their interrelationships.</p><p><strong>Methods: </strong>Grounded in the stress process model, path analysis was conducted using secondary data from 178 dyads of community-dwelling PLWD and family caregivers in Korea. Caregiver outcome was assessed through caregivers' health status and stress due to behavioral and psychological symptoms of dementia (BPSD). Agitation and depression were specified as primary stressors, and PLWD factors were included as background factors associated with BPSD, with separate symptom models.</p><p><strong>Results: </strong>Agitation and depression showed the strongest associations with family caregiver stress related to BPSD. Agitation explained 45.1% of caregiver stress related to BPSD variance (β=.66, p<.001), while depression explained 41.5% (β=.63, p<.001). Agitation and depression were related to caregiver health status (β=.17, p=.006; β=.18, p=.017). In both agitation and depression models, female caregivers (β=.19, p=.008, in both models), older age (β=.21, p=.007, in both models), and lower economic status (β=.32, p<.001, in both models) were associated with poorer caregiver health status. Dementia severity and patient age showed indirect associations with caregiver stress related to BPSD through agitation and depression.</p><p><strong>Conclusion: </strong>Agitation and depression were associated with caregiver stress related to BPSD, while caregiver characteristics were associated with health status. These findings highlight the need for tailored interventions to address BPSD and support caregivers. Family-centered and system-level approaches are essential for improving outcomes for PLWD and their families.</p>","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"28 2","pages":"134-147"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13226799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Development and validation of a resilience scale for community-dwelling older adults: A methodological study.","authors":"Eunna Oh, Rhayun Song, Jisu Seo","doi":"10.17079/jkgn.2025.00346","DOIUrl":"10.17079/jkgn.2025.00346","url":null,"abstract":"<p><strong>Purpose: </strong>Resilience allows older adults to view adversity as an opportunity for growth, making it a key resource for successful aging. This study aimed to develop and validate a multidimensional resilience scale reflecting the characteristics and experiences of community-dwelling older adults.</p><p><strong>Methods: </strong>Preliminary items were generated through a literature review and interviews with eight older adults. Content validity was evaluated by an expert panel, and 510 community-dwelling older adults were recruited using stratified age-group sampling. Construct validity was examined through exploratory and confirmatory factor analyses, while convergent and discriminant validity were also assessed. Concurrent validity was tested against the short form-12 health survey (SF-12) instrument, and Cronbach's alpha was calculated to determine internal consistency.</p><p><strong>Results: </strong>Two items with item-level content validation index values below .80 were removed. Exploratory factor analysis of the resulting eight-item scale identified two factors (\"positive growth and overcoming\" and \"daily adaptation and self-regulation\"), explaining 54.92% of the variance. Confirmatory factor analysis indicated good model fit. Convergent validity and concurrent validity with the SF-12 were supported, while discriminant validity was not.</p><p><strong>Conclusion: </strong>The eight-item, two-factor resilience scale demonstrated acceptable validity and reliability, offering a brief and practical tool for rapid assessment of resilience in community-dwelling older adults. Further research across diverse populations is recommended to enhance its utility in evaluating health promotion programs and strategies for successful aging.</p>","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"28 2","pages":"209-218"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13226803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effectiveness of a swallowing rehabilitation program for elderly lung cancer patients after lobectomy: A quasi-experimental study using a non-equivalent control group pretest-posttest design.","authors":"Hui-Yun Yu, Kyoungrim Kang, Kyo-Yeon Park","doi":"10.17079/jkgn.2025.00227","DOIUrl":"10.17079/jkgn.2025.00227","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to determine the effect of a swallowing rehabilitation program on the incidence of dysphagia, aspiration pneumonia, nutritional status, and swallowing-related quality of life in elderly lung cancer patients after lobectomy.</p><p><strong>Methods: </strong>A quasi-experimental study using a non-equivalent control group pretest-posttest design was conducted from June to October 2024. The participants were 63 lung cancer patients aged 65 years or older scheduled for lobectomy. The experimental group (n=30) received a swallowing rehabilitation program in addition to conventional respiratory rehabilitation, while the control group (n=33) received only conventional respiratory rehabilitation. The program was implemented eight times over 4 days after surgery. Dysphagia was assessed daily for 4 days postoperatively, aspiration pneumonia was assessed on the fourth postoperative day, nutritional status was assessed daily, and swallowing-related quality of life was evaluated preoperatively and on the fourth postoperative day.</p><p><strong>Results: </strong>The incidence of dysphagia was lower in the experimental group that received the swallowing rehabilitation program, with four cases reported, compared with 13 cases in the control group (χ2=5.42, p=.025). There were no significant differences between groups in the incidence of aspiration pneumonia, nutritional status, or swallowing-related quality of life.</p><p><strong>Conclusion: </strong>The swallowing rehabilitation program was effective in reducing the incidence of dysphagia in elderly lung cancer patients after lobectomy. It may serve as a practical nursing intervention to promote recovery and swallowing function in this patient population.</p>","PeriodicalId":52377,"journal":{"name":"Journal of Korean Gerontological Nursing","volume":"28 2","pages":"183-194"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13226794/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148058197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}