Seminars in Oncology Nursing最新文献

{"title":"Living with Kidney Cancer: How My Diagnosis Changed My Life","authors":"Phil Richards MBE","doi":"10.1016/j.soncn.2024.151748","DOIUrl":"10.1016/j.soncn.2024.151748","url":null,"abstract":"","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"40 6","pages":"Article 151748"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632550","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":"Development of a Scale to Assess Cancer Attitude in the Community","authors":"Neşe Uysal ,&nbsp;Filiz Ünal Toprak","doi":"10.1016/j.soncn.2024.151728","DOIUrl":"10.1016/j.soncn.2024.151728","url":null,"abstract":"<div><h3>Aim</h3><div>The aim of this study was to develop the Cancer Attitude Scale (CAS) and to evaluate its psychometric properties.</div></div><div><h3>Methods</h3><div>The study was conducted in a mixed-methods study. The preliminary version of the CAS was created by developing an item pool, and qualitative interviews. The items’ content validity ratio was calculated to assess content validity. Construct validity was assessed using exploratory factor analysis and confirmatory factor analysis. Internal consistency and test-retest methods were used to determine the reliability of the scale. The Cancer Information Burden Scale was used to evaluate the convergent validity of the scale. Three hundred twenty-five healthy individuals selected by convenience sampling method were included in this study.</div></div><div><h3>Results</h3><div>The CAS sub-dimensions were determined as cancer diagnosis, cancer prevention, stigmatization of individuals with cancer, and personal empowerment after cancer. The content validity of the 22-item scale was 0.94 and four factors explaining 56% of the variance. The model fit indices were χ²/df = 1.968, RMSEA = 0.055, SRMR = 0.085, and GFI = 0.904. . Cronbach's α and test-retest reliability coefficients of the total scale are 0.76 and 0.936, respectively. The CAS and Cancer Information Overload Scale showed acceptable convergent validity (r = 0.435, <em>P</em> &lt; .001).</div></div><div><h3>Conclusions</h3><div>The Cancer Attitude Scale is a valid and reliable tool that can be applied to assess the attitudes of individuals in the community toward cancer in a multidimensional way.</div></div><div><h3>Implications for Practice</h3><div>Nurses play crucial roles in society, including enhancing cancer awareness, delivering counseling services, and providing health education. Cancer nursing should plan cancer awareness training in line with individuals’ attitudes toward cancer and encourage positive attitudes that increase participation in screening programs.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"40 6","pages":"Article 151728"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127318","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":"Assessing Barriers and Facilitators to Return to Work for Kidney Cancer Survivors: A 6-Month Longitudinal Study","authors":"Xiaoping Chen ,&nbsp;Shuhong Chen ,&nbsp;Guolong Chen ,&nbsp;Xiyuan Liu ,&nbsp;Huiming Lu ,&nbsp;Man Xu ,&nbsp;Mengxiao Jiang","doi":"10.1016/j.soncn.2024.151744","DOIUrl":"10.1016/j.soncn.2024.151744","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to investigate the factors that impact the readiness and success of kidney cancer survivors returning to work, providing insights for healthcare professionals, employers, and policymakers.</div></div><div><h3>Methods</h3><div>A prospective longitudinal study was conducted at Sun Yat-sen University Cancer Center from April 2022 to June 2023. The study enrolled 282 kidney cancer survivors aged 18 to 60 who completed three surveys at 1, 3, and 6 months postsurgery. Data collection involved telephone interviews and self-administered questionnaires, capturing sociodemographic information, medical history, and employment status, while follow-up assessments tracked return-to-work readiness. The scales used for analysis included the Generalized Anxiety Disorder Scale, the Patient Health Questionnaire, the Return-to-Work Self-Efficacy Questionnaire, the Perceived Social Support Scale, and the Brief Fatigue Inventory. Generalized Estimation Equations were applied to identify significant factors, with both single-factor and multivariate analyses performed to pinpoint the most critical variables.</div></div><div><h3>Results</h3><div>Return-to-work rates at 1, 3, and 6 months postsurgery were 26.9%, 59.9%, and 76.2%, respectively. Higher levels of anxiety, lower self-efficacy, older age, and greater fatigue were associated with reduced return-to-work rates. Physically demanding jobs posed more barriers compared to nonmanual roles. Significant factors identified in multivariate analysis included anxiety, self-efficacy, fatigue, and the nature of the patient's work.</div></div><div><h3>Conclusion</h3><div>Psychological, physical, and job-related factors play a crucial role in determining whether kidney cancer survivors can successfully return to work. Tailored support and flexible work arrangements could help kidney cancer survivors reintegrate into the workforce, leading to better long-term outcomes.</div></div><div><h3>Implication for Nursing Practice</h3><div>Nursing professionals can play a vital role in assessing and supporting kidney cancer survivors during their recovery process by addressing both psychological and physical factors. Incorporating return-to-work readiness into postoperative care plans, offering mental health support, and liaising with employers to create flexible working conditions could enhance the reintegration of survivors into the workforce.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"40 6","pages":"Article 151744"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512923","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}

{"title":"Development and Psychometric Testing of the Efficacy Perception Scale for Suicide Risk Management for Oncology Nurses","authors":"Sevda Öztürk,&nbsp;Duygu Hiçdurmaz","doi":"10.1016/j.soncn.2024.151740","DOIUrl":"10.1016/j.soncn.2024.151740","url":null,"abstract":"<div><h3>Objectives</h3><div>Oncology patients are one of the groups with high suicide risk and it is emphasized that oncology nurses' suicide risk management knowledge and skills are insufficient. Several studies have underlined the need to create training programs specifically for oncology nurses to increase their level of awareness, knowledge, skill, and efficacy in recognizing and managing suicide risk. A valid and reliable scale is required to assess the efficacy of suicide risk management for oncology nurses. This study aimed to develop the Efficacy Perception Scale for Suicide Risk Management for Oncology Nurses and evaluate its psychometric properties.</div></div><div><h3>Methods</h3><div>This methodological study was conducted in two stages. In the first stage, the authors conducted a literature review and qualitative study and examined other efficacy scales to generate items. In the second stage, the validity and reliability of the 26 items were determined. The scale content was validated based on feedback from 10 experts. Exploratory analysis of the scale was conducted with the data of 234 oncology nurses. Internal consistency and 2-week test-retest stability measured reliability.</div></div><div><h3>Results</h3><div>The scale's items met the required level of content validity (content validity rate = 0,62), were found to be understandable by 15 nurse (face validity), and all 26 items were retained in the item pool. The exploratory factor analysis extracted a unifactorial solution for the scale. The value of Cronbach's alpha for the scale was 0.96, and the inter-class reliability coefficient was 0.92.</div></div><div><h3>Conclusion</h3><div>The scale is a valid and reliable scale that might be used to assess the efficacy perception of oncology nurses for suicide risk management.</div></div><div><h3>Implications for Nursing Practice</h3><div>The assessment of oncology nurses' perceptions of efficacy in suicide risk management may enable the identification of training needs and the development of the content of suicide prevention trainings in parallel with the needs of nurses.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"40 6","pages":"Article 151740"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332305","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 Relationship Between Perceived Comfort Level with Moral Sensitivity and Moral Distress Among Oncology Nurses: A Descriptive Correlational Study","authors":"Samira Beiranvand ,&nbsp;Kourosh Zarea ,&nbsp;Shahram Molavynejad ,&nbsp;Simin Madhooshi ,&nbsp;Parisa Sheini Jaberi","doi":"10.1016/j.soncn.2024.151742","DOIUrl":"10.1016/j.soncn.2024.151742","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the relationship between perceived comfort level with moral distress and moral sensitivity among oncology nurses</div></div><div><h3>Methods</h3><div>This is a descriptive-correlational study on 210 oncology nurses. The samples were selected through the convenience method from September 2020 to February 2022 in the oncology centers of Ahvaz, Iran. Data were collected via a demographic form, Lutzen's Modified Moral Sensitivity Questionnaire, Corley's Moral Distress Scale, and Kolcaba's Nurses Comfort Questionnaire (NCQ). Data were analyzed using SPSS V24, descriptive statistics, Independent t, Mann-Whitney-U, Kruskal-Wallis, Pearson's correlation coefficient, ANOVA, and linear regression tests.</div></div><div><h3>Results</h3><div>Nurses experienced a moderate level of perceived comfort (67.91 ± 8.75), moral sensitivity (58.4 ± 13.3), and moral distress (57.54.8 ± 8.9). Moral sensitivity was significantly inversely related to the intensity of moral distress (<em>P</em> &lt; .001). A statistically significant relationship was found between nurses' perceived comfort level with frequency of distress (<em>P</em> &lt; .001) and moral sensitivity (<em>P</em> = .046). Moral distress explained 13.8% of changes in perceived comfort level (R2 = 0.138, F = 6.51, sig &lt; 0.001, R = 0.371).</div></div><div><h3>Conclusion</h3><div>Nurses’ perceived comfort level, moral sensitivity, and moral distress were at a moderate level and intercorrelated. It is suggested that factors contributing to moral distress should be eliminated. Also, moral sensitivity should be refined as a decisive factor.</div></div><div><h3>Implication for Nursing Practice</h3><div>Oncology nurses are exposed to morally distressing situations that may be a source of discomfort. This study guides nurses, managers, planners, and policymakers to identify the contributing factors and use strategies and solutions to enhance nurses' perceived comfort level.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"40 6","pages":"Article 151742"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142407142","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":"Beyond Index Conditions: Applying a Multimorbidity Approach to Renal Cancer Nursing","authors":"Chris McParland ,&nbsp;Muzeyyen Seckin ,&nbsp;Bridget Johnston","doi":"10.1016/j.soncn.2024.151743","DOIUrl":"10.1016/j.soncn.2024.151743","url":null,"abstract":"<div><h3>Objective</h3><div>This article aims to describe the key components of renal cancer nursing and multimorbidity nursing, and reflects on how adopting a multimorbidity approach to renal cancer nursing can help nurses provide holistic patient care.</div></div><div><h3>Methods</h3><div>This is a discussion paper drawing on relevant evidence and theory.</div></div><div><h3>Results</h3><div>Renal cancer nurses have a highly specialised knowledge base and are able to use this expertise to deliver excellent care to people with cancer. However, lots of people with cancer have other conditions as well. Adopting a multimorbidity approach to nursing care provides a more holistic framework for care delivery.</div></div><div><h3>Conclusions</h3><div>Cancer nurses are ideally placed to support patients in this way, so they are able to deliver care which accounts for factors such as treatment burden and how this impacts on patients and carers.</div></div><div><h3>Implications for nursing practice</h3><div>Nurses who care for people with renal cancer should view their patients through the lens of multimorbidity. This involves screening for other chronic conditions, considering polypharmacy, providing emotional support and continuity of care, and coordinating care in a way that accounts for the potentially burdensome nature of the patient's interactions with health care.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"40 6","pages":"Article 151743"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480667","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}

{"title":"Psychometric Characteristics of the Quality of Oncology Nursing Care Scale (QONCS): A Validation Study","authors":"Ilaria Marcomini ,&nbsp;Roberta Pendoni ,&nbsp;Mattia Bozzetti ,&nbsp;Maria Mallio ,&nbsp;Francesca Riboni ,&nbsp;Valerio Di Nardo ,&nbsp;Rosario Caruso","doi":"10.1016/j.soncn.2024.151751","DOIUrl":"10.1016/j.soncn.2024.151751","url":null,"abstract":"<div><h3>Objectives</h3><div>Quality care in healthcare settings shortens hospitalization, reduces infection rates and complication risks, and improves patients’ ability to manage their symptoms. Due to the absence of tools for assessing care quality in Italian oncology settings, this study aimed to evaluate the psychometric properties of the Italian version of the Quality of Oncology Nursing Care Scale (QONCS).</div></div><div><h3>Methods</h3><div>The study comprised 4 phases. Phase I involved cultural adaptation of the QONCS following Brislin's model. In phase II, 6 external experts assessed the instrument's face and content validities. In phase III, a cross-sectional study was conducted at 3 hospitals from February to September 2023. In phase IV, factor analyses were performed using exploratory structural equation modeling.</div></div><div><h3>Results</h3><div>The 5-dimensional structure of the adapted QONCS showed a good fit based on the following statistics: χ² (324, N = 219) = 704.690, <em>P</em> &lt; .001; root mean square error of approximation = 0.059 (90% confidence interval [CI] = 0.52-0.66), <em>P</em> &lt; .001; comparative fit index = 0.935; Tucker–Lewis index = 0.908; standardized root mean square residual = 0.026. McDonald's ω (0.968) indicated satisfactory internal consistency. The test-retest reliability demonstrated a high and significant positive correlation. Correlation analysis revealed that age, marital status, and employment status were significantly and positively associated with the QONCS score.</div></div><div><h3>Conclusion</h3><div>This study confirms the validity and reliability of the QONCS. We recommend using the QONCS to thoroughly assess nursing care quality and identify factors that influence the delivery of high-quality care in oncology settings.</div></div><div><h3>Implications for Nursing Practice</h3><div>Our findings highlight the value of the QONCS in helping nurses assess and improve perceived care quality among patients with cancer. Valid and reliable tools, such as the QONCS, are crucial for guiding policies to enhance patient care.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"40 6","pages":"Article 151751"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632552","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":"Renal Cancer: Room for Optimism and a Key Role for Oncology Nursing","authors":"Daniel Kelly","doi":"10.1016/j.soncn.2024.151754","DOIUrl":"10.1016/j.soncn.2024.151754","url":null,"abstract":"","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"40 6","pages":"Article 151754"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632553","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":"Nonpharmacological Interventions for the Fatigue–Pain–Sleep Disturbance Symptom Cluster in Lung Cancer Patients: Best Evidence Summary","authors":"Le Zhang ,&nbsp;Yuanyuan Luo ,&nbsp;Dongmei Mao ,&nbsp;Benxiang Zhu ,&nbsp;Zhihui Yang ,&nbsp;Jingxia Miao ,&nbsp;Lili Zhang","doi":"10.1016/j.soncn.2024.151727","DOIUrl":"10.1016/j.soncn.2024.151727","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to summarize the most effective evidence on nonpharmacological interventions for the fatigue<strong>–</strong>pain<strong>–</strong>sleep disturbance symptom cluster in lung cancer patients and to provide evidence-based management methods for clinical team and lung cancer patients.</div></div><div><h3>Methods</h3><div>Guided by the \"6S\" pyramid model, we retrieved evidence on fatigue, pain, and sleep disturbance management from relevant websites and databases, and unpublished gray literature was also searched. The time frame of the search ranged from database establishment to September 30, 2023. Two researchers independently evaluated the literature quality using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) for guidelines, and the Assessment of Multiple Systematic Reviews II (AMSTAR II) for systematic reviews. Two people independently extracted and summarized the evidence according to the first principle of high-quality evidence and newly published evidence. The included evidence was graded by the JBI Evidence Pre-Grading System.</div></div><div><h3>Results</h3><div>A total of 52,238 articles were retrieved, of which 60 articles, including 18 guidelines, 18 JBI best practice recommendations, one Up To Date clinical practice, and 23 systematic reviews, were included. Overall, 49 pieces of evidence from six dimensions—screening, assessment, management, education, referral, and follow-up—were summarized. Forty-three pieces of evidence were level 1, three pieces of evidence were level 4, and three pieces of evidence were level 5.</div></div><div><h3>Conclusions</h3><div>The best 49 pieces of evidence on nonpharmacological interventions for the fatigue<strong>–</strong>pain<strong>–</strong>sleep disturbance symptom cluster in lung cancer patients were summarized in this study, and these nonpharmacological interventions are scientific and comprehensive.</div></div><div><h3>Implications for Nursing Practice</h3><div>This study can provide guidance for clinical team to improve the fatigue<strong>–</strong>pain<strong>–</strong>sleep disturbance symptom cluster management. These evidence items can be implemented by clinical team to reduce the symptom burden and improve the self-management ability of symptoms in lung cancer patients.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"40 6","pages":"Article 151727"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082566","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":"Turkish Validation and Cultural Adaptation of the Family Care Ability Assessment Scale for Pediatric Oncology Caregivers","authors":"Derya Akdeniz Uysal ,&nbsp;Rana Yigit ,&nbsp;Nezaket Bilge Uzun","doi":"10.1016/j.soncn.2024.151726","DOIUrl":"10.1016/j.soncn.2024.151726","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to investigate the psychometric properties of the Turkish version of the \"Caring Ability of Family Caregivers of Patients with Cancer Scale\" in parents of children with cancer\".</div></div><div><h3>Methods</h3><div>The current study has a methodological design. The study group consisted of 493 parents of children with oncological problems who were followed in the pediatric hematology-oncology departments of three university hospitals. Data were collected between January and December 2021 through convenience sampling. The face, content construct validity, internal consistency, and scale stability were evaluated. SPSS 26.0 and LISREL 8.80 package programs were used to analyze the data.</div></div><div><h3>Results</h3><div>In the confirmatory factor analysis; root mean- mean square error of approximation, comparative fit index, normed fit index, and non-normed fit index were determined to be 0.08, 0.93, 0.91, and 0.92, respectively. Cronbach's alpha reliability coefficient obtained from the entire scale was calculated to be 0.88, the stability correlation coefficient was 0.84 (<em>p</em> &lt; .005) and the item-total correlation coefficient was calculated between 0.249 and 0.716.</div></div><div><h3>Conclusions</h3><div>The scale adapted to Turkish culture can be considered a valid and reliable tool for the assessment of the caring ability of family caregivers of patients with cancer.</div></div><div><h3>Implications for Nursing Practice</h3><div>The scale can be used to assess parents' caregiving abilities, to determine their strengths and weaknesses. In this respect, it can contribute to the creation of an education plan, the development of parents' caregiving abilities and the increase in the quality of care.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"40 6","pages":"Article 151726"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127320","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}