Journal of Cardiovascular Nursing最新文献

{"title":"The Impact of Cold Spray Use on Thirst Distress, Dry Mouth, and Fluid Intake in Heart Failure Patients: A Randomized Controlled Study.","authors":"Amir Ghasemi, Seyed Reza Mazloum, Tayebe Pourghaznein, Ali Eshraghi","doi":"10.1097/JCN.0000000000001183","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001183","url":null,"abstract":"<p><strong>Background: </strong>People with heart failure frequently experience dry mouth and thirst. More information is currently needed on the effectiveness of practical interventions in reducing these symptoms.</p><p><strong>Objective: </strong>This study was conducted to determine the effect of cold-water spray on thirst distress, dry mouth, and fluid intake in patients with heart failure.</p><p><strong>Methods: </strong>A randomized controlled trial was conducted involving 72 patients with a confirmed diagnosis of heart failure. The patients were randomly assigned to either an intervention group that received a cold-water spray-based program or a control group that received routine department care. The program of spraying cold water was implemented for 3 days. The level of thirst distress, dry mouth, and fluid intake was measured at the beginning and end of the 3-day intervention, and the data were analyzed using SPSS software version 21.</p><p><strong>Results: </strong>Before the intervention, the 2 groups showed no significant differences in demographic characteristics, such as age and gender (P > .05). The average scores for thirst and dry mouth distress were also identical. However, after the intervention, the group that received the intervention had significantly lower average scores for thirst distress (20.2 ± 6.9 vs 27.1 ± 8.5, P < .001) and dry mouth distress (3.5 ± 1 vs 5.2 ± 1.2, P < .001) compared with the control group. It is worth noting that there was no significant difference in the average fluid intake between the 2 groups.</p><p><strong>Conclusion: </strong>The study concluded that cold-water spray effectively reduces thirst distress and dry mouth in patients with heart failure.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694350","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":"Arabic Version of the Caregiver Contribution to Self-Care of Heart Failure Index v2: A Psychometric Evaluation.","authors":"Khitam Alsaqer, Mariam Kawafha, Duaa Al-Maghaireh, Heidar Sheyab, Abedelkader Al Kofahi, Mayyada Saleh","doi":"10.1097/JCN.0000000000001199","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001199","url":null,"abstract":"<p><strong>Background: </strong>Accurate assessment of caregivers' roles in self-care for heart failure (HF) is essential for effectively managing the condition. This evaluation helps identify areas needing additional support, allowing healthcare providers to create tailored and effective patient care strategies.</p><p><strong>Objective: </strong>The objective of this study is to test the validity and reliability of the Arabic version of The Caregiver Contribution to Self-Care of Heart Failure Index Version 2 (CC-SCHFI v2) among the caregivers of patients with HF in Jordan.</p><p><strong>Methods: </strong>A cross-sectional design was used to test the validity and reliability of the Arabic version of CC-SCHFI v2. A translation process and psychometric evaluation were performed. Three hundred caregivers and 300 patients with HF were statistically analyzed.</p><p><strong>Results: </strong>Caregivers had a mean age of 42 years (females were dominant), whereas patients had a mean age of 66 years. Statistical analysis showed significant results: content validity showed high content validity index (0.92), construct validity showed that Bartlett test (P < .001) confirmed factorability, and the Kaiser-Meyer-Olkin index was 0.74. Confirmatory factor analysis indicated a good fit (χ2 = 150.23, df = 90, P < .001; comparative fit index = 0.95, TLI = 0.94, root mean square error of approximation = 0.045), revealing a 3-factor solution that accounted for 75% of the total variance, 50% for self-care maintenance, 15% for symptom perception, and 10% for self-care management. Concurrent validity showed a strong correlation (r = 0.68, P < .001) between the CC-SCHFI v2 and SCHFI scales. Reliability was good internal consistency, with Cronbach α between 0.78 and 0.84, and the test-retest showed intraclass correlation coefficients from 0.85 to 0.90.</p><p><strong>Conclusion: </strong>This study provides valuable evidence supporting the reliability and validity of the Arabic version of the CC-SCHFI v2 among the caregivers of patients with HF in Jordan.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694406","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":"Self-Reported Physical Activity in Chinese American Immigrants With a History of Gestational Diabetes Mellitus.","authors":"Shuyuan Huang, Garrett I Ash, Jiepin Cao, Gail D'Eramo Melkus, Soohyun Nam, Sangchoon Jeon, Erin McMahon, Robin Whittemore","doi":"10.1097/JCN.0000000000001197","DOIUrl":"10.1097/JCN.0000000000001197","url":null,"abstract":"<p><strong>Background: </strong>Women with a history of gestational diabetes mellitus (GDM) have an elevated risk for cardiometabolic diseases. Chinese American immigrants are disproportionately affected by GDM, yet their cardiometabolic risk factors are understudied. Little is known about physical activity (PA) of this understudied high-risk minority group.</p><p><strong>Objective: </strong>The purpose of this study was to describe self-reported PA and the facilitators of and barriers to PA in Chinese American immigrants with a history of GDM.</p><p><strong>Methods: </strong>We conducted an exploratory multimethod study between 2020 and 2021 among 106 Chinese American immigrant women. PA was self-reported using the International Physical Activity Questionnaire-Long form. Four domains of PA (work, transportation, housework, and leisure time) and daily sitting time were recorded. Open-ended questions were asked about the facilitators of and barriers to PA.</p><p><strong>Results: </strong>Participants' mean age was 34.3 ± 3.7 years, and body mass index was 21.7 ± 2.6 kg/m 2 . Approximately 25% had low PA. Over half (N = 56, 53%) reported no leisure-time moderate-to-vigorous PA. Walking and housework were the most common types of PA. Barriers to PA included being busy with life, physical health issues (eg, sleep and postpartum health issues), low motivation or not enjoying PA, COVID-related barriers, and an unfavorable environment for PA.</p><p><strong>Conclusions: </strong>Strategies are needed to increase leisure-time moderate-to-vigorous PA in this population. Modifiable factors include providing convenient PA programs (eg, technology or home-based) and addressing postpartum health issues (eg, sleep). Increasing providers' awareness of barriers to PA and cardiometabolic disease risk in this hard-to-reach, high-risk group may improve assessment and referral for high-risk women. Future research is needed to further explore opportunities for PA that Chinese American immigrant women would be open to at this stage in their life.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665395","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":"Psychometric Evaluation of the Turkish Version of the Heart Failure Somatic Perception Scale.","authors":"Esra Türker, Eda Özge Yazgan, Corrine Y Jurgens","doi":"10.1097/JCN.0000000000001198","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001198","url":null,"abstract":"<p><strong>Background: </strong>The Heart Failure Somatic Perception Scale (HFSPS) is an 18-item scale used to evaluate the severity of common signs and symptoms of heart failure (HF) in patients. To date, psychometric properties of the HFSPS have been tested in samples of Japanese, Spanish, Farsi, Italian, and Arabic speakers.</p><p><strong>Objective: </strong>In this study, our aim was to determine the validity and reliability of the HFSPS in a Turkish population of patients with HF.</p><p><strong>Methods: </strong>This study was a cross-cultural adaptation of the HFSPS to evaluate its psychometric properties in a Turkish population diagnosed with HF, in accordance with the methodology and recommendations of the International Commission on Testing.</p><p><strong>Results: </strong>A total of 228 patients were included. The mean age of patients was 67.08 ± 8.53 years, and the mean duration of disease was 4.3 ± 2.9 years. Confirmatory factor analysis testing of the 4-factor (dyspnea, chest discomfort, early and subtle, edema) structure of the original HFSPS resulted in supportive fit indices. Confirmatory factor analysis findings showed that the factor loadings of the model indicated that the items had strong and significant relationships with relevant factors (P < .001 for all items). Cronbach's α reliability coefficients of the scale were calculated as 0.92. A positive moderate correlation of r = 0.887 (P < .001) was found between the HFSPS and the Minnesota Living With Heart Failure Questionnaire.</p><p><strong>Conclusion: </strong>The findings of this study indicate that the scale is valid and reliable for use in Turkish patients with HF.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652052","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":"Preventive Cardiovascular Nurses Association News and Resources.","authors":"","doi":"10.1097/JCN.0000000000001191","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001191","url":null,"abstract":"","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625976","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 Care Needs, Preferences, and Coping Strategies of Young Stroke Survivors: A Qualitative Study.","authors":"Wen-Yu Kuo, Kuan-Ling Chen, Su-Mei Tseng, Chen-Yin Chen","doi":"10.1097/JCN.0000000000001193","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001193","url":null,"abstract":"<p><strong>Background: </strong>Stroke incidence is rising among younger populations, who often face long-term disabilities. Understanding their care needs, preferences, and coping strategies is essential for recovery.</p><p><strong>Objective: </strong>The objective of this study -was to explore young stroke survivors' care needs, preferences, and coping strategies within 6 months poststroke.</p><p><strong>Methods: </strong>A qualitative study involving 25 participants at a Taiwanese medical hospital was conducted, where data were gathered through in-depth, semistructured in-person or telephone interviews from August 2022 to January 2023. Inductive content analysis was performed.</p><p><strong>Results: </strong>The participants had an average age of 53 years and were primarily married men. Three categories emerged: medical-related, social and economic, and self-reconstruction needs. (1) Medical-related needs included personalized rehabilitation and clear communication about prognosis. When unmet, survivors engaged in self-directed rehabilitation or sought peer advice. (2) Social and economic needs included family or peer support and financial assistance. Survivors preferred family presence during recovery and an early return to work to ease financial burdens. When needs were unmet, they relied on peer support, reducing expenses, or returning to work early despite physical limitations. (3) Self-reconstruction needs involved regaining prestroke abilities and adapting to life changes. Survivors preferred rehabilitation for independence and made lifestyle and work adjustments; they coped by accepting the possibility of partial recovery.</p><p><strong>Conclusions: </strong>We highlighted the medical, socioeconomic, and self-reconstruction needs of young stroke survivors. Tailored rehabilitation, clear communication with clinicians, and support from family and peers are crucial. However, financial pressures often compel early reintegration into the workforce. Personalized recovery strategies addressing physical, emotional, and financial challenges are vital for improving poststroke recovery.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626019","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":"Contemporary Perspectives on Preparing Nurse Leaders for Cardiovascular Disease Prevention.","authors":"Sandra B Dunbar, Lis Neubeck, Leonie Klompstra","doi":"10.1097/JCN.0000000000001188","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001188","url":null,"abstract":"<p><strong>Abstract: </strong>Cardiovascular nurses play a vital role in reducing the global burden of cardiovascular disease through their multiple leadership roles and focus on prevention. From serving as an informal or formal clinical leader, case manager, educator, mentor for emerging cardiovascular nurses or nurse leaders, champion for quality of care, or policy advocate, as examples, cardiovascular nurse leaders can have a profound impact on improving outcomes for individuals, families, and communities. As leaders, cardiovascular nurses must be prepared for their roles through development of leadership competencies to ultimately shape decisions in their settings, whether in clinical care, management, education, advanced practice, and research or through community and professional organizations. This article revisits the competencies required of nurse leaders to be effective in cardiovascular disease prevention and improving outcomes in a changing healthcare environment.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588331","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":"Digital Health Technologies to Promote Healthy Eating and Physical Activity and Reduce Risk Factors for Cardiovascular Disease in Older Adults: A Pilot Study.","authors":"Marysol Cacciata, Dion Candelaria, Andrew Thomas Reyes, Reimund Serafica, Janett A Hildebrand, Axel Santa Maria, Jung-Ah Lee, Anna Strömberg, Lorraine S Evangelista","doi":"10.1097/JCN.0000000000001184","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001184","url":null,"abstract":"<p><strong>Background: </strong>Digital health technologies can promote healthy aging, diagnosis, treatment, self-care, and prevention to reduce inequities. However, limited data exist on the feasibility and efficacy of these technologies for healthy lifestyle behaviors and clinical outcomes for older adults at risk for cardiovascular disease.</p><p><strong>Objectives: </strong>The purpose of this pilot study was to evaluate the feasibility of the study protocol for factors impacting process, resources, and safety and compared changes in eating patterns, physical activity, and clinical outcomes in participants randomized to Get FIT vs Get FIT+ at baseline and 12 weeks.</p><p><strong>Methods: </strong>Older adults (65.6 ± 5.8 years, 61% women, 61% married, 50% Asians, 6% Whites, 33% Hispanics, 11% Blacks) were randomized to Get FIT (n = 24) or Get Fit+ (n = 30) for 12 weeks. Get FIT included 1 in-person counseling session, a participant handbook, an activity tracker, and access to a nutrition app. Get Fit+ added weekly personalized motivational text messages.</p><p><strong>Results: </strong>All feasibility measures were excellent, with 100% consent and retention at 12 weeks. Both groups gradually increased moderate to vigorous exercise and lowered calorie intake. The Get Fit+ and Get Fit participants reported 6% and 1% weight loss, respectively. Blood pressure, lipid profiles, and HgbAa1C improved for all participants. However, improvements in high-density lipoprotein cholesterol and triglycerides were more significant in the Get FIT+ group.</p><p><strong>Conclusion: </strong>Our findings suggest that Get Fit+ can promote healthy lifestyle behaviors in older adults while lowering cardiovascular disease risk factors. A large Randomized Control Trial is needed to determine the efficacy of this intervention's personalized text-messaging feature in this population.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588333","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":"Psychometric Testing of the Nurses' Cardiac Triage Instrument in a Nationwide Sample.","authors":"John R Blakeman, MyoungJin Kim, Ann L Eckhardt, Holli A DeVon, Cynthia Arslanian-Engoren","doi":"10.1097/JCN.0000000000001182","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001182","url":null,"abstract":"<p><strong>Background: </strong>Triage nurses are responsible for determining the urgency with which patients are evaluated and treated. How triage nurses make decisions is critical to providing effective care.</p><p><strong>Objective: </strong>The aims were to (1) analyze the psychometric properties of the Nurses' Cardiac Triage Instrument in a large, national sample of emergency department nurses, and (2) make recommendations for refining the instrument.</p><p><strong>Methods: </strong>Data were obtained from a descriptive, survey study. Participants were recruited from the Emergency Nurses Association website using stratified random sampling. Participants completed the Nurses' Cardiac Triage Instrument. Confirmatory factor analysis (CFA) and exploratory factor analysis (EFA) were performed.</p><p><strong>Results: </strong>Emergency nurses (n = 414) had a mean age of 41.7 years (SD, 12.0 years) and had a median of 8.0 years (interquartile range, 11.0 years) of emergency department experience. The CFA demonstrated a poor fit with the original factor structure (χ2[402] = 1872.59, P = .000, root mean square error of approximation = .094, comparative fit index = .585, Tucker-Lewis Index = .551, standardized root mean square residual = .086). Therefore, the dataset was divided into 2; EFA and CFA were conducted. Factor 3 (nurse action) showed ceiling effects and was excluded from analysis. EFA and subsequent CFA resulted in 7 factors explaining 63.49% of the variance.</p><p><strong>Conclusions: </strong>Factors 1 and 2 (patient presentation and nurses' reasoning process) of the original Nurses' Cardiac Triage Instrument were validated by EFA and CFA. Factor 3 items could be used as outcome measures in the future. This study supports further testing to compare purported versus actual nurse actions.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607179","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":"Perceived Discrimination, Trauma, Mental Health, and Blood Pressure Outcomes Among Young African American/Black Mothers in the InterGEN Study.","authors":"Alexandria Nyembwe, Yihong Zhao, Eugenia Millender, Kelli Hall, Billy A Caceres, Brittany Taylor, Morgan T Morrison, Laura Prescott, Stephanie Potts-Thompson, Arezo Aziz, Fisola Aruleba, Cindy Crusto, Jacquelyn Y Taylor","doi":"10.1097/JCN.0000000000001190","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001190","url":null,"abstract":"<p><strong>Background: </strong>African American (AA) women are disproportionately affected by hypertension. Discrimination, which can be traumatic, and depressive symptoms are independently associated with blood pressure (BP).</p><p><strong>Objective: </strong>We assessed whether the combined influence of discrimination and race-related trauma and depressive symptoms influenced BP over time.</p><p><strong>Methods: </strong>We conducted a secondary data analysis of data from a longitudinal cohort study examining factors associated with BP in 250 AA/Black mother-child dyads. Eligible participants were AA/Black mothers, 21 years and older, with a biological child aged 3-5 years. Clinical (BP, body mass index) and psychosocial measures (racial discrimination, major discrimination, race-related stress, depressive symptoms) were examined. Principal component analysis and linear regression were completed to assess the associations of discrimination, race-related trauma, and depressive symptoms with maternal BP.</p><p><strong>Results: </strong>Data from 183 participants were analyzed. Principal component analysis identified 2 key components: overall discrimination and race-related trauma (principal component 1) and depressive symptoms (principal component 2), which explained 83% of data variation. Linear regression analyses revealed principal component 1 was associated with changes in systolic BP (b = 0.92; P = .04), whereas principal component 2 was not (b = 0.31; P = .71).</p><p><strong>Conclusions: </strong>Our findings highlight the need to further explore experiences of discrimination and race-related trauma as a contributing factor for hypertension. In addition, building on existing efforts, future studies should further analyze the presentation of depressive symptoms among AA women to inform the development and validation of culturally sensitive screening tools that effectively capture these symptoms and enhance access to care.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574647","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}