Seungmi Park , Byungcheol Kim , Jamuna Kiran Paudel , Hye Ok Park
{"title":"Effects of Breastfeeding Knowledge and Health Beliefs Regarding Gestational Diabetes Mellitus on the Breastfeeding Intention of Pregnant Women","authors":"Seungmi Park , Byungcheol Kim , Jamuna Kiran Paudel , Hye Ok Park","doi":"10.1016/j.anr.2024.12.001","DOIUrl":"10.1016/j.anr.2024.12.001","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aims to explore the relationships between gestational diabetes mellitus (GDM)-related breastfeeding knowledge, GDM-related breastfeeding health beliefs, and breastfeeding intention. It investigates the factors influencing breastfeeding intention among pregnant women in Nepal.</div></div><div><h3>Methods</h3><div>A total of 229 healthy pregnant women visiting an antenatal clinic in Nepal participated in this study between January and March, 2023. They completed a questionnaire that assessed their GDM-related breastfeeding knowledge, GDM-related breastfeeding health beliefs, and breastfeeding intention. The data were analyzed using descriptive statistics, an independent t-test, one-way analysis of variance including Scheffé’s <em>post hoc</em> test, and logistic regression analysis.</div></div><div><h3>Results</h3><div>Of the participants, 86.9% (n = 199) indicated positive breastfeeding intention, even with a relatively low level of GDM-related breastfeeding knowledge. Logistic regression analysis of the factors influencing breastfeeding intention yielded a significant model (χ<sup>2</sup> = 38.80, <em>p</em> < .001) with significant variables; GDM-related breastfeeding knowledge [odds ratio (OR): 1.0, 95% confidence interval (CI): 1.02–1.40], GDM-related breastfeeding health beliefs (OR: 1.09, 95% CI: 1.04–1.15), and immediate family experience with diabetes mellitus (OR: 5.38, 95% CI: 1.98–14.62).</div></div><div><h3>Conclusion</h3><div>Nurses should lead interventions to educate pregnant women about the benefits of breastfeeding that can help in mitigating the long-term effects of GDM and reinforce health beliefs through positive experiences. This study provides information demonstrating the need for nurse-led improvements in Nepal's GDM management system, from screening to comprehensive care.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 1","pages":"Pages 46-52"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Poor Nutritional Status Predicts Mortality in Patients With Acute Heart Failure Admitted to the Cardiac Intensive Care Unit: A Retrospective Cohort Study","authors":"Jeong Eun Lee , Seon Young Hwang","doi":"10.1016/j.anr.2024.12.002","DOIUrl":"10.1016/j.anr.2024.12.002","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aims to identify factors predicting mortality, including nutritional status, in patients with acute heart failure (AHF) admitted to the cardiac intensive care unit and to explore the implications of accurate early nutritional assessment.</div></div><div><h3>Methods</h3><div>This retrospective cohort study performed a secondary analysis of data from 357 patients admitted to a tertiary hospital in Seoul, Korea, from 2019 to 2022. The target patients were classified into high-risk and low-risk groups through the Nurses' nutritional assessment (NNA) using three questions and into normal, mild, moderate, and severe risk groups using the Nutritional Risk Index (NRI) including serum albumin. Kaplan–Meier survival and Cox proportional hazards regression analyses were performed.</div></div><div><h3>Results</h3><div>The patients’ average age was 65.6 ± 14.9 years and 68.1% were men. During the study period, 19.6% (<em>n</em> = 70) of the patients died. Mortality differed significantly according to the groups of NNA and NRI (log-rank, <em>p</em> < .001). However, no correlation was found between the NNA and NRI results (χ<sup>2</sup> = 3.24, <em>p</em> = .362). High-risk group by NNA [hazard ratio (HR: 3.32, 95% confidence interval (CI): 1.86–5.95, <em>p</em> < .001)] and severe risk group by NRI (HR: 2.56, 95% CI: 1.07–6.13, <em>p</em> = .035), presence of diabetes (HR: 1.89, 95% CI: 1.07–3.36, <em>p</em> = .030), and low mean arterial pressure (HR: 0.97, 95% CI: 0.96–0.99, <em>p</em> = .004) were significant predictors.</div></div><div><h3>Conclusion</h3><div>Poor nutritional status, along with the presence of diabetes and lower mean arterial pressure, predicted mortality in patients with AHF admitted to the cardiac intensive care unit. Nurses need to integrate objective data, such as serum albumin, into the initial nutritional assessment of patients admitted to the intensive care unit, and provide continuous attention and monitoring for patients with poor nutrition.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 1","pages":"Pages 53-59"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Eun Ji Park , Hye Young Kim , Ju-Hee Nho , Eun Ko , Allison W. Boyes
{"title":"Validity and Reliability of the Korean Version of Supportive Care Needs Survey-Short Form 34 for Patients With Cancer: A Methodological Study","authors":"Eun Ji Park , Hye Young Kim , Ju-Hee Nho , Eun Ko , Allison W. Boyes","doi":"10.1016/j.anr.2024.12.003","DOIUrl":"10.1016/j.anr.2024.12.003","url":null,"abstract":"<div><h3>Purpose</h3><div>The Supportive Care Needs Survey-Short Form 34 (SCNS-SF34) measures the perceived care needs of patients with cancer. This study aimed to evaluate the reliability and validity of the Korean version of the SCNS-SF34 (i.e., the SCNS-SF34-K).</div></div><div><h3>Methods</h3><div>The SCNS-SF34 was translated into Korean following a World Health Organization translation guideline. We recruited 208 patients with cancer via an online survey in 2022. The data were analyzed using SPSS 27.0 and Amos 23.0, and the construct validity, known-group validity, and internal consistency were tested.</div></div><div><h3>Results</h3><div>The SCNS-SF34-K validated the final five-factor model via confirmatory factor analysis<strong>.</strong> The SCNS-SF34-K's subscales demonstrated discriminant and convergent validity. In addition, known-group validity was confirmed using the Eastern Cooperative Oncology Group Performance Status Scale (t = −7.12), Patient Health Questionnaire-9 (t = −7.61), and Distress Thermometer (t = −9.22). McDonald's Omega coefficient for the total scale was .96, and each sub-domain ranged from .88 to .95.</div></div><div><h3>Conclusion</h3><div>This research provides initial findings on the validity and reliability of the SCNS-SF34-K, a tool for measuring the supportive care needs of Korean cancer patients. The SCNS-SF34-K demonstrates potential for evaluating various aspects of patient needs and may be valuable for both clinical oncology practice and research in Korea.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 1","pages":"Pages 60-68"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Job Satisfaction Among Blood Center Nurses Based on the Job Crafting Model: A Mixed Methods Study","authors":"Da-Won Yeo , Yeongmi Ha","doi":"10.1016/j.anr.2024.12.008","DOIUrl":"10.1016/j.anr.2024.12.008","url":null,"abstract":"<div><h3>Purpose</h3><div>Job satisfaction among blood center nurses is suboptimal due to challenging working conditions, characterized by unexpected tasks resulting from sudden schedule changes and frequent weekend shifts. This study aimed to quantitatively examine the relationships among job stress, psychological capital, person–job fit, job crafting, and job satisfaction, based on the job crafting model. Additionally, qualitative data were collected through mixed methods to gain a better understanding of the experiences related to job satisfaction among blood center nurses.</div></div><div><h3>Methods</h3><div>A convergent mixed methods research design was employed to simultaneously collect quantitative and qualitative data and to integrate the findings from both analyses. A total of 127 full-time nurses who had completed at least a three-month probationary period at blood centers participated in the study. Participants were recruited from three blood centers operated by the Korean Red Cross in three metropolitan cities. The survey included open-ended qualitative questions and five quantitative measures covering job satisfaction, job stress, psychological capital, person–job fit, and job crafting. The data collection occurred from September to October 2022.</div></div><div><h3>Results</h3><div>Regression analysis identified key factors influencing job satisfaction as person–job fit, job stress, psychological capital, and marital status, explaining 80% of the variance. Qualitative analysis of the open-ended responses showed five main themes: “deriving fulfillment from work,” “challenges encountered at work,” “driving forces behind positive outcomes,” “congruence between individual’s traits and job requirements,” and “efforts to perform meaningful work.”</div></div><div><h3>Conclusions</h3><div>The findings suggest the need for developing an employee assistance program and educational initiatives aimed at enhancing job satisfaction among blood center nurses. These should focus on improving person–job fit, managing stress, aiding with emotional labor, and bolstering psychological capital.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"19 1","pages":"Pages 96-103"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142904080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohannad Jamil Alkuwaisi , Salman Hamdan Alsaqri , Awatif Mansour AL-Rashidi , Amira Ali Alshowkan , Romeo P. Mostoles Jr , Larry Terence Ong Cornejo
{"title":"Effectiveness of the Individualized Self-Care Program Based on Orem's Self-Care Theory: Impact on Learning Needs and Self-Care Behaviors Following Coronary Artery Bypass Surgery – A Randomized Controlled Trial","authors":"Mohannad Jamil Alkuwaisi , Salman Hamdan Alsaqri , Awatif Mansour AL-Rashidi , Amira Ali Alshowkan , Romeo P. Mostoles Jr , Larry Terence Ong Cornejo","doi":"10.1016/j.anr.2024.10.008","DOIUrl":"10.1016/j.anr.2024.10.008","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to investigate the specific learning needs of patients within the experimental group after receiving the Individualized Self-Care Program (ISCP) at two key time points: Time 2 (Day 2, Week 1) and Time 3 (Day 15, Week 3). Furthermore, it aimed to compare the effectiveness of the ISCP in improving self-care behavior between the experimental group and the control group, which received standard health education.</div></div><div><h3>Methods</h3><div>The study utilized a randomized controlled trial (RCT) design and included a consecutive sample of 128 patients who had undergone their first Coronary Artery Bypass Graft (CABG) procedure. These patients were randomly divided into two groups: the experimental group (<em>n</em> = 64) and the control group (<em>n</em> = 64). The experimental group received an ISCP at Time 2 and Time 3 after being discharged, whereas the control group received standard health education. Statistical analyses included paired t-tests to assess differences in learning needs over time and Repeated Measures Analysis of Variance (ANOVA) to evaluate the effectiveness of the ISCP on self-care behavior.</div></div><div><h3>Results</h3><div>A paired t-test indicated a statistically significant difference in the total number of learning needs identified within the experimental group between Time 2 and Time 3 assessments. Patients in the experimental group initially identified more learning needs at Time 2 (4.3 ± 1.5), but their knowledge significantly improved at Time 3, leading to fewer learning needs (2.6 ± 1.1). Furthermore, an ANOVA comparing the experimental and control groups showed that the ISCP effectively improved self-care behavior in the experimental group, with significantly greater improvements compared to the control group, which received standard health education.</div></div><div><h3>Conclusion</h3><div>ISCP delivered in early recovery enhances self-care behaviors and addresses postdischarge gaps. The study also revealed that patients' learning needs change over time during home recovery, emphasizing the importance of tailored self-care programs for CABG patients after discharge.</div></div><div><h3>Trial registration</h3><div>IRCT registration number: ISRCTN96836216.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 5","pages":"Pages 516-524"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Therapeutic Communication Using Mirroring Interventions in Nursing Education: A Mixed Methods Study","authors":"Seung Hee Lee, Hye Jin Yoo","doi":"10.1016/j.anr.2024.09.012","DOIUrl":"10.1016/j.anr.2024.09.012","url":null,"abstract":"<div><h3>Purpose</h3><div>Therapeutic communication between nurses and patients is a method of interaction occurring throughout the process of identifying and resolving the patient's health problems. This study investigated the effects of interventions on nursing students' therapeutic communication competency.</div></div><div><h3>Methods</h3><div>This mixed methods study used a sequential exploratory design involving four sessions of therapeutic communication interventions with 40 third-year nursing students in South Korea. A pre- and post-therapeutic communication competence survey was conducted, and the effect was confirmed through individual interviews. Paired <em>t</em>-tests assessed the difference in therapeutic communication competence, while qualitative data underwent content analysis.</div></div><div><h3>Results</h3><div>Therapeutic communication competence results improved from 79.30 to 89.58 points out of 100. Three themes were derived: “the process of properly recognizing myself,” “active learning to understand communication between myself and others,” and “successful steps toward practicing sincere nursing.”</div></div><div><h3>Conclusions</h3><div>Therapeutic communication interventions involving mirroring interviews and shared experiences improve nursing students’ patient-centered communication skills. The findings provided evidence for strategies needed to improve therapeutic communication competency in clinical settings.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 5","pages":"Pages 435-442"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Validity and Reliability of the Korean Version of the Caregiver Burden Questionnaire for Family Caregivers of Hemodialysis Patients","authors":"Ji-young Jung , Ji-yeon Kim","doi":"10.1016/j.anr.2024.10.007","DOIUrl":"10.1016/j.anr.2024.10.007","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to adapt and validate the Korean version of the Caregiver Burden Questionnaire for Family Caregivers of Hemodialysis Patients, originally developed by Hejazi et al. in 2022, to ensure its applicability and validity in Korea.</div></div><div><h3>Methods</h3><div>Using both online and offline approaches, this study included 230 family caregivers. Data analysis was performed with SPSS AMOS version 29.0 using the Korean version of the Caregiver Burden Questionnaire for Family Caregivers of Hemodialysis Patients and the Korean version of the Zarit Burden Interview as the primary instruments.</div></div><div><h3>Results</h3><div>The findings confirmed the high content validity of the questionnaire (scale-level content validity index = .99), and confirmatory factor analysis established its construct validity. Convergent validity was confirmed with average variance extracted values ranging from .43 to .87, and composite reliability scores ranging from .80 to .91. A significant positive correlation with the Korean version of the Zarit Burden Interview (r = .81) demonstrated concurrent validity. The tool consists of 21 items across four factors on a 5-point Likert scale, exhibiting excellent internal consistency (Cronbach's α = .91) and good test-retest reliability (intraclass correlation coefficient = .79).</div></div><div><h3>Conclusion</h3><div>This study validated a reliable instrument for assessing caregiver burden in families of hemodialysis patients in Korea. This tool accurately measures caregiver challenges and has the potential to enhance societal health and welfare.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 5","pages":"Pages 509-515"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mediation Effects of Self-care Self-efficacy and Health-promoting Behaviors on Fear of Cancer Recurrence and Posttraumatic Growth in Postoperative Patients With Cervical Cancer: A Cross-sectional Study","authors":"Lin Li , Yanjiao Su","doi":"10.1016/j.anr.2024.10.003","DOIUrl":"10.1016/j.anr.2024.10.003","url":null,"abstract":"<div><h3>Purpose</h3><div>High recurrence risks significantly contribute to poor health outcomes among postoperative cervical cancer patients. This study aimed to determine the impact of fear of cancer recurrence (FCR) on the posttraumatic growth (PTG) in postoperative cervical cancer patients and to investigate the mediating effects of self-care self-efficacy and health-promoting behaviors within this relationship.</div></div><div><h3>Methods</h3><div>A total of 334 cervical cancer patients who had undergone surgery in three tertiary hospitals in Liaoning Province, China, were recruited using a convenience sampling method. Data were collected using the general information questionnaire, the Fear of Progression Questionnaire (FCR), the Post-traumatic Growth Inventory (PTG), the Strategies Used by People to Promote Health (self-care self-efficacy), and the Health-Promoting Lifestyle Profile (health-promoting behaviors). Data analysis was performed using descriptive analysis, Pearson's correlations, and multiple linear regression analysis. A structural equation model was conducted using Amos 24.0 software.</div></div><div><h3>Results</h3><div>PTG of cervical cancer patients after surgery was significantly and negatively associated with FCR (<em>r</em> = −.54, <em>p</em> < .001), while positively correlated with self-care self-efficacy (<em>r</em> = .51, <em>p</em> < .001) and health-promoting behaviors (<em>r</em> = .59, <em>p</em> < .001). The mediation model revealed that self-care self-efficacy (Boots 95% CI 0.39 ∼ 0.15) and health-promoting behaviors (Boots 95% CI 0.51 ∼ 0.24) independently served as mediating factors, respectively. Self-care self-efficacy and health-promoting behaviors played a significant chain mediating effect between FCR and PTG (Boots 95% CI 0.19 ∼ 0.07), with an indirect effect of 11.6%.</div></div><div><h3>Conclusion</h3><div>This study demonstrated that self-care self-efficacy and health-promoting behaviors partially mediated the relationship between FCR and PTG in cervical cancer survivors after surgery. Implementing tailored interventions that focus on enhancing self-care self-efficacy and health-promoting behaviors among cervical cancer survivors may help alleviate concerns about cervical cancer recurrence and enhance PTG following surgery.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 5","pages":"Pages 468-478"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kyung-Sook Bang , Sungjae Kim , Wooksoo Kim , Sinyoung Choi , Yeseul Jeong , Ji-Hye Choe
{"title":"Validity and Reliability of the Korean Version of the Trauma-Informed Climate Scale-10","authors":"Kyung-Sook Bang , Sungjae Kim , Wooksoo Kim , Sinyoung Choi , Yeseul Jeong , Ji-Hye Choe","doi":"10.1016/j.anr.2024.10.002","DOIUrl":"10.1016/j.anr.2024.10.002","url":null,"abstract":"<div><h3>Purpose</h3><div>The Trauma-Informed Climate Scale-10 is a short form developed to efficiently measure staff perceptions of the values of trauma-informed care within the service environment. This study aimed to evaluate the reliability and validity of the Korean version of the Trauma-Informed Climate Scale-10 (K-TICS-10) among Korean nurses.</div></div><div><h3>Methods</h3><div>The K-TICS-10 underwent a linguistic validation process, including translation, back-translation, and expert committee review. Data were collected from 218 nurses in a tertiary general hospital in South Korea. Internal consistency reliability was assessed using Cronbach's α. Structural validity was tested through confirmatory factor analysis. Convergent validity was examined using Pearson's correlation with affective commitment and burnout. Item-convergent validity was evaluated to examine the internal structure of the scale.</div></div><div><h3>Results</h3><div>The Korean version of the TICS-10 demonstrated reliable internal consistency, with Cronbach's α of .82. The fitness of the modified model was acceptable (χ2/Df = 2.85, goodness-of-fit index = .92, root mean square error of approximation = .09, standardized root mean square residual = .08, Normed fit index = .88, Tucker–Lewis index = .88, and comparative fit index = .91). Convergent validity of the K-TICS-10 was confirmed by significant correlation with affective commitment (r = .56, <em>p</em> < .001) and burnout (r = −.53, <em>p</em> < .001), respectively. The average extracted variances (.34) and composite reliability (.81) indicated adequate convergent validity of the items.</div></div><div><h3>Conclusion</h3><div>The findings of this study support the satisfactory psychometric properties of the K-TICS-10, indicating its utility for evaluating the trauma-informed climate within the nursing work environment in Korea.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 5","pages":"Pages 460-467"},"PeriodicalIF":2.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}