Asian Nursing Research最新文献

{"title":"Impact of Delirium on Prolonged Intensive Care Unit Stay in Critically Ill Older Patients","authors":"Ya Ran Lee ,&nbsp;Mi Hwa Won","doi":"10.1016/j.anr.2025.12.002","DOIUrl":"10.1016/j.anr.2025.12.002","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to investigate the impact of delirium on prolonged intensive care unit (ICU) stay in critically ill older patients.</div></div><div><h3>Methods</h3><div>This prospective descriptive correlational study included 198 consecutive older patients who were admitted to three ICUs at a tertiary hospital in South Korea. Delirium was assessed using the Korean Nursing Delirium Screening Scale, and a prolonged ICU stay was defined as eight days or longer. Multivariable logistic regression analysis was performed to evaluate the impact of delirium on prolonged ICU stay in critically ill older patients.</div></div><div><h3>Results</h3><div>In critically ill older patients, the prevalence of delirium and prolonged ICU stay were 37.8% and 34.3%, respectively. Older patients with delirium during their ICU stay had a significantly higher risk of prolonged ICU stay compared to those without delirium (odds ratio [OR] = 5.21, <em>p</em> &lt; .001, 95% confidence interval [CI]: 2.22–12.19). We suggest that delirium is a strong predictor of prolonged ICU stay in critically ill older patients.</div></div><div><h3>Conclusions</h3><div>Enhancing ICU nurses’ knowledge of delirium in critically ill older patients can facilitate the early recognition of patients at risk upon admission. Therefore, establishing an early and systematic delirium screening system in ICUs is essential for promptly identifying high-risk patients and delivering individualized, evidence-based delirium care. Such efforts may contribute to reducing prolonged ICU stay and improving clinical outcomes in critically ill older patients.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 2","pages":"Pages 170-176"},"PeriodicalIF":2.3,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early Warning Model for Gallbladder Polyps in a Nurse Population: A Retrospective Cohort Study.","authors":"Tong-Tong Fu, Shi-Qi Xiao, Chun-Ling Xia, Ling Fan","doi":"10.1016/j.anr.2026.01.003","DOIUrl":"https://doi.org/10.1016/j.anr.2026.01.003","url":null,"abstract":"<p><strong>Purpose: </strong>Gallbladder polyps pose a health concern among nurses, and early identification is essential for timely intervention and risk management. This study aimed to identify key risk factors and validate an early warning model for GBP specifically tailored to nurses using a retrospective cohort design.</p><p><strong>Methods: </strong>A cohort of 3,507 nurses was recruited from a tertiary care hospital in northern China, with 3,181 participants after exclusions. The cohort was divided into training (2,407 cases) and validation (774 cases) subsets. Logistic regression analysis of demographic, lifestyle, and biochemical factors was used to develop a prediction model for GBP. Model performance was assessed using sensitivity, specificity, ROC curves, calibration curves, and the Hosmer-Lemeshow test.</p><p><strong>Results: </strong>The prevalence of GBP increased from 1.45% in 2013 to 12.7% in 2022. Key predictors included age, gender, walking time, fried food consumption, and total bilirubin levels. The model demonstrated moderate accuracy with an area under the curve of 0.64 in the training cohort and 0.65 in the validation cohort. Sensitivity reached 60%, specificity was 64-65%, and the negative predictive rate was 92%. Internal validation using bootstrap resampling confirmed model stability.</p><p><strong>Conclusions: </strong>The early warning model for GBP among nurses demonstrated fair discriminative performance and reliable calibration, indicating potential clinical utility. The model can facilitate early intervention and strengthen occupational health management. Further research should aim to refine the model and validate it across diverse populations to enhance generalizability and accuracy.</p>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions and Readiness for Generative Artificial Intelligence Implementation Among Oncology Nurses: A Qualitative Study in a Specialized Cancer Hospital","authors":"Jiyoung Han ,&nbsp;Kum Hei Ryu ,&nbsp;Miyoung Kim ,&nbsp;Kwangsoo Shin","doi":"10.1016/j.anr.2025.11.004","DOIUrl":"10.1016/j.anr.2025.11.004","url":null,"abstract":"<div><h3>Purpose</h3><div>In order to bridge the gap between rapid technological changes and the healthcare environment, and to alleviate the burden of nursing tasks, the need for change management must be recognized. Understanding nurses' perceptions of generative artificial intelligence (AI) is essential for the successful implementation of nursing change management. However, existing studies are mostly exploratory in nature, focusing on the utility and applications of generative AI technology. There is a lack of research on its implications for the nursing environment and nursing management. The purpose of this study is to explore in depth the perceptions of nurses at cancer specialty hospitals regarding the application of generative AI, as well as the environmental and contextual factors involved.</div></div><div><h3>Methods</h3><div>This study conducted in-depth interviews with nurses at National Cancer Center, the first cancer specialty hospital in South Korea, from July to August 2024. The semistructured questionnaire was developed based on clinical nursing practice guidelines, and participants were selected considering the various characteristics and situations of nursing tasks.</div></div><div><h3>Results</h3><div>First, nurses at the cancer specialty hospital recognized change management factors in the areas of ‘basic nursing,’ ‘therapeutic intervention,’ ‘nursing during examinations,’ ‘infection control,’ and ‘nursing administration.’ Second, limitations of change management such as ‘decline in nursing proactivity,’ ‘difficulties in building rapport with patients,’ ‘difficulties in providing personalized nursing care,’ ‘patient information breach’ and ‘unclear accountability’ were identified. Third, preparation strategies for change management such as ‘nurse competency improvement,’ ‘legal protection,’ ‘establishing standardized processes,’ and ‘awareness improvement’ were identified.</div></div><div><h3>Conclusion</h3><div>Based on the research findings, academic and practical implications for the application of generative AI in nursing and strategies to enhance nurses’ readiness for its implementation are presented.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 1","pages":"Pages 95-106"},"PeriodicalIF":2.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing the Next Era of Nursing Science","authors":"Jiyeon Lee","doi":"10.1016/j.anr.2026.01.001","DOIUrl":"10.1016/j.anr.2026.01.001","url":null,"abstract":"","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 1","pages":"Page 1"},"PeriodicalIF":2.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147328205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age-group Variations in the Associations Between Technostress, Job Burnout, and Work Engagement Among Nurses: Evidence From a Network Analysis","authors":"Haonan Zhang ,&nbsp;Zhenduo Zhang ,&nbsp;Huan Xiao ,&nbsp;Ruoyi Qu ,&nbsp;Zhen Zhou","doi":"10.1016/j.anr.2025.06.002","DOIUrl":"10.1016/j.anr.2025.06.002","url":null,"abstract":"<div><h3>Purpose</h3><div>While digital transformation has become a necessary trend for hospitals, it imposes technostress (TS) on nurses working on the healthcare front lines. According to previous research, it increases conflict between nurses and patients, but the mechanism and age difference are ignored.</div></div><div><h3>Methods</h3><div>A total of 672 nurses were recruited from five hospitals in Liaoning Province, China. Network analysis was adopted to analyze the network characteristics among TS, job burnout (BO), and work engagement (WE), as well as to compare gender differences.</div></div><div><h3>Results</h3><div>The expected influence of techno-induced invasion of privacy was highest for nurses aged below the age of 40 (±1.15), while techno-induced role ambiguity was more significant for those aged above 40 years (±0.98). The betweenness of BO was highest (emotional exhaustion = 1.34 and cynicism = 1.77). For nurses aged below 40, the betweenness of cynicism was higher (2.06) than that of older nurses, and it had a negative association with dedication (W = −.08). Conversely, for older nurses, the betweenness of cynicism was higher (1.27) compared to nurses below 40 and was negatively associated with absorption (W = −.06).</div></div><div><h3>Conclusion</h3><div>(1) Younger nurses suffer more from invasion of privacy, while older nurses are more concerned about role ambiguity. (2) Technostress is positively and directly associated with BO and has an indirect negative relationship with WE through BO. (3) Controlling cynicism is more important for younger nurses, while emotional exhaustion is more important for older nurses. This research helps in understanding the complex interrelationships and helps hospital administrators to better address nurses' stress and adapt targeted strategies during digital transformation.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 1","pages":"Pages 11-20"},"PeriodicalIF":2.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Early Nursing Intervention Based on the Theory of Planned Behavior in Patients With Nonproliferative Diabetic Retinopathy: A Quasi-experimental Study","authors":"Jinghua Shi ,&nbsp;Can Zhang ,&nbsp;Lixia Guo ,&nbsp;Tingting Jia ,&nbsp;Juanfen Lv ,&nbsp;Yan Wang","doi":"10.1016/j.anr.2025.09.006","DOIUrl":"10.1016/j.anr.2025.09.006","url":null,"abstract":"<div><h3>Purpose</h3><div>The aim of this study was to determine the effects of early nursing interventions based on the internet and planned behavior theory in patients with nonproliferative diabetic retinopathy (NPDR).</div></div><div><h3>Methods</h3><div>In this quasi-experimental study, convenience sampling was used to select 112 patients with NPDR admitted to the diabetic fundus disease clinic of a tertiary hospital in Shanxi. The control group received conventional interventions, while the intervention group received early nursing interventions based on the theory of planned behavior. The primary outcome measure was glycemic control before and at the end of the intervention, while the secondary outcome measures included disease knowledge level, self-efficacy, self-management ability, and disease progression rate before the intervention and at 6 weeks and 12 weeks post intervention. SPSS software (version 26.0) was used to analyze the data.</div></div><div><h3>Results</h3><div>In total, 109 patients completed the study, 54 in the control group and 55 in the intervention group. The scores for fasting blood glucose, two-hour postprandial blood glucose, disease knowledge level, self-efficacy, and self-management ability were compared between the two groups, and the group, time, and interaction effects were statistically significant (<em>p</em> &lt; .001). Significant differences were observed in glycosylated hemoglobin levels and disease progression rates between the two groups after 12 weeks of intervention (<em>p</em> &lt; .050). The Cox proportional hazards model showed that the risk of disease progression was relatively low in the intervention group. A significantly reduced risk of disease progression was observed in the intervention group based on the Cox proportional hazards model (hazard ratio = 0.35, 95% CI: 0.13–0.99).</div></div><div><h3>Conclusion</h3><div>Early nursing intervention based on the Theory of Planned Behavior is beneficial to improving blood glucose control levels, self-management ability, self-efficacy, and clinical prognosis in patients with NPDR.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 1","pages":"Pages 56-64"},"PeriodicalIF":2.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145440041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of Dietary Behaviors and Health Outcomes in Middle-aged Men Based on Social Cognitive Theory: A Cross-sectional Study","authors":"Sunyoung Jung ,&nbsp;Su-jin Cho","doi":"10.1016/j.anr.2025.09.001","DOIUrl":"10.1016/j.anr.2025.09.001","url":null,"abstract":"<div><h3>Purpose</h3><div>To identify the predictors of dietary behaviors and health outcomes in middle-aged men using social cognitive theory (SCT) as a framework.</div></div><div><h3>Methods</h3><div>This cross-sectional study analyzed data on 244 middle-aged men in South Korea between November 2022 and January 2023. The data were collected using structured online questionnaires that assessed self-efficacy, outcome expectations, self-regulation, social support, dietary behaviors, body mass index (BMI), and health-related quality of life (HRQoL). Analyses included descriptive statistics, Pearson's correlation analysis, independent t-test, one-way analysis of variance with Scheffe's post-hoc test, and path analysis.</div></div><div><h3>Results</h3><div>The findings indicate that self-efficacy and negative outcome expectations significantly influence dietary behaviors, which in turn affect BMI and HRQoL. Moreover, autonomous motivation, controlled motivation, and social support were identified as direct determinants of HRQoL. The model accounted for 24% of the variance in dietary behaviors and 38% in HRQoL.</div></div><div><h3>Conclusion</h3><div>To improve dietary behaviors and health outcomes in middle-aged men, it is imperative to build self-efficacy and address perceived barriers to healthy eating. Additionally, comprehensive and tailored interventions that foster self-regulation and social support can improve the HRQoL of middle-aged men.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 1","pages":"Pages 21-29"},"PeriodicalIF":2.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145454120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Insight into Illness as a Mediator and Moderator Between Psychotic Symptoms and Self-care Ability in Chronic Schizophrenia","authors":"Hsu-Chi Chao ,&nbsp;Su-Chen Lo ,&nbsp;Jason W. Beckstead ,&nbsp;Chiu-Yueh Yang","doi":"10.1016/j.anr.2025.10.004","DOIUrl":"10.1016/j.anr.2025.10.004","url":null,"abstract":"<div><h3>Purpose</h3><div>The aim of this study was to explore how insight into illness mediates and moderates the relationship between psychotic symptoms and self-care ability in patients with chronic schizophrenia.</div></div><div><h3>Methods</h3><div>A cross-sectional convenience sampling method was used, and 203 participants were recruited from seven rehabilitation units in northern Taiwan between April and December 2020. Psychotic symptoms were measured using the Positive and Negative Syndrome Scale, insight into illness was assessed with the Schedule for Assessment of Insight in Psychosis, and self-care ability was evaluated using the Self-Care Ability Assessment Scale. Mediation and moderation analyses were conducted using models 4 and 1 of the PROCESS Macro in SPSS, controlling for demographic variables.</div></div><div><h3>Results</h3><div>Insight into illness emerged as both a mediator and a moderator in the relationship between psychotic symptoms and self-care ability. Specifically, insight into illness mediated the relationship by partially alleviating the adverse effects of psychotic symptoms on self-care ability. Furthermore, insight into illness acted as a moderator, with greater insight significantly reducing the impact of psychotic symptoms on an individual’s capacity for self-care.</div></div><div><h3>Conclusion</h3><div>Improving insight into illness is vital to help patients with chronic schizophrenia manage psychotic symptoms and improve self-care. Mental health nurses should prioritize interventions aimed at improving insight, which may significantly improve self-care and overall quality of life.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 1","pages":"Pages 76-83"},"PeriodicalIF":2.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145454099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Effect of an IMB Skills Model–based Online Reproductive Health Promotion Program for Late Adolescent Women","authors":"Minji Je ,&nbsp;Jaeyoung Lee ,&nbsp;SoYeon Park","doi":"10.1016/j.anr.2025.09.007","DOIUrl":"10.1016/j.anr.2025.09.007","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to develop and test the effect of the information-motivation-behavioral skills (IMB) model–based online reproductive health (RH) promotion program for late adolescent women.</div></div><div><h3>Methods</h3><div>This study used a nonequivalent control group pretest–post-test design. The study sample included 39 late adolescent women (experimental group: 19 and control group: 20). The program consisted of four sessions based on the IMB model (70 min, once per week) for four weeks. This study intervention was provided as an online intervention. Data were a pretest before the program, a posttest upon program completion, and a follow-up test one month after the program ended. Data were collected from November 1, 2021, to May 30, 2022. Data analysis was conducted using the <em>t</em> test, Chi-square test, and Fisher’s exact test with statistical software.</div></div><div><h3>Results</h3><div>The program significantly increased late adolescent women's RH promotion behaviors (posttest <em>p</em> &lt; .001 and follow-up test <em>p</em> = .002), RH knowledge (posttest <em>p</em> = .006 and follow-up test <em>p</em> &lt; .001), and sexual autonomy (posttest <em>p</em> = .044 and follow-up test <em>p</em> = .036). No significant differences in changes in attitudes toward RH promotion behaviors were reported between the groups (posttest <em>p</em> = .060 and follow-up test <em>p</em> = .195).</div></div><div><h3>Conclusion</h3><div>This study conducted an online intervention to increase access to RH promotion education. The program developed based on the IMB model effectively improves RH promotion behavior and knowledge of late adolescent women. The intervention program implemented in this study should be used widely in the RH education curriculum for late adolescent women.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 1","pages":"Pages 107-115"},"PeriodicalIF":2.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation of a Practice-based Reflection Training Programme in Undergraduate Nursing Interns for Reflective Practice Competency and Humanistic Caring Ability: A Quasi-experimental Study","authors":"Dong-Lan Ling ,&nbsp;Ka Yan Ho ,&nbsp;Jing-Da Pan ,&nbsp;Chang Zhang ,&nbsp;Wen-Ting Xu ,&nbsp;Ke-Lan Lin ,&nbsp;Ting Mao ,&nbsp;Jin Li ,&nbsp;Hao Chen ,&nbsp;Shu-Fang Zhang ,&nbsp;Hong-Li Liu ,&nbsp;Liu-Yuan Zeng ,&nbsp;Hong-Jing Yu","doi":"10.1016/j.anr.2025.09.005","DOIUrl":"10.1016/j.anr.2025.09.005","url":null,"abstract":"<div><h3>Purpose</h3><div>To examine the effectiveness of a practice-based reflection training programme in enhancing reflective practice competency and humanistic caring ability among undergraduate nursing interns.</div></div><div><h3>Methods</h3><div>A convenience sample of 95 undergraduate nursing interns from a tertiary hospital was recruited to join a quasi-experimental study. Participants in the control group (<em>n</em> = 48) underwent a traditional training programme between September 2021 and April 2022. Those in the intervention group (<em>n</em> = 47) participated in a practice-based reflection training programme that contained 8 sessions between September 2022 and April 2023. The two groups were compared in terms of their levels of reflective practice competency measured by the Nursing Reflective Practice Questionnaire (NRPQ) and humanistic caring ability measured by the Nursing Humanistic Caring Assessment Tool (NHCAT). Additionally, each intern in the intervention group submitted a reflective essay on humanistic caring which was analyzed by content analysis.</div></div><div><h3>Results</h3><div>After the intervention, the intervention group showed statistically significantly higher mean scores compared to the control group for reflective practice competency (160.94 ± 11.02 vs 147.60 ± 13.95, <em>p</em> &lt; .001) and humanistic caring ability (124.02 ± 7.35 vs 115.52 ± 8.31, <em>p</em> &lt; .001). By content analysis of 45 reflective essays, the most commonly reported theme related to humanistic care was “responsibility” (present in 38 essays, mentioned 153 times), followed by “empathy” (present in 36 essays, mentioned 149 times) and “communication skills/competence” (present in 32 essays, mentioned 125 times).</div></div><div><h3>Conclusions</h3><div>The practice-based reflection training programme was shown to be effective to enhance reflective practice competency and humanistic caring ability among undergraduate nursing interns in China. Further studies are needed to examine its long-term impacts on nursing interns.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"20 1","pages":"Pages 48-55"},"PeriodicalIF":2.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145508156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}