Intensive & critical care nursing最新文献

{"title":"Muscle strength trajectories and outcomes in critically ill patients: A prospective multicentre cohort study.","authors":"Ting-Ting Wu, Xiu-Xia Lin, Gao-Yan Chen, Jun Yao, Jing Xiong, Chen-Juan Luo, Yao-Ning Zhuang, Mei-Lian Xu, Xue-Xian Chen, Mei-Rong Chen, Hong Li","doi":"10.1016/j.iccn.2024.103934","DOIUrl":"https://doi.org/10.1016/j.iccn.2024.103934","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the trajectories and determinants of muscle strength in ICU patients and their impact on 1-, 6-, and 12-month mortality outcomes.</p><p><strong>Design: </strong>Prospective multicenter cohort study.</p><p><strong>Settings: </strong>Ten ICUs across five tertiary hospitals in Fujian Province, China.</p><p><strong>Methods: </strong>Muscle strength was assessed using handgrip strength at three time points: ICU admission, ICU discharge, and hospital discharge. Group-based trajectory modeling was employed to identify muscle strength trajectories, while multinomial logistic analysis determined predictors based on baseline characteristics. Mortality outcomes were assessed using a Cox proportional hazards model adjusted by inverse probability of treatment weighting.</p><p><strong>Results: </strong>Among 317 patients, with 37 deaths within 12 months, three muscle strength trajectories were identified: Low-Level Stability (38.17 %), Medium-Level Improvement (47.00 %), and High-Level Improvement (14.83 %). Older age (≥65 years), female gender, prolonged mechanical ventilation, and lower fat-free mass were associated with a higher likelihood of being in the Low-Level Stability group. After adjustment, the Medium-Level Improvement group had a 0.067 times lower 1-month mortality risk (95 % CI: 0.005-0.825) compared to the Low-Level Stability group, with no significant differences at 6 or 12 months (P > 0.05).</p><p><strong>Conclusions: </strong>Three distinct muscle strength trajectories were identified: Low-Level Stability, Medium-Level Improvement, and High-Level Improvement. Older age, female sex, prolonged mechanical ventilation, and lower fat-free mass were strongly associated with the Low-Level Stability group, which had higher 1-month mortality.</p><p><strong>Implications for clinical practice: </strong>Findings from this study underscore the importance of early identification of Low-Level Stability patients, particularly those who are older, female, require prolonged mechanical ventilation, or have reduced fat-free mass. Tailored early rehabilitation in these high-risk individuals may offer substantial clinical benefit.</p>","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":"88 ","pages":"103934"},"PeriodicalIF":0.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of spiritual care competencies of critical care health professionals: An integrative review.","authors":"Alessandre Carvalho Junior, Adriane Maria Netto de Oliveira, Diéssica Roggia Piexak, Camila Daiane Silva, Giancarlo Lucchetti","doi":"10.1016/j.iccn.2024.103924","DOIUrl":"https://doi.org/10.1016/j.iccn.2024.103924","url":null,"abstract":"<p><strong>Objective: </strong>The primary aim of the present study was to assess the competencies related to the spiritual care by nurses and health professionals who work in intensive care units, and how these competencies influence clinical practice. As a secondary objective, we have discussed the strengths, weaknesses and threats of incorporating and teaching these competencies among the included studies.</p><p><strong>Method: </strong>An integrative review of studies published in English, Spanish and Portuguese was performed in the following databases: Embase, Web of Science, Medline/PubMed, PsycInfo, LILACS and Cochrane.</p><p><strong>Results: </strong>Eleven out of a total of 2,239 articles were included. Most were cross-sectional studies with nurses and the main competencies included were \"spiritual care attitude\" and \"knowledge-related spirituality\". The studies were separated into three themes: \"Strengths\", \"Weakness\" and \"Opportunities\". The results showed there are several challenges for professionals working in ICUs, including lack of time, high workload and the influence of the cultural context. Furthermore, few professionals are actually trained to provide spiritual care in the ICU and this care is often provided only at the end of life. Despite this evidence, only one quasi-experimental study on training on the subject in the ICU was identified and no trials, reinforcing the need for more educational studies.</p><p><strong>Conclusion: </strong>There is still a large gap regarding spiritual care in the intensive care environment, often related to the lack of training and knowledge of the team. Exploring the competencies involved in spiritual care provided by health professionals is a way to deepen the debate within the healthcare-related scientific scenario.</p><p><strong>Implications for clinical practice: </strong>Our findings allow a better understanding of outcomes related to healthcare, based on the assessment of these competencies and aspects related to critical patients, expanding the possibility of building scientific knowledge in the health area and allowing thoughts about multiple forms of research, including randomized clinical studies.</p>","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":"87 ","pages":"103924"},"PeriodicalIF":0.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Attracting nursing talent to the intensive care unit: A qualitative study on how to create an appealing work environment.","authors":"Rafael-Jesús Fernández-Castillo, Luis Basco-Prado, Marta Raurell-Torredà","doi":"10.1016/j.iccn.2024.103937","DOIUrl":"https://doi.org/10.1016/j.iccn.2024.103937","url":null,"abstract":"<p><strong>Introduction and objective: </strong>The global shortage of nurses who want to work in the intensive care unit (ICU) is alarming, putting at risk quality of care and patient safety. With efforts put into engagement strategies, optimized recruitment programmes are scarce, specifically in the ICU setting. The aim of this study is to describe and explore ICU nurses' opinions on their work motivational factors that influenced the decision to work in the ICU setting.</p><p><strong>Design: </strong>A qualitative research was undertaken, with a descriptive exploratory interpretative approach, implementing a QUAL-QUAL design, where two data collection techniques are used simultaneously and complement each other. Experienced ICU nurses were interviewed by focus group, using in-depth interviews for novel nurses. A template content analysis as described by the model of Brooks was performed.</p><p><strong>Setting: </strong>The selected population was recruited from 6 different public hospitals in Spain.</p><p><strong>Findings: </strong>A total of 17 nurses participated in the study as we reached data saturation; seven in the focus group and ten by individual interviews. Four main themes emerged from the analysis divided into 13 subthemes: \"ICU training and education\", \"taking care of the intensive carer\", \"optimized human resources management\" and \"intrinsic and extrinsic motivational factors\".</p><p><strong>Conclusion: </strong>Nurses consider that an attractive ICU in terms of job satisfaction is the one that is committed to quality continuous training programmes, welcoming professionals with well-designed mentoring, and taking care of its workers by promoting teamwork and work-life balance, burnout syndrome prevention strategies and motivation for intellectual development.</p><p><strong>Implications for clinical practice: </strong>The description of how to create attractive ICUs will help to build strategies with the aim of recruiting talented highly qualified professionals who will alleviate the need for nurses in the field, optimizing the care provided and generating benefits in management and quality of care.</p>","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":"87 ","pages":"103937"},"PeriodicalIF":0.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Environmental sustainability in intensive care: The crucial role of nursing and healthcare approaches.","authors":"Andrea Glotta","doi":"10.1016/j.iccn.2024.103879","DOIUrl":"https://doi.org/10.1016/j.iccn.2024.103879","url":null,"abstract":"","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":"87 ","pages":"103879"},"PeriodicalIF":0.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The key role of intensive care nurses in critical illness dysphagia assessment, prevention, and management.","authors":"Louise Rose, Peter Spronk, Stacey Skoretz","doi":"10.1016/j.iccn.2024.103935","DOIUrl":"https://doi.org/10.1016/j.iccn.2024.103935","url":null,"abstract":"","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":"87 ","pages":"103935"},"PeriodicalIF":0.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What motivates critical care nurses to stay in their job? - Structural aspects for empowering intrinsic motivation in permissive professional contexts: A scoping review.","authors":"Dagmar Teutsch, Eckhard Frick, Jenny Kubitza","doi":"10.1016/j.iccn.2024.103929","DOIUrl":"https://doi.org/10.1016/j.iccn.2024.103929","url":null,"abstract":"<p><strong>Objective: </strong>In the wake of the COVID-19 pandemic, a significant number of critical care nurses have left their positions, citing overload, burnout, and moral distress. This scoping review is not just a theoretical exploration but a timely and crucial investigation into the aspects and structures of critical care nursing that can make the job fulfilling and appealing, thereby promoting intrinsic motivation and staff retention.</p><p><strong>Methodology: </strong>A scoping review of studies reporting on factors that allow critical care nurses to fall back on their intrinsic job motivation. Qualitative, quantitative, and mixed methods studies from 2019 until 2023 that examined critical care nurses are included. This scoping review, which was conducted in 12 databases, follows the framework proposed by Arksey and O'Malley and the PRISMA framework.</p><p><strong>Results: </strong>22 studies met the inclusion criteria. The thematic synthesis identified 'meaning' as the overarching theme. Meaning can help critical nurses identify their intrinsic motivation and hold tight to it during professional challenges or low morale. Previous studies found meaning-making as an essential element of spirituality. In the present study, it is strongly related to the other subthemes: sense of pride and joy, personal relationships, thriving, and moral responsibility.</p><p><strong>Conclusion: </strong>It makes sense for care management to create specific structures and work conditions, such as flexible scheduling, opportunities for professional development, and supportive team environments that encourage critical care nurses in their professional autonomy. Measures tailored to the individual needs and resources are also crucial. In this way, existing intrinsic motivation can be nurtured, and critical care nurses are enabled to autonomously discern values set by the employer into their own value system.</p><p><strong>Implication for clinical practice: </strong>Institutions need to offer critical care nurses decision-making discretion whenever possible, broad information sharing, and a climate of trust and respect, in which the individual may feel autonomous and can develop personally and professionally.</p>","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":"88 ","pages":"103929"},"PeriodicalIF":0.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of DELIMA education programme on nurses' knowledge, confidence, attitude, and screening accuracy for delirium in paediatric intensive care units.","authors":"Iftitakhur Rohmah, Diah Sukmawati Pangarsih, Sri Rahayu, Akhmad Fajri Widodo, Kai-Mei Chang, Mu-Hsing Ho, Yu-Hsin Tseng, Hsiao-Yean Chiu","doi":"10.1016/j.iccn.2024.103938","DOIUrl":"https://doi.org/10.1016/j.iccn.2024.103938","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effects of a 4-week Delirium Introduction and Maintenance programme based on the knowledge-to-action framework on nurses' knowledge, self-confidence, attitudes, and screening accuracy for delirium in the paediatric intensive care unit (PICU).</p><p><strong>Research methodology/design: </strong>A quasi-experimental study with a pretest-posttest design.</p><p><strong>Setting: </strong>This study was conducted between January and February 2024 with nurses in two Indonesian PICUs.</p><p><strong>Main outcome measures: </strong>Nursing knowledge, self-confidence and attitudes were measured at baseline and the third and fourth weeks (maintenance period) after the intervention was implemented. The Cornell Assessment of Pediatric Delirium (CAPD) was used to evaluate the screening accuracy for delirium at the third and fourth weeks postintervention.</p><p><strong>Results: </strong>A total of 44 nurses with a mean age of 28 years participated in the intervention. At weeks 3 and 4 after the intervention, the intervention group exhibited substantial improvements in knowledge (B = 1.35 and 1.39), self-confidence and attitudes (B = 1.26 and 1.29), and screening accuracy (B = 0.25 and 0.27) compared with the control group (all P < 0.05). The nurses' screening accuracy for delirium by using the CAPD improved from 50 % (week 1) to 86 % (week 3) and 100 % (week 4) in the intervention group, whereas the nurses' screening accuracy for delirium in the control group modestly increased from 17 % to 33 % (week 3) and 37 % (week 4).</p><p><strong>Conclusions: </strong>The theory-driven, multimodal intervention improved the nurses' knowledge of delirium, self-confidence and attitudes, and screening accuracy for delirium. Implementing comprehensive delirium education programmes can enhance delirium recognition and management in PICUs. Future studies should investigate the long-term effects of delirium education programmes on patient outcomes.</p><p><strong>Implications for clinical practice: </strong>An integrated instructional approach was employed to improve nurses' knowledge, self-confidence, attitudes, and screening accuracy for delirium.</p>","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":"87 ","pages":"103938"},"PeriodicalIF":0.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mobility in a cardiac surgery intensive care unit: A behaviour mapping study.","authors":"Emily K Phillips, Mudra G Dave, Maureen C Ashe, Annette S H Schultz, Sheila O'Keefe-McCarthy, Rakesh C Arora, Todd A Duhamel","doi":"10.1016/j.iccn.2024.103918","DOIUrl":"https://doi.org/10.1016/j.iccn.2024.103918","url":null,"abstract":"<p><strong>Purpose: </strong>Mobilization within 24 h post-cardiac surgery (CS) supports improved patient health outcomes. Despite being safe and recommended, it is unknown how much mobility takes place post-CS in the intensive care unit (ICU). Behaviour mapping was used to describe patterns of patients' mobility in one CS ICU.</p><p><strong>Materials and methods: </strong>Behaviour mapping gathers information on behaviour regularly over a time period. Two authors observed one CS ICU over a sixteen-hour period (0630-2230 h) on four days. Observers collected data on patients' mobility mode, location, and support at 15-minute intervals. Data aggregated into four-hour time blocks is described.</p><p><strong>Results: </strong>A total of 1342 observations were collected over four days: 487 of mode, 485 of location, and 370 of support. Sitting in a chair was observed 430 of 487 observations, 10-fold more than any other mode of mobility. Mobility within the ICU room was observed in 448 of 485 observations. Family support for mobility was observed in 178 of 370 observations. The most common time block for mobilization was from 0630 to 1030, with 488 of 1342 observations.</p><p><strong>Conclusions: </strong>Research is required to support the integration of early mobility beyond sitting in a chair supported by more team members into local CS ICU clinical care.</p><p><strong>Implications for clinical practice: </strong>The existence of early mobility protocols does not mean that they are operational in the CS ICU. Integration of these protocols into CS ICU clinical care requires collaboration among researchers and clinicians.</p>","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":"87 ","pages":"103918"},"PeriodicalIF":0.0,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142904600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of digital ICU diary implementation and use by ICU professionals: A cross-sectional survey analysis.","authors":"Carola M A Schol, Erwin Ista, Martin Rinket, Elke Berger, Diederik A M P J Gommers, Margo M C van Mol","doi":"10.1016/j.iccn.2024.103921","DOIUrl":"https://doi.org/10.1016/j.iccn.2024.103921","url":null,"abstract":"<p><strong>Objectives: </strong>To identify the key determinants for implementing and utilizing a digital intensive care unit (ICU) diary among ICU professionals.</p><p><strong>Background: </strong>Despite the advantages of digital diaries over traditional paper ones, their implementation presents challenges that necessitate tailored strategies considering the influencing factors.</p><p><strong>Design: </strong>A multicentre, cross-sectional survey study.</p><p><strong>Methods: </strong>A self-developed questionnaire was administered from March to May 2023, targeting ICU professionals across four hospitals in the Netherlands. Participants rated the relevance of 34 determinants on a 5-point Likert scale across four domains: (1) Digital diary introduction and use, (2) Education and information dissemination, (3) Offering the digital diary to patients' relatives, and (4) Professionals' engagement in diary writing.</p><p><strong>Results: </strong>Responses were received from 214 professionals. The most commonly agreed-upon determinants promoting implementation were seamless accessibility (n = 200; 93.5 %), enthusiastic and motivating champions (n = 190; 88.8 %), and comprehensive information and education (n = 184; 86 %). The preferred method for disseminating information was direct instruction from champions in the teams (n = 194; 90.7 %). Promoting factors for providing digital diaries to relatives included understanding its utility (n = 203; 94.9 %) and recognizing its added value (n = 193; 90.2 %). Additionally, 132 professionals (61.7 %) expressed a positive attitude towards co-writing the digital diary.</p><p><strong>Conclusion: </strong>This study identified key determinants promoting the implementation and utilization of digital diaries in ICUs among professionals. These findings lay a foundation for developing strategies to address challenges and enhance the successful implementation of digital diaries in ICU settings.</p><p><strong>Implications for clinical practice: </strong>To maximize the impact of digital diaries, it is essential to involve end users early and tailor the design for ease of use. Selecting influential champions is key, and they should receive training to lead and mentor others. Clear communication of the benefits for patients and families will foster professionals' understanding and motivation, ultimately enhancing patient care.</p>","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":"87 ","pages":"103921"},"PeriodicalIF":0.0,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142904587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multi-stakeholder perspectives into the experiences of siblings when a child is critically ill: A qualitative systematic review.","authors":"Jessica Appleyard, Beverley Copnell, Alyssia Haling, Joseph C Manning, Ashleigh E Butler","doi":"10.1016/j.iccn.2024.103920","DOIUrl":"https://doi.org/10.1016/j.iccn.2024.103920","url":null,"abstract":"<p><strong>Objectives: </strong>A child's critical illness and admission to intensive care can have significant short- and long-term impacts for the parents and hospitalized child. While experiences of parents have been explored, the impact on siblings remains unclear. The aim was to systematically review and synthesize qualitative research exploring the experiences of siblings when a child is critically ill, from the perspectives of siblings and relevant key stakeholders.</p><p><strong>Methods: </strong>Comprehensive searches were performed across six databases and three sources of grey literature on October 30, 2023 and September 23, 2024. Original qualitative research focusing on sibling experiences during a child's critical illness were included. Two independent reviewers screened studies, with conflicts resolved by a third reviewer. Data extraction and quality assessment were carried out by one reviewer and verified by a second reviewer using Covidence. Thematic synthesis was used to synthesize extracted data, ensuring the rigor of the findings.</p><p><strong>Findings: </strong>Of 1,552 studies screened, 24 met inclusion criteria. Seven mixed methods and 17 qualitative studies were included. Experiences of siblings were categorized into eight themes and included elements such as visiting the ICU, being separated, changing roles, looking to the future, and getting support. Sibling experiences could be positively or negatively influenced by parents, healthcare professionals, hospital policies and environment.</p><p><strong>Conclusions: </strong>This study provides a novel insight into the underrepresented sibling experience in critical care research. Siblings experience significant multi-faceted impacts when a child is critically ill. This review underscores the necessity for further research on siblings' perspectives in critical care, to aid development of appropriate supports and interventions for siblings and families during a child's critical illness.</p><p><strong>Implications for clinical practice: </strong>Understanding siblings' experiences can enhance holistic family-centered care. Findings from this review demonstrate the need for more supportive practices for siblings in intensive care, through development of inclusive, family-centered care policies and guidelines.</p>","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":"87 ","pages":"103920"},"PeriodicalIF":0.0,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142904606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}