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Developing Risk Management Policies for Healthcare Providers at Critical Care Units 为重症监护病房的医疗保健提供者制定风险管理政策
Pub Date : 2022-11-01 DOI: 10.21608/menj.2022.269727
Radwa Haggag, M.E. El Dahshan, Marwa H. Ageiz
: Background: Risk management policies are essential in the critical care unit to offer the highest quality of care, as well as to the continuing evaluation and enhancement of the care and services given to patients. Purpose: assess the common risks at critical care units from health care providers’ perspective; develop risk management policies for health care providers at critical care units and validate the developed risk management policies. Methods: Methodological descriptive design was utilized. The study was conducted at critical care units of Menoufia university hospital. Sampling: A number of 75 nurses, 27 physicians and 13 supportive personnel were involved. Instruments: Two instruments were used (risk assessment questionnaire and validity risk management policies. Results : biological risks, medication error related risks; possible risks related hospital error; patients related to risks; risks related to staffings.Levels of Knowledge of nurses, physicians and supportive personnel about common risks at ICU were 10.21 ± 1.50, 9.81 ± 1.62 and 9.77 ± 1.54 consequently . Conclusion: There were biological risks, medication errors related risks; possible risks related hospital errors; patients related to risks; risks related to staffing Recommendations : Hospital administrators are needed to improve quality of patient care and minimize the proposed risks.
背景:风险管理政策对于重症监护病房提供最高质量的护理以及持续评估和加强对患者的护理和服务至关重要。目的:从卫生保健提供者的角度评估重症监护病房的常见风险;为重症监护病房的卫生保健提供者制定风险管理政策,并验证制定的风险管理政策。方法:采用方法学描述性设计。该研究在Menoufia大学医院的重症监护病房进行。抽样:共涉及75名护士、27名医生和13名辅助人员。工具:采用风险评估问卷和有效性风险管理政策两种工具。结果:生物风险、用药差错相关风险;医院差错可能带来的风险;与风险相关的患者;与人员有关的风险。护士、医生和辅助人员对ICU常见风险的知晓程度分别为10.21±1.50、9.81±1.62和9.77±1.54。结论:存在生物风险、用药错误相关风险;与医院差错相关的可能风险;与风险相关的患者;与人员配置相关的风险建议:需要医院管理人员提高患者护理质量并尽量减少所提出的风险。
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引用次数: 0
Effectiveness of educational intervention on self-care practices of critically ill patients with diabetic retinopathy 教育干预对糖尿病视网膜病变危重患者自我护理的影响
Pub Date : 2022-11-01 DOI: 10.21608/menj.2022.270864
A. Mostafa
: Background: Diabetic retinopathy (DR) is considered a common and specific microvascular complication of diabetes mellitus that develops over a period of time and causes irreversible blindness. Purpose: To evaluate the effectiveness of an educational intervention for diabetic retinopathy patients on self-care practices. Research Design: Quasi-experimental research design was utilized in this study. Sampling: A purposive sample of 80 critically ill patients with diabetic retinopathy. Setting: Opthalmology emergency department in Damietta hospital`from emergency reception to inpatient zoon from ophthalmology in Damietta Hospital was included in this study and the sample had been divided equally into study and control groups. Instruments: Data were collected using two tools; the first tool was a structured interview questionnaire sheet. The second tool was a self-care practices checklist. Results :After implementation of the program, there was an improvement of self-care practices on post and follow up tests than pretest. . For example, patients who were able to adequately perform hand washing, instilling eye drops, apply eye ointment and perform eye care were, 92%, 56%, 64%, and 60% on posttest and 90.0%, 48.0%, 44.0%, 50.0% at follow up test compared to only 70.0%, 20.0%, 22.0% and 26.9% on pretest. Conclusion: Applying the educational intervention was effective in improving patients' self-care practices. Recommendation: Ophthalmologic nurses should follow the educational intervention to prepare patients to perform their self-care practices.
背景:糖尿病视网膜病变(DR)被认为是糖尿病的一种常见和特殊的微血管并发症,它在一段时间内发展并导致不可逆的失明。目的:评价糖尿病视网膜病变患者自我保健教育干预的效果。研究设计:本研究采用准实验研究设计。抽样:目的抽样80例糖尿病视网膜病变危重患者。背景:Damietta医院眼科急诊科从急诊接待到住院患者均纳入本研究,样本平均分为研究组和对照组。工具:使用两种工具收集数据;第一个工具是结构化的访谈问卷。第二个工具是自我护理实践清单。结果:实施该方案后,患者在测试后和测试后的自我保健实践均较测试前有所改善。例如,能够充分洗手、滴眼液、涂抹眼膏和进行眼部护理的患者在测试后分别为92%、56%、64%和60%,在随访测试中分别为90.0%、48.0%、44.0%和50.0%,而在测试前仅为70.0%、20.0%、22.0%和26.9%。结论:教育干预对提高患者的自我保健行为是有效的。建议:眼科护士应遵循教育干预,使患者做好自我护理的准备。
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引用次数: 2
Effect of Educational Program on Quality of Life for Critically Ill Patients having diabetic retinopathy 教育计划对糖尿病视网膜病变危重患者生活质量的影响
Pub Date : 2022-11-01 DOI: 10.21608/menj.2022.270865
A. Mostafa
: Background: Diabetic retinopathy (DR) is a common complication of Diabetes Mellitus (DM) which negatively affects the quality of life (QoL). The purpose of this study was to evaluate the effect of an educational program on the quality of life for critically ill patients having diabetic retinopathy. Research Design: Quasi-experimental research design was utilized in this study. Sampling: A purposive sample of 80 critically ill patients divided equally into study and control groups. Setting: Ophthalmology Damietta Hospital. Instruments: Two instruments were used. Instrument one- a structured interview questionnaire sheet. Instrument two- Vision-related quality of life questionnaire. Results: It was found that 72% and 78% patients in the study and control groups respectively suffered from blurred vision. Post implementing the program; patients in the study groups were more keen in performing personal hygiene, eating a suitable meal, practicing walking, adhering to treatment more than patients in the control group(62.0% Vs 34.0%), (60.0% Vs 36.0%), (66.0% Vs 36.0%) and (58.0%Vs 38.0%) consequently. Conclusion: Applying the educational program was effective in improving patients' quality of life. Recommendation: Health care providers involving ophthalmic nurses should be fully aware of their educational roles in improving the knowledge, self-care practices, and QoL of DR patients. Psychotherapy activities were urgently needed in order to improve the psychological status of DR patients.
背景:糖尿病视网膜病变(DR)是糖尿病(DM)的常见并发症,严重影响患者的生活质量(QoL)。本研究的目的是评估教育计划对患有糖尿病视网膜病变的危重患者生活质量的影响。研究设计:本研究采用准实验研究设计。抽样:目的抽样80例危重患者,平均分为研究组和对照组。地点:Damietta眼科医院。仪器:使用两种仪器。工具一:结构化访谈问卷。仪器二:视力相关生活质量问卷。结果:实验组视力模糊率为72%,对照组视力模糊率为78%。项目实施后;研究组患者在注意个人卫生、饮食适宜、散步、坚持治疗等方面明显高于对照组(62.0% Vs 34.0%)、(60.0% Vs 36.0%)、(66.0% Vs 36.0%)和(58.0%Vs 38.0%)。结论:应用教育方案能有效提高患者的生活质量。建议:包括眼科护士在内的卫生保健提供者应充分意识到他们在提高DR患者的知识、自我保健实践和生活质量方面的教育作用。为了改善DR患者的心理状况,迫切需要进行心理治疗活动。
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引用次数: 0
Relationship between Critical Care Nurses’ Knowledge and Clinical Decision Making Role in Managing Mechanically Ventilated Patients 重症监护护士知识与机械通气患者临床决策作用的关系
Pub Date : 2022-11-01 DOI: 10.21608/menj.2022.271724
Fatma Mohammed, Aml Ebrahem
Background: Mechanical ventilation is a lifesaving procedure that is indicated for critically ill patients. Clinical decision making in nursing practice is a complex process that is integrated into the nursing profession. Critical care nurses are continually faced with situations where they have to make knowledgeable decisions. Purpose: To identify the relationship between critical care nurses‟ knowledge and clinical decision making role in managing mechanically ventilated patients. Research Design: A descriptive correlational research design was used in this study. Setting: The study was conducted at intensive care units in Nasser Institute. Sample: A purposive sample of 109 critical care nurses were selected. Instruments: Data was collected using three instruments (critical care nurses‟ characteristics structured questionnaire, critical care nurses' knowledge structured interview questionnaire, and clinical decision making in nursing scale (CDMNS)). Results: The majority of the studied sample (95.4%) had a satisfactory level of knowledge about caring for patients on mechanical ventilation, more than two thirds of the studied sample (73.4%) had moderate insight of decision making role. There is a statistical significant positive correlation between total decision making and general information about, communication, checking ventilator settings and modes, standard care for endotracheal suction, and management of ventilator alarm. Conclusion: There is a positive correlation between nurses‟ knowledge and clinical decision making role. Recommendations: The principles of mechanical ventilation must be explained and incorporated into interactive training programs, Training courses regarding clinical decision making for critical care nurses must be provided. Replication of the same study on larger probability samples at different geographical locations for data generalization.
背景:机械通气是一种适用于危重患者的救命手段。护理实践中的临床决策是一个复杂的过程,它与护理专业相结合。重症护理护士不断面临的情况下,他们必须作出明智的决定。目的:探讨重症监护护士知识水平与机械通气患者临床决策作用的关系。研究设计:本研究采用描述性相关研究设计。环境:研究在Nasser研究所的重症监护病房进行。样本:目的样本为109名重症护理护士。工具:采用重症监护护士特征结构化问卷、重症监护护士知识结构化访谈问卷和临床护理决策量表(CDMNS)三种工具收集数据。结果:绝大多数(95.4%)的研究样本对机械通气患者的护理知识有满意程度,超过三分之二(73.4%)的研究样本对决策作用有中等程度的了解。总决策与一般信息、沟通、检查呼吸机设置和模式、气管内吸吸标准护理、呼吸机报警管理有统计学显著正相关。结论:护士知识水平与临床决策作用呈正相关。建议:必须解释机械通气的原理,并将其纳入互动培训计划,必须为重症护理护士提供临床决策培训课程。在不同地理位置的大概率样本上复制相同的研究,以进行数据推广。
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引用次数: 0
Relationship between Nurse Managers' Psychological Capital and their Ability to Create Healthy Work Environment as Perceived by Nurses 护士管理者心理资本与营造健康工作环境能力的关系
Pub Date : 2022-11-01 DOI: 10.21608/menj.2022.294889
Safia Darwish, Elham Elfiky
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引用次数: 0
The Effect of Self-Care Strategies on Primary Dysmenorrhea among a Convenient Sample of Female Nursing Students 自我护理策略对方便抽样女护生原发性痛经的影响
Pub Date : 2022-11-01 DOI: 10.21608/menj.2022.268576
E. El-Hosary
: Background and aims: Primary dysmenorrhea is the most common gynecologic complaint affecting adolescents and young women. Many university students do not seek medical consultation and remain suffering from pain. It decreases academic performance and is a cause of absenteeism in female students. A Quasi-experimental study was conducted to study the effectiveness of self-care strategies in primary dysmenorrhea and monthly hormonal concentrations. Subjects and methods: The study was conducted in the College of Applied Medical Science, Shaqra University in the academic year 2021-2022. A convenient sample of eighty-two female nursing students volunteered to participate in the study, allocated into two groups the self-care strategies group (46) and the control group (36). Three tools for data collection were used; a structured interviewing questionnaire, a visual analogue scale, and menstrual changes follow-up chart. The concentrations of follicle stimulating hormone, luteinizing hormone, 17-β-estradiol, progesterone, and prolactin were measured by Enzyme-Linked Immunosorbent Assay. Other menstrual characteristics were also estimated using a mobile phone applications. Results: The current study revealed that the severity of pain and the associated symptoms was decreased in the self-care strategies group compared to the control group, with a highly statistically significant difference found between groups. Self-care strategies affected all the menstrual hormone concentrations significantly (P<0.001) compared to the control group. Conclusion: Using self-care strategies was very effective in relieving primary dysmenorrhea and improving menstrual health in female nursing students. Recommendation: Considering self-care strategies as one of an effective option for girls suffering from primary dysmenorrhea and very important for menstrual health.
背景和目的:原发性痛经是影响青少年和年轻女性最常见的妇科疾病。许多大学生不去看医生,仍然忍受着疼痛。它会降低学习成绩,也是女学生旷课的一个原因。一项准实验研究旨在研究自我护理策略对原发性痛经和月激素浓度的影响。研究对象与方法:研究于2021-2022学年在沙克拉大学应用医学学院进行。一个方便的样本,82名女护理学生自愿参加研究,分为两组,自我护理策略组(46)和对照组(36)。使用了三种数据收集工具;结构化访谈问卷,视觉模拟量表,月经变化随访表。采用酶联免疫吸附法测定促卵泡激素、促黄体生成素、17-β-雌二醇、孕酮和催乳素的浓度。其他月经特征也通过手机应用程序进行评估。结果:目前的研究显示,自我护理策略组的疼痛严重程度和相关症状与对照组相比有所减轻,组间差异具有高度统计学意义。与对照组相比,自我护理策略显著影响了所有月经激素浓度(P<0.001)。结论:自我护理策略对缓解女护生原发性痛经、改善月经健康状况有较好的效果。建议:考虑自我保健策略是原发性痛经女孩的有效选择之一,对月经健康非常重要。
{"title":"The Effect of Self-Care Strategies on Primary Dysmenorrhea among a Convenient Sample of Female Nursing Students","authors":"E. El-Hosary","doi":"10.21608/menj.2022.268576","DOIUrl":"https://doi.org/10.21608/menj.2022.268576","url":null,"abstract":": Background and aims: Primary dysmenorrhea is the most common gynecologic complaint affecting adolescents and young women. Many university students do not seek medical consultation and remain suffering from pain. It decreases academic performance and is a cause of absenteeism in female students. A Quasi-experimental study was conducted to study the effectiveness of self-care strategies in primary dysmenorrhea and monthly hormonal concentrations. Subjects and methods: The study was conducted in the College of Applied Medical Science, Shaqra University in the academic year 2021-2022. A convenient sample of eighty-two female nursing students volunteered to participate in the study, allocated into two groups the self-care strategies group (46) and the control group (36). Three tools for data collection were used; a structured interviewing questionnaire, a visual analogue scale, and menstrual changes follow-up chart. The concentrations of follicle stimulating hormone, luteinizing hormone, 17-β-estradiol, progesterone, and prolactin were measured by Enzyme-Linked Immunosorbent Assay. Other menstrual characteristics were also estimated using a mobile phone applications. Results: The current study revealed that the severity of pain and the associated symptoms was decreased in the self-care strategies group compared to the control group, with a highly statistically significant difference found between groups. Self-care strategies affected all the menstrual hormone concentrations significantly (P<0.001) compared to the control group. Conclusion: Using self-care strategies was very effective in relieving primary dysmenorrhea and improving menstrual health in female nursing students. Recommendation: Considering self-care strategies as one of an effective option for girls suffering from primary dysmenorrhea and very important for menstrual health.","PeriodicalId":181618,"journal":{"name":"Menoufia Nursing Journal","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124899030","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}
引用次数: 0
Risk Management at Critical Care Units: A Concept Analysis 重症监护病房的风险管理:概念分析
Pub Date : 2022-11-01 DOI: 10.21608/menj.2022.269729
Radwa Haggag, M.E. El Dahshan, Marwa H. Ageiz
: Today, risk management efforts in healthcare organizations are aligned behind patient safety and finding ways to work together more effectively and efficiently to ensure that their organizations provide safe, high-quality patient care and continue to reduce risk. Purpose: The current research aimed at clarifying and defining the concept of risk management, its attributes, it is implications, process, risk management roles and responsibilities at critical care units. Method: In this study, the steps of concept analysis were as follows: Select a concept, determine its aim, identify various definitions of the concept, attributes, determine its implications, process and identify the risk management roles and responsibilities. Data Collection: For the purpose of this concept analysis, PubMed, Google search engines, Ovid, CINAL and ProQuest, were scanned and searched using the keywords. Conclusion: Risk management is a requirement for hospital accreditation and focuses on improving the quality and safety of healthcare services. Healthcare providers want to improve outcomes while minimizing the risk of harm to patients. Despite the provider's best efforts, medical error rates remain high with significant disability and death. Recommendations: Conducting further research aimed at raising awareness of the concept of risk management and its effect on quality patient care in the intensive care units among different health sectors is recommended.
今天,医疗保健组织中的风险管理工作与患者安全保持一致,并寻找更有效和高效地合作的方法,以确保其组织提供安全、高质量的患者护理并继续降低风险。目的:本研究旨在厘清及界定危重病房风险管理的概念、属性、影响、过程、风险管理的角色及责任。方法:在本研究中,概念分析的步骤如下:选择一个概念,确定其目的,识别概念的各种定义,属性,确定其含义,过程,确定风险管理角色和责任。数据收集:为了这个概念分析的目的,我们使用关键词对PubMed,谷歌搜索引擎,Ovid, CINAL和ProQuest进行扫描和搜索。结论:风险管理是医院认证的必要条件,其重点是提高医疗服务的质量和安全性。医疗保健提供者希望改善结果,同时尽量减少对患者的伤害风险。尽管提供者尽了最大努力,但医疗错误率仍然很高,造成大量残疾和死亡。建议:建议开展进一步的研究,以提高不同卫生部门对风险管理概念及其对重症监护病房病人护理质量的影响的认识。
{"title":"Risk Management at Critical Care Units: A Concept Analysis","authors":"Radwa Haggag, M.E. El Dahshan, Marwa H. Ageiz","doi":"10.21608/menj.2022.269729","DOIUrl":"https://doi.org/10.21608/menj.2022.269729","url":null,"abstract":": Today, risk management efforts in healthcare organizations are aligned behind patient safety and finding ways to work together more effectively and efficiently to ensure that their organizations provide safe, high-quality patient care and continue to reduce risk. Purpose: The current research aimed at clarifying and defining the concept of risk management, its attributes, it is implications, process, risk management roles and responsibilities at critical care units. Method: In this study, the steps of concept analysis were as follows: Select a concept, determine its aim, identify various definitions of the concept, attributes, determine its implications, process and identify the risk management roles and responsibilities. Data Collection: For the purpose of this concept analysis, PubMed, Google search engines, Ovid, CINAL and ProQuest, were scanned and searched using the keywords. Conclusion: Risk management is a requirement for hospital accreditation and focuses on improving the quality and safety of healthcare services. Healthcare providers want to improve outcomes while minimizing the risk of harm to patients. Despite the provider's best efforts, medical error rates remain high with significant disability and death. Recommendations: Conducting further research aimed at raising awareness of the concept of risk management and its effect on quality patient care in the intensive care units among different health sectors is recommended.","PeriodicalId":181618,"journal":{"name":"Menoufia Nursing Journal","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131985022","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}
引用次数: 0
Effect of a Designed Nursing Intervention on Knowledge and Fatigue among Patients with Liver Cirrhosis 设计护理干预对肝硬化患者认知及疲劳的影响
Pub Date : 2022-11-01 DOI: 10.21608/menj.2022.281119
Nabila Sabola, A. Elshikh, S. El-Nagar, Naglaa Elshebeny
{"title":"Effect of a Designed Nursing Intervention on Knowledge and Fatigue among Patients with Liver Cirrhosis","authors":"Nabila Sabola, A. Elshikh, S. El-Nagar, Naglaa Elshebeny","doi":"10.21608/menj.2022.281119","DOIUrl":"https://doi.org/10.21608/menj.2022.281119","url":null,"abstract":"","PeriodicalId":181618,"journal":{"name":"Menoufia Nursing Journal","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124944410","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}
引用次数: 0
Pre-colonoscopy Nursing Education: It's Effect on Bowel Clearance and Complications among Patients Undergoing Colonoscopy 结肠镜检查前护理教育对结肠镜检查患者肠道清除率及并发症的影响
Pub Date : 2022-11-01 DOI: 10.21608/menj.2022.268412
Wafaa H. Abdullah, A. El-Sheikh, S. Masry, S. Amer
{"title":"Pre-colonoscopy Nursing Education: It's Effect on Bowel Clearance and Complications among Patients Undergoing Colonoscopy","authors":"Wafaa H. Abdullah, A. El-Sheikh, S. Masry, S. Amer","doi":"10.21608/menj.2022.268412","DOIUrl":"https://doi.org/10.21608/menj.2022.268412","url":null,"abstract":"","PeriodicalId":181618,"journal":{"name":"Menoufia Nursing Journal","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128353080","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}
引用次数: 0
Coping Strategies of Women after Mastectomy 女性乳房切除术后的应对策略
Pub Date : 2022-11-01 DOI: 10.21608/menj.2022.300610
A. Atya, D. Eshra, M. El-malky, E. Ashour
{"title":"Coping Strategies of Women after Mastectomy","authors":"A. Atya, D. Eshra, M. El-malky, E. Ashour","doi":"10.21608/menj.2022.300610","DOIUrl":"https://doi.org/10.21608/menj.2022.300610","url":null,"abstract":"","PeriodicalId":181618,"journal":{"name":"Menoufia Nursing Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126011949","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}
引用次数: 0
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Menoufia Nursing Journal
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