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Control effect of structured skin care plan of integrated Chinese and Western medicine in elderly patients with incontinence-associated dermatitis 中西医结合结构化护肤方案对老年失禁相关性皮炎患者的控制效果
Q4 Nursing Pub Date : 2021-04-01 DOI: 10.4103/jin.jin_013_20
Jian-Hua Deng, Xiuhuan Li, Lijian Niu, Yuan-yuan Li, Jing Zhang, L. Tang
Objective: The objective of this study is to explore the clinical effects of structured skin care plan of integrated Chinese and Western medicine in intervening elderly patients with incontinence-associated dermatitis (IAD). Materials and Methods: Totally, 66 elderly patients with IAD were randomly divided into the experiment group (32 cases) and control group (34 cases). The control group was given routine nursing care, while the experiment group was given a structured skin care plan. The observational course was 2 weeks. The treatment efficiency and healing time were compared between the two groups. Results: After 2-week intervention, the total effective rate of the experiment group was higher than that of the control group (97.1% vs. 78.1%, X2 = 3.913, P = 0.048). The skin assessment tool score of the experiment group was lower than that of the control group (0.56 ± 1.58 vs. 1.75 ± 2.46, Z = −−2.401, P = 0.016). The healing time of the experiment group was shorter than that of the control group (7.29 ± 4.76 days vs. 10.69 ± 6.36 days, Z = −2.280, P = 0.026). Conclusion: The structured skin care plan of integrated Chinese and Western medicine showed a good effect in elderly IAD patients, and provided a reference for clinical treatment and care of elderly patients with IAD.
目的:探讨中西医结合结构化护肤方案干预老年失禁相关性皮炎(IAD)患者的临床效果。材料与方法:66例老年IAD患者随机分为实验组(32例)和对照组(34例)。对照组给予常规护理,实验组给予有组织的皮肤护理方案。观察疗程为2周。比较两组患者的治疗效果及愈合时间。结果:干预2周后,实验组总有效率高于对照组(97.1% vs. 78.1%, X2 = 3.913, P = 0.048)。试验组皮肤评估工具评分低于对照组(0.56±1.58∶1.75±2.46,Z =−−2.401,P = 0.016)。实验组愈合时间较对照组短(7.29±4.76 d∶10.69±6.36 d, Z =−2.280,P = 0.026)。结论:中西医结合的结构化皮肤护理方案对老年IAD患者效果良好,可为老年IAD患者的临床治疗和护理提供参考。
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引用次数: 0
Operations of school health program assessment at selected secondary schools in Egor Local Government Area, Benin City, Nigeria 在尼日利亚贝宁市埃戈尔地方政府区选定的中学开展学校保健方案评估
Q4 Nursing Pub Date : 2021-04-01 DOI: 10.4103/jin.jin_5_21
E. Osian, Osagumwenro Igbinoba, O. Olorunfemi, M. Agbonkpolor
Background: School health program (SHP) is the most cost-effective investment a nation can make to simultaneously improve education and health conditions of her citizen. In spite of this, the adoption of SHP in developing countries is still below set standard. Therefore, this study assesses the operations of SHP in secondary schools in Egor Local Government Area (LGA), Benin City, Nigeria. Materials and Methods: A descriptive cross-sectional survey was conducted with accidental sampling method to select 56 school health teachers from secondary schools in Egor LGA. A self-structured instrument was used to collect data based on the research objectives. Data collected were analyzed using percentages, means, and standard deviation. Results: This study showed that despite high level of the program awareness, the actualization of its objective was found to be poor, and this was found to be related with the lack of government support, lack of needed personnel and materials, lack of effective supervision of the program and inappropriate funding. Conclusion: In-service training on SHP should be provided to enhance the skills needed for implementation of SHP. The government should provide needed materials and equipment and employ competent health personnel to take charge of the school health services, and other policymakers should mobilize and strengthen SHP and education activities at the state.
背景:学校健康计划(SHP)是一个国家能够同时改善其公民的教育和健康状况的最具成本效益的投资。尽管如此,发展中国家对小功率热泵的采用仍然低于既定标准。因此,本研究评估了尼日利亚贝宁市Egor地方政府区(LGA)中学的SHP运作情况。材料与方法:采用随机抽样的方法,采用描述性横断面调查法,对伊戈尔地区56名中学学校卫生教师进行抽样调查。根据研究目的,采用自结构化仪器收集数据。收集的数据使用百分比、平均值和标准差进行分析。结果:本研究发现,尽管项目意识较高,但项目目标的实现程度较差,这与政府支持不足、所需人员和物资不足、项目缺乏有效监管和资金不合理有关。结论:应提供SHP的在职培训,提高实施SHP所需的技能。政府应提供所需的材料和设备,并雇用称职的卫生人员负责学校卫生服务,其他决策者应动员和加强国家的卫生和健康计划和教育活动。
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引用次数: 0
Analysis of risk factors for lymphedema of the lower limbs after endometrial cancer surgery and suggestions for prevention and treatment 子宫内膜癌术后下肢淋巴水肿的危险因素分析及防治建议
Q4 Nursing Pub Date : 2021-04-01 DOI: 10.4103/jin.jin_13_21
Qian Zhang, Li-xiu Liu
Objective: The objective of this study is to investigate the risk factors for the occurrence of lower limb lymphedema in patients with endometrial cancer after surgery and to make recommendations for prevention and treatment. Materials and Methods: We retrospectively reviewed the clinical data of 135 patients with endometrial cancer treated in the Department of Gynecology of the Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine from January 2013 to December 2019 and analyzed the risk factors of lower limb lymphedema in patients with endometrial cancer after surgery using single factor analysis and multi-factor logistic regression analysis. Results: The incidence of postoperative lower limb lymphedema in patients with endometrial cancer was 11.11%. The results of one-way Chi-square test analysis showed that body mass index (BMI), surgical method, number of lymph node dissection, and radiotherapy were related to the occurrence of lower limb lymphedema, and multi-factor logistic analysis showed that BMI (odds ratio [OR] = 6.207), number of lymph node dissection (OR = 4.223), and radiotherapy (OR = 8.081) were the risk factors for lower limb lymphedema after endometrial cancer surgery. Conclusion: Patients with endometrial cancer with BMI ≥≥25 kg/m2, high number of lymph node dissection, and postoperative radiotherapy are more likely to develop lower limb lymphedema, and they should be given priority attention and timely preventive and curative measures.
目的:探讨子宫内膜癌术后患者下肢淋巴水肿发生的危险因素,并提出防治建议。材料与方法:回顾性分析2013年1月至2019年12月在陕西中医药大学附属医院妇科治疗的135例子宫内膜癌患者的临床资料,采用单因素分析和多因素logistic回归分析子宫内膜癌患者术后下肢淋巴水肿的危险因素。结果:子宫内膜癌患者术后下肢淋巴水肿发生率为11.11%。单因素卡方检验分析结果显示,体重指数(BMI)、手术方式、淋巴结清扫次数、放疗与下肢淋巴水肿的发生有关,多因素logistic分析显示,BMI(比值比[OR] = 6.207)、淋巴结清扫次数(OR = 4.223)、放疗(OR = 8.081)是子宫内膜癌术后下肢淋巴水肿的危险因素。结论:BMI≥≥25 kg/m2、淋巴结清扫数量多、术后放疗的子宫内膜癌患者发生下肢淋巴水肿的可能性较大,应给予优先重视,及时采取防治措施。
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引用次数: 0
Application of rehabilitation nursing technology in the pulmonary rehabilitation of the patients after lung cancer operation 康复护理技术在肺癌术后患者肺部康复中的应用
Q4 Nursing Pub Date : 2021-04-01 DOI: 10.4103/jin.jin_4_21
Yuzhen Xu, Lin Han
The rehabilitation nursing of lung function at home for lung cancer patients after operation can not only improve the level of lung function and the quality of life but also improve the compliance of patients with treatment and improve their psychological status. Studies have shown that respiratory training, exercise training and rehabilitation nursing techniques of Chinese medicine, such as Six-Word Qigong , Tai Chi and Baduanjin have better effects on lung function recovery in patients after lung cancer surgery. In this paper, we made review and discussion on the application of the above methods in patients with lung cancer at home after operation.
肺癌患者术后居家肺功能康复护理不仅可以提高肺功能水平和生活质量,而且可以提高患者对治疗的依从性,改善患者的心理状态。研究表明,呼吸训练、运动训练和中医康复护理技术,如六字气功、太极、八段锦等,对肺癌术后患者肺功能恢复效果较好。本文就上述方法在肺癌术后居家患者中的应用进行综述和探讨。
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引用次数: 0
Effect of structured education program on physiological and psychosocial outcomes in type 2 diabetes patients: A randomized controlled trial 结构化教育计划对2型糖尿病患者生理和社会心理结局的影响:一项随机对照试验
Q4 Nursing Pub Date : 2021-04-01 DOI: 10.4103/jin.jin_09_20
Qianqian Zhou, Xiaorong Liu, Jianing Li, Jinlan Yao, Qingqing Lou
Objective: This study was conducted to compare the effect of structured education program versus traditional diabetes education on insulin injection technique as well as physiologically and psychosocially related outcomes in adults with Type 2 diabetes. Materials and Methods: This study was a randomized controlled trial. Totally, 71 Type 2 diabetes patients of using the insulin pen were enrolled and randomly divided into the intervention group (n = 36) and the control group (n = 35) according to random number table method. Patients in the intervention group received structured education program, while patients in the control group received traditional diabetes education. The levels of glycosylated hemoglobin (HbA1c), blood glucose, and lipids were monitored before and 3 months after intervention, and the insulin injection techniques, diabetes distress, and diabetes self-management skills between groups were assessed after 3 months. Results: Finally, 65 participants (intervention group: n = 33, control group: n = 32) finished the study. After the intervention, HbA1c was lower (7.42 ± 0.80 vs. 8.35 ± 1.40, P = 0.002), fasting blood glucose (FBG) was lower (7.27 ± 1.06 vs. 9.40 ± 3.16, P < 0.001), and postprandial blood glucose (PBG) was lower (10.33 ± 2.20 vs. 12.77 ± 4.94, P = 0.012) in the intervention group than in the control group. No statistically significance was identified between the two groups in scores of Diabetes Distress Scale and summary of diabetes self-care activities. Conclusion: Patients with Type 2 diabetes received structured education program, with greater improvements achieved in HbA1c, FBG, PBG, and measures about insulin injection techniques compared to the traditional education group, but there was no significant difference in diabetes distress or self-management behavior between groups.
目的:本研究旨在比较结构化教育计划与传统糖尿病教育对成人2型糖尿病患者胰岛素注射技术以及生理和心理社会相关结局的影响。材料与方法:本研究为随机对照试验。共纳入71例使用胰岛素笔的2型糖尿病患者,按随机数字表法随机分为干预组(n = 36)和对照组(n = 35)。干预组患者接受结构化教育,对照组患者接受传统的糖尿病教育。监测干预前和干预后3个月的糖化血红蛋白(HbA1c)、血糖和血脂水平,3个月后评估两组胰岛素注射技术、糖尿病窘迫和糖尿病自我管理技能。结果:最终有65名参与者(干预组:n = 33,对照组:n = 32)完成研究。干预后,干预组HbA1c低于对照组(7.42±0.80比8.35±1.40,P = 0.002),空腹血糖(FBG)低于对照组(7.27±1.06比9.40±3.16,P < 0.001),餐后血糖(PBG)低于对照组(10.33±2.20比12.77±4.94,P = 0.012)。两组在糖尿病困扰量表得分和糖尿病自我护理活动总结得分上无统计学意义。结论:2型糖尿病患者接受了结构化的教育方案,与传统教育组相比,在HbA1c、FBG、PBG、胰岛素注射技术方面均有较大改善,但在糖尿病困扰和自我管理行为方面组间无显著差异。
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引用次数: 1
The effect of baduanjin exercise in rehabilitation for functional ankle instability: A study protocol for a randomized controlled pilot trial 八段锦运动对功能性踝关节不稳定康复的影响:一项随机对照试验的研究方案
Q4 Nursing Pub Date : 2021-04-01 DOI: 10.4103/jin.jin_012_20
Li Zhou, Juanjuan Ai, Qingwen Geng, Kuangshi Li, Yiting Sun, Ruyu Yan, Diyang Lyu, Zongheng Li
Introduction: Patients with functional ankle instability (FAI) have problems with joint control, balance, gait, and postural symmetry. Baduanjin is a type of traditional Chinese exercise that has been shown to be effective in treating many diseases and symptoms. However, to date, the effect of Baduanjin in patients with FAI has not been proved. This pilot trial is an assessor-blinded randomized controlled trial, and its objective is to study the efficacy and safety of Baduanjin on the rehabilitation of patients with FAI. Methods: Seventy-two participants, who are eligible according to specified inclusion and exclusion criteria, will be randomized (in a 1:1 ratio), using a random number table, into two groups: a Baduanjin group and a conventional treatment group. The Baduanjin group will be subjected to the Baduanjin exercise in addition to the conventional treatment therapy. Participants' exercise programs will be implemented for 4 weeks (5 days a week). All participants will be assessed at baseline, and after two and 4 weeks of treatment. The surface electromyography results of the bilateral erector spinae, tibialis anterior, and peroneus longus will be the primary outcomes, while the balance function under different conditions and the level of FAI in daily life measured using the Cumberland Ankle Instability Tool will be the secondary outcomes. Ethics and Dissemination: The trial has been approved by the Research Ethical Committee of Dongzhimen Hospital, the First Affiliated Hospital of Beijing University of Chinese Medicine (no. DZMEC-KY-2019-18), and it will follow the principles of the Consolidated Standards of Reporting Trials statements as well as the Declaration of Helsinki. The findings of this study will be submitted for publication in peer-reviewed journals. The results will also be disseminated to the participants via phone calls or e-mail. Trial registration: Chinese Clinical Trial Register ID: ChiCTR1900021939 (March 17, 2019). http://www.chictr.org.cn/.
功能性踝关节不稳定(FAI)患者有关节控制、平衡、步态和姿势对称方面的问题。八段锦是一种传统的中国运动,已被证明对治疗许多疾病和症状有效。然而,迄今为止,八段金对FAI患者的作用尚未得到证实。本试验是一项评估盲随机对照试验,目的是研究八段锦对急性脑损伤患者康复的疗效和安全性。方法:72例符合纳入和排除标准的受试者,采用随机数字表,按1:1的比例随机分为八段金组和常规治疗组。八段锦组在常规治疗治疗的基础上进行八段锦运动。参与者的锻炼计划将实施4周(每周5天)。所有参与者将在基线、2周和4周治疗后进行评估。双侧竖棘、胫骨前肌和腓骨长肌的表面肌电图结果将是主要结果,而不同条件下的平衡功能和使用Cumberland踝关节不稳定工具测量的日常生活中FAI水平将是次要结果。伦理与传播:本试验已获得北京中医药大学第一附属医院东直门医院研究伦理委员会批准(no. 6);DZMEC-KY-2019-18),并将遵循《试验报告综合标准》和《赫尔辛基宣言》的原则。这项研究的结果将在同行评审的期刊上发表。调查结果也会以电话或电邮的方式通知参加者。试验注册:中国临床试验注册号:ChiCTR1900021939(2019年3月17日)。http://www.chictr.org.cn/。
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引用次数: 2
Nursing care of a patient with programmed cell death protein-1 immunotherapy-related myocarditis combined with coronary heart disease 程序性细胞死亡蛋白-1免疫治疗相关性心肌炎合并冠心病患者的护理
Q4 Nursing Pub Date : 2021-04-01 DOI: 10.4103/jin.jin_17_21
Wenqi Huang, Yanbing Qing, Lifang Ma, Zhang Li, Chunxiang Su
This report introduced and summarized the nursing care experience for a senior patient with lung cancer and developed programmed cell death protein 1 (PD-1) immunotherapy-related myocarditis combined with coronary heart disease (CHD) after receiving said treatment. In this case, immune myocarditis with CHD occurred shortly after implementing the PD-1 immunotherapy, yet the patient presented no clinical symptoms. Frequent nursing attention and close observation are so required for monitoring the patient's status and updating the physicians for a swift control of the myocarditis. For this case, nursing care procedures vital for the successful recovery of the patient included condition observation, position management, pre- and postcoronary angiography care, infection prevention, hemorrhage prevention, venous access port maintenance, pain care, trachea care, psychological care, diet care, environment management, and health education. After receiving effective, successful treatment and care, the patient was discharged after 13 days of treatment with generally satisfying overall conditions.
本文介绍并总结了一例老年肺癌患者在接受程序性细胞死亡蛋白1 (PD-1)免疫治疗后发生心肌炎合并冠心病的护理经验。本例中,在实施PD-1免疫治疗后不久,发生了伴有冠心病的免疫性心肌炎,但患者没有出现临床症状。因此,需要频繁的护理和密切的观察,以监测患者的状态,并及时通知医生,以便迅速控制心肌炎。本例患者成功康复的护理程序包括病情观察、体位管理、冠状动脉造影前后护理、感染预防、出血预防、静脉通道维护、疼痛护理、气管护理、心理护理、饮食护理、环境管理和健康教育。患者经过有效、成功的治疗和护理,治疗13天后出院,总体情况基本满意。
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引用次数: 0
Analysis of the necessity of implementing the “dual specialty” training model from the perspective of nursing master students 从护理硕士生角度分析实施“双专业”培养模式的必要性
Q4 Nursing Pub Date : 2021-01-01 DOI: 10.4103/jin.jin_60_20
Miao-qing Zhuang, Hong-fang Chen, Huan-ze Li
Objective: The objective is to understand the current situation of clinical practice training for nursing master's degree postgraduates, and discuss the necessity of implementing the “dual specialty” training mode for nursing master's degree postgraduates in China. Methods: Phenomenological research method was used to conduct semi-structured in-depth interviews with 10 nursing master's degree graduates, and the data were analyzed by Colaizzi 7-step analysis method. Results: Four topics were extracted: The objective of clinical practice training for nursing master degree postgraduates was not specific; the cultivation direction is not refined; the ability of clinical practice is weak; the research direction is not consistent with the required position. Conclusion: Implementing special double training mode can solve nursing professional master degree postgraduate education lacking the ability to service the needs of society, graduate students and the existing problems of specialist nurse training and the cultivation of “heavy science, light clinical practice” status quo and the effective way of guiding graduate students career planning, so the implementation of special “double” training mode is necessary.
目的:了解护理硕士研究生临床实习培养的现状,探讨中国实施护理硕士研究生“双专业”培养模式的必要性。方法:采用现象学研究方法对10名护理硕士毕业生进行半结构化深度访谈,采用Colaizzi 7步分析法对数据进行分析。结果:提取出4个主题:护理硕士研究生临床实习培训目标不明确;修炼方向不精;临床实践能力较弱;研究方向与岗位要求不一致。结论:实施特殊的“双轨制”培养模式可以解决护理专业硕士研究生教育缺乏服务社会需求能力、研究生培养和专科护士培养中存在的“重科学、轻临床”培养现状和指导研究生职业生涯规划的有效途径,因此实施特殊的“双轨制”培养模式是必要的。
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引用次数: 0
Teaching traditional Chinese medicine classics to clinical nurses: Taking Treatise on Cold Damage for example 临床护士中医经典教学:以《伤寒论》为例
Q4 Nursing Pub Date : 2021-01-01 DOI: 10.4103/jin.jin_04_20
Ling Tang, Jing Liu, Jingjin Xu, Xueling Ma
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引用次数: 1
A nursing study on five-animal frolics in improving anxiety and depression of inpatients 五种动物嬉闹对改善住院病人焦虑抑郁的护理研究
Q4 Nursing Pub Date : 2021-01-01 DOI: 10.4103/jin.jin_03_20
Xiaoxin Li, Xu Wang, Fangfei Ren, Jinyu Guo, Shufen Zhang, L. Tang
Objective: The objective is to investigate the effect of five-animal frolics on anxiety and depression of hospitalized inpatients. Materials and Methods: Totally 50 inpatients from departments of Internal Medicine, Surgery and General Medicine with hospital admission date between January 2019 and July 2020 were included. All patients exercise five-animal frolics under the professional guidance of the nurse in charge. The Hospital Anxiety and Depression Scale (HADS) was used to assess the conditions of anxiety and depression of patients before and after taking five-animal frolics exercise. Results: The overall score of anxiety patients was significantly lower after five-animal frolics exercise than before [6.0 (5.0, 8.0) vs. 10.0 (8.0, 12.0), Z=-5.466, P <0.001]; the overall depression score of patients was significantly lower after five-animal frolics exercise than before [ 6.5 (4.0, 8.0) vs. 10.0 (8.0, 14.0), Z=-5.175, P < 0.001]. There were 26 (52.0%) very effective cases after exercise, 16 (32.0%) effective cases, 8 (16.0%) invalid cases, and the effective rate was 84.0% Conclusion: Taking five-animal frolics exercise can improve anxiety and depression of inpatients.
目的:探讨五种动物嬉闹对住院病人焦虑、抑郁的影响。材料与方法:选取2019年1月至2020年7月住院的内科、外科和普通内科患者50例。所有患者在主管护士的专业指导下进行五兽嬉戏。采用医院焦虑抑郁量表(HADS)评价患者在进行五种动物嬉戏运动前后的焦虑抑郁状况。结果:五动物嬉戏运动后焦虑患者总分明显低于运动前[6.0 (5.0,8.0)vs. 10.0 (8.0, 12.0), Z=-5.466, P <0.001];五动物嬉闹运动后患者抑郁总分明显低于运动前[6.5(4.0,8.0)比10.0 (8.0,14.0),Z=-5.175, P < 0.001]。运动后非常有效26例(52.0%),有效16例(32.0%),无效8例(16.0%),有效率为84.0%。结论:五兽嬉戏运动可改善住院患者的焦虑、抑郁情绪。
{"title":"A nursing study on five-animal frolics in improving anxiety and depression of inpatients","authors":"Xiaoxin Li, Xu Wang, Fangfei Ren, Jinyu Guo, Shufen Zhang, L. Tang","doi":"10.4103/jin.jin_03_20","DOIUrl":"https://doi.org/10.4103/jin.jin_03_20","url":null,"abstract":"Objective: The objective is to investigate the effect of five-animal frolics on anxiety and depression of hospitalized inpatients. Materials and Methods: Totally 50 inpatients from departments of Internal Medicine, Surgery and General Medicine with hospital admission date between January 2019 and July 2020 were included. All patients exercise five-animal frolics under the professional guidance of the nurse in charge. The Hospital Anxiety and Depression Scale (HADS) was used to assess the conditions of anxiety and depression of patients before and after taking five-animal frolics exercise. Results: The overall score of anxiety patients was significantly lower after five-animal frolics exercise than before [6.0 (5.0, 8.0) vs. 10.0 (8.0, 12.0), Z=-5.466, P <0.001]; the overall depression score of patients was significantly lower after five-animal frolics exercise than before [ 6.5 (4.0, 8.0) vs. 10.0 (8.0, 14.0), Z=-5.175, P < 0.001]. There were 26 (52.0%) very effective cases after exercise, 16 (32.0%) effective cases, 8 (16.0%) invalid cases, and the effective rate was 84.0% Conclusion: Taking five-animal frolics exercise can improve anxiety and depression of inpatients.","PeriodicalId":34651,"journal":{"name":"Journal of Integrative Nursing","volume":"25 1","pages":"42 - 45"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83228767","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
期刊
Journal of Integrative Nursing
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