Introduction: Bone Marrow Aspiration and Biopsy (BMAB) is a painful procedure that can causes anxiety in patients. Music can help reduce pain and anxiety levels in patients by directing their attention from negative stimuli towards pleasant and encouraging thoughts. Objective: This study aims to determine the effect of classical Turkish music on pain and anxiety of patients undergoing BMAB. Materials and Methods: This is a randomized, controlled trial conducted on 68 patients undergoing BMAB who were selected from the hematology outpatient clinics in a hospital in İzmir, western Turkey. They were randomly divided into two groups of control (n=34) who received the general procedure only and the music group (n=34) who listened to classical Turkish music for 15 minutes before the procedure. Data were collected using a demographic form, Visual Analogue Scale (VAS), and State Anxiety subscale of Spielberger’s State-Trait Anxiety Inventory. Chi-square was used for comparing categorical variables, and t-test and ANOVA were used for comparing numerical variables. Bonferroni test was used for post hoc comparisons. A P<0.05 statistically significant. In case of a significant difference between the groups, Cohen’s d effect size was calculated. Results: In the music group (Mean±SD age=63.73±14.81 years), 62% were male, 71% were married, 76% had a secondary education or lower, and 49.1% reported that biopsy was for diagnostic purposes. In the control group (Mean±SD age=51.76±19.45 years), 50% were female, 53% were married, 62% had a secondary education or lower, and 50.9% reported that biopsy was for diagnostic purposes. A statistically significant difference was found in the mean VAS scores of both groups before and after the treatment (P=0.001). A significant difference was found in the state anxiety level only in the music group before and after the treatment (P=0.003). Conclusion: Classical Turkish music prior to BMAB can reduce the pain and anxiety of patients. It is recommended for nurses to use music therapy to reduce the pain and anxiety of patients undergoing BMAB.
{"title":"Effect of Classical Turkish Music on Pain and Anxiety of Patients undergoing Bone Marrow Aspiration and Biopsy: A Randomized Controlled Clinical Trial","authors":"Eda Ergin, Fatma Kahriman, Hatice Coşan Ay, Şebnem Çınar Yücel","doi":"10.32598/jhnm.32.3.2259","DOIUrl":"https://doi.org/10.32598/jhnm.32.3.2259","url":null,"abstract":"Introduction: Bone Marrow Aspiration and Biopsy (BMAB) is a painful procedure that can causes anxiety in patients. Music can help reduce pain and anxiety levels in patients by directing their attention from negative stimuli towards pleasant and encouraging thoughts. Objective: This study aims to determine the effect of classical Turkish music on pain and anxiety of patients undergoing BMAB. Materials and Methods: This is a randomized, controlled trial conducted on 68 patients undergoing BMAB who were selected from the hematology outpatient clinics in a hospital in İzmir, western Turkey. They were randomly divided into two groups of control (n=34) who received the general procedure only and the music group (n=34) who listened to classical Turkish music for 15 minutes before the procedure. Data were collected using a demographic form, Visual Analogue Scale (VAS), and State Anxiety subscale of Spielberger’s State-Trait Anxiety Inventory. Chi-square was used for comparing categorical variables, and t-test and ANOVA were used for comparing numerical variables. Bonferroni test was used for post hoc comparisons. A P<0.05 statistically significant. In case of a significant difference between the groups, Cohen’s d effect size was calculated. Results: In the music group (Mean±SD age=63.73±14.81 years), 62% were male, 71% were married, 76% had a secondary education or lower, and 49.1% reported that biopsy was for diagnostic purposes. In the control group (Mean±SD age=51.76±19.45 years), 50% were female, 53% were married, 62% had a secondary education or lower, and 50.9% reported that biopsy was for diagnostic purposes. A statistically significant difference was found in the mean VAS scores of both groups before and after the treatment (P=0.001). A significant difference was found in the state anxiety level only in the music group before and after the treatment (P=0.003). Conclusion: Classical Turkish music prior to BMAB can reduce the pain and anxiety of patients. It is recommended for nurses to use music therapy to reduce the pain and anxiety of patients undergoing BMAB.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48936143","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}
Raziye Tahmasebi, Fatemeh Najafi Sharjabad, M. Seyedtabib, M. Araban, K. Ahmadi Angali, Fatemeh Borazjani
Introduction: The efficacy of Growth Monitoring and Promotion (GMP) program depends on active participation. However, its low acceptance by mothers is believed to reduce their participation in the program. Objective: This study aims to assess maternal beliefs and knowledge about GMP and examine its association with the child growth parameters. Materials and Methods: This cross-sectional study was conducted on 470 mother-child dyads who were recruited from public health centers of Ahvaz and Bushehr cities from August 2018 to February 2019 using a convenient sampling method. A questionnaire surveying anthropometric and socio-demographic characteristics as well as maternal knowledge and beliefs based on the Health Belief Model (HBM) was used to gather data. Child growth parameters were obtained from their medical records. Multinomial logistic regression was applied to determine the predictors of child growth parameters from among the HBM domains. Results: The mothers had a mean age of 29.56±5.10 years, and 92% had a planned pregnancy. Favorable growth percentage based on parameters of length-for-age, weight-for-age, weight-for-length and head circumference-for-age was 94.3%, 93.2%, 90.6%, and 93.1%, respectively. The mean scores for HBM constracts of self-efficacy, cues to action, risk susceptibility, barriers to action, benefits to action, risk severity, and GMP knowledge were 64.09±9.92, 89.95±11.77, 44.71±6.73, 54.81±10.52, 60.23±9.59, 66.52±9.33, and 46.83±5.44, respectively. Higher GMP knowledge was associated with higher weight-for-length (β=0.345, 95%CI; 0.064- 0.625, P=0.016) and head circumference-for-age (β=0.287, 95%CI; 0.022- 0.596, P=0.025). Higher weight-for-age was significantly associated with higher scores of GMP knowledge (β=0.409, 95%CI; 0.011-0.806, P=0.044), barriers to action (β=0.155, 95%CI; 0.025-0.284, P=0.019) and cues to action (β=0.190, P=0.03, 95%CI; 0.017- 0.362). Conclusion: Mothers’ beliefs and knowledge about GMP can affect child growth and should be considered in educational interventions to increase their participation in GMP program and ultimately improve their child growth.
{"title":"Maternal Knowledge and Beliefs About Child Growth Monitoring and Promotion Program Based on the Health Belief Model and Its Relationship With Child Growth Parameters","authors":"Raziye Tahmasebi, Fatemeh Najafi Sharjabad, M. Seyedtabib, M. Araban, K. Ahmadi Angali, Fatemeh Borazjani","doi":"10.32598/jhnm.32.3.2233","DOIUrl":"https://doi.org/10.32598/jhnm.32.3.2233","url":null,"abstract":"Introduction: The efficacy of Growth Monitoring and Promotion (GMP) program depends on active participation. However, its low acceptance by mothers is believed to reduce their participation in the program. Objective: This study aims to assess maternal beliefs and knowledge about GMP and examine its association with the child growth parameters. Materials and Methods: This cross-sectional study was conducted on 470 mother-child dyads who were recruited from public health centers of Ahvaz and Bushehr cities from August 2018 to February 2019 using a convenient sampling method. A questionnaire surveying anthropometric and socio-demographic characteristics as well as maternal knowledge and beliefs based on the Health Belief Model (HBM) was used to gather data. Child growth parameters were obtained from their medical records. Multinomial logistic regression was applied to determine the predictors of child growth parameters from among the HBM domains. Results: The mothers had a mean age of 29.56±5.10 years, and 92% had a planned pregnancy. Favorable growth percentage based on parameters of length-for-age, weight-for-age, weight-for-length and head circumference-for-age was 94.3%, 93.2%, 90.6%, and 93.1%, respectively. The mean scores for HBM constracts of self-efficacy, cues to action, risk susceptibility, barriers to action, benefits to action, risk severity, and GMP knowledge were 64.09±9.92, 89.95±11.77, 44.71±6.73, 54.81±10.52, 60.23±9.59, 66.52±9.33, and 46.83±5.44, respectively. Higher GMP knowledge was associated with higher weight-for-length (β=0.345, 95%CI; 0.064- 0.625, P=0.016) and head circumference-for-age (β=0.287, 95%CI; 0.022- 0.596, P=0.025). Higher weight-for-age was significantly associated with higher scores of GMP knowledge (β=0.409, 95%CI; 0.011-0.806, P=0.044), barriers to action (β=0.155, 95%CI; 0.025-0.284, P=0.019) and cues to action (β=0.190, P=0.03, 95%CI; 0.017- 0.362). Conclusion: Mothers’ beliefs and knowledge about GMP can affect child growth and should be considered in educational interventions to increase their participation in GMP program and ultimately improve their child growth.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49656243","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}
Introduction: Women with Breast Cancer (BC) under chemotherapy are at risk of complications affecting their Quality of Life (QoL), which need specific discharge planning. Objective: This study aims to investigate the effect of a discharge planning program on the QoL of women with BC. Materials and Methods: This quasi-experimental study was conducted on 72 women with BC undergoing chemotherapy referred to oncology wards in Kermanshah, Iran. They were divided into groups of intervention (n=35) and control group (n=35) using the block randomization method. For the intervention group, the discharge planning program was implemented individually and in group at least 4 sessions, each for 30-45 minutes. Patients’ QoL in both groups was measured before, one month after, and three months after intervention using two questionnaires of European Organization for Research and Treatment of Cancer (QLQ C-30 and QLQ-BR23). The collected data were analyzed using ANOVA, chi-square test, t-test, and repeated measures ANOVA. The significance level was set at 0.05. Results: The mean age of participants was 47.71±10.4 years, and majority of them were in the second stage of BC. There was a significant difference in all functional scales of QoL in the intervention group over time from baseline to three months after discharge (P<0.05), except in sexual functioning (P=0.119) and sexual enjoyment (P=0.210). Conclusion: The discharge planning program has a positive effect on the Quality of Life of women with Brest Cancer.
{"title":"Effect of a Discharge Planning Program on the Quality of Life in Women With Breast Cancer","authors":"Yasaman Tamri, Z. Parsa Yekta","doi":"10.32598/jhnm.32.3.2197","DOIUrl":"https://doi.org/10.32598/jhnm.32.3.2197","url":null,"abstract":"Introduction: Women with Breast Cancer (BC) under chemotherapy are at risk of complications affecting their Quality of Life (QoL), which need specific discharge planning. Objective: This study aims to investigate the effect of a discharge planning program on the QoL of women with BC. Materials and Methods: This quasi-experimental study was conducted on 72 women with BC undergoing chemotherapy referred to oncology wards in Kermanshah, Iran. They were divided into groups of intervention (n=35) and control group (n=35) using the block randomization method. For the intervention group, the discharge planning program was implemented individually and in group at least 4 sessions, each for 30-45 minutes. Patients’ QoL in both groups was measured before, one month after, and three months after intervention using two questionnaires of European Organization for Research and Treatment of Cancer (QLQ C-30 and QLQ-BR23). The collected data were analyzed using ANOVA, chi-square test, t-test, and repeated measures ANOVA. The significance level was set at 0.05. Results: The mean age of participants was 47.71±10.4 years, and majority of them were in the second stage of BC. There was a significant difference in all functional scales of QoL in the intervention group over time from baseline to three months after discharge (P<0.05), except in sexual functioning (P=0.119) and sexual enjoyment (P=0.210). Conclusion: The discharge planning program has a positive effect on the Quality of Life of women with Brest Cancer.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41476283","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}
Maryam Rajabi, Ezzat Paryad, Atefeh Ghanbari Khanghah, E. Kazemnezhad leili
Introduction: A fall is a sudden descent on the ground or other lower levels. It is a serious safety threat for hospitalized patients. Coronary artery bypass graft (CABG) surgery as an open heart surgery has complications such as cardiac arrhythmias and delirium that can increase the risk of fall. Objective: This study aims to determine the risk of falls in patients after CABG surgery and investigate its associated factors. Matetials and Methods: This cross-sectional study was conducted on 302 patients undergoing CABG surgery in a specialized hospital in Rasht City, Iran, from November 2019 to July 2020. They were selected by a sequential sampling method. The data collection instrument included demographic information, disease-related factors, surgery-related factors (before, during, after), and the Morse fall scale (MFS) checklist. The study data were collected after the patient's surgery and transfer from the intensive care unit to the surgical ward. Descriptive statistics, as well as the Kolmogorov Smirnov, Wilcoxon, Mann-Whitney U, Kruskal-Wallis, and Spearman correlation, were used to analyze the collected data. A rank regression model was used to determine the factors related to the risk of falls in patients. Results: The mean ±SD age of participants was 59.35 ±8.37 years. About 70.53% of the patients were male, and 46.03% were overweight (Body Mass Index ranged 25-29.9 kg/m2). The majority of patients at the time of admission to the surgical ward and before surgery (92.72%) had no risk of falls. After surgery and transfer to the surgical ward, 82.12% had a low risk of falls. The mean risk of falling was higher in patients over 60 years (P <0.05). With decreasing hemoglobin values on the morning of surgery, the risk of postoperative fall increased (P = 0.046, r = -0.115). The sodium level on the morning of surgery had a significant negative correlation (P = 0.040, r = -0.118) with the risk of falling, but urea level on the morning of surgery had a significant positive correlation (P = 0.001, r = 0.212) with the risk of falling. Using regression model, the results showed that with increasing age (B = 0.23, 95%CI; 0.07-0.39, P = 0.003), history of high blood pressure (B= 3.5, 95%CI: -0.69-0.39, P = 0.003), decrease in hemoglobin (B = -5.47, 95%CI; -10.2- -0.6, P = 0.02), an increase in creatinine (B = 17.73, 95%CI; 8.17-27.29, P = 0.001) and urea (B = 6.09, 95%CI; 2.57-9.61, P = 0.001) before the surgery, the risk of fall after CABG surgery increases. Conclusion: Several factors can increase the risk of falls after CABG surgery. Considering that the risk of falls in patients undergoing CABG surgery in most medical centers is examined only at the beginning of admission, it is recommended to consider the possibility of postoperative falls based on the predicting variables.
fall是指在地面或其他较低的地方突然下降。这对住院患者是一个严重的安全威胁。冠状动脉旁路移植术(CABG)作为一种心内直视手术有并发症，如心律失常和谵妄，可以增加跌倒的风险。目的:本研究旨在确定CABG术后患者跌倒的风险并探讨其相关因素。材料与方法:本横断面研究于2019年11月至2020年7月在伊朗拉什特市一家专科医院进行了302例CABG手术。他们是通过顺序抽样方法选择的。数据收集工具包括人口统计信息、疾病相关因素、手术相关因素(手术前、手术中、手术后)和莫尔斯跌倒量表(MFS)检查表。研究数据是在患者手术后从重症监护病房转移到外科病房后收集的。使用描述性统计以及Kolmogorov Smirnov、Wilcoxon、Mann-Whitney U、Kruskal-Wallis和Spearman相关来分析收集到的数据。采用秩回归模型确定与患者跌倒风险相关的因素。结果:参与者的平均±SD年龄为59.35±8.37岁。男性占70.53%，超重46.03%(体重指数25 ~ 29.9 kg/m2)。入院时及术前绝大多数患者(92.72%)无跌倒风险。术后转入外科病房后，82.12%的患者跌倒风险较低。60岁以上患者跌倒的平均风险较高(P <0.05)。术后早晨血红蛋白值降低，术后跌倒风险增加(P = 0.046, r = -0.115)。术中晨钠水平与跌倒风险呈显著负相关(P = 0.040, r = -0.118)，术中晨尿素水平与跌倒风险呈显著正相关(P = 0.001, r = 0.212)。采用回归模型分析，结果表明，随着年龄的增长(B = 0.23, 95%CI;0.07-0.39, P = 0.003)、高血压史(B= 3.5, 95%CI: -0.69-0.39, P = 0.003)、血红蛋白降低(B= -5.47, 95%CI;-10.2- -0.6, P = 0.02)，肌酐升高(B = 17.73, 95%CI;8.17-27.29, P = 0.001)和尿素(B = 6.09, 95%CI;2.57-9.61, P = 0.001)， CABG术后跌倒风险增加。结论:多种因素可增加冠脉搭桥术后跌倒的风险。考虑到大多数医疗中心仅在入院时检查CABG手术患者跌倒的风险，建议根据预测变量考虑术后跌倒的可能性。
{"title":"Risk of Falling after Coronary Artery Bypass Grafting Surgery And its Related Factors","authors":"Maryam Rajabi, Ezzat Paryad, Atefeh Ghanbari Khanghah, E. Kazemnezhad leili","doi":"10.32598/jhnm.32.2.2337","DOIUrl":"https://doi.org/10.32598/jhnm.32.2.2337","url":null,"abstract":"Introduction: A fall is a sudden descent on the ground or other lower levels. It is a serious safety threat for hospitalized patients. Coronary artery bypass graft (CABG) surgery as an open heart surgery has complications such as cardiac arrhythmias and delirium that can increase the risk of fall. Objective: This study aims to determine the risk of falls in patients after CABG surgery and investigate its associated factors. Matetials and Methods: This cross-sectional study was conducted on 302 patients undergoing CABG surgery in a specialized hospital in Rasht City, Iran, from November 2019 to July 2020. They were selected by a sequential sampling method. The data collection instrument included demographic information, disease-related factors, surgery-related factors (before, during, after), and the Morse fall scale (MFS) checklist. The study data were collected after the patient's surgery and transfer from the intensive care unit to the surgical ward. Descriptive statistics, as well as the Kolmogorov Smirnov, Wilcoxon, Mann-Whitney U, Kruskal-Wallis, and Spearman correlation, were used to analyze the collected data. A rank regression model was used to determine the factors related to the risk of falls in patients. Results: The mean ±SD age of participants was 59.35 ±8.37 years. About 70.53% of the patients were male, and 46.03% were overweight (Body Mass Index ranged 25-29.9 kg/m2). The majority of patients at the time of admission to the surgical ward and before surgery (92.72%) had no risk of falls. After surgery and transfer to the surgical ward, 82.12% had a low risk of falls. The mean risk of falling was higher in patients over 60 years (P <0.05). With decreasing hemoglobin values on the morning of surgery, the risk of postoperative fall increased (P = 0.046, r = -0.115). The sodium level on the morning of surgery had a significant negative correlation (P = 0.040, r = -0.118) with the risk of falling, but urea level on the morning of surgery had a significant positive correlation (P = 0.001, r = 0.212) with the risk of falling. Using regression model, the results showed that with increasing age (B = 0.23, 95%CI; 0.07-0.39, P = 0.003), history of high blood pressure (B= 3.5, 95%CI: -0.69-0.39, P = 0.003), decrease in hemoglobin (B = -5.47, 95%CI; -10.2- -0.6, P = 0.02), an increase in creatinine (B = 17.73, 95%CI; 8.17-27.29, P = 0.001) and urea (B = 6.09, 95%CI; 2.57-9.61, P = 0.001) before the surgery, the risk of fall after CABG surgery increases. Conclusion: Several factors can increase the risk of falls after CABG surgery. Considering that the risk of falls in patients undergoing CABG surgery in most medical centers is examined only at the beginning of admission, it is recommended to consider the possibility of postoperative falls based on the predicting variables.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46323436","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}
Introduction: The incidence and mortality of breast cancer will be reduced by screening. Objective: The study aimed to determine breast cancer screening behaviors based on the health beliefs model in women living in Mashhad City, Iran. Materials and Methods: This analytical cross-sectional study was conducted on 406 women referring to five health-medical centers in Mashhad from July 2018 to May 2019. They were selected by the multistage sampling method. The study data were collected with a questionnaire based on health belief model constructs consisting of two parts. The first part collects sociodemographic information. The second part is based on constructs of the health belief model (perceived susceptibility, perceived barriers, perceived severity, cues to action, and self-efficacy). The collected data were analyzed using descriptive and inferential statistics (the Smirnov-Kolmogorov, the Pearson correlation, and the Spearman test). Results: The mean ±SD age of the participants was 33.5 ±10.3 years, and perceived severity and perceived susceptibility of breast cancer screening behaviors were low and very low in 36.4% and 8.1% of the women, respectively. Perceived barriers were high in 70% of women; cues to action and self-efficacy were low in 57.4% and 17.2%, respectively. There was a negative and significant relationship between perceived barriers and perceived benefits (P = 0.001, r = -0.160). Also, there were significant statistical relationships between preventive behavior with self-efficacy (P = 0.001, r = 0.896) and cues to action (P = 0.001, r = 0.269). However, the Pearson test showed a negative and significant relationship between age and self-efficacy (P =0.001, r = -0.231). Conclusion: The present study highlights the educational programs for preventing breast cancer screening behaviors based on the health belief model. These programs should focus on increasing breast self-examination skills and understanding the perceived benefits of breast cancer screening behaviors.
导读:乳腺癌的发病率和死亡率将通过筛查来降低。目的:研究伊朗马什哈德市妇女基于健康信念模型的乳腺癌筛查行为。材料与方法:本研究对2018年7月至2019年5月在马什哈德五家医疗中心就诊的406名妇女进行了分析性横断面研究。采用多阶段抽样法进行筛选。研究数据采用基于健康信念模型构念的问卷收集，问卷由两部分组成。第一部分收集社会人口统计信息。第二部分是基于健康信念模型的结构(感知易感性、感知障碍、感知严重性、行动线索和自我效能感)。收集的数据使用描述性和推断性统计(Smirnov-Kolmogorov、Pearson相关性和Spearman检验)进行分析。结果:参与者的平均±SD年龄为33.5±10.3岁，36.4%和8.1%的女性对乳腺癌筛查行为的感知严重程度和感知易感性分别为低和极低。70%的女性认为障碍很高;行动提示和自我效能低的比例分别为57.4%和17.2%。感知障碍与感知利益之间存在显著负相关(P = 0.001, r = -0.160)。预防行为与自我效能感(P = 0.001, r = 0.896)和行动提示(P = 0.001, r = 0.269)之间存在显著的统计学关系。然而，Pearson检验显示年龄与自我效能之间存在显著负相关(P =0.001, r = -0.231)。结论:本研究强调了基于健康信念模型的预防乳腺癌筛查行为的教育方案。这些项目应侧重于提高乳房自我检查技能和了解乳腺癌筛查行为的感知益处。
{"title":"Breast Cancer Screening Behaviors Based on Health Belief Model","authors":"Fatemeh Ghaffari Sardasht, Morvarid Irani, Khadijeh Mirzaii Najmabadi, Seyedeh Fatemeh Nosrati Hadiababd","doi":"10.32598/jhnm.32.2.2130","DOIUrl":"https://doi.org/10.32598/jhnm.32.2.2130","url":null,"abstract":"Introduction: The incidence and mortality of breast cancer will be reduced by screening. Objective: The study aimed to determine breast cancer screening behaviors based on the health beliefs model in women living in Mashhad City, Iran. Materials and Methods: This analytical cross-sectional study was conducted on 406 women referring to five health-medical centers in Mashhad from July 2018 to May 2019. They were selected by the multistage sampling method. The study data were collected with a questionnaire based on health belief model constructs consisting of two parts. The first part collects sociodemographic information. The second part is based on constructs of the health belief model (perceived susceptibility, perceived barriers, perceived severity, cues to action, and self-efficacy). The collected data were analyzed using descriptive and inferential statistics (the Smirnov-Kolmogorov, the Pearson correlation, and the Spearman test). Results: The mean ±SD age of the participants was 33.5 ±10.3 years, and perceived severity and perceived susceptibility of breast cancer screening behaviors were low and very low in 36.4% and 8.1% of the women, respectively. Perceived barriers were high in 70% of women; cues to action and self-efficacy were low in 57.4% and 17.2%, respectively. There was a negative and significant relationship between perceived barriers and perceived benefits (P = 0.001, r = -0.160). Also, there were significant statistical relationships between preventive behavior with self-efficacy (P = 0.001, r = 0.896) and cues to action (P = 0.001, r = 0.269). However, the Pearson test showed a negative and significant relationship between age and self-efficacy (P =0.001, r = -0.231). Conclusion: The present study highlights the educational programs for preventing breast cancer screening behaviors based on the health belief model. These programs should focus on increasing breast self-examination skills and understanding the perceived benefits of breast cancer screening behaviors.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45804738","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}
Tamara Shirzad, Mansooreh Yazdkhasti, M. Rahimzadeh, L. Salehi, Sara Esmaelzadeh Saeieh
Introduction: Unplanned pregnancy and its complications are a global problem that affects women, families, and the community. Objective: This study aimed to assess the relationship between pregnancy intention, pregnancy outcomes, postpartum depression, and maternal role adaptation in pregnant women referred to healthcare centers of Robat Karim City, Iran. Materials and Methods: This cohort study was conducted on 240 pregnant women referred to the healthcare centers of Robat Karim in 2019. They were selected by the convenience sampling method. After completing the London questionnaire in the 26th week of gestation, the participants were equally divided into planned and unplanned pregnancy groups. Edinburgh postnatal depression scale and parenting sense of competency scale were completed 10 days and 30 days after delivery. The obtained data were presented by descriptive statistics and analyzed by the Chi-square and t test for comparison between two groups and structural equation model for assessing the relationship between variables. Results: The mean ± SD values of age, marital duration time, and gravidity number of participants were 30±7.1, 1.5±0.02, and 5, respectively. The results revealed a significant difference between the two groups concerning the mean score of postpartum depression and maternal competency, 10 and 30 days after delivery (P=0.001). The results of path analysis showed that pregnancy intention had a negative and significant effect on postpartum depression (B = -0.58, t value=-2.5), but a positive and significant impact on maternal competency (B = 0.39, t value=-2). According to the determined amount of variance, the variable of intention to pregnancy predicts 33% of postpartum depression (R2=0.33). Also, two variables of pregnancy intention and postpartum depression predict 55% of maternal competency (R2=0.55). Conclusion: Pregnancy intention had a significant effect on maternal depression and competency. It is recommended that pregnancy intention be screened during pregnancy, and also appropriate training and social support be provided for mothers with unplanned pregnancies.
{"title":"The Relationship between Pregnancy Intention, Pregnancy Outcomes, Postpartum Depression, and Maternal Role Adaptation","authors":"Tamara Shirzad, Mansooreh Yazdkhasti, M. Rahimzadeh, L. Salehi, Sara Esmaelzadeh Saeieh","doi":"10.32598/jhnm.32.2.2200","DOIUrl":"https://doi.org/10.32598/jhnm.32.2.2200","url":null,"abstract":"Introduction: Unplanned pregnancy and its complications are a global problem that affects women, families, and the community. Objective: This study aimed to assess the relationship between pregnancy intention, pregnancy outcomes, postpartum depression, and maternal role adaptation in pregnant women referred to healthcare centers of Robat Karim City, Iran. Materials and Methods: This cohort study was conducted on 240 pregnant women referred to the healthcare centers of Robat Karim in 2019. They were selected by the convenience sampling method. After completing the London questionnaire in the 26th week of gestation, the participants were equally divided into planned and unplanned pregnancy groups. Edinburgh postnatal depression scale and parenting sense of competency scale were completed 10 days and 30 days after delivery. The obtained data were presented by descriptive statistics and analyzed by the Chi-square and t test for comparison between two groups and structural equation model for assessing the relationship between variables. Results: The mean ± SD values of age, marital duration time, and gravidity number of participants were 30±7.1, 1.5±0.02, and 5, respectively. The results revealed a significant difference between the two groups concerning the mean score of postpartum depression and maternal competency, 10 and 30 days after delivery (P=0.001). The results of path analysis showed that pregnancy intention had a negative and significant effect on postpartum depression (B = -0.58, t value=-2.5), but a positive and significant impact on maternal competency (B = 0.39, t value=-2). According to the determined amount of variance, the variable of intention to pregnancy predicts 33% of postpartum depression (R2=0.33). Also, two variables of pregnancy intention and postpartum depression predict 55% of maternal competency (R2=0.55). Conclusion: Pregnancy intention had a significant effect on maternal depression and competency. It is recommended that pregnancy intention be screened during pregnancy, and also appropriate training and social support be provided for mothers with unplanned pregnancies.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41980764","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}
Mina Malary, M. Moosazadeh, Malihe Amerian, Shadi Sabetghadam, A. Keramat
Introduction: Pregnancy is one of the most sensitive periods in a woman's life. Physical and psychological changes during pregnancy can significantly affect the couples' sexual relations. Healthy sexual desire during pregnancy is essential for the development of couples as parents. Objective: This meta-analysis study estimates the prevalence of sexual dysfunction overall and in different trimesters of pregnancy. Materials and Methods: This research is a systematic review and meta-analysis. A search was conducted in PubMed, Scopus, Science Direct, and Google Scholar databases to find cross-sectional and prospective cohort studies investigating the prevalence of sexual dysfunction in different trimesters using the female sexual function index (FSFI) published from 2000 to 2019. The methodological quality of each study was assessed using the modified from the STROBE (The Strengthening the Reporting of Observational Studies in Epidemiology) checklist to determine the risk of bias. The standard error of prevalence in each study was calculated based on the binomial distribution formula. Based on heterogeneity results, a random effect model was used to estimate the prevalence. Results: Fifteen articles met the inclusion criteria, with a total number of 3569 participants, of which 2538 were in cross-sectional studies and 1031 in prospective cohort studies. In the meta-analysis of both prospective cohort and cross-sectional studies, the prevalence rates of sexual dysfunction in the first, second, and third trimesters, and overall were estimated at 51.33% (95%CI; 37.41-65.25), 51.13% (95%CI; 38.93-63.33), 72.80% (95%CI; 65.78-79.81%), and 58.65% (95%CI; 51.50-65.80), respectively. Conclusion: The trimester of pregnancy has a predictive role in the prevalence of sexual dysfunction during pregnancy. The prevalence of sexual dysfunction is higher in the third trimester.
{"title":"Prevalence of Female Sexual Dysfunction in Different Pregnancy Trimesters: A Systematic Review and Meta-Analysis","authors":"Mina Malary, M. Moosazadeh, Malihe Amerian, Shadi Sabetghadam, A. Keramat","doi":"10.32598/jhnm.32.2.2131","DOIUrl":"https://doi.org/10.32598/jhnm.32.2.2131","url":null,"abstract":"Introduction: Pregnancy is one of the most sensitive periods in a woman's life. Physical and psychological changes during pregnancy can significantly affect the couples' sexual relations. Healthy sexual desire during pregnancy is essential for the development of couples as parents. Objective: This meta-analysis study estimates the prevalence of sexual dysfunction overall and in different trimesters of pregnancy. Materials and Methods: This research is a systematic review and meta-analysis. A search was conducted in PubMed, Scopus, Science Direct, and Google Scholar databases to find cross-sectional and prospective cohort studies investigating the prevalence of sexual dysfunction in different trimesters using the female sexual function index (FSFI) published from 2000 to 2019. The methodological quality of each study was assessed using the modified from the STROBE (The Strengthening the Reporting of Observational Studies in Epidemiology) checklist to determine the risk of bias. The standard error of prevalence in each study was calculated based on the binomial distribution formula. Based on heterogeneity results, a random effect model was used to estimate the prevalence. Results: Fifteen articles met the inclusion criteria, with a total number of 3569 participants, of which 2538 were in cross-sectional studies and 1031 in prospective cohort studies. In the meta-analysis of both prospective cohort and cross-sectional studies, the prevalence rates of sexual dysfunction in the first, second, and third trimesters, and overall were estimated at 51.33% (95%CI; 37.41-65.25), 51.13% (95%CI; 38.93-63.33), 72.80% (95%CI; 65.78-79.81%), and 58.65% (95%CI; 51.50-65.80), respectively. Conclusion: The trimester of pregnancy has a predictive role in the prevalence of sexual dysfunction during pregnancy. The prevalence of sexual dysfunction is higher in the third trimester.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47000757","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}
Tayebeh Mokhtari Sorkhani, A. Ahmadi, M. Mirzaee, V. Habibzadeh, Katayoun Alidousti Shahraki
Introduction: Infertility has biological and psychological effects on various aspects of the infertile couple's life. Objective: This study aimed to investigate the effectiveness of integrated psychological counseling with a couple therapy approach on the quality of life of infertile women. Materials and Methods: This clinical trial was conducted on 60 couples (30 couples in the intervention and 30 in the control group) referred to Infertility Center in Kerman City, Iran, from October to December 2018. They were assigned to intervention and control groups with available sampling and block allocation method. The intervention group received six group counseling sessions. The subjects completed the FertiQoL questionnaire before and after the intervention. It has 24 items specific to infertility that cover four subscales of the QoL )emotional, mind-body, relational, and social(. Data analysis was conducted by paired t test, Chi-square test, and Mann-Whitney test. P values less than 0.05 were considered significant. Results: The mean ± SD ages of the participants were 33.25 ± 5.89 and 33.53 ± 5.46 in the intervention and control groups, respectively. Results showed significant differences between the mean ± SD of the mind-body subscale of the intervention group (88.5 ± 6.39) and that of the control group (69 ±12.24), between the social subscale of the intervention group (78± 6.34) compared to that of the control group (60.5 ± 12.27), and between emotional subscale of the intervention group (73.75 ±6.71) compared to that of the control group (54.5 ± 12.29) at the post-test (P =0.001). However, no significant change was seen in the relational subscale of intervention (52.25 ± 6.25) compared to the control group (57.25 ± 12.25) (P= 0.060). Results showed a significantly higher FertiQoL total score for the intervention group (70.56±6.49) compared to the control group (57.76±12.26) at the post-test (P=0.001). Conclusion: The results indicated that integrated psychological counseling could improve the quality of life among infertile women. Therefore, it can lead to more satisfaction and cooperation in infertility treatment.
{"title":"Effectiveness of Integrated Psychological Counseling With Couple Therapy Approach on Quality of Life of Infertile Women","authors":"Tayebeh Mokhtari Sorkhani, A. Ahmadi, M. Mirzaee, V. Habibzadeh, Katayoun Alidousti Shahraki","doi":"10.32598/jhnm.32.2.2191","DOIUrl":"https://doi.org/10.32598/jhnm.32.2.2191","url":null,"abstract":"Introduction: Infertility has biological and psychological effects on various aspects of the infertile couple's life. Objective: This study aimed to investigate the effectiveness of integrated psychological counseling with a couple therapy approach on the quality of life of infertile women. Materials and Methods: This clinical trial was conducted on 60 couples (30 couples in the intervention and 30 in the control group) referred to Infertility Center in Kerman City, Iran, from October to December 2018. They were assigned to intervention and control groups with available sampling and block allocation method. The intervention group received six group counseling sessions. The subjects completed the FertiQoL questionnaire before and after the intervention. It has 24 items specific to infertility that cover four subscales of the QoL )emotional, mind-body, relational, and social(. Data analysis was conducted by paired t test, Chi-square test, and Mann-Whitney test. P values less than 0.05 were considered significant. Results: The mean ± SD ages of the participants were 33.25 ± 5.89 and 33.53 ± 5.46 in the intervention and control groups, respectively. Results showed significant differences between the mean ± SD of the mind-body subscale of the intervention group (88.5 ± 6.39) and that of the control group (69 ±12.24), between the social subscale of the intervention group (78± 6.34) compared to that of the control group (60.5 ± 12.27), and between emotional subscale of the intervention group (73.75 ±6.71) compared to that of the control group (54.5 ± 12.29) at the post-test (P =0.001). However, no significant change was seen in the relational subscale of intervention (52.25 ± 6.25) compared to the control group (57.25 ± 12.25) (P= 0.060). Results showed a significantly higher FertiQoL total score for the intervention group (70.56±6.49) compared to the control group (57.76±12.26) at the post-test (P=0.001). Conclusion: The results indicated that integrated psychological counseling could improve the quality of life among infertile women. Therefore, it can lead to more satisfaction and cooperation in infertility treatment.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41831242","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}
Ahdieh Mehravar, N. Mokhtari Lakeh, Abdolhossien Emami Sigaroudi, S. Maroufizadeh
Introduction: Nurses' compliance with standard precautions is a viable tool for decreasing health hazards in health centers. Objective: This study aimed to identify factors affecting compliance with standard precautions (SPs) of infection control based on the health belief model (HBM) among emergency department nurses employed in the educational-therapeutic centers affiliated with Guilan University Medical Sciences in Rasht City, Iran. Materials and Methods: This cross-sectional study included 252 nurses working in the emergency departments of hospitals in Rasht City. The study samples were recruited using the convenience sampling method from September to October 2020. Nurses completed questionnaires, including demographics data, HBM constructs, knowledge, and compliance with standard precautions. A hierarchical multiple linear regression analysis was used to identify factors related to compliance with SPs. Results: The mean ±SD age of the nurses was 32.77±7.05 years, and the majority of them were females (88.9%). Their mean ±SD score for compliance with SPs was 63.2 ±16.0 (out of 100). The multivariable analysis results showed that the knowledge (β=0.47, 95%CI; 0.30-0.64, P=0.001), perceived benefits (β =0.19, 95%CI; 0.03-0.36, P=0.022) and perceived susceptibility (β =0.25, 95%CI; 0.13-0.36, P=0.001) constructs of HBM were positively correlated with the compliance with SPs. Furthermore, the level of education was significantly related to the compliance with SPs (β =9.51, 95%CI; 0.02-18.99, P=0.049). The final model accounted for 39.8% of the variance in compliance with SPs. Conclusion: Results indicated improvement in activity and safety level of the healthcare workers and also an increase in the overall level of compliance among nurses through education, regular training, and use of encouragement and punishment policies. It is suggested to follow the World Health Organization protocols. Also, the support management could have a better effect on perceived benefits and cues to action.
{"title":"Nurses' Compliance with Standard Precautions Based on Health Belief Model in Emergency Departments","authors":"Ahdieh Mehravar, N. Mokhtari Lakeh, Abdolhossien Emami Sigaroudi, S. Maroufizadeh","doi":"10.32598/jhnm.32.2.2188","DOIUrl":"https://doi.org/10.32598/jhnm.32.2.2188","url":null,"abstract":"Introduction: Nurses' compliance with standard precautions is a viable tool for decreasing health hazards in health centers. Objective: This study aimed to identify factors affecting compliance with standard precautions (SPs) of infection control based on the health belief model (HBM) among emergency department nurses employed in the educational-therapeutic centers affiliated with Guilan University Medical Sciences in Rasht City, Iran. Materials and Methods: This cross-sectional study included 252 nurses working in the emergency departments of hospitals in Rasht City. The study samples were recruited using the convenience sampling method from September to October 2020. Nurses completed questionnaires, including demographics data, HBM constructs, knowledge, and compliance with standard precautions. A hierarchical multiple linear regression analysis was used to identify factors related to compliance with SPs. Results: The mean ±SD age of the nurses was 32.77±7.05 years, and the majority of them were females (88.9%). Their mean ±SD score for compliance with SPs was 63.2 ±16.0 (out of 100). The multivariable analysis results showed that the knowledge (β=0.47, 95%CI; 0.30-0.64, P=0.001), perceived benefits (β =0.19, 95%CI; 0.03-0.36, P=0.022) and perceived susceptibility (β =0.25, 95%CI; 0.13-0.36, P=0.001) constructs of HBM were positively correlated with the compliance with SPs. Furthermore, the level of education was significantly related to the compliance with SPs (β =9.51, 95%CI; 0.02-18.99, P=0.049). The final model accounted for 39.8% of the variance in compliance with SPs. Conclusion: Results indicated improvement in activity and safety level of the healthcare workers and also an increase in the overall level of compliance among nurses through education, regular training, and use of encouragement and punishment policies. It is suggested to follow the World Health Organization protocols. Also, the support management could have a better effect on perceived benefits and cues to action.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47440837","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}
Mahboobehn Kafaei-Atria, S. Nasiri, F. Izadi-Avanji, F. Abbaszadeh
Introduction: Menopause is an essential part of human life that affects women's quality of life (QOL). Objective: This study investigated the quality of life and some relevant factors in menopausal women. Materials and Methods: This cross-sectional study was conducted on 45-60 years old menopausal women in 3 areas of Kashan city, Iran in 2018. By cluster sampling method, 236 participants were included in the study. The study questionnaires consist of demographic and obstetric information and menopausal quality of life (MENQOL). The Kolmogorov-Smirnov test, t test, the Pearson and Spearman correlation tests, as well as linear regression analysis, were used for data analysis. Results: The mean ±SD age of the women was 52.65 ±3.67 years. Also, their mean±SD years lapsed menopause was 2.89 ±1.53, and the mean ±SD for QOL was 31.24 ±11.47. There were no significant correlations between QOL and women's age, menopausal age, and elapsed years since menopause. Based on linear regression analysis, the variables of age (B= 2.61, 95%CI; 0.46-4.77, P=0.02), menopausal age (B= -2.19, 95%CI; -4.39 - -0.01, P=0.049), and satisfaction of spouse ((B= -4.90, 95%CI; -8.45- -0.35, P=0.007) remained in the model as relegated variables to quality of life (R2 = 11.8%). Conclusion: Since most women had moderate menopausal QOL score, intervention programs to improve the QOL for postmenopausal women is recommended in health centers. Further studies are suggested to evaluate the quality of life in chronic diseases of postmenopausal women.
{"title":"Quality of Life and Its Relevant Factors in Menopausal Women","authors":"Mahboobehn Kafaei-Atria, S. Nasiri, F. Izadi-Avanji, F. Abbaszadeh","doi":"10.32598/jhnm.32.2.2143","DOIUrl":"https://doi.org/10.32598/jhnm.32.2.2143","url":null,"abstract":"Introduction: Menopause is an essential part of human life that affects women's quality of life (QOL). Objective: This study investigated the quality of life and some relevant factors in menopausal women. Materials and Methods: This cross-sectional study was conducted on 45-60 years old menopausal women in 3 areas of Kashan city, Iran in 2018. By cluster sampling method, 236 participants were included in the study. The study questionnaires consist of demographic and obstetric information and menopausal quality of life (MENQOL). The Kolmogorov-Smirnov test, t test, the Pearson and Spearman correlation tests, as well as linear regression analysis, were used for data analysis. Results: The mean ±SD age of the women was 52.65 ±3.67 years. Also, their mean±SD years lapsed menopause was 2.89 ±1.53, and the mean ±SD for QOL was 31.24 ±11.47. There were no significant correlations between QOL and women's age, menopausal age, and elapsed years since menopause. Based on linear regression analysis, the variables of age (B= 2.61, 95%CI; 0.46-4.77, P=0.02), menopausal age (B= -2.19, 95%CI; -4.39 - -0.01, P=0.049), and satisfaction of spouse ((B= -4.90, 95%CI; -8.45- -0.35, P=0.007) remained in the model as relegated variables to quality of life (R2 = 11.8%). Conclusion: Since most women had moderate menopausal QOL score, intervention programs to improve the QOL for postmenopausal women is recommended in health centers. Further studies are suggested to evaluate the quality of life in chronic diseases of postmenopausal women.","PeriodicalId":36020,"journal":{"name":"Journal of Holistic Nursing and Midwifery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46879872","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}
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