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COMPLICATIONS DEVELOPED IN PATIENTS WITH CONTINUOUS RENAL REPLACEMENT THERAPY IN THE INTENSIVE CARE UNIT AND NURSING INTERVENTIONS 在重症监护室接受持续肾脏替代治疗和护理干预的患者出现并发症
Pub Date : 2022-06-25 DOI: 10.55433/gsbd.231
Derya Tülüce, Burcu Bayrak Kahraman, Tuba Simsek
This study is to determine the complications developing in patients undergoing continuous renal replacement therapy in an intensive care unit and nursing interventions to prevent these complications. Along with the socio-demographic and clinical characteristic of the patients, complication development status and nursing interventions for developing complications were determined. Data were evaluated with mean, standard deviation and frequency. In this descriptive study, a total of 48 CRRTs were applied to 27 patients hospitalized in the general intensive care units of a university hospital between 02 January 2019 and 02 January 2020. The average age of the patients is 62.92+20.13, APACHE II 25.92+5.33, the duration of stay in intensive care is 23.73+23.67 days. Common first three complications in patients undergoing CRRT; 75.0% hypotension, 47.9% vascular access problem, 43.8% system clotting. Nursing interventions related to common complications have been defined as giving the patient an appropriate position, checking the pressure indicators of the hemofiltration device, checking the arterial and venous pressures and ultrafiltration rate on the indicators of the device, hourly fluid inlet and outlet was followed, vital signs were monitored hourly. It was found that many complications developed in patients undergoing CRRT and nurses in the intensive care unit applied basic nursing interventions. There were not sufficient.
本研究旨在确定重症监护病房持续肾替代治疗患者发生的并发症以及预防这些并发症的护理干预措施。结合患者的社会人口学及临床特点,确定并发症的发展状况及发生并发症的护理干预措施。用平均值、标准差和频率对数据进行评价。在这项描述性研究中,共有48个crrt应用于2019年1月2日至2020年1月2日在某大学医院普通重症监护室住院的27例患者。患者平均年龄为62.92+20.13,APACHEⅱ为25.92+5.33,重症监护时间为23.73+23.67 d。CRRT患者常见的前三期并发症;75.0%低血压,47.9%血管通路问题,43.8%系统凝血。对常见并发症的护理干预定义为:给予患者适当体位,检查血液滤过器的压力指标,检查血液滤过器指标上的动、静脉压及超滤率,每小时跟踪进、出液,每小时监测生命体征。结果发现,CRRT患者出现了许多并发症,重症监护病房护士采用了基础护理干预措施。这是不够的。
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引用次数: 0
THE IMPACT OF ETHICAL LEADERSHIP IN ORGANIZATIONS ON PERCEIVED STRESS AND JOB PERFORMANCE 组织中道德领导对感知压力和工作绩效的影响
Pub Date : 2022-06-25 DOI: 10.55433/gsbd.206
Ceylan Arslan, Keziban Avcı
This study aimed to examine the impact of ethical leadership on perceived stress and job performance as per the literature. Ethical leaders' attitudes and behaviours in accordance with ethical principles and values have an impact on employee performance and perceived stress. In other words, employees in organizations led by managers who show ethical leadership have higher job performance and lower stress perceptions. In this respect, organizational productivity and employee satisfaction are observed to be high. To achieve this positive impact of ethical leaders on organizational productivity and employee satisfaction, organizations that want to bring service quality to the fore want to work with leaders who have ethical leadership characteristics. Taking into account the wishes and expectations of the members of the organization they work with, ethical leaders can be effective in creating an effective and productive working environment for the members of the organization. Ethical leaders, who make ethical decisions and act proactively as per universal principles in order to increase organizational efficiency, enable employees to work with higher performance. In conclusion, ethical leadership education should be included in the education of managers and they should be motivated to show ethical behaviour by using various incentives.
本研究旨在根据文献研究道德领导对感知压力和工作绩效的影响。有道德的领导者根据道德原则和价值观的态度和行为对员工绩效和感知压力有影响。换句话说,在表现出道德领导力的管理者领导下的组织中,员工的工作绩效更高,压力感知更低。在这方面,组织生产力和员工满意度被观察到是高的。为了实现道德领导对组织生产力和员工满意度的积极影响,希望将服务质量提升到前列的组织希望与具有道德领导特征的领导者合作。考虑到与他们一起工作的组织成员的愿望和期望,有道德的领导者可以有效地为组织成员创造一个有效和富有成效的工作环境。有道德的领导者做出有道德的决定,并根据普遍原则积极行动,以提高组织效率,使员工工作绩效更高。总之,道德领导教育应该包括在管理人员的教育中,他们应该通过各种激励措施来激励他们表现出道德行为。
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引用次数: 0
DETERMINATION OF RELATIONSHIP BETWEEN MENTAL WORKLOAD AND WORK PERFORMANCE IN NURSES 护士心理负荷与工作绩效关系的研究
Pub Date : 2022-06-25 DOI: 10.55433/gsbd.178
Hasan Sevinik, Neslihan Lök
This study was designed to determine the relationship between mental workload and and work performance in nurses. The sample population consisted of 405 nurses that working in Turkey. Personal Information Form, Mental Workload Scale and Job Performance Scale were used in data collection. The data were collected via social media between October 2021 and December 2021 with the snowball sampling. In the descriptive analysis number, percentage, mean and standart deviation; in the correlation analysis pearson correlation and simple linear regression were used. According to results, the mental workload and work performance levels of the nurses were high. In addition, there was a positive and weak correlation between the mental workload and the work performance. It was determined that mental workload effected work performance as %12. It is thought that it is necessary to carry out studies to determine the factors that increase the mental workload and decrease the work performance of nurses.
本研究旨在探讨护士心理负荷与工作绩效的关系。样本人口包括在土耳其工作的405名护士。数据收集采用《个人信息表》、《心理工作量量表》和《工作绩效量表》。数据是在2021年10月至2021年12月期间通过社交媒体收集的,采用滚雪球抽样。在描述性分析中,数量、百分比、平均值和标准差;相关分析采用Pearson相关和简单线性回归。结果显示,护士的心理负荷和工作绩效水平较高。此外,心理负荷与工作绩效之间存在正相关和弱相关。结果表明,脑力负荷对工作绩效的影响为12%。认为有必要对增加护士心理负荷、降低护士工作绩效的因素进行研究。
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引用次数: 0
A STUDY ON THE HEALTHY LIVING BEHAVIOR OF UNIVERSITY STUDENTS AND THE FACTORS AFFECTING THIS BEHAVIORS 大学生健康生活行为及其影响因素研究
Pub Date : 2022-06-25 DOI: 10.55433/gsbd.185
B. Kaplan, N. Aydın
The youth period, which is included in the university period, is an interim period in which the behaviors of the individual who come out of childhood are not clearly settled, giving her a character and enabling her to reach adulthood. In this transition period, the communication of the young person with the society, her psycho-social and socio-economic status, the place where she stays during education are very important for young people and play a big role in shaping their personality. This research was conducted in order to determine the healthy life behaviors of students and the factors affecting it. The study is a descriptive type of research and the universe of the study was made up of students studying at Hasan Kalyoncu University in the academic year 2013-2014 (1597) and a sample of 640 students who participated in the study. The data were collected using the questionnaire used in the “Youth Risk Behavior Survey” developed by the researchers (Socio-Demographic (25 questions), Risky health behaviors (59 questions), Health service use (6 questions) were used. The data; analyzed using frequency distributions and chi-square test. Results: 52.8% of the students participating in the research were female and 47.2% were male. While 41.2% of the students reside with their families during their education, the rate of students staying at home alone is 10.4%. The rate of students who evaluated their general health status as good is 44.3%. Conclusion: As a result of our study, it can be recommended to add healthy life lessons to the curriculum and organize courses and seminars on this subject in order to increase students' awareness of healthy life and to lead a healthier life in the future.
青年时期,包括在大学时期,是一个过渡时期,在这个时期,从童年出来的个体的行为还没有得到明确的确定,这给了她一个性格,使她能够走向成年。在这一过渡时期,青年与社会的沟通、社会心理和社会经济地位、求学的地方对青年来说非常重要,对其人格的塑造起着重要作用。本研究旨在了解大学生的健康生活行为及其影响因素。该研究是一种描述性研究,研究对象是2013-2014学年(1597)在Hasan Kalyoncu大学学习的学生,以及参与研究的640名学生。数据采用研究人员编制的“青少年危险行为调查”问卷(社会人口学(25个问题)、危险健康行为(59个问题)、卫生服务使用(6个问题))收集。的数据;使用频率分布和卡方检验进行分析。结果:参与研究的学生中女生占52.8%,男生占47.2%。41.2%的学生在学习期间与家人住在一起,而独自在家的学生比例为10.4%。认为自己总体健康状况良好的学生比例为44.3%。结论:根据我们的研究结果,可以建议在课程中增加健康生活课程,并组织这方面的课程和研讨会,以提高学生的健康生活意识,并在未来过上更健康的生活。
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引用次数: 0
GEBELERDE KOVİD SALGINI SIRASINDA STRES, UYKU, FİZİKSEL AKTİVİTE VE AĞRI DÜZEYİ: TANIMLAYICI ÇALIŞMA
Pub Date : 2022-06-25 DOI: 10.55433/gsbd.182
Ayşe Zengin Alpözgen, Çiçek Günday, B. Polat, H. Evrendilek, Gamze Erturk Uzunoglu, Funda Akuzum, Tuğçe Tahmaz
COVID-19 pandemic may lead to changes in stress, sleep, physical activity (PA), and pain intensity related to the pregnancy. The study aimed to investigate the perceived stress, quality of sleep, PA, and pain intensity of pregnant women who were advised to stay at home as much as they could to provide isolation during the pandemic. The study included 149 pregnant women between April and May 2020. Demographics were recorded; Perceived-Stress Scale (PSS), Pittsburgh Sleep Quality Index (PSQI), International Physical Activity Questionnaire-Short Form (IPAQ-SF), and Numerical Pain Rating Scale (NPRS) were performed. According to social isolation duration, 79.2% of the participants were in social isolation for more than 21 days. Self-reported anxiety level was severe for 65.8% of participants. The mean PPS score (±SD) was 26.98±8.26, PSQI score was 6.14±2.87, IPAQ-SF score was 466.1±1421.28, and NPRS score was 4.42±2.65. When the participants were classified and compared according to the trimester, no statistical significance was found in PPS, PSQI, IPAQ-SF, and NPRS scores (p> 0.05). The correlation was low between PPS-PSQI scores (r=0.291, p0.001); NPRS and PSQI scores (r=0.198, p=0.016). As a conclusion, pregnant women reported moderate stress level, poor sleep quality, very low PA level, and moderate pain intensity in the pandemic.
COVID-19大流行可能导致与怀孕相关的压力、睡眠、身体活动(PA)和疼痛强度的变化。该研究旨在调查孕妇的感知压力、睡眠质量、PA和疼痛强度,这些孕妇在大流行期间被建议尽可能多地呆在家里以提供隔离。该研究包括2020年4月至5月期间的149名孕妇。记录了人口统计数据;采用感知压力量表(PSS)、匹兹堡睡眠质量指数(PSQI)、国际体育活动简易问卷(IPAQ-SF)和数值疼痛评定量表(NPRS)。从社会隔离持续时间来看,79.2%的被试处于21天以上的社会隔离状态。65.8%的参与者自我报告的焦虑水平严重。平均PPS评分(±SD)为26.98±8.26,PSQI评分为6.14±2.87,IPAQ-SF评分为466.1±1421.28,NPRS评分为4.42±2.65。按妊娠期进行分组比较,PPS、PSQI、IPAQ-SF、NPRS评分比较,差异均无统计学意义(p> 0.05)。PPS-PSQI评分间相关性较低(r=0.291, p0.001);NPRS和PSQI评分(r=0.198, p=0.016)。综上所述,在大流行期间,孕妇报告的压力水平中等,睡眠质量差,PA水平非常低,疼痛强度中等。
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引用次数: 0
COVID-19 PREVENTION, RECOGNITION and HOME MANAGEMENT SELF- EFFICACY SCALE: A VALIDITY and RELIABILITY STUDY: METHODOLOGICAL RESEARCH 新冠肺炎预防、认知与居家管理自我效能量表:效度与信度研究:方法学研究
Pub Date : 2022-06-25 DOI: 10.55433/gsbd.200
Emine Serap ÇAĞAN, Ebru Solmaz, Aysun Ekşioğlu
In the scale adaptation study, which was carried out in a methodological type and aimed to perform the Turkish validity and reliability study of the COVID-19 prevention, recognition and home management self-efficacy scale, in order to determine the sample size, to reach the participants 5-10 times the total number of items in the scale and also for confirmatory factor analysis (CFA). It is recommended to get a number above 200. Therefore, the minimum sample size was determined as 95 people. Considering the confirmatory factor analysis, 216 people were reached. The data of the research were collected by snowball method using online survey method between June and August 2021. Individual identification form and COVID-19 prevention, recognition and home management self-efficacy scale were used to collect data in the study. In order to evaluate the validity of the scale, language, content and predictive validity were performed. In order to evaluate the reliability, invariance over time, Cronbach's alpha coefficient and item total correlation were made. The cronbach alpha internal consistency coefficient of the scale was calculated as 0,90 for the overall scale and the scale was found to be reliable. In the study, the calculated value for the scope validity index of the scale was obtained as 0,92. As a result of the analysis, the kaiser-meyer-olkin (KMO) test value was determined to be 0.868 for sample adequacy. The lowest factor load value of the scale was determined as 0,457 and the highest value as 0,836. As a result of the study, it was determined that the scale is an applicable measurement tool with high reliability and validity, which can be used in Turkish society.
量表适应性研究采用方法学方式进行,旨在对COVID-19预防、识别和家庭管理自我效能感量表进行土耳其语效度和信度研究,以确定样本量,使参与者达到量表项目总数的5-10倍,并进行验证性因子分析(CFA)。建议将数值设置在200以上。因此,最小样本量确定为95人。经验证性因子分析,共达216人。研究数据采用滚雪球法,于2021年6月至8月间采用在线调查法收集。采用个人识别表和COVID-19预防、识别和家庭管理自我效能感量表收集研究数据。为了评估量表的效度,对量表的语言、内容和预测效度进行了测试。为了评估信度、时间不变性,采用Cronbach’s alpha系数和项目总相关系数。总体量表的cronbach alpha内部一致性系数为0.90,量表是可靠的。本研究得出该量表范围效度指数的计算值为0.92。经分析,确定样本充分性的KMO检验值为0.868。确定量表的最低因子负荷值为0,457,最大值为0,836。研究结果表明,该量表是一种适用的测量工具,具有较高的信度和效度,可以在土耳其社会中使用。
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引用次数: 0
EXAMINING THE RELATIONSHIP BETWEEN DYADIC ADJUSTMENT AND PSYCHOLOGICAL RESILIENCE BETWEEN HEMODIALYSIS PATIENTS AND THEIR SPOUSES 血液透析患者及其配偶二元适应与心理弹性的关系研究
Pub Date : 2022-06-25 DOI: 10.55433/gsbd.171
Ö. Tanrıverdi, Özlem Işıl
In patients receiving hemodialysis treatment, the physical, mental and psychosocial problems that occur in this process can negatively affect all areas of the individual's life. Healthy communication between couples, harmony between spouses increases compliance and resilience with chronic disease. This relational descriptive study was conducted with 128 hemodialysis patients hospitalized in the dialysis service of 3 public hospitals in the city center of Mardin. The data were collected using a Patient Information Form, the Revised Dyadic Adjustment Scale (RDAS), the Psychological Resilience Scale for Adults (PRSA), number, percentage, mean independent groups t test, One-Way ANOVA, and Pearson Correlation Analysis were used. Patients mean age was 44.74 ± 9.07 and 64.1% were male, 27.3% were primary school graduates, 89.8% did not work, 39.1% were on dialysis more than 6 years, 44.5% were married longer than 21 years. The mean PRSA score was 104.40 ± 22.16, and the RDAS was 48.10 ± 14.57. A strong positive correlation was found between psychological resilience and the dyadic adjustment between couples.
在接受血液透析治疗的患者中,在这一过程中出现的身体、精神和社会心理问题会对个人生活的各个方面产生负面影响。夫妻之间的健康沟通,夫妻之间的和谐可以提高对慢性病的依从性和复原力。本研究对马尔丁市中心3所公立医院透析科住院的128例血液透析患者进行相关描述性研究。资料收集采用患者信息表、修订二元调整量表(RDAS)、成人心理弹性量表(PRSA)、数量、百分比、平均独立组t检验、单因素方差分析和Pearson相关分析。患者平均年龄44.74±9.07岁,男性占64.1%,小学学历占27.3%,未工作占89.8%,透析6年以上占39.1%,结婚21年以上占44.5%。平均PRSA评分为104.40±22.16,RDAS评分为48.10±14.57。心理弹性与夫妻间的二元调适之间存在较强的正相关。
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引用次数: 0
PHYSICAL ACTIVITY AND FRAGILITY LEVELS in ELDERLY INDIVIDUALS 老年人的身体活动和脆弱性水平
Pub Date : 2022-06-25 DOI: 10.55433/gsbd.215
S. Andi, Sumeyye Akçoban, Serap Güngör
This study was conducted to determine the physical activity and fragility levels of elderly individuals. This study was conducted between October 4, 2021, and December 4, 2021, with 216 elderly individuals in descriptive and cross-sectional type. "Individual Over 65 Descriptive Information Form", "Edmonton Vulnerability Scale" and "International Physical Activity Questionnaire" were used as data collection forms. Data were collected through face-to-face interview. Data analysis was done in SPSS 25.0 package program. A p<0.05 value was accepted for statistical significance. The mean age of the elderly individuals was 71.56±6.10 years, 54.6% were female, 72.2% were married, and 40.3% were primary school graduates. It was determined that 42.1% of the elderly individuals were not frail, and the mean frailty score was 5.41±2.59. It was determined that 52.8% of the individuals performed moderate physical activity in the International Physical Activity Questionnaire Average Scores, and they performed the most walking activity among the total physical activity. In addition, a statistically significant difference was found between gender, educational status, marital status, having a chronic disease, and frailty. A statistically significant difference was found between physical activity level and marital status, educational status and living with family members. Elderly individuals were found to have varying degrees of fragility and to do moderate physical activity.
本研究旨在确定老年人的身体活动和脆弱性水平。本研究于2021年10月4日至2021年12月4日对216名老年人进行了描述性和横断面型研究。数据收集表格采用《65岁以上个体描述性信息表》、《埃德蒙顿脆弱性量表》和《国际体育活动问卷》。数据采用面对面访谈的方式收集。数据分析采用SPSS 25.0软件包程序。p<0.05为差异有统计学意义。老年人平均年龄为71.56±6.10岁,女性占54.6%,已婚占72.2%,小学毕业占40.3%。结果表明,42.1%的老年人不虚弱,平均虚弱评分为5.41±2.59。在国际身体活动问卷平均得分中,52.8%的个体进行中度身体活动,其中步行活动在总身体活动中最多。此外,性别、教育程度、婚姻状况、是否患有慢性病和身体虚弱之间也存在统计学上的显著差异。体育锻炼水平与婚姻状况、受教育程度、与家庭成员生活有统计学差异。研究发现,老年人有不同程度的脆弱性,并进行适度的体育活动。
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引用次数: 0
THE EFFECT of EDUCATİON to THE PATİENT 'S FAMİLİES and NURSES on THE CONTROL of ORAL MUCOSİTİS in LEUKEMİC CHİLDREN RECEİVİNG CHEMOTHERAPY EDUCATİON对THE PATİENT S FAMİLİES及护理人员对LEUKEMİC CHİLDREN RECEİVİNG化疗患者口服MUCOSİTİS控制的影响
Pub Date : 2022-06-25 DOI: 10.55433/gsbd.208
Serap Özdemir, B. Zülfikar
The main purpose of this research is the leukemia in children treated with chemotherapy, the effect of education to the patient's family and caring nurse on controlling oral mucositis. The study which is semi-experimental and analytical was conducted between April-May 2011 in the pediatric hematology-oncology service of two educational-research hospital and two university hospitals in Istanbul. In this study, the sampling was carried out with the mother (34), which constitutes 95% of the universe, and the nurses (40), which constitutes %98. It was found that mothers and nurses of children with leukemia who received chemotherapy had higher post-education oral practices, oral care and mouth-protecting nutrition behaviors compared to pre education. When we evaluated the differences of point averages between before education and after education; both mother and nurses group’s 3 sub-domain and total point averages are extremely different, after education it is seen that the points are dramatically increasing. It is seen that the trainings to be given to the mothers and nurses who care in chemotherapy symptom management will contribute to the control of oral mucositis.
本研究的主要目的是探讨白血病患儿化疗后,对患者家属的教育及护理对控制口腔黏膜炎的效果。这项研究是半实验性和分析性的,于2011年4月至5月在伊斯坦布尔两家教育研究型医院和两所大学医院的儿童血液肿瘤学服务部门进行。在本研究中,抽样对象为母亲34人(占95%)和护士40人(占98%)。结果发现,接受化疗的白血病患儿母亲及护理人员教育后的口腔习惯、口腔护理及护口营养行为均高于教育前。当我们评估教育前和教育后的平均分差异时;母亲组和护士组的3个子领域和总平均分差异极大,经过教育后可以看出,分数都有显著的提高。通过对母亲和护理人员进行化疗症状管理方面的培训,有助于口腔黏膜炎的控制。
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引用次数: 0
ANXIETY LEVELS RELATED TO SURGERY AND PAIN INTENSITY IN PATIENTS SCHEDULED FOR LUMBAR SURGERY 腰椎手术患者与手术和疼痛强度相关的焦虑水平
Pub Date : 2022-06-25 DOI: 10.55433/gsbd.212
A. Ünal, Serkan Civlan, N. Yagci, F. Altug
This study aimed to determine the relationship between pain intensity and anxiety levels related to surgery in patients scheduled for lumbar surgery due to low back pain. Fifty-seven patients (30 females, 27 males) scheduled for lumbar surgery for various reasons were included in the study. Demographic and clinical information of the patients were recorded. The state of being informed about the surgery and the reasons for anxiety about the surgery were questioned. Pain intensity at rest, in activity, and at night were evaluated using the Visual Analogue Scale and surgery-related anxiety levels with the Spielberg State-Trait Anxiety Inventory preoperatively, postoperatively, and at discharge. Mean age of the patients was 55.00±9.37 years. A statistically significant positive correlation was found between the intensity of rest, activity, night pain, and the anxiety level in the preoperative period (p<0.05). Patients who were informed about surgery had lower anxiety levels (p<0.05). In the postoperative and pre-discharge evaluations, it was observed that there was a significant decrease in pain intensity and anxiety levels compared to the preoperative term (p<0.05). When evaluating the patient in the preoperative period, assessment of the level of anxiety related to surgery and informing about the surgical intervention will decrease the anxiety level and positively affect the postoperative clinical situation.
本研究旨在确定因腰痛而计划进行腰椎手术的患者的疼痛强度与手术相关焦虑水平之间的关系。57例患者(女性30例,男性27例)因各种原因计划腰椎手术纳入研究。记录患者的人口学和临床资料。对手术的知情情况和手术焦虑的原因进行了询问。使用视觉模拟量表评估休息、活动和夜间的疼痛强度,术前、术后和出院时使用斯皮尔伯格状态-特质焦虑量表评估手术相关焦虑水平。患者平均年龄55.00±9.37岁。术前休息强度、活动量、夜间疼痛与焦虑水平呈正相关(p<0.05)。被告知手术的患者焦虑水平较低(p<0.05)。在术后和出院前评估中,观察到与术前相比,疼痛强度和焦虑水平显著降低(p<0.05)。在术前对患者进行评估时,评估与手术相关的焦虑水平,告知手术干预,会降低患者的焦虑水平,对术后临床情况产生积极影响。
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引用次数: 0
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