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Literature Review Interventions to Anticipate Catheter-Related Urinary Tract Contaminations in Seriously Care Units: Philosophy of Nursing 文献综述 预知重症监护病房导尿管相关尿路污染的干预措施:护理理念
Pub Date : 2023-12-13 DOI: 10.1101/2023.12.11.23299804
Sri Rusmini, Moses Glorino Rumambo Pandin
Background Urinary tract infections are among the adverse outcomes of urinary catheter placement. After the installation of a catheter, urinary tract infections happen more often than twice a day. Examining prevention strategies for UTIs in critical care units is the aim of this writing audit.
背景 尿路感染是置入导尿管的不良后果之一。安装导尿管后,尿路感染的发生频率超过一天两次。研究重症监护病房尿路感染的预防策略是本次书面审核的目的。
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引用次数: 0
AN OVERVIEW OF THE IMPACT OF SOCIAL SUPPORT ON NURSE BURN OUT IN HOSPITALS 社会支持对医院护士职业倦怠的影响综述
Pub Date : 2023-12-13 DOI: 10.1101/2023.12.10.23299642
Silvia Dewi Mayasari Riu, Moses Glorino Rumambo Pandin
Introduction The nursing profession is one of the most difficult and stressful occupations. Nurses have a great responsibility in providing health care to clients, which often involves emotional, complex, and high-risk situations. Social support is emotional, informational and practical assistance provided by individuals or groups to others in certain situations. Burnout syndrome is a chronic stress condition that affects many individuals including nurses. This condition often arises as a result of excessive workload, high physical and emotional demands and imbalance between work and personal life plus the occurrence of a global pandemic.
导言 护理职业是最困难、压力最大的职业之一。护士肩负着为客户提供健康护理的重大责任,这通常涉及情感、复杂和高风险的情况。社会支持是个人或团体在特定情况下为他人提供的情感、信息和实际帮助。职业倦怠综合症是一种影响包括护士在内的许多人的慢性压力状况。出现这种情况的原因通常是工作量过大、体力和情感需求过高、工作和个人生活失衡,以及全球大流行病的发生。
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引用次数: 0
SYSTEMATIC REVIEW DISCHARGE PLANNING PATIENT STROKE: A NURSING SCIENCE PHILOSOPHY 系统性回顾 脑卒中患者的出院规划:护理科学理念
Pub Date : 2023-12-08 DOI: 10.1101/2023.12.07.23299664
Dwi Retnaningsih, Moses Glorino Rumambo Pandin, Nursalam Nursalam, Desi Ramadhani
This article discusses a philosophical overview of discharge planning for stroke patients from an ontological, epistemological, and axiological point of view, emphasizing the importance of this process in ensuring proper care after leaving the treatment facility. With a focus on the philosophy of nursing science, the study is a literature review that follows the PRISMA (2017-2023) guidelines with keyword searches for "discharge planning," "stroke," "patients," and "RCT" in Scopus, Science Direct, and ProQuest databases. Of the 281 articles identified, the inclusion criteria involved quantitative research design, publications in English, studies in adult patients with strokes, intervention discharge planning, and analysis supporting discharge planning in stroke patients. The selection process uses the Rayyan application and selects 22 relevant studies. The analysis was done with PICO synthesis and grouping based on the Cochrane Handbook for Systematic Review. Methodological quality assessment using the Joanna Briggs Institute Critical Assessment tool shows that a multidisciplinary approach through ontological, epistemological, and axiological studies provides a strong foundation for improving clinical practice and health information systems. Close collaboration between care teams, patients, and families in discharge planning is emphasized for optimal treatment of stroke patients and the development of efficient health information systems. The practical implications of this research include integrating ontological concepts, deep understanding of knowledge, applying ethical values, and improving discharge planning processes to improve care for stroke patients.
本文从本体论、认识论和公理论的角度讨论了脑卒中患者出院计划的哲学概述,强调了这一过程对于确保离开治疗机构后的适当护理的重要性。本研究以护理科学哲学为重点,遵循PRISMA(2017-2023)指南,在Scopus、Science Direct和ProQuest数据库中以 "出院计划"、"卒中"、"患者 "和 "RCT "为关键词进行文献检索。在确定的 281 篇文章中,纳入标准包括定量研究设计、英文出版物、针对成年脑卒中患者的研究、干预性出院计划以及支持脑卒中患者出院计划的分析。筛选过程中使用了 Rayyan 应用程序,选出了 22 篇相关研究。根据《Cochrane 系统综述手册》进行了 PICO 综合和分组分析。使用乔安娜-布里格斯研究所的关键评估工具进行的方法学质量评估表明,通过本体论、认识论和公理研究的多学科方法为改善临床实践和医疗信息系统奠定了坚实的基础。强调了护理团队、患者和家属在出院计划中的密切合作,以优化中风患者的治疗并开发高效的医疗信息系统。这项研究的实际意义包括整合本体论概念、深入理解知识、应用伦理价值以及改进出院计划流程,从而改善对中风患者的护理。
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引用次数: 0
LITERATURE REVIEW THE EFFECT OF MINDFULNESS INTERVENTIONS ON BLOOD PRESSURE AND STRESS IN HYPERTENSION PATIENTS 正念干预对高血压患者血压和压力影响的文献综述
Pub Date : 2023-12-08 DOI: 10.1101/2023.12.06.23299631
Adin Muafiro, Nursalam Nursalam, Moses Glorino Rumambo Pandin
Background: Hypertension is a significant contributor to both illness and death on a global scale. One method of managing blood pressure is through adopting a healthy lifestyle and implementing blood pressure control measures, with or without the use of medication. The objective of the review paper is to elucidate the impact of mindfulness therapies on both blood pressure and stress levels in individuals diagnosed with hypertension. Method:The research approach employed is literature observation, wherein relevant papers published between January 2019 and December 2023 are sought by conducting searches in four databases: Scopus and Science Direct. The search criteria include publications written in English, available in open access, and with full text. The study investigates the impact of mindfulness therapies on blood pressure and stress levels in individuals with hypertension, using Proquest and CINAHL as research databasesResults: A total of 14 papers have undergone evaluation. The primary emphasis lies in mindfulness techniques aimed at lowering blood pressure and alleviating stress. A mindfulness intervention was administered in group settings, with a duration of 2 hours per week for a period of 8 weeks. Subsequently, participants engage in physical activity inside the confines of their own homes, dedicating a minimum of 45 minutes per day for a duration of 6 to 10 days per week. They also monitor their blood pressure and stress levels. Blood pressure measurements are derived from the mean of three measurements done thrice day. Following the implementation of the mindfulness intervention, there was a notable reduction in both systolic and diastolic blood pressure among the intervention group, as compared to the first measurement. The investigation revealed substantial disparities between the experimental and control groups in the mean scores of positive stress (P = 0.001) and negative stress (P = 0.001).Conclusion: Mindfulness can be a straightforward and cost-effective method for enhancing blood pressure and reducing stress. Keywords : mindfulness, stress, hypertension
背景:在全球范围内,高血压是导致疾病和死亡的重要因素。控制血压的方法之一是采取健康的生活方式和实施血压控制措施,无论是否使用药物。本文旨在阐明正念疗法对高血压患者血压和压力水平的影响。方法:采用的研究方法是文献观察法,通过在四个数据库中进行检索,寻找2019年1月至2023年12月期间发表的相关论文:Scopus 和 Science Direct。检索标准包括以英文撰写、开放获取和全文发表的出版物。本研究使用 Proquest 和 CINAHL 作为研究数据库,调查正念疗法对高血压患者血压和压力水平的影响:共有 14 篇论文接受了评估。主要重点在于旨在降低血压和缓解压力的正念技术。在小组环境中实施正念干预,每周 2 小时,为期 8 周。随后,参与者在自己家中进行体育锻炼,每天至少 45 分钟,每周持续 6 到 10 天。他们还监测自己的血压和压力水平。血压测量值取自每天三次测量的平均值。实施正念干预后,干预组的收缩压和舒张压都比第一次测量时明显下降。调查显示,实验组和对照组在积极压力(P = 0.001)和消极压力(P = 0.001)的平均得分上存在巨大差异:正念是一种直接且经济有效的提高血压和减轻压力的方法。关键词:正念、压力、高血压
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引用次数: 0
Perioperative Pressure Injury: Bibliometric Analysis 围手术期压力性损伤:文献计量学分析
Pub Date : 2023-12-05 DOI: 10.1101/2023.12.04.23299418
Luh Titi Handayani, Moses Glorino Rumambo Pandin, Nursalam Nursalam
Background The occurrence of pressure injuries in the perioperative period presents a significant clinical hurdle for surgical patients. Surgery is recognized as a risk factor contributing to the onset of pressure injuries, which can manifest shortly after the operation, within a few hours, or up to 72 hours post-surgery. Bibliometric analysis has been carried out to assess publication patterns, rank research studies, and uncover emerging themes in perioperative pressure injury research. Method Data covering the period from 2015 to 2023 were extracted through the indexing metadata of Scopus and CINAHL using the keywords "pressure injury" OR "pressure ulcer" AND "perioperative." Bibliometric parameters were extracted, and VOSviewer was employed to obtain bibliometric network and overlay visualization results. Result The mapping and clustering results from the VOSviewer network and overlay visualization identified various factors, including risk factors, postoperative complications, Electronic Health Record (EHR), prediction models, perioperative leadership, perioperative hypotension, responsibility, skin lesions, positioning, infection, risk assessment, attitude, peripheral nerve injury, and interface injury. Conclusion The outcomes of mapping, clustering, ranking, and citation analysis of pressure injury in perioperative patients indicate that patient safety is the primary focus. From this main issue, indicators can be developed and transformed into variables that need analysis related to risk assessment, knowledge and attitude, policies, and referrals. The underlying theory in perioperative patient care is the middle-range theory by Myra Estrine Levine, with her esoteric nursing model, Conservation Model of Nursing. Keywords: Bibliometric Analysis, Pressure Injury, Perioperative
背景围手术期压迫性损伤的发生是困扰外科患者临床的一大难题。手术被认为是导致压力性损伤发生的一个危险因素,压力性损伤可在手术后不久、几小时内或术后72小时内出现。文献计量分析用于评估出版模式,对研究进行排序,并揭示围手术期压力损伤研究的新主题。方法以“压伤”或“压疮”、“围手术期”为关键词,通过Scopus和CINAHL检索元数据提取2015 - 2023年的数据。提取文献计量参数,利用VOSviewer获得文献计量网络和叠加可视化结果。结果基于VOSviewer网络和叠加可视化的映射和聚类结果识别了危险因素、术后并发症、电子健康记录(EHR)、预测模型、围手术期领导、围手术期低血压、责任、皮肤病变、体位、感染、风险评估、态度、周围神经损伤和界面损伤等因素。结论围手术期患者压力性损伤的制图、聚类、排序和引用分析结果表明,患者安全是首要关注的焦点。从这个主要问题出发,可以制定指标并将其转化为需要分析的变量,这些变量与风险评估、知识和态度、政策和转诊有关。围手术期患者护理的基础理论是由Myra Estrine Levine提出的中程护理理论,以及她的深奥护理模型——护理守恒模型。关键词:文献计量学分析,压伤,围手术期
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引用次数: 0
Characteristics of Accidental Falls in the Patients with Chronic Kidney Diseases: A 14-Year Retrospective Study and Review 慢性肾脏疾病患者意外跌倒的特点:一项14年的回顾性研究和回顾
Pub Date : 2023-11-30 DOI: 10.1101/2023.11.29.23299194
Yumei Liao, Li Zhang, Yanmei Peng, Huie Huang, Yuanchang Luo, Jinling Gan, Lina Dong, Yan He, Min Gao, Guang Yang
Background Accidental falls pose a high-risk that should not be overlooked in patients with chronic kidney disease (CKD), as they can result in significant injury or even fatality. This study aimed to investigate the characteristics of CKD patients with fall injuries during hospitalization, discuss potential mechanisms, and to provide an overview of existing prevention methods.
背景:意外跌倒是慢性肾脏疾病(CKD)患者不可忽视的高风险,因为它们可能导致严重损伤甚至死亡。本研究旨在探讨CKD患者住院期间发生跌倒损伤的特点,探讨可能的机制,并对现有的预防方法进行综述。
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引用次数: 0
Influence of Nursing Explanation Skills on Incident Occurrence 护理解释技能对事件发生的影响
Pub Date : 2023-11-29 DOI: 10.1101/2023.11.16.23298399
Manabu Fujimoto, Mika Shimamura, Fumiko Yuki
Objectives A routine nursing task is providing explanations to patients, their families, and other healthcare professionals. Inaccurate explanations can adversely affect the quality of healthcare and patient safety. Despite the significance of good explanatory skills in nursing, supporting empirical data are limited. Therefore, this study aimed to develop a psychological scale and investigate the impact of explanatory skills on incidents.
目的例行护理任务是向患者、家属和其他医疗保健专业人员提供解释。不准确的解释会对医疗保健质量和患者安全产生不利影响。尽管良好的解释能力在护理中的重要性,支持的经验数据是有限的。因此,本研究旨在编制心理量表,探讨解释技巧对事件的影响。
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引用次数: 0
Nurses’ Satisfaction with and Demand for the National Cancer Patient Home-Care Pilot Program 护士对全国癌症患者居家护理试点项目的满意度和需求
Pub Date : 2023-11-22 DOI: 10.1101/2023.11.21.23298855
Jung Ha Kim, Jang Won Lee, Jung Yoon Kim, Yong Eun Hong, Sol Bi Jang, Woo Jeong Lee, Kyung Hee Oh, Young Ae Kim
In December 2021, the “National Cancer Patient Home-Care Pilot Program” was launched in South Korea. However, there were medical institutions with low participation and where services were not provided. Therefore, this study aimed to investigate the progress of, satisfaction with, and needs of nurses’ regarding a pilot program for home care of cancer patients with a stoma. Data were collected through a survey administered to nurses from November 13, 2022, to January 19, 2023; a total of 207 nurses responded. After excluding non-answers, 196 nurses were included in the final study population. The questionnaire sought information on the characteristics of the respondent, status of management of stoma patients, status of the home-care pilot program, satisfaction with the program, and needs of the nurses. The data were analyzed using descriptive statistics. A total of 196 nurses participated in the survey, of whom 42 nurses (21.4%) participated in the home-care pilot program. Thirty-five nurses (85.4 %) were satisfied with the home-care pilot program. Thirty nurses (71.4%) reported that implementation of home care had to be expanded and standards of care improved. To vitalize and expand the pilot program for home care for cancer patients with a stoma, better medical services must be provided by improving the medical fee standard. This will enable more patients and medical institutions to participate in the pilot program.
2021年12月,韩国启动了“全国癌症患者家庭护理试点项目”。但是,有些医疗机构的参与率很低,而且没有提供服务。因此,本研究旨在调查护士对癌症造口患者家庭护理试点项目的进展、满意度和需求。从2022年11月13日至2023年1月19日,通过对护士进行调查收集数据;共有207名护士做出了回应。排除未回答者后,196名护士被纳入最终研究人群。问卷旨在了解被调查者的特点、对造口病人的管理状况、家庭护理试点项目的现状、对项目的满意度以及护士的需求。数据采用描述性统计进行分析。共有196名护士参与调查,其中42名护士(21.4%)参加了居家护理试点项目。35名护士(85.4%)对居家护理试点项目感到满意。30名护士(71.4%)报告说,家庭护理的实施必须扩大,护理标准必须提高。要搞活和扩大癌症造口患者家庭护理试点,必须通过提高医疗收费标准来提供更好的医疗服务。这将使更多的患者和医疗机构参与到试点中来。
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引用次数: 0
Prevalence and risk factors of low back pain among nursing students 护生腰痛的患病率及危险因素分析
Pub Date : 2023-11-16 DOI: 10.1101/2023.11.15.23298588
Liya Jin, Ya Zhu, Miaoye Hu, Chunmei Zhang
Study design: Retrospective case-control studyObjective: To investigate the incidence of low back pain among nursing students and to analyze the factors contributing to low back pain among nursing students.Method: This retrospective study was conducted in 78 nursing students who entered our hospital for internship from July 2022 to March 2023. Demographic data, including age, gender, height, weight, exercise habits, staying-up-late habits, smoking history, education level, mental status, working posture, menstrual pain, and other basic information were collected, and the number of interns experiencing low back pain in the past 1 month and 3 months was recorded to investigate the incidence of low back pain among nursing students. Relevant risk factors were also analyzed.Results: The incidence of low back pain among nursing students was 19.2% within 1 month and 25.6% within 3 months. Factors such as gender, age, height, weight, smoking history, exercise habits, staying-up-late habits, education level, mental status, working posture correctness, and menstrual pain showed no statistical significance between the pain and non-pain groups (P > 0.05), while BMI and exercise habits showed statistical differences between the two groups (P < 0.05). BMI (OR = 1.530; 95% confidence interval = 1.16 - 2.02; P = 0.003) was identified as a risk factor for low back pain. Exercise habits (OR = 0.232; 95% confidence interval = 0.07 - 0.81; P = 0.022) were identified as protective factors for low back pain.Conclusion: The incidence of low back pain among nursing students remains relatively high, and low back pain is associated with high BMI and lack of exercise. These results can provide a reference for developing preventive measures for low back pain among nursing students.Keywords: Low back pain; incidence; nursing students; influencing factors
研究设计:回顾性病例对照研究目的:调查护生腰痛的发生情况,分析护生腰痛的影响因素。方法:对2022年7月至2023年3月在我院实习的78名护生进行回顾性研究。收集人口统计学资料,包括年龄、性别、身高、体重、运动习惯、熬夜习惯、吸烟史、文化程度、精神状态、工作姿势、月经疼痛等基本信息,记录近1个月和近3个月出现腰痛的实习生人数,调查护生腰痛发生率。并分析了相关危险因素。结果:护生1个月内腰痛发生率为19.2%,3个月内发生率为25.6%。性别、年龄、身高、体重、吸烟史、运动习惯、熬夜习惯、文化程度、精神状态、工作姿势是否正确、月经疼痛等因素在疼痛组与非疼痛组之间差异均无统计学意义(P >0.05), BMI和运动习惯两组间差异有统计学意义(P <0.05)。Bmi (or = 1.530;95%置信区间= 1.16 - 2.02;P = 0.003)是腰痛的危险因素。运动习惯(OR = 0.232;95%置信区间= 0.07 - 0.81;P = 0.022)是腰痛的保护因素。结论:护生腰痛发生率较高,且腰痛与高BMI和缺乏锻炼有关。研究结果可为护生腰痛预防措施的制定提供参考。关键词:腰痛;发病率;护理学生;影响因素
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引用次数: 0
...I did not scream. I could not; I was terrified.  I just followed them...I blocked my mind. Then they all raped me: A narrative inquiry on the onset of tonic immobility among women rape victims in Nigeria. …我没有尖叫。我不能;我吓坏了。我只是跟着他们……我封闭了我的思想。然后他们都强奸了我:关于尼日利亚女性强奸受害者中滋补性静止的开始的叙述调查。
Pub Date : 2022-12-05 DOI: 10.1101/2022.11.30.22282773
Dooshima Dorothy Gbahabo, Sinegugu Evidence Duma
Tonic immobility (TI) is a common uncontrollable autonomic mammalian response to an extremely fearful situation. It is one of the most immediate devastating consequences of rape and remains poorly understood. While controversies over its definition persist among researchers, this also reflects the care for and support to victims. The study aimed to explore and describe the onset of TI and the meaning attached to the experience among women raped victims in Nigeria. The study design was the qualitative narrative inquiry approach. Criterion and purposive sampling were conducted across four post-rape care facilities in Lagos, Nigeria, to recruit 13 participants. In-depth face-to-face interviews were conducted using a semi-structured interview guide to generate data that were thematically analysed. The findings of the study reveal five themes relating to the onset of TI as follows: the first two focused on the experience of TI: (1) the onset of TI prior to rape due to perceived imminent danger, (2) the onset of TI as a self-protection mechanism from further harm) while the last three relate to the meaning-making of the experience of TI (3) self-loathing as a meaning attached to TI, (4) suicidal ideations as a meaning attached to TI, and (5) divine intervention as a meaning attached to TI.Conclusion: The findings underscore the experiences and meanings that participants attach to TI following rape. There is a strong likelihood that tonic-immobility is not an uncommon experience for rape victims, but that in the absence of research, specialized care on the condition, and considering its associated consequences will haunt many women, affect their psychological well-being and their entire quality of life. Describing the phenomenon as it is experienced by the participants is critical because understanding the situation is the first step toward effective appropriate management.
强直性不动(TI)是哺乳动物对极端可怕情况的一种常见的不可控自主反应。这是强奸造成的最直接的破坏性后果之一,人们对它的了解仍然很少。虽然研究人员对其定义存在争议,但这也反映了对受害者的关心和支持。这项研究的目的是探索和描述在尼日利亚被强奸的女性受害者中,性侵的发生和这种经历的意义。研究设计采用定性叙事探究法。在尼日利亚拉各斯的四个强奸后护理机构进行了标准和有目的的抽样,以招募13名参与者。深入的面对面访谈是使用半结构化访谈指南进行的,以产生主题分析的数据。这项研究的结果显示五个主题有关的发病TI如下:前两集中于TI的经验:(1)的发病TI强奸之前由于感知迫在眉睫的危险,(2)钛作为自我保护机制的出现进一步损害),而最后三与一种价值主导型的TI(3)自我厌恶的经历作为一个意义TI,(4)自杀意念的含义TI,和(5)神的干预意义TI。结论:研究结果强调了参与者在强奸后对TI的体验和意义。很有可能,强身不动对强奸受害者来说并不是一种罕见的经历,但在缺乏研究的情况下,对这种情况的专门护理,以及考虑到其相关后果,将困扰许多妇女,影响她们的心理健康和整个生活质量。描述参与者所经历的现象是至关重要的,因为了解情况是实现有效适当管理的第一步。
{"title":"...I did not scream. I could not; I was terrified.  I just followed them...I blocked my mind. Then they all raped me: A narrative inquiry on the onset of tonic immobility among women rape victims in Nigeria.","authors":"Dooshima Dorothy Gbahabo, Sinegugu Evidence Duma","doi":"10.1101/2022.11.30.22282773","DOIUrl":"https://doi.org/10.1101/2022.11.30.22282773","url":null,"abstract":"Tonic immobility (TI) is a common uncontrollable autonomic mammalian response to an extremely fearful situation. It is one of the most immediate devastating consequences of rape and remains poorly understood. While controversies over its definition persist among researchers, this also reflects the care for and support to victims. The study aimed to explore and describe the onset of TI and the meaning attached to the experience among women raped victims in Nigeria. The study design was the qualitative narrative inquiry approach. Criterion and purposive sampling were conducted across four post-rape care facilities in Lagos, Nigeria, to recruit 13 participants. In-depth face-to-face interviews were conducted using a semi-structured interview guide to generate data that were thematically analysed. The findings of the study reveal five themes relating to the onset of TI as follows: the first two focused on the experience of TI: (1) the onset of TI prior to rape due to perceived imminent danger, (2) the onset of TI as a self-protection mechanism from further harm) while the last three relate to the meaning-making of the experience of TI (3) self-loathing as a meaning attached to TI, (4) suicidal ideations as a meaning attached to TI, and (5) divine intervention as a meaning attached to TI.\u0000Conclusion: The findings underscore the experiences and meanings that participants attach to TI following rape. There is a strong likelihood that tonic-immobility is not an uncommon experience for rape victims, but that in the absence of research, specialized care on the condition, and considering its associated consequences will haunt many women, affect their psychological well-being and their entire quality of life. Describing the phenomenon as it is experienced by the participants is critical because understanding the situation is the first step toward effective appropriate management.","PeriodicalId":501260,"journal":{"name":"medRxiv - Nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138521144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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medRxiv - Nursing
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