Pub Date : 2024-02-01DOI: 10.1016/j.anr.2024.01.007
Wei Chen , Hui Li , Jian-Zheng Cai , Nan Qin
Purpose
This study aims to examine the relationship between dyadic coping (DC), intimate relationship, and quality of life (QOL), and to explore the mediating role of intimate relationship in patients with breast cancer (BC) and their spouses from a dyadic perspective.
Methods
A cross-sectional design was used in this present study, and 205 dyads of BC patients and their spouses who completed a sociodemographic and clinical questionnaire and self-reported measures assessing their DC, intimate relationship, and QOL were recruited. The actor-partner interdependence mediation model (APIMeM) was adopted for dyadic distinguished data analysis. The paired t-test, Pearson's correlation coefficients, and the structural equation model were employed for data analysis by using SPSS 22.0 and Amos 24.0.
Results
The current study revealed that, for BC patients and their spouses, intimate relationship mediates completely the actor effect of DC on QOL. That is to say, DC was positively related to intimate relationship and then improved QOL. It was interesting to find that, for both patients and their spouses, the intimate relationship could exert a partner-actor complete mediation effect between DC and QOL.
Conclusions
The DC perceived by both BC patients and their spouses has significant actor effects on QOL by improving the level of an intimate relationship. Furthermore, intimate relationship has significant actor-actor and partner-actor complete mediation effects for both patients and their spouses. Given the vital role of patient-spouse dyads, nursing staff should take patients’ spouses into account when conducting related psychosocial interventions aiming to improve the QOL of BC patients and their spouses.
方法本研究采用横断面设计，招募了205名乳腺癌患者及其配偶，他们填写了社会人口学和临床问卷，并自我报告了他们的应对措施、亲密关系和生活质量。研究采用行为者-伴侣相互依赖中介模型（APIMeM）进行双变量数据分析。采用 SPSS 22.0 和 Amos 24.0 进行数据分析，采用配对 t 检验、皮尔逊相关系数和结构方程模型。也就是说，DC 与亲密关系呈正相关，进而改善了 QOL。值得注意的是，对于患者及其配偶而言，亲密关系可以在直肠癌与 QOL 之间发挥伙伴-行为者的完全中介效应。此外，亲密关系对患者及其配偶都有明显的行为者-行为者和伙伴-行为者完全中介效应。鉴于患者-配偶关系的重要作用，护理人员在进行相关心理干预时应考虑到患者配偶，以改善BC患者及其配偶的QOL。
{"title":"Association Between Dyadic Coping and Quality of Life in Breast Cancer Patients and Their Spouses: An Actor-partner Interdependence Mediation Model","authors":"Wei Chen , Hui Li , Jian-Zheng Cai , Nan Qin","doi":"10.1016/j.anr.2024.01.007","DOIUrl":"10.1016/j.anr.2024.01.007","url":null,"abstract":"<div><h3>Purpose</h3><p>This study aims to examine the relationship between dyadic coping (DC), intimate relationship, and quality of life (QOL), and to explore the mediating role of intimate relationship in patients with breast cancer (BC) and their spouses from a dyadic perspective.</p></div><div><h3>Methods</h3><p>A cross-sectional design was used in this present study, and 205 dyads of BC patients and their spouses who completed a sociodemographic and clinical questionnaire and self-reported measures assessing their DC, intimate relationship, and QOL were recruited. The actor-partner interdependence mediation model (APIMeM) was adopted for dyadic distinguished data analysis. The paired <em>t</em>-test, Pearson's correlation coefficients, and the structural equation model were employed for data analysis by using SPSS 22.0 and Amos 24.0.</p></div><div><h3>Results</h3><p>The current study revealed that, for BC patients and their spouses, intimate relationship mediates completely the actor effect of DC on QOL. That is to say, DC was positively related to intimate relationship and then improved QOL. It was interesting to find that, for both patients and their spouses, the intimate relationship could exert a partner-actor complete mediation effect between DC and QOL.</p></div><div><h3>Conclusions</h3><p>The DC perceived by both BC patients and their spouses has significant actor effects on QOL by improving the level of an intimate relationship. Furthermore, intimate relationship has significant actor-actor and partner-actor complete mediation effects for both patients and their spouses. Given the vital role of patient-spouse dyads, nursing staff should take patients’ spouses into account when conducting related psychosocial interventions aiming to improve the QOL of BC patients and their spouses.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 1","pages":"Pages 44-50"},"PeriodicalIF":2.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131724000070/pdfft?md5=2e21de996cd38c1e30cdac9351fc47d5&pid=1-s2.0-S1976131724000070-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139670270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.1016/j.anr.2024.01.002
Young-Sil Sohn , Hyunmi Son
Purpose
This study examined online gambling patterns among Korean adolescents during the COVID-19 pandemic and identified predictors of problem gambling based on a socio-ecological model.
Methods
It used nationally representative data from the 2020 National Survey on Youth Gambling Problems conducted by the Korea Center on Gambling Problems. This study selected a sample of 780 adolescents aged 13–18 years who reported having gambled online at least once in the last three months from the raw data of respondents. They were classified as the non-problem group and problem group according to the Gambling Problems Severity Scale (GPSS) of the Canadian Adolescent Gambling Inventory (CAGI). The predictive factors of problem gambling were analyzed by logistic regression analysis.
Results
The prevalence of problem gambling was 24.6 %. Its predictors included intrapersonal [male (odds ratios, OR = 1.67); gambling prior to COVID-19 (OR = 2.08)] and interpersonal factors [frequent gamblers in peers (OR = 4.34); peer pressure (OR = 2.34)]. Social factors, such as gambling in online community (OR = 5.60), sports betting (OR = 53.24), and lotteries (OR = 17.03) were associated with problem gambling.
Conclusions
The major predictors of problem gambling among adolescent online gamblers included peer gambling and specific types of gambling. To prevent problem gambling, strategies targeting peer groups are essential. In addition, nurses need to share with families, schools, communities, and policymakers that online gambling, such as lotteries and sports betting, are high-risk of adolescent problem gambling, and recommend them to collaborate for stricter regulatory measures.
{"title":"Online Gambling Patterns and Predictors of Problem Gambling Among Korean Adolescents During the COVID-19 Pandemic: A Cross-sectional Study","authors":"Young-Sil Sohn , Hyunmi Son","doi":"10.1016/j.anr.2024.01.002","DOIUrl":"10.1016/j.anr.2024.01.002","url":null,"abstract":"<div><h3>Purpose</h3><p>This study examined online gambling patterns among Korean adolescents during the COVID-19 pandemic and identified predictors of problem gambling based on a socio-ecological model.</p></div><div><h3>Methods</h3><p>It used nationally representative data from the 2020 National Survey on Youth Gambling Problems conducted by the Korea Center on Gambling Problems. This study selected a sample of 780 adolescents aged 13–18 years who reported having gambled online at least once in the last three months from the raw data of respondents. They were classified as the non-problem group and problem group according to the Gambling Problems Severity Scale (GPSS) of the Canadian Adolescent Gambling Inventory (CAGI). The predictive factors of problem gambling were analyzed by logistic regression analysis.</p></div><div><h3>Results</h3><p>The prevalence of problem gambling was 24.6 %. Its predictors included intrapersonal [male (odds ratios, OR = 1.67); gambling prior to COVID-19 (OR = 2.08)] and interpersonal factors [frequent gamblers in peers (OR = 4.34); peer pressure (OR = 2.34)]. Social factors, such as gambling in online community (OR = 5.60), sports betting (OR = 53.24), and lotteries (OR = 17.03) were associated with problem gambling.</p></div><div><h3>Conclusions</h3><p>The major predictors of problem gambling among adolescent online gamblers included peer gambling and specific types of gambling. To prevent problem gambling, strategies targeting peer groups are essential. In addition, nurses need to share with families, schools, communities, and policymakers that online gambling, such as lotteries and sports betting, are high-risk of adolescent problem gambling, and recommend them to collaborate for stricter regulatory measures.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 1","pages":"Pages 20-27"},"PeriodicalIF":2.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131724000021/pdfft?md5=fd876d3e93f5767924b94748acdbe7fc&pid=1-s2.0-S1976131724000021-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139507123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.1016/j.anr.2024.01.005
Sunghee Park , Jin-Hee Park , Ju-Eun Song , Sun Hyoung Bae , Kyoungja Kim , Youngjin Lee
Purpose
This study explored the work adjustment trajectory and its predictors and characteristics among newly registered nurses.
Methods
A total of 245 newly registered nurses working in a university hospital provided general baseline characteristics and completed a work adjustment questionnaire along with self-report measures of clinical competency, psychological capital, preceptor exchange, social support, and role conflict when they started working independently (baseline) and at 7 and 12 months after employment. Data were collected from July 2020 to August 2022. The collected data were subjected to a group-based trajectory model, χ2 test, F test, one-way ANOVA, and multiple logistic regression using SAS 9.4, and SPSS 25.0.
Results
Group-based trajectory modeling classified three newly registered nurse groups: nurses with a high work adjustment level in all subscales from the beginning of employment (early adjustment group, 16.1%), nurses with a moderate level of adjustment from beginning to end (standard adjustment group, 60.6%), and nurses with a low level of work adjustment from early to mid-term, rising later (delayed adjustment group, 23.3%). Higher hope, optimism, and emotional support predicted early and standard adjustments.
Conclusions
Based on the trajectory characteristics, newly registered nurses need to improve their work adjustment. The early and standard adjustment groups should continuously monitor their levels of work adjustment while monitoring their hopes, optimism, and emotional support. In particular, the delayed adjustment group required customized educational programs and strengthened peer support.
{"title":"Trajectories of Wok Adjustment and Influencing Factors Among Newly Registered Nurses","authors":"Sunghee Park , Jin-Hee Park , Ju-Eun Song , Sun Hyoung Bae , Kyoungja Kim , Youngjin Lee","doi":"10.1016/j.anr.2024.01.005","DOIUrl":"10.1016/j.anr.2024.01.005","url":null,"abstract":"<div><h3>Purpose</h3><p>This study explored the work adjustment trajectory and its predictors and characteristics among newly registered nurses.</p></div><div><h3>Methods</h3><p>A total of 245 newly registered nurses working in a university hospital provided general baseline characteristics and completed a work adjustment questionnaire along with self-report measures of clinical competency, psychological capital, preceptor exchange, social support, and role conflict when they started working independently (baseline) and at 7 and 12 months after employment. Data were collected from July 2020 to August 2022. The collected data were subjected to a group-based trajectory model, χ2 test, F test, one-way ANOVA, and multiple logistic regression using SAS 9.4, and SPSS 25.0.</p></div><div><h3>Results</h3><p>Group-based trajectory modeling classified three newly registered nurse groups: nurses with a high work adjustment level in all subscales from the beginning of employment (early adjustment group, 16.1%), nurses with a moderate level of adjustment from beginning to end (standard adjustment group, 60.6%), and nurses with a low level of work adjustment from early to mid-term, rising later (delayed adjustment group, 23.3%). Higher hope, optimism, and emotional support predicted early and standard adjustments.</p></div><div><h3>Conclusions</h3><p>Based on the trajectory characteristics, newly registered nurses need to improve their work adjustment. The early and standard adjustment groups should continuously monitor their levels of work adjustment while monitoring their hopes, optimism, and emotional support. In particular, the delayed adjustment group required customized educational programs and strengthened peer support.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 1","pages":"Pages 36-43"},"PeriodicalIF":2.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131724000057/pdfft?md5=aebbcae9f8a1c726b482ba3c559b2120&pid=1-s2.0-S1976131724000057-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139576742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The purpose of this study was to develop a scale to measure stigma during epidemics among adults in nursing care and validate its psychometric properties.
Methods
The preliminary items of the Tendency to Stigmatize Epidemic Diseases Scale scale were developed through a literature review, the Delphi technique, and content validity analysis. A total of 723 adults living in Turkey responded to the questionnaire from June to December 2021. The collected data were analyzed by exploratory factor analysis and confirmative factor analysis using SPSS and AMOS programs.
Results
The experts agreed on 51 scale items, and 24 items were removed following exploratory factor analysis. On the 27-item scale, a five-factor structure was found with an eigenvalue >1, explaining 59.2% of the total variance. The overall Cronbach's α value was 0.88.
Conclusions
This scale is a reliable and valid measurement tool for adults to determine their level of stigma during epidemics in nursing care. This scale helps develop interventions to improve the psychological health of adults in nursing care.
{"title":"Tendency to Stigmatize Epidemic Diseases Scale: Scale Development and Validity Study","authors":"Sevim Şen Olgay, Hediye Arslan Özkan, Ceren Zeren Erdem, Begüm Kırık","doi":"10.1016/j.anr.2024.01.001","DOIUrl":"10.1016/j.anr.2024.01.001","url":null,"abstract":"<div><h3>Purposes</h3><p>The purpose of this study was to develop a scale to measure stigma during epidemics among adults in nursing care and validate its psychometric properties.</p></div><div><h3>Methods</h3><p>The preliminary items of the Tendency to Stigmatize Epidemic Diseases Scale scale were developed through a literature review, the Delphi technique, and content validity analysis. A total of 723 adults living in Turkey responded to the questionnaire from June to December 2021. The collected data were analyzed by exploratory factor analysis and confirmative factor analysis using SPSS and AMOS programs.</p></div><div><h3>Results</h3><p>The experts agreed on 51 scale items, and 24 items were removed following exploratory factor analysis. On the 27-item scale, a five-factor structure was found with an eigenvalue >1, explaining 59.2% of the total variance. The overall Cronbach's <em>α</em> value was 0.88.</p></div><div><h3>Conclusions</h3><p>This scale is a reliable and valid measurement tool for adults to determine their level of stigma during epidemics in nursing care. This scale helps develop interventions to improve the psychological health of adults in nursing care.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 1","pages":"Pages 11-19"},"PeriodicalIF":2.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S197613172400001X/pdfft?md5=bda1968d824a65f0cae65781d31596b5&pid=1-s2.0-S197613172400001X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139458784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.1016/j.anr.2024.01.004
Minjeong Seo , Yunekyong Kim , Jinryung Park , Guiyeon Sim , Youngshim Ko
Purpose
Phenomenological methods are used to capture human experience, and nursing research has long attempted phenomenological approaches in many studies. This study explored the 22-year trends (2001– 2022) in phenomenological research within Korean nursing science and identified the types of journals where research is published, common phenomenological data analysis methods, phenomena of interest, and standards of rigor applied to phenomenological studies.
Methods
This scoping review followed the six stages recommended by Arksey and O'Malley's (2005) and utilized the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for scoping reviews (PRISMA-ScR) for reporting guidance. A total of 4,354 articles acquired through systematic searches across seven search engines PubMed, CINAHL, Embase, Research Information Sharing Service (RISS), Korea Citation Index (KCI), Korea Institute of Science and Technology Information (KISTI), and Korean studies Information Service System (KISS) were reviewed. Key search terms and inclusion and exclusion criteria were used as strategies to identify relevant articles.
Results
In the final review, 568 Korean phenomenological studies were included. Among the phenomenology research, 50.4% of the total work was performed between 2016 and 2020, and the Colaizzi method of study was the most common (62.9%). Most researchers were published in nursing journals (55.8%). Nurses constituted the majority of participants (24.5%), followed by people living with illnesses (23.1%) and people of all ages. The primary focus included participants' experiences: the disease experience of the sick, the job-related experience of the nurses, and the learning-related experience of the nursing students. The median sample size of reviewed papers (i.e., 9) is relevant to phenomenological research saturation. The most rigorous studies applied Lincoln and Guba's criteria (54.0%).
Conclusions
Advancing phenomenological research in nursing entails giving priority to diverse perspectives, rigor, and the foundational essence of phenomenology. Ensuring transparency and reliability requires reinforcing rigor through the integration of phenomenology, philosophy, and effective data analysis methods.
目的 现象学方法用于捕捉人类经验，护理研究长期以来一直在许多研究中尝试使用现象学方法。本研究探讨了韩国护理科学界现象学研究 22 年（2001 年至 2022 年）的发展趋势，并确定了发表研究论文的期刊类型、常见的现象学数据分析方法、感兴趣的现象以及适用于现象学研究的严格标准。方法本范围综述遵循 Arksey 和 O'Malley（2005 年）推荐的六个阶段，并使用 PRISMA Extension for Scoping Reviews (PRISMA-ScR) 作为报告指导。通过对 PubMed、CINAHL、Embase、Research Information Sharing Service (RISS)、Korea Citation Index (KCI)、Korea Institute of Science and Technology Information (KISTI)、Koreanstudies Information Service System (KISS)等七个搜索引擎进行系统检索，共查阅了 4354 篇文章。结果在最终的综述中，共纳入了 568 篇韩国现象学研究。在现象学研究中，50.4%的研究工作是在 2016 年至 2020 年间完成的，其中最常见的是 Colaizzi 研究方法（62.9%）。大多数研究者在护理期刊上发表论文（55.8%）。参与者中护士最多（24.5%），其次是疾病患者（23.1%）和所有年龄段的人。主要关注点包括参与者的经历：病人的疾病经历、护士的工作经历以及护生的学习经历。综述论文样本量的中位数（即 9 个）与现象学研究的饱和度有关。最严谨的研究采用了林肯和古巴的标准（54.0%）。结论在护理领域推进现象学研究需要优先考虑不同的视角、严谨性和现象学的基础本质。要确保研究的透明度和可靠性，就必须通过整合现象学、哲学和有效的数据方法来加强研究的严谨性。
{"title":"The Evolution of Phenomenology in Korean Nursing Research: A Scoping Review","authors":"Minjeong Seo , Yunekyong Kim , Jinryung Park , Guiyeon Sim , Youngshim Ko","doi":"10.1016/j.anr.2024.01.004","DOIUrl":"10.1016/j.anr.2024.01.004","url":null,"abstract":"<div><h3>Purpose</h3><p>Phenomenological methods are used to capture human experience, and nursing research has long attempted phenomenological approaches in many studies. This study explored the 22-year trends (2001– 2022) in phenomenological research within Korean nursing science and identified the types of journals where research is published, common phenomenological data analysis methods, phenomena of interest, and standards of rigor applied to phenomenological studies.</p></div><div><h3>Methods</h3><p>This scoping review followed the six stages recommended by Arksey and O'Malley's (2005) and utilized the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for scoping reviews (PRISMA-ScR) for reporting guidance. A total of 4,354 articles acquired through systematic searches across seven search engines PubMed, CINAHL, Embase, Research Information Sharing Service (RISS), Korea Citation Index (KCI), Korea Institute of Science and Technology Information (KISTI), and Korean studies Information Service System (KISS) were reviewed. Key search terms and inclusion and exclusion criteria were used as strategies to identify relevant articles.</p></div><div><h3>Results</h3><p>In the final review, 568 Korean phenomenological studies were included. Among the phenomenology research, 50.4% of the total work was performed between 2016 and 2020, and the Colaizzi method of study was the most common (62.9%). Most researchers were published in nursing journals (55.8%). Nurses constituted the majority of participants (24.5%), followed by people living with illnesses (23.1%) and people of all ages. The primary focus included participants' experiences: the disease experience of the sick, the job-related experience of the nurses, and the learning-related experience of the nursing students. The median sample size of reviewed papers (i.e., 9) is relevant to phenomenological research saturation. The most rigorous studies applied Lincoln and Guba's criteria (54.0%).</p></div><div><h3>Conclusions</h3><p>Advancing phenomenological research in nursing entails giving priority to diverse perspectives, rigor, and the foundational essence of phenomenology. Ensuring transparency and reliability requires reinforcing rigor through the integration of phenomenology, philosophy, and effective data analysis methods.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"18 1","pages":"Pages 3-10"},"PeriodicalIF":2.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131724000045/pdfft?md5=54956de4741fece7840b608b8a2932e5&pid=1-s2.0-S1976131724000045-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139507131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.1016/j.anr.2023.10.001
Shu-Ju Lu , Shih-Chi Ku , Kuei-Fen Liu , Ching-Hui Chien
Purpose
Although the medical decision-making process can be overwhelming for some surrogates, there is a lack of understanding regarding their experiences. The objectives of this study were to examine the decision self-efficacy and decisional conflict experienced by surrogates in intensive care units (ICUs) when faced with the decision of whether to reintubate patients with respiratory failure after a planned extubation. In addition, predictors and mediators influencing these decision-making processes were identified.
Methods
This study utilized a cross-sectional design to investigate the decision-making processes of 174 surrogates who were faced with the decision of whether to reintubate patients with respiratory failure after a planned extubation in the internal ICU of a medical center between August 2021 and February 2022. Structured questionnaires were administered to collect data on the surrogates' background information, decision self-efficacy, decisional conflict, and positive and negative affect. The patients’ background information was also collected. Univariate and multivariate analyses were performed to model the data.
Results
The mean decision self-efficacy score of the surrogates was 82.41 points, and 20.7% surrogates had decisional conflict scores exceeding 37.5 points, suggesting that they faced challenges in the decision-making process. Surrogates' employment status and negative affect significantly predicted their decision self-efficacy. In addition, patients' activities of daily living prior to hospitalization and the decision self-efficacy of the surrogate significantly predicted surrogate decisional conflict. The impact of surrogates’ negative affect on decisional conflict was fully mediated by decision self-efficacy.
Conclusions
Surrogate decision self-efficacy mediates the relationship between negative affect and decisional conflict. Providing clinical care interventions that focus on enhancing surrogate self-efficacy and reducing negative affect can help alleviate decisional conflict in this population.
{"title":"Decision Self-Efficacy and Decisional Conflict on Reintubation among Surrogates of Ventilated Patients Undergoing Planned Extubation","authors":"Shu-Ju Lu , Shih-Chi Ku , Kuei-Fen Liu , Ching-Hui Chien","doi":"10.1016/j.anr.2023.10.001","DOIUrl":"10.1016/j.anr.2023.10.001","url":null,"abstract":"<div><h3>Purpose</h3><div>Although the medical decision-making process can be overwhelming for some surrogates, there is a lack of understanding regarding their experiences. The objectives of this study were to examine the decision self-efficacy and decisional conflict experienced by surrogates in intensive care units (ICUs) when faced with the decision of whether to reintubate patients with respiratory failure after a planned extubation. In addition, predictors and mediators influencing these decision-making processes were identified.</div></div><div><h3>Methods</h3><div>This study utilized a cross-sectional design to investigate the decision-making processes of 174 surrogates who were faced with the decision of whether to reintubate patients with respiratory failure after a planned extubation in the internal ICU of a medical center between August 2021 and February 2022. Structured questionnaires were administered to collect data on the surrogates' background information, decision self-efficacy, decisional conflict, and positive and negative affect. The patients’ background information was also collected. Univariate and multivariate analyses were performed to model the data.</div></div><div><h3>Results</h3><div>The mean decision self-efficacy score of the surrogates was 82.41 points, and 20.7% surrogates had decisional conflict scores exceeding 37.5 points, suggesting that they faced challenges in the decision-making process. Surrogates' employment status and negative affect significantly predicted their decision self-efficacy. In addition, patients' activities of daily living prior to hospitalization and the decision self-efficacy of the surrogate significantly predicted surrogate decisional conflict. The impact of surrogates’ negative affect on decisional conflict was fully mediated by decision self-efficacy.</div></div><div><h3>Conclusions</h3><div>Surrogate decision self-efficacy mediates the relationship between negative affect and decisional conflict. Providing clinical care interventions that focus on enhancing surrogate self-efficacy and reducing negative affect can help alleviate decisional conflict in this population.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"17 5","pages":"Pages 235-244"},"PeriodicalIF":2.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41220818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.1016/j.anr.2023.11.003
Min-Hui Liu , Chao-Hung Wang , Ai-Fu Chiou
Purpose
Heart failure (HF) is a highly recurrent disease with a high sudden death rate and a substantial influence on disease-related quality of life (QOL). Social support, symptom distress, care needs, and meaning in life all have significant impacts on QOL. We hypothesized that meaning in life plays a mediating role in the relationship of social support, symptom distress, and care needs with QOL among patients with chronic HF.
Methods
Based on cross-sectional analysis, we recruited 186 HF outpatients who completed structured questionnaires for social support, symptom distress, care needs, meaning in life, and QOL. Structural equation modeling was used to analyze the mediating role of meaning in life in the relationship of social support, symptom distress, and care needs with QOL.
Results
The final model showed good model fit. Meaning in life was associated with global QOL (β = 0.18, p = .032). Although symptom distress (β = −0.26, p = .005) and care needs (β = −0.36, p = .021) were negatively associated with global QOL, meaning in life played a partial mediating role between symptom distress and global QOL (β = −0.02, p = .023) and between care needs and global QOL (β = −0.07, p = .030). However, meaning in life played a complete mediating role between social support and global QOL (β = 0.08, p = .047). The model showed that meaning in life, symptom distress, and care needs explained 50% of global QOL.
Conclusions
In patients with chronic HF, meaning in life played a mediating role in the relationship of social support, symptom distress, and care needs with QOL. Implementing an intervention to enrich meaning in life may help patients manage the issues caused by symptoms and alleviate their unmet needs.
目的:心力衰竭(HF)是一种高复发性疾病，猝死率高，对疾病相关生活质量(QOL)有重大影响。社会支持、症状困扰、护理需求和生活意义均对生活质量有显著影响。我们假设生活意义在社会支持、症状困扰和护理需求与慢性心衰患者生活质量的关系中起中介作用。方法:采用横断面分析方法，对186例HF门诊患者进行社会支持、症状困扰、护理需求、生活意义、生活质量等结构化问卷调查。采用结构方程模型(SEM)分析生活意义在社会支持、症状困扰和护理需求对生活质量的影响中的中介作用。结果:最终模型拟合良好。生活意义与总体生活质量相关(β = 0.18, p = 0.032)。虽然症状困扰(β = -0.26, p = 0.005)和护理需求(β = -0.36, p = 0.021)与总体生活质量呈负相关，但生活意义在症状困扰和总体生活质量之间(β = -0.02, p = 0.023)和护理需求与总体生活质量之间(β = -0.07, p = 0.030)起部分中介作用。而生活意义在社会支持与整体生活质量之间起完全中介作用(β = 0.08, p = 0.047)。该模型显示，生活意义、症状困扰和护理需求解释了全球生活质量的50%。结论:在慢性心力衰竭患者中，生活意义在社会支持、症状窘迫和护理需求与生活质量的关系中起中介作用。实施干预以丰富生活的意义可以帮助患者处理由症状引起的问题并减轻他们未满足的需求。
{"title":"The Mediator Role of Meaning in Life in the Life Quality of Patients With Chronic Heart Failure","authors":"Min-Hui Liu , Chao-Hung Wang , Ai-Fu Chiou","doi":"10.1016/j.anr.2023.11.003","DOIUrl":"10.1016/j.anr.2023.11.003","url":null,"abstract":"<div><h3>Purpose</h3><div>Heart failure (HF) is a highly recurrent disease with a high sudden death rate and a substantial influence on disease-related quality of life (QOL). Social support, symptom distress, care needs, and meaning in life all have significant impacts on QOL. We hypothesized that meaning in life plays a mediating role in the relationship of social support, symptom distress, and care needs with QOL among patients with chronic HF.</div></div><div><h3>Methods</h3><div>Based on cross-sectional analysis, we recruited 186 HF outpatients who completed structured questionnaires for social support, symptom distress, care needs, meaning in life, and QOL. Structural equation modeling was used to analyze the mediating role of meaning in life in the relationship of social support, symptom distress, and care needs with QOL.</div></div><div><h3>Results</h3><div>The final model showed good model fit. Meaning in life was associated with global QOL (<em>β</em> = 0.18, <em>p</em> = .032). Although symptom distress (<em>β</em> = −0.26, <em>p</em> = .005) and care needs (<em>β</em> = −0.36, <em>p</em> = .021) were negatively associated with global QOL, meaning in life played a partial mediating role between symptom distress and global QOL (<em>β</em> = −0.02, <em>p</em> = .023) and between care needs and global QOL (<em>β</em> = −0.07, <em>p =</em> .030). However, meaning in life played a complete mediating role between social support and global QOL (<em>β</em> = 0.08, <em>p</em> = .047). The model showed that meaning in life, symptom distress, and care needs explained 50% of global QOL.</div></div><div><h3>Conclusions</h3><div>In patients with chronic HF, meaning in life played a mediating role in the relationship of social support, symptom distress, and care needs with QOL. Implementing an intervention to enrich meaning in life may help patients manage the issues caused by symptoms and alleviate their unmet needs.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"17 5","pages":"Pages 253-258"},"PeriodicalIF":2.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89720797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.1016/j.anr.2023.11.005
Mari Abe-Doi , Ryoko Murayama , Kojiro Morita , Gojiro Nakagami , Hiromi Sanada
Purpose
Even in the absence of extravasation, some patients develop induration at the peripheral intravenous catheterization site prior to the next day's treatment. Infusion site induration commonly affects patients who undergo repeated chemotherapy administrations. Vessel health is crucial for the continuation of chemotherapy. However, there is no effective method to prevent induration. Hence, this study aimed to investigate the factors that could cause induration for preventing its occurrence.
Methods
This study was a secondary analysis of a prospective observational study. All participants were undergoing outpatient chemotherapy. Participant characteristics and related catheterization data were collected on the treatment day as baseline, and induration incidence was recorded on the subsequent treatment day. Receiver operating characteristic (ROC) analysis was performed to determine the sensitivity and specificity of cutoff points of the vein and catheter diameter ratios for distinguishing between developed induration and not developed induration. Additionally, cox regression analysis with multiple imputation was used to investigate the factors that predicted induration.
Results
Seventy-one patients participated in the study. The cutoff point of the vein/catheter diameter ratio calculated using ROC analysis was ≥3.7. The ratio of larger-diameter veins to catheter diameter of ≥3.7 times was negatively associated with induration in both complete case analysis (HR: 0.11; p = 0.034) and multiple imputation analysis (HR: 0.12; p = .049).
Conclusions
Selecting the vein with 3.7 times higher diameter than the catheter diameter for the catheterization site may help prevent induration on the next treatment day.
{"title":"Predictive Factors for Infusion Site Induration After Outpatient Chemotherapy in Japan: A Secondary Analysis","authors":"Mari Abe-Doi , Ryoko Murayama , Kojiro Morita , Gojiro Nakagami , Hiromi Sanada","doi":"10.1016/j.anr.2023.11.005","DOIUrl":"10.1016/j.anr.2023.11.005","url":null,"abstract":"<div><h3>Purpose</h3><div>Even in the absence of extravasation, some patients develop induration at the peripheral intravenous catheterization site prior to the next day's treatment. Infusion site induration commonly affects patients who undergo repeated chemotherapy administrations. Vessel health is crucial for the continuation of chemotherapy. However, there is no effective method to prevent induration. Hence, this study aimed to investigate the factors that could cause induration for preventing its occurrence.</div></div><div><h3>Methods</h3><div>This study was a secondary analysis of a prospective observational study. All participants were undergoing outpatient chemotherapy. Participant characteristics and related catheterization data were collected on the treatment day as baseline, and induration incidence was recorded on the subsequent treatment day. Receiver operating characteristic (ROC) analysis was performed to determine the sensitivity and specificity of cutoff points of the vein and catheter diameter ratios for distinguishing between developed induration and not developed induration. Additionally, cox regression analysis with multiple imputation was used to investigate the factors that predicted induration.</div></div><div><h3>Results</h3><div>Seventy-one patients participated in the study. The cutoff point of the vein/catheter diameter ratio calculated using ROC analysis was ≥3.7. The ratio of larger-diameter veins to catheter diameter of ≥3.7 times was negatively associated with induration in both complete case analysis (HR: 0.11; <em>p</em> = 0.034) and multiple imputation analysis (HR: 0.12; <em>p</em> = .049).</div></div><div><h3>Conclusions</h3><div>Selecting the vein with 3.7 times higher diameter than the catheter diameter for the catheterization site may help prevent induration on the next treatment day.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"17 5","pages":"Pages 269-275"},"PeriodicalIF":2.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138631319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.1016/j.anr.2023.11.001
Mengying Sun , Chunlei Liu , Yanjuan Lu , Fei Zhu , Huanxi Li , Qian Lu
Purpose
Anxiety, depression, and poor quality of life (QOL) were considered important concerns that hindered the rehabilitation of breast cancer survivors. A number of studies have investigated the effects of physical activity, but they have not reached the same conclusions. This review aimed to identify the effects of physical activity on QOL, anxiety, and depression in breast cancer survivors.
Methods
PubMed, Embase, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, SinoMed, CNKI, Vip, and WanFang databases were searched for the time period between January 1, 2012, and April 30, 2022. Studies were included if they were randomized controlled trials of the effects of physical activity on QOL, anxiety, or depression in breast cancer survivors. The tools of the Joanna Briggs Institute were used to assess the quality of the included studies. R software version 4.3.1 was used for meta-analysis.
Results
A total of 26 studies, involving 2105 participants, were included in the systematic review. Among these, 20 studies involving 1228 participants were included in the meta-analysis. Compared with the control group, the results indicated that physical activity can significantly improve QOL(Hedges' g = 0.67; 95% CI 0.41–0.92) and reduce anxiety (Hedges' g = −0.28; 95% CI −0.46 to −0.10) in breast cancer survivors. However, the effect of physical activity on depression (Hedges' g = −0.46; 95% CI −0.99 to 0.06) was not statistically significant.
Conclusions
Physical activity was an effective intervention to improve QOL and reduce anxiety in breast cancer survivors, as well as showed positive trends in depression, although without statistical significance. More well-designed studies are required to clarify the effects of different types of physical activities on the QOL, anxiety, and depression among breast cancer survivors.
目的：焦虑、抑郁和生活质量差被认为是阻碍癌症幸存者康复的重要因素。许多研究调查了体育活动的影响，但没有得出相同的结论。这篇综述旨在确定体育活动对癌症幸存者生活质量、焦虑和抑郁的影响。方法：检索PubMed、Embase、Web of Science、CINAHL、PsycINFO、SinoMed、CNKI、Vip和万方数据库中2012年1月1日至2022年4月30日的时间段。如果这些研究是癌症幸存者体力活动对生活质量、焦虑或抑郁影响的随机对照试验，则纳入其中。乔安娜·布里格斯研究所的工具用于评估纳入研究的质量。R软件4.3.1版用于荟萃分析。结果：共有26项研究纳入系统综述，涉及2105名参与者。其中，20项涉及1228名参与者的研究被纳入荟萃分析。与对照组相比，结果表明，体育活动可以显著改善癌症幸存者的生活质量（Hedges’g=0.67；95%CI 0.41至0.92）和减少焦虑（Hedges's g=-0.28；95%CI-0.46至-0.10）。然而，体育活动对抑郁症的影响（Hedges’g=-0.46；95%CI-0.99至0.06）在统计学上并不显著。结论：体育活动是改善癌症幸存者生活质量和减少焦虑的有效干预措施，抑郁症也呈积极趋势，但无统计学意义。需要更精心设计的研究来阐明不同类型的体育活动对癌症幸存者的生活质量、焦虑和抑郁的影响。prospero的注册号：CRD42022363094。https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=363094.
{"title":"Effects of Physical Activity on Quality of Life, Anxiety and Depression in Breast Cancer Survivors: A Systematic Review and Meta-analysis","authors":"Mengying Sun , Chunlei Liu , Yanjuan Lu , Fei Zhu , Huanxi Li , Qian Lu","doi":"10.1016/j.anr.2023.11.001","DOIUrl":"10.1016/j.anr.2023.11.001","url":null,"abstract":"<div><h3>Purpose</h3><div>Anxiety, depression, and poor quality of life (QOL) were considered important concerns that hindered the rehabilitation of breast cancer survivors. A number of studies have investigated the effects of physical activity, but they have not reached the same conclusions. This review aimed to identify the effects of physical activity on QOL, anxiety, and depression in breast cancer survivors.</div></div><div><h3>Methods</h3><div>PubMed, Embase, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, SinoMed, CNKI, Vip, and WanFang databases were searched for the time period between January 1, 2012, and April 30, 2022. Studies were included if they were randomized controlled trials of the effects of physical activity on QOL, anxiety, or depression in breast cancer survivors. The tools of the Joanna Briggs Institute were used to assess the quality of the included studies. R software version 4.3.1 was used for meta-analysis.</div></div><div><h3>Results</h3><div>A total of 26 studies, involving 2105 participants, were included in the systematic review. Among these, 20 studies involving 1228 participants were included in the meta-analysis. Compared with the control group, the results indicated that physical activity can significantly improve QOL(Hedges' g = 0.67; 95% CI 0.41–0.92) and reduce anxiety (Hedges' g = −0.28; 95% CI −0.46 to −0.10) in breast cancer survivors. However, the effect of physical activity on depression (Hedges' g = −0.46; 95% CI −0.99 to 0.06) was not statistically significant.</div></div><div><h3>Conclusions</h3><div>Physical activity was an effective intervention to improve QOL and reduce anxiety in breast cancer survivors, as well as showed positive trends in depression, although without statistical significance. More well-designed studies are required to clarify the effects of different types of physical activities on the QOL, anxiety, and depression among breast cancer survivors.</div></div><div><h3>Registered number on PROSPERO</h3><div>CRD42022363094.</div><div><span><span>https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=363094</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"17 5","pages":"Pages 276-285"},"PeriodicalIF":2.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72016151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.1016/j.anr.2023.11.002
Cuiting Liu , Cuiping Liu , Huiting Gao , Xuefen Yu , Chunying Chen , Hangying Lin , Lijuan Qiu , Liangying Chen , Hongmei Tian
Purpose
This study aimed to investigate reproductive concerns among breast cancer patients of reproductive age, analyze the influencing factors, explore the relationship between coping styles, fear of progression (FOP), and reproductive concerns, and identify the multiple effects of coping styles on the relationship between FOP and reproductive concerns among Chinese breast cancer patients.
Methods
A cross-sectional, descriptive study was conducted among breast cancer patients in four tertiary grade A hospitals in Fujian, China, from January 2022 to September 2022. A total of 210 patients were recruited to complete paper-based questionnaires, which included the general data questionnaires, the Reproductive Concerns After Cancer Scale (RCACS), the Fear of Progression Questionnaire-Short Form (FOP-Q-SF), and the Medical Coping Modes Questionnaire (MCMQ). Structural equation models were utilized to evaluate the multiple effects of coping styles on FOP and reproductive concerns.
Results
Reproductive concerns in breast cancer patients had a mean score of 53.02 (SD, 10.69), out of a total score of 90, and coping styles for cancer (confrontation, avoidance) were closely associated with FOP and reproductive concerns. FOP showed a significant positive correlation with reproductive concerns (r = .52, p < .01). At the same time, confrontation was significantly negatively correlated with both FOP (r = −.28, p < .01) and reproductive concerns (r = −.39, p < .01). Avoidance was positively correlated to both FOP (r = .25, p < .01) and reproductive concerns (r = .34, p < .01). The impact of FOP on reproductive concerns is partially mediated by confrontation and avoidance, with effect sizes of .07 and .04, respectively. These mediating factors account for 22.0% of the total effect.
Conclusions
The FOP directly impacted reproductive concerns, while coping styles could partially mediate the association between FOP and reproductive concerns. This study illustrates the role of confrontation and avoidance in alleviating reproductive concerns, suggesting that it is necessary to focus on the changes in reproductive concerns among reproductive-age breast cancer patients. Healthcare professionals can improve disease awareness and reduce patients' FOP, thereby promoting positive psychological and coping behaviors and ultimately alleviating reproductive concerns.
{"title":"Mediation Effects of Coping Styles on Fear of Progression and Reproductive Concerns in Breast Cancer Patients of Reproductive Age","authors":"Cuiting Liu , Cuiping Liu , Huiting Gao , Xuefen Yu , Chunying Chen , Hangying Lin , Lijuan Qiu , Liangying Chen , Hongmei Tian","doi":"10.1016/j.anr.2023.11.002","DOIUrl":"10.1016/j.anr.2023.11.002","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to investigate reproductive concerns among breast cancer patients of reproductive age, analyze the influencing factors, explore the relationship between coping styles, fear of progression (FOP), and reproductive concerns, and identify the multiple effects of coping styles on the relationship between FOP and reproductive concerns among Chinese breast cancer patients.</div></div><div><h3>Methods</h3><div>A cross-sectional, descriptive study was conducted among breast cancer patients in four tertiary grade A hospitals in Fujian, China, from January 2022 to September 2022. A total of 210 patients were recruited to complete paper-based questionnaires, which included the general data questionnaires, the Reproductive Concerns After Cancer Scale (RCACS), the Fear of Progression Questionnaire-Short Form (FOP-Q-SF), and the Medical Coping Modes Questionnaire (MCMQ). Structural equation models were utilized to evaluate the multiple effects of coping styles on FOP and reproductive concerns.</div></div><div><h3>Results</h3><div>Reproductive concerns in breast cancer patients had a mean score of 53.02 (<em>SD</em>, 10.69), out of a total score of 90, and coping styles for cancer (confrontation, avoidance) were closely associated with FOP and reproductive concerns. FOP showed a significant positive correlation with reproductive concerns (<em>r</em> = .52, <em>p</em> < .01). At the same time, confrontation was significantly negatively correlated with both FOP (<em>r</em> = −.28, <em>p</em> < .01) and reproductive concerns (<em>r</em> = −.39, <em>p</em> < .01). Avoidance was positively correlated to both FOP (<em>r</em> = .25, <em>p</em> < .01) and reproductive concerns (<em>r</em> = .34, <em>p</em> < .01). The impact of FOP on reproductive concerns is partially mediated by confrontation and avoidance, with effect sizes of .07 and .04, respectively. These mediating factors account for 22.0% of the total effect.</div></div><div><h3>Conclusions</h3><div>The FOP directly impacted reproductive concerns, while coping styles could partially mediate the association between FOP and reproductive concerns. This study illustrates the role of confrontation and avoidance in alleviating reproductive concerns, suggesting that it is necessary to focus on the changes in reproductive concerns among reproductive-age breast cancer patients. Healthcare professionals can improve disease awareness and reduce patients' FOP, thereby promoting positive psychological and coping behaviors and ultimately alleviating reproductive concerns.</div></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":"17 5","pages":"Pages 245-252"},"PeriodicalIF":2.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72016152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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