Geriatric Nursing最新文献

{"title":"Validation of the Chinese version of the delirium diagnostic tool-provisional (DDT-Pro) among the older adults in the community","authors":"Shuyi Xu MSN ,&nbsp;Jiyu Chen MSN ,&nbsp;Huohuo Dai DSN ,&nbsp;Qing Zhang MSN ,&nbsp;José G. Franco MD, PhD","doi":"10.1016/j.gerinurse.2026.103957","DOIUrl":"10.1016/j.gerinurse.2026.103957","url":null,"abstract":"<div><h3>Objective</h3><div>To validate the Chinese version of the DDT-Pro and to define its cutoffs for delirium and for subsyndromal delirium in community-dwelling older adults.</div></div><div><h3>Methods</h3><div>This cross-sectional study included 591 participants. We determined the DDT-Pro cutoffs for best sensitivity, best specificity, or high combined sensitivity-specificity in delirium and subsyndromal delirium assessment.</div></div><div><h3>Results</h3><div>The ROC curve analysis of the DDT-Pro using the DSM-5-TR and the Delirium Rating Scale-Revised-98 (DRS-R98) as diagnostic standards displayed AUCs of 0.93 and 0.86. The ≤ 7 cutoff of the DDT-Pro is for detecting even SSD, the ≤ 6 cutoff favors sensitivity for delirium screening and is recommended for routine use, and the ≤ 5 cutoff favors specificity and has high combined sensitivity-specificity. The ≤ 6 cutoff had 95.35% sensitivity and 81.75% specificity for DSM-5-TR delirium, while the sensitivity and specificity for DRS-R98 delirium were 82.14% and 82.24%. The DDT-Pro displayed excellent inter-rater reliability in this sample, as well as high correlation with the DRS-R98 Severity scale in patients with DSM-5-TR delirium.</div></div><div><h3>Conclusion</h3><div>The Chinese DDT-Pro is valid and reliable for assessing delirium and its severity, with high screening performance at the ≤ 6 cutoff and other cutoff options for more specific diagnosis or for subsyndromal delirium detection.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"70 ","pages":"Article 103957"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147373306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Palliative care nursing journey in home healthcare: A grounded theory study","authors":"İkbal Oğuz Karaalp MSc ,&nbsp;Bilge Kalanlar PhD","doi":"10.1016/j.gerinurse.2026.103985","DOIUrl":"10.1016/j.gerinurse.2026.103985","url":null,"abstract":"<div><h3>Objective</h3><div>This study was conducted to examine the approaches of nurses working in home health care to palliative care, to determine their expectations regarding palliative care nursing, and to describe their journey toward palliative care nursing.</div></div><div><h3>Methods</h3><div>The study was designed using the grounded theory method following the Strauss and Corbin version. The study was conducted with 12 nurses working in the Home Health Services Unit of a state hospital. The study was conducted between July 2023 and February 2024. Data analysis included open coding, axial coding, and selective coding.</div></div><div><h3>Results</h3><div>The ages of the nurses participating in the study ranged from 23 to 27, and their palliative care experience ranged from 2 to 14 years. The study revealed that the journey of palliative care nursing goes through three stages: (1) Professional inadequacy and emotional turmoil; initial encounter with a palliative care patient, insufficient nursing knowledge, ineffective use of communication, developing emotional insight (2) Educational and skill development; skills developed through apprenticeship, attitude towards palliative care nursing, risk and crisis management (3) Transition to a Holistic Practice; integrating the environment into care planning, individual and cultural beliefs, identifying patient-specific issues, planning appropriate trainings, multidisciplinary approach. Challenges and facilitating factors affecting this process have been identified.</div></div><div><h3>Conclusion</h3><div>This study provides valuable insights into enhancing the quality of palliative care delivered by nurses in home care settings. It also highlights the critical importance of supporting nurses' professional development in the delivery of holistic palliative care.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"70 ","pages":"Article 103985"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147373545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aerobic exercise combined with varied duration cognitive training to improve age-related cognitive impairment: A randomized controlled trial","authors":"Conglin Han MSc ,&nbsp;Jianjun Lv PhD ,&nbsp;Ruifeng Sun PhD ,&nbsp;Qiaoxia Zhen PhD ,&nbsp;Li Song MSc ,&nbsp;Jilin Wu MSc ,&nbsp;Yijia Chi MSc ,&nbsp;Weijun Gong PhD","doi":"10.1016/j.gerinurse.2026.103981","DOIUrl":"10.1016/j.gerinurse.2026.103981","url":null,"abstract":"<div><div>The study investigated the effectiveness of combining aerobic exercise (AE) with varying durations of cognitive training (CT) to improve age-related cognitive impairment. In a randomized controlled trial with 84 participants, they were assigned to one of four groups: 30-min AE + 30-min CT, 30-min AE + 15-min CT, AE-only, or a control group. Over 12 weeks, participants performed moderate-intensity aerobic exercise three times per week, with cognitive training durations of 30, 15, or 0 min. Significant improvements in cognitive function (MoCA scores) were observed in all exercise groups, with the 30-min AE + 30-min CT group showing the most pronounced benefits. This group also showed improvements in physical and mental quality of life (SF-36). No significant changes were noted in the MMSE or activities of daily living (Lawton-IADL scale). The findings suggest that combining aerobic exercise with 30-minute cognitive training improves cognitive function and quality of life in older adults.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"70 ","pages":"Article 103981"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147388179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Applying a quality control circle framework to facilitate out-of-bed and physical activities in a long-term residential care facility: a quality improvement project","authors":"Hui-Hui Chien MSN ,&nbsp;Fu-Chih Lai PhD ,&nbsp;Po-Wei Yu BSN ,&nbsp;Man-Ling Yu MSN ,&nbsp;Pon-Yuan Chang MD ,&nbsp;Yen-Chen Yang MM ,&nbsp;Bor-An Chen PhD","doi":"10.1016/j.gerinurse.2026.103976","DOIUrl":"10.1016/j.gerinurse.2026.103976","url":null,"abstract":"<div><h3>Introduction</h3><div>Residents in long-term residential care facilities (LTRCFs) commonly exhibit low levels of routine out-of-bed activity (OBA), which are closely associated with functional independence, activities of daily living (ADL), and quality of life (QOL). However, evidence on feasible and rapidly effective implementation strategies to enhance routine OBA in long-term care settings remains limited.</div></div><div><h3>Objective</h3><div>This project evaluated the effectiveness of implementing a Quality Control Circle (QCC) framework to improve routine OBA among LTRCF residents and its short-term effects on ADL performance, with an emphasis on feasibility and early clinical benefit to support practice implementation.</div></div><div><h3>Methods</h3><div>A multidisciplinary QCC team was established in a long-term residential care facility. Guided by the Plan–Do–Check–Act (PDCA) cycle, a structured 12-step QCC framework was developed through statistical analysis, group discussions, and brainstorming to identify barriers to routine OBA facilitation. Standard operating procedures for routine OBA and 13 targeted action plans were integrated into daily care workflows. Short-term process and outcome indicators were evaluated.</div></div><div><h3>Results</h3><div>Following implementation, routine OBA participation increased from 23% at baseline to 65% post-intervention, corresponding to an improvement rate of 182.61% and an achievement rate of 241.52% relative to the predefined project target. Mean ADL scores improved from 70.58 to 80.08, representing a statistically significant 9.5-point increase (<em>t</em> = 18.01, <em>p</em> &lt; 0.0001). Additional benefits included improved multidisciplinary communication, problem-solving, and team collaboration.</div></div><div><h3>Conclusion</h3><div>The QCC framework effectively enhanced routine OBA participation and ADL performance in a long-term residential care setting. Although long-term sustainability requires further evaluation, the demonstrated short-term feasibility and early functional benefits support early implementation in clinical practice.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"70 ","pages":"Article 103976"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147388180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Internal experience of an aging self: A grounded theory study on women’s aging awareness beyond midlife","authors":"Eui Geum Oh PhD, RN, FAAN ,&nbsp;Sunyoung Oh MSN, RN ,&nbsp;JeeHee Han PhD, RN","doi":"10.1016/j.gerinurse.2026.103967","DOIUrl":"10.1016/j.gerinurse.2026.103967","url":null,"abstract":"<div><h3>Purpose</h3><div>Awareness of one’s own aging is a critical psychological process that shapes adaptation and well-being in later life. For women, age awareness is influenced by gendered experiences such as bodily changes, menopause, and shifting social roles. This study aimed to develop a grounded theory explaining how women aged 50–75 construct and adapt their awareness of aging through everyday life contexts.</div></div><div><h3>Methods</h3><div>This study was guided by constructivist grounded theory, informed by symbolic interactionism and social constructionism. Nineteen in-depth interviews were conducted between 2021 and 2023. Data were analyzed using constant comparative methods, including initial and focused coding, memo writing, and theoretical integration.</div></div><div><h3>Results</h3><div>The core category, internal experience of an aging self, emerged as the central adaptive process. Initially not aware of one’s own aging, participants gradually developed an emerging awareness, often followed by confusion as they struggled to interpret the changes. Internalization involved mirroring aging through self and close others, reflecting on the normal life cycle, and managing oneself in accordance with age-related changes, ultimately leading to embracing aging with psychological balance. Some faced emotional turmoil—triggered by chronic conditions, negative body image, and financial or role insecurity—and developed a negative outlook on one’s future self, reflecting disruption in the internalization process.</div></div><div><h3>Conclusion</h3><div>These findings suggest the importance of gerontological nursing interventions that support emotional resilience, reflective adaptation, and self-directed aging. Tailored strategies that facilitate women’s internalization of aging may promote psychological well-being and agency in later life.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"70 ","pages":"Article 103967"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147373637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing employee retention in nursing homes through non-monetary incentives: Insights from focus groups","authors":"Harshitha Ramanan MHA ,&nbsp;Melissa Kalarchian PhD ,&nbsp;Anthony Pezzone MHA ,&nbsp;Charles Rhoads MD, MBA, NHA ,&nbsp;Faina Linkov PhD","doi":"10.1016/j.gerinurse.2026.103983","DOIUrl":"10.1016/j.gerinurse.2026.103983","url":null,"abstract":"<div><h3>Objective</h3><div>Employee turnover has been a persistent challenge in U.S. nursing homes. The annual turnover rate of 48.71% among nursing staff has significant negative impacts on residents’ quality of care and well-being. This qualitative study aimed to understand the complex factors which influence nursing home employee retention to identify incentives (perks) which have the potential to increase retention in long-term care settings.</div></div><div><h3>Methods</h3><div>We conducted 3 focus groups with a total of 31 participants at a 115-bed nursing home, with the goal of gathering employee perspectives on factors influencing personal retention decisions. A focus group interview guide was employed to facilitate the discussions, while allowing flexibility for participants to introduce additional topics. Two moderators were present during each session to guide the discussions, take notes, and record meetings. Thematic analysis was used to analyze focus group data.</div></div><div><h3>Results</h3><div>Four main recurrent themes and several subthemes emerged from these discussions: 1. Recognition (subthemes: verbal/written recognition and tangible rewards); 2. Culture (subthemes: interpersonal dynamics, flexibility, and management); 3. Nutrition (subthemes: food and drink); and 4. Other incentives (educational benefits, career promotion). Participants identified traditional benefits, such as salary and dedicated sick leave, as important retention factors.</div></div><div><h3>Discussion</h3><div>Focus group participants indicated that incentives may influence their intention to leave. Future research should explore this area across more specific nursing staff groups and examine policy-level strategies for implementing retention incentives in long-term care settings with the goal of improving care and outcomes among the residents of long-term care facilities.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"70 ","pages":"Article 103983"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147388111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationships between self-management behavior with psychological distress, health literacy and interoceptive sensibility in stroke survivors: a structural equation model","authors":"Yunmei Guo MD,&nbsp;Yu Shan MSc,&nbsp;Shouwen Peng MSc,&nbsp;Xin Yan MD","doi":"10.1016/j.gerinurse.2026.103962","DOIUrl":"10.1016/j.gerinurse.2026.103962","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the direct and indirect relationships between self-management behavior, psychological distress, health literacy, and interoceptive sensibility in stroke survivors using a structural equation model (SEM).</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted with 417 stroke survivors. Validated scales measured self-management behavior (Stroke Self-Management Questionnaire), psychological distress (SCL-90), health literacy (Health Literacy Questionnaire), and interoceptive sensibility (Multidimensional Assessment of Interoceptive Awareness). SEM was used to analyze hypothesized pathways and mediation effects.</div></div><div><h3>Results</h3><div>The final SEM model demonstrated acceptable fit (CFI = 0.88, RMSEA = 0.08). The indirect effects of interoceptive sensibility and health literacy on self-management behavior were -0.075(<em>p</em> &lt; 0.01) and 0.182(<em>p</em> &lt; 0.01), respectively, while the total effect of interoceptive sensibility on self-management behavior was 0.136(<em>p</em> &lt; 0.01). Interoceptive sensibility was significantly related to self-management behavior (β = 0.19, <em>p</em> &lt; 0.01), psychological distress (β = 0.62, <em>p</em> &lt; 0.01), and health literacy (β = 0.67, <em>p</em> &lt; 0.01). Demographic characteristics were inversely related to self-management behavior (β = −0.04, <em>p</em> = 0.007). Psychological distress had a significant negative association on self-management behavior (β= −0.22, <em>p</em> &lt; 0.01), while health literacy had a significant positive association on self-management behavior (β= 0.42, <em>p</em> &lt; 0.01).</div></div><div><h3>Conclusion</h3><div>Interoceptive sensibility is a critical association of self-management behavior in stroke survivors, with psychological distress and health literacy acting as mediators. Interventions should prioritize reducing psychological distress, improving health literacy, and integrating interoceptive awareness training.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"70 ","pages":"Article 103962"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147372710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Constructing a theoretical model based on grounded theory to evaluate the downstream effects of home caregiver burden in hemodialysis patients","authors":"Xianghua Yin BA ,&nbsp;Caizhen Hu BA","doi":"10.1016/j.gerinurse.2026.103925","DOIUrl":"10.1016/j.gerinurse.2026.103925","url":null,"abstract":"<div><div>This study aimed to develop an analytical theoretical model of care burden’s downstream effects on hemodialysis patients’ family caregivers using grounded theory (Strauss-Corbin paradigm). From January to June 2023, 80 caregivers from three tertiary hospitals were selected via purposive and theoretical sampling. Semi-structured interviews collected qualitative data; the Zarit Burden Interview (ZBI) aided sampling (selecting those with mild-to-severe burden) and validation, not core quantitative analysis. NVIVO 12.0 supported three-level coding, with anonymized interview vignettes and trustworthiness strategies (triangulation, etc.) boosting transparency. Results identified five dimensions (mental health as core) and a dynamic transmission pathway forming a burden cycle, first revealing this mechanism to guide clinical multi-dimensional interventions.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103925"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146168069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mechanisms of insulin resistance in elderly sarcopenia patients and their bidirectional relationship","authors":"Haiyan Du M.M.,&nbsp;Yuqing Qu M.M.,&nbsp;Zhouyang Huai M.M.,&nbsp;Shumin Wang M.M.","doi":"10.1016/j.gerinurse.2026.103907","DOIUrl":"10.1016/j.gerinurse.2026.103907","url":null,"abstract":"","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103907"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146025018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of physical exercise on osteosarcopenia in older adults: A systematic review","authors":"Erika Aparecida Silveira PhD ,&nbsp;Guilherme Vinícius Elias Souza MHSc ,&nbsp;Luciana Pereira Rodrigues MHSc ,&nbsp;Andréa Toledo de Oliveira Rezende PhD ,&nbsp;Amanda Maria de Sousa Romeiro MHSc, PhD ,&nbsp;Matias Noll PhD ,&nbsp;Cesar de Oliveira PhD","doi":"10.1016/j.gerinurse.2026.103878","DOIUrl":"10.1016/j.gerinurse.2026.103878","url":null,"abstract":"<div><h3>Background</h3><div>Osteosarcopenia is a geriatric syndrome characterized by the coexistence of sarcopenia and osteopenia/osteoporosis, which can lead to frailty and mortality. The effectiveness of physical exercise on osteosarcopenia, particularly on muscular and skeletal parameters, remains unclear. This systematic review aimed to analyze the impact of exercise interventions on osteosarcopenia in older adults and to describe the diagnostic methods used in different clinical trials.</div></div><div><h3>Methods</h3><div>Randomized clinical trials conducted in older adults (≥65 years) diagnosed with osteosarcopenia were included, sourced from PubMed, Embase, Cochrane, and Scopus databases without language or publication year restrictions, up to July 2024. Osteosarcopenia was defined as the coexistence of sarcopenia and osteopenia/osteoporosis based on dual-energy X-ray absorptiometry (DXA) criteria. Exercise interventions of at least four weeks were considered, with comparisons to non-exercise control groups. This systematic review followed the PRISMA guidelines and was registered in PROSPERO (CRD42016043310).</div></div><div><h3>Results</h3><div>A total of 250 articles were identified, but only four studies met the eligibility criteria, involving 195 participants. All included studies utilized resistance training (RT) as the exercise intervention. The most common diagnostic criteria for osteosarcopenia were based on the T-score of the lumbar spine and/or femur, measured via DXA, using World Health Organization cut-off points for bone mineral density (BMD) and the criteria from the European Working Group on Sarcopenia in Older People for sarcopenia. RT was found to be effective in increasing strength and muscle mass in older adults diagnosed with osteosarcopenia, though it did not significantly improve physical performance.</div></div><div><h3>Conclusion</h3><div>There are few studies on this topic, making it difficult to draw definitive conclusions regarding the effectiveness of physical exercise in older adults with osteosarcopenia. Resistance training showed positive results, particularly in improving strength and muscle mass.</div></div><div><h3>PROSPERO registration number</h3><div><span><span>https://www.crd.york.ac.uk/PROSPERO/view/CRD42020215659</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"69 ","pages":"Article 103878"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}