Geriatric Nursing最新文献

{"title":"Elderly patients’ involvement in medical decision-making and its influencing factors: A cross-sectional study","authors":"Zijie Xu MPH, BNurs, RN ,&nbsp;Yujia Zhou MPH, BNurs, RN ,&nbsp;Daniel Yee Tak Fong PhD ,&nbsp;Naomi Takemura PhD, BNurs, RN","doi":"10.1016/j.gerinurse.2025.103678","DOIUrl":"10.1016/j.gerinurse.2025.103678","url":null,"abstract":"<div><h3>Purpose</h3><div>To examine the degree of involvement of elderly patients in medical decision-making and identify the factors influencing the involvement.</div></div><div><h3>Methods</h3><div>150 elderly participants were recruited from 2023 to 2024. Data on patients’ involvement in medical decision-making, preferred role, satisfaction, social support, and sociodemographic characteristics were collected via self-report questionnaires. Structured multiphase regression analyses were adopted to identify factors that influenced the patients’ involvement.</div></div><div><h3>Results</h3><div>The mean overall involvement score was 0.78 (SD = 0.26). Elderly participants who were female (β = 0.092, P = 0.029), had spouses (β = 0.222, P = 0.004) or relatives (β = 0.208, P = 0.030) as primary caregivers, or retired (β = 0.327, P = 0.034) had a significantly higher overall involvement.</div></div><div><h3>Conclusions</h3><div>Healthcare professionals should prioritize identifying individuals who exhibit lower levels of involvement in medical decision-making and work towards removing the barriers that impede their active involvement.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103678"},"PeriodicalIF":2.4,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145330902","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":"Musculoskeletal disorders and psychosocial risks in geriatric nursing aides: the mediating role of social support at work","authors":"Laura Mateos-González ,&nbsp;Julio Rodríguez-suárez ,&nbsp;Jose Antonio Llosa ,&nbsp;Sara Menéndez-espina ,&nbsp;Esteban Agulló-tomás","doi":"10.1016/j.gerinurse.2025.103689","DOIUrl":"10.1016/j.gerinurse.2025.103689","url":null,"abstract":"<div><h3>Aim</h3><div>To analyse the link between Musculoskeletal Disorders (MSDs) and certain psychosocial risk factors in the context of geriatric nursing aides. To explore social support at work as a mediating variable between other psychosocial risks and the onset of musculoskeletal symptoms.</div></div><div><h3>Methods</h3><div>A cross-sectional observational study was carried out. Data from a sample of 526 nursing aides working in 35 residential centres for the elderly of a Spanish region were collected. Validated scales such as the Nordic Musculoskeletal Questionnaire and Job Content Questionnaire were used to measure prevalence of musculoskeletal disorders and different psychosocial risks (psychological demand, social support from supervisors and peers, control over work). A parallel mediation analysis was carried out to determine the mediating role of social support at work on the relationship between the psychological job demands and MSDs.</div></div><div><h3>Results</h3><div>Psychological demand and social support at work were significantly linked (<em>U</em> = 17,792; <em>U</em> = 18,766, <em>p</em> &lt; .001) to musculoskeletal health.The results from the parallel mediation analysis showed that the indirect effect of the psychological demand on MSDs via social support form supervisors was also statistically significant (β = 0.079; CI = 0.034; 0.137) but not so in the case of social support from peers (β= - 0.008; CI= - 0.041; 0.010).</div></div><div><h3>Conclusions</h3><div>Psychological demand and social support are risks significantly associated with musculoskeletal health. Social support received from supervisors acts as a protective factor against MSDs in workers with high-demand jobs. However, social support from peers does not have a significant effect on the model proposed.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103689"},"PeriodicalIF":2.4,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318963","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":"Development and internal validation of a nomogram predictive model of self-awareness of fall risk among older hospitalized patients in China: A cross-sectional study","authors":"Xinxin LI ,&nbsp;Xinkai ZHOU ,&nbsp;Yingxia LI ,&nbsp;Yating HAN ,&nbsp;Hongmei MA ,&nbsp;Ruiqi WANG ,&nbsp;Xiao ju TENG ,&nbsp;Mei Sin CHONG ,&nbsp;Si Qi YOONG ,&nbsp;Ying JIANG","doi":"10.1016/j.gerinurse.2025.103688","DOIUrl":"10.1016/j.gerinurse.2025.103688","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to determine the factors associated with low self-awareness of fall risk among older hospitalized patients, and to develop a nomogram and evaluate its internal validity for identifying older hospitalized patients with lower self-awareness of fall risk.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted at a tertiary hospital affiliated with Wannan Medical College in Anhui, China. Between October 2023 and March 2024, 605 participants were recruited using a convenience sampling method. Data collection was conducted using the Self-awareness of Falls in Elderly Scale (SAFE), the Help-Participation-Loneliness-Financial-Talk scale (HALFT), the Tilburg Frailty Inventory (TFI), and a self-developed general information questionnaire. Multivariate logistic regression analyses were performed to identify significant factors associated with low self-awareness of fall risk. A nomogram predictive model for low self-awareness of fall risk was constructed using the R4.3.3 software. The performance of the nomogram was evaluated using receiver operator characteristics (ROC), area under the curve (AUC), calibration curves, and decision curves analysis (DCA). Internal validation was implemented using 1000 bootstrap samples to mitigate overfitting.</div></div><div><h3>Results</h3><div>17.9 % of the older hospitalized patients had low self-awareness regarding their fall risk(<em>N</em> = 605). A comprehensive nomogram prediction model was developed, incorporating factors such as fall history in the past year, monthly income, disease type, HALFT score, TFI score, and physical activity level. The area under the receiver operating characteristic curve (AUC) for the nomogram model was 0.895 (95 % confidence interval: 0.863, 0.928), while the maximum Yoden index for the nomogram prediction model was 0.643, using bootstrap 1000 resampling method, the calculated AUC mean value was 0.911.</div></div><div><h3>Conclusion</h3><div>We develop a nomogram model that could potentially help healthcare professionals in early identification of older patients at risk of low self-awareness of fall risk during hospitalization. However, further external validation is needed in the future.</div></div><div><h3>Patient or Public Contribution</h3><div>None.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103688"},"PeriodicalIF":2.4,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318917","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":"Exploring treatment burden and its mediating role between comorbidities and health related quality of life among older patients with COPD","authors":"Seda Sönmez ,&nbsp;Mehmet Top","doi":"10.1016/j.gerinurse.2025.103686","DOIUrl":"10.1016/j.gerinurse.2025.103686","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to identify factors contributing to treatment burden in older patients with COPD and to examine its mediating role between comorbidity and health-related quality of life (HRQoL).</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted with 332 outpatients with COPD. Treatment burden was assessed using the Treatment Burden Questionnaire (TBQ), HRQoL with the COPD Assessment Test (CAT), and comorbidity with the COTE Index. Additional measures included the Medication Regimen Complexity Index (MRCI), the Multidimensional Scale of Perceived Social Support (MSPSS), and the Self-Efficacy for Managing Chronic Disease scale (SEMCD).</div></div><div><h3>Results</h3><div>Treatment burden was higher among individuals with older age, more comorbidities, more severe COPD grade, and complex treatment regimens. Higher self-efficacy and social support were associated with lower treatment burden. Treatment burden also mediated the relationship between comorbidity and HRQoL.</div></div><div><h3>Conclusions</h3><div>This study highlights the need for targeted strategies to address treatment burden in older patients with COPD.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103686"},"PeriodicalIF":2.4,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318929","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":"Aging in Sub-Saharan Africa: A qualitative synthesis of older people’s perceptions and experiences using the ecological systems theory","authors":"Gideon Dzando ,&nbsp;Paul Ward ,&nbsp;Lillian Mwanri ,&nbsp;Dennis Asante ,&nbsp;Eunice Okyere ,&nbsp;Rachel C. Ambagtsheer","doi":"10.1016/j.gerinurse.2025.103663","DOIUrl":"10.1016/j.gerinurse.2025.103663","url":null,"abstract":"<div><h3>Objective</h3><div>To synthesize the best available evidence on the perceptions and experiences of aging among older people in Sub-Saharan Africa using the Ecological Systems Theory as a framework.</div></div><div><h3>Methods</h3><div>The study was conducted according to the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) framework. A systematic search was performed across six databases (PubMed, CINAHL, Africa Journal Online, Google Scholar, Scopus, and Web of Science). Primary studies were analysed using a hybrid thematic analysis approach.</div></div><div><h3>Results</h3><div>Overall, 30 studies conducted in nine countries met the inclusion criteria. The perceptions and experiences of aging were influenced by familial bonds and intergenerational tensions, healthcare and community interactions, economic conditions and national policies, gender dynamics, and historical and socio-cultural shifts.</div></div><div><h3>Conclusion</h3><div>The interventions for older people in Sub-Saharan Africa require approaches that are both culturally and contextually sensitive to their needs at both micro and macro levels of policy and care.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103663"},"PeriodicalIF":2.4,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145318993","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":"Analysis of exercise programs in assisted living facilities – a cross-sectional study","authors":"Howe Liu PT, PhD, MS, FGSA ,&nbsp;Yasser Salem PT, PhD ,&nbsp;Connor Murphy BS ,&nbsp;Ngozi Akotaobi DPT ,&nbsp;Eric Arguello PT, PhD","doi":"10.1016/j.gerinurse.2025.103685","DOIUrl":"10.1016/j.gerinurse.2025.103685","url":null,"abstract":"<div><div>This study aimed to describe exercise programs in assisted living facilities (ALFs) across 12 facilities (totally 1167 residents at the time) in an urban area of the United States, involving 216 residents (18.51%, 216/1167) who were able to walk to the activity room with or without assistive devices. Data collected included participant demographics, activity director information, and exercise parameters. Among participants, 55% (119/216) used assistive devices such as walkers or canes, and only 16.8% (20/119) had their devices assessed by a healthcare profession with last 12 months. Activity directors had 2 to 12 years of experience with varied educational backgrounds. All facilities offered seated exercises, while four also included standing exercises. Exercise programs focused on a range of motion, some combined with resistance or functional training, occurring 3-5 times per week for 30-45 minutes. Despite differences in director’s experience, most programs were low intensity, emphasizing flexibility and light resistance. The findings revealed a predominance of low-intensity regimens and indicated a need for better training for activity directors in moderate and high intensity aerobic and strengthening exercises, and need of encouraging for more residents to engage in physical activity.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103685"},"PeriodicalIF":2.4,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145319006","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":"Relationship between nutritional indicators and septic shock in older patients with community acquired pneumonia - A retrospective cohort study","authors":"Sha Huang MD ,&nbsp;Jianqun Li BD ,&nbsp;Yang Li BD ,&nbsp;Yan Guo BD ,&nbsp;Qiying Zhou BD ,&nbsp;Xiaoli Wu BD ,&nbsp;Yan Wang BD ,&nbsp;Xiaoyan Chen MD","doi":"10.1016/j.gerinurse.2025.103665","DOIUrl":"10.1016/j.gerinurse.2025.103665","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this research was to investigate the association between the Geriatric Nutritional Risk Index (GNRI) and its components body mass index (BMI) and albumin (ALB) and septic shock in hospitalized older patients with community acquired pneumonia (CAP).</div></div><div><h3>Methods</h3><div>This was a retrospective observational analysis. GNRI was calculated as 14.89 × serum ALB (g/ dL) +41.7 × BMI/22 (kg/m²). The association between ALB, BMI, GNRI, and septic shock was examined using logistic regression analysis.</div></div><div><h3>Results</h3><div>This study enrolled 794 older patients with CAP. With ALB, BMI, and GNRI as continuous variables, the incidence of septic shock reduced with the rise of ALB (OR=0.935, 95 %CI: 0.906–0.964, <em>P</em> &lt; 0.001) and GNRI (OR=0.962, 95 %CI: 0.945–0.979, <em>P</em> &lt; 0.001). When ALB, BMI, and GNRI were classified variables, low ALB groups and low GNRI groups had a higher probability of developing septic shock compared to high ALB groups and high GNRI groups (ALB: OR=1.94, 95 % CI: 1.323–2.847; GNRI: OR=2.071, 95 % CI: 1.413–3.036). However, we found that BMI was unrelated to septic shock.</div></div><div><h3>Conclusion</h3><div>The findings showed that ALB and GNRI, but not BMI, are strongly associated with the risk of septic shock in older patients with CAP.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103665"},"PeriodicalIF":2.4,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145314317","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":"Differences in the utilization of informal, formal and medical care between frail and non-frail community-dwelling older adults in South Tyrol (Italy), a cross-sectional survey study","authors":"Dietmar Ausserhofer PhD RN ,&nbsp;Giuliano Piccoliori MD ,&nbsp;Janine Santifaller MD ,&nbsp;Adolf Engl MD ,&nbsp;Angelika Mahlknecht PhD MD ,&nbsp;Barbara Plagg PhD ,&nbsp;Verena Barbieri PhD ,&nbsp;Nicoletta Colletti ,&nbsp;Stefano Lombardo ,&nbsp;Timon Gärtner ,&nbsp;Heike Wieser PhD ,&nbsp;Waltraud Tappeiner PhD RN ,&nbsp;Christian J. Wiedermann MD","doi":"10.1016/j.gerinurse.2025.103670","DOIUrl":"10.1016/j.gerinurse.2025.103670","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aimed to explore differences in the utilization of informal, formal, and medical care between frail and non-frail older adults.</div></div><div><h3>Methods</h3><div>This was a cross-sectional, population-based survey study with a stratified probabilistic sample of adults aged ≥ 75 years living in South Tyrol (Autonomous Province of Bolzano, Italy). A random sample of 3600 community-dwelling older adults living at home was invited to complete a questionnaire that included frailty (PRISMA-7) and single self-developed items on the care utilization. Descriptive and logistic regression analyses were performed to analyze the data.</div></div><div><h3>Results</h3><div>A total of 1695 (47 %), community-dwelling older adults completed the survey with 33.9 % (574) considered frail. Frail older adults were more likely to use informal and formal care (OR = 5.24, <em>P</em> &lt; 0.001), including occasional care from family members (79.1 %), private family assistants (20.7 %), and care from home care services (14.5 %). Regular GP visits (15 %) were not significantly associated with frailty.</div></div><div><h3>Conclusions</h3><div>Frail older adults in South Tyrol use informal and formal care to effectively manage their health ‘at home.’ Regular GP visits and geriatric nursing care as part of a community-based interprofessional program for the prevention and management of frailty are indicated to mitigate the increased informal and formal care needs.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103670"},"PeriodicalIF":2.4,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145314384","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":"Depression and self-neglect among community-dwelling older adults in China: the mediating role of psychological capital","authors":"Lin Wang ,&nbsp;Yuwen Wang ,&nbsp;Yuxi Wang ,&nbsp;Liwei Wang ,&nbsp;Sheng Luo ,&nbsp;Yuxiu Liu","doi":"10.1016/j.gerinurse.2025.103668","DOIUrl":"10.1016/j.gerinurse.2025.103668","url":null,"abstract":"<div><h3>Objective</h3><div>This study was to examine the mediating role of geriatric psychological capital between depression and older adults’ self-neglect.</div></div><div><h3>Methods</h3><div>This was an exploratory quantitative cross-sectional study conducted in Shandong Province, China. The Scale of the Elderly Self-neglect (SESN), the Geriatric Depression Scale-Short Form (GDS-SF), and the Elderly’s Psychological Capital Questionnaire (EPCQ) were used to evaluate the older adults’ self-neglect, the older adults’ depression, and the geriatric psychological capital respectively.</div></div><div><h3>Results</h3><div>A total of 304 community older adults were included. Depression was significantly correlated with older adults’ self-neglect (<em>r</em> = 0.197, <em>P</em> &lt; 0.05). Geriatric psychological capital plays a significant mediating role between depression and older adults’ self-neglect, explaining 39.01% of the total effect.</div></div><div><h3>Conclusion</h3><div>Depression is negatively associated with psychological capital, and lower psychological capital is linked to increased older adults’ self-neglect. By comprehending this mediating effect, interventions can be formulated to boost psychological capital and diminish the risk of depression and older adults’ self-neglect.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103668"},"PeriodicalIF":2.4,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145314356","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 comprehensive ability status and influencing factors of elderly in the long-term care facilities: a multi-center cross-sectional study","authors":"Yuru Luo MD ,&nbsp;Fengling Dai Ph.D ,&nbsp;Jing Luo MD ,&nbsp;Xuejie Liu BD ,&nbsp;Yue Wang BD ,&nbsp;Mei Ju MD","doi":"10.1016/j.gerinurse.2025.103638","DOIUrl":"10.1016/j.gerinurse.2025.103638","url":null,"abstract":"<div><h3>Background</h3><div>This study aims to investigate the comprehensive ability status and influencing factors of elderly people living in long-term care institutions in Southwest China, and provide evidence for improving the quality of elderly care services.</div></div><div><h3>Method</h3><div>This cross-sectional study surveyed elderly people in 22 long-term care institutions in three cities in southwestern China. Use the industry standard \"Assessment of Elderly Ability\" questionnaire for evaluating the ability status of elderly people in China, and conduct statistical analysis on the results.</div></div><div><h3>Results</h3><div>A total of 706 valid questionnaires were collected in this survey. The average age of the survey subjects is 84.47 years old, with 13.47% of elderly people having intact comprehensive abilities, 61.98% of elderly people with mild disabilities, and 13.07% and 11.49% of elderly people with moderate to severe disabilities, respectively. Logistic regression analysis shows that factors such as age, gender, religious beliefs, educational level, and occupation all have an impact on the ability status of elderly people.</div></div><div><h3>Conclusion</h3><div>The comprehensive ability status of the elderly surveyed in this study is at a moderate level, and the influencing factors show differences and diversity. The provision of medical and elderly care resources should be combined with the comprehensive abilities of the elderly population, and corresponding elderly care service measures should be taken.</div></div>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"66 ","pages":"Article 103638"},"PeriodicalIF":2.4,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294413","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}