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The Effectiveness of Home Based Nursing Care in Treatment of Hospital Acquired Pressure Ulcer (HAPU) in Participants Seeking Home Health Services: An Exploratory Study 家庭护理治疗寻求家庭健康服务的医院获得性压疮(HAPU)的有效性:一项探索性研究
Pub Date : 2019-04-15 DOI: 10.20849/IJSN.V4I2.589
Punitha Singh, Deepti Damodaran, G. Thukral, P. Joseph
Hospital-Acquired Pressure Ulcers (HAPU) are serious clinical complications that can lead to increased length of stay, pain, infection, and, potentially, death. Unfortunately, a large proportion of home care clients received from hospital present with pressure ulcer that varies from stage 1 to stage 4.  Home care nurses have an opportunity to manipulate favorably certain environmental factors that can prevent pressure ulcers from newly developing or to manage effective treatment plans for any stages ulcers which were present while onboarding.Objective: The objective of this study was to determine the prevalence, duration and outcome in terms of healing; worsening of pressure ulcers and the ones whose condition remained the same seeking home health services. The study also describes the home care nursing interventions done to minimize the risk of worsening of pressure ulcer.
医院获得性压疮(HAPU)是严重的临床并发症,可导致住院时间延长、疼痛、感染,甚至可能导致死亡。不幸的是,从医院接受家庭护理的病人中有很大一部分患有压疮,从1期到4期不等。家庭护理护士有机会有利地操纵某些环境因素,以防止压力性溃疡的新发展,或管理有效的治疗计划,溃疡的任何阶段,在入院时就存在。目的:本研究的目的是确定在愈合方面的患病率、持续时间和结果;压疮恶化及病情不变者寻求家庭保健服务。该研究还描述了家庭护理干预措施,以尽量减少压力性溃疡恶化的风险。
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引用次数: 1
“Brain Death”: A Utilitarian Construct, Not Biological Death-The Reasons the Concept of “Brain Death” Should Be Abandoned “脑死亡”:一种功利性的建构,而非生物性的死亡——应抛弃“脑死亡”概念的原因
Pub Date : 2019-01-07 DOI: 10.20849/IJSN.V4I1.544
K. Karakatsanis
Purpose: To show that the concept of “brain death” is a purely utilitarian construct which does not have adequate medical foundation.Methods: Presentation of known and novel arguments from the medical literature and unknown arguments from the philosophical literature.Results: There are multiple self-evident inconsistencies, contradictions and logical errors inherent in the concept of “brain death” according to which this concept is obviously invalid.Conclusion: It is considered unavoidable that the only honest option is the definitive abandonment of the concept of “brain death”.
目的:表明“脑死亡”概念是一个纯粹的功利主义概念,没有足够的医学基础。方法:从医学文献中提出已知和新颖的论点,从哲学文献中提出未知的论点。结果:“脑死亡”概念存在多重不一致、矛盾和逻辑错误,由此可见,“脑死亡”概念明显无效。结论:不可避免的是,唯一诚实的选择是最终放弃“脑死亡”的概念。
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引用次数: 0
The Impact of a Hospital-Based Awareness Program on the Knowledge of Patients About Breast Cancer and Cancer Cervix 以医院为基础的认知项目对患者乳腺癌和宫颈癌知识的影响
Pub Date : 2019-01-07 DOI: 10.20849/IJSN.V4I1.537
A. Atwa, H. Hassan, S. Ahmed
Background: Breast cancer and cancer cervix contribute to high morbidity and mortality rates among women worldwide. Appropriate knowledge of both cancers can help in early detection and management. Aim: This study aimed to assess the effect of a hospital-based awareness program on the knowledge of patients attending some outpatient clinics in Sohag University Hospital regarding the 2 cancers. Subjects and Methods: The program was held in Sohag University Hospital on 150 female patients during the period between August and October 2018. The knowledge of the patients about the risk factors, symptoms, screening, and management of both cancers was first assessed using an interview questionnaire. Then, the awareness program included 4 sessions and every session discussed only 1 aspect of knowledge regarding both cancers. Later, patients were assessed again using the same questionnaire and the improvement was determined. Results: The mean age of the participating patients was 29.6 ± 6.7 years, 74.7% could read and write, and 85.3% were married. Only education was associated with better knowledge about breast cancer (p = 0.002) and cancer cervix (p = 0.007). Thanks to the program, the percent of patients with optimal knowledge of breast cancer improved from 14.7% to 50% (p < 0.001). This percent distributed as follows; risk factors 10% to 50% (p < 0.001), manifestations 20% to 60% (p < 0.001), screening 4% to 7% (р < 0.001), and management 24.8% to 63% (p < 0.001). Regarding cancer cervix, the improvement was as follows; total knowledge 13.3% to 46.2% (p < 0.001), risk factors 8% to 50% (p < 0.001), manifestations 12.2% to 50% (р < 0.001), screening 15% to 40% (р < 0.001), and management 18.2% to 44.8% (р < 0.001). Conclusion and Recommendations: Patients had suboptimal knowledge about breast cancer and cancer cervix. However, the program achieved remarkable successes in improving the knowledge of patients. Future programs on a wider scale and different populations should be considered.
背景:乳腺癌和子宫颈癌是全世界妇女高发病率和高死亡率的原因之一。适当了解这两种癌症有助于早期发现和治疗。目的:本研究旨在评估以医院为基础的认知计划对在Sohag大学附属医院门诊就诊的患者关于这两种癌症的知识的影响。研究对象和方法:该项目于2018年8月至10月在索哈格大学医院对150名女性患者进行研究。患者对两种癌症的危险因素、症状、筛查和治疗的了解首先通过访谈问卷进行评估。然后,意识项目包括4个环节,每个环节只讨论关于这两种癌症的一个方面的知识。随后,再次使用相同的问卷对患者进行评估,并确定改善情况。结果:参与研究的患者平均年龄为29.6±6.7岁,能读写的占74.7%,已婚占85.3%。只有教育与更好地了解乳腺癌(p = 0.002)和宫颈癌(p = 0.007)有关。由于该项目,了解乳腺癌知识的患者比例从14.7%提高到50% (p < 0.001)。这个百分比分布如下:危险因素占10% ~ 50% (p < 0.001),表现占20% ~ 60% (p < 0.001),筛查占4% ~ 7% (p < 0.001),管理占24.8% ~ 63% (p < 0.001)。关于子宫颈癌,改善如下:总知识13.3% ~ 46.2% (p < 0.001),危险因素8% ~ 50% (p < 0.001),表现12.2% ~ 50% (p < 0.001),筛查15% ~ 40% (p < 0.001),管理18.2% ~ 44.8% (p < 0.001)。结论与建议:患者对乳腺癌和宫颈癌的认知程度不理想。然而,这个项目在提高病人的知识方面取得了显著的成功。未来应该考虑更大范围和不同人群的项目。
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引用次数: 22
The Results of Implementation of an Acuity Tool to Decrease the Number of Resuscitation Events on an Orthopedic-Neurology Unit 在骨科-神经内科实施降低复苏事件数量的锐度率工具的结果
Pub Date : 2019-01-07 DOI: 10.20849/IJSN.V4I1.535
Tanya Sobaski, K. Allen, S. Abraham
Background: Patients on medical-surgical units such as orthopedic-neurology are vulnerable for delayed recognition of physiological deterioration. Therefore, they are at increased risk of incurring a resuscitation event. Volume-based nurse staffing does not consider the necessity of nursing care that is individualized to the patient needs. Purpose: The purpose of this study was to implement an acuity tool to evaluate the number of resuscitation event occurrences on an Orthopedic-Neurology Unit. Method: A quasi-experimental, non-randomized, quality improvement project was implemented on a 32-bed Orthopedic/Neurology Unit over a three-month period, comparing resuscitation event occurrences with the use of the acuity tool and the group’s performance without the acuity tool. Analysis: For data analysis, a Chi-square test-for-independence was used with a 2x2 contingency table, for variance of the number of patient resuscitation event occurrences with and without the use of the tool. Data were examined and combined for the three months before and after the use of the tool. When compared to the three months that the tool was employed, it yielded a 1% difference, with a 33% relative risk reduction. Results: Results indicated support for clinical significance. The use of the acuity tool demonstrated a significant decrease in the number of occurrences from 9 to 2 to 0 for each successive month of the project on the Orthopedic/Neurology Unit.
背景:骨科-神经内科等内科-外科科室的患者易出现生理恶化的延迟识别。因此,他们发生复苏事件的风险增加。基于量的护士人员配置不考虑护理的必要性,是个性化的病人需要。目的:本研究的目的是采用一种灵敏度工具来评估骨科神经内科复苏事件发生的次数。方法:在一个32张床位的骨科/神经内科实施一项准实验、非随机、质量改进项目,为期3个月,比较使用锐度工具组的复苏事件发生率和未使用锐度工具组的表现。分析:对于数据分析,使用卡方独立性检验和2x2列联表,用于使用和不使用该工具的患者复苏事件发生次数的方差。研究人员对使用该工具前后三个月的数据进行了检查和合并。与使用该工具的三个月相比,它产生了1%的差异,相对风险降低了33%。结果:结果支持临床意义。使用视力工具后,骨科/神经内科每个月的发病次数从9次减少到2次,再减少到0次。
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引用次数: 0
Expereince of Female Genital Cutting and Sexual Satisfaction Among Rural Married Women in El Beheria Goveronorate El Beheria省农村已婚妇女女性生殖器切割与性满足的经验
Pub Date : 2019-01-07 DOI: 10.20849/ijsn.v4i1.546
A. Elwahed, W. Ali, V. Ghattas
Background: Female Genital Cutting is a complex issue requiring continuing care for girls and women who may be at risk or may have been undergone this harmful practice.Objective: Assess the experiences of Female Genital Cutting and its relation to sexual satisfaction among rural women in El Beheria Governorate.Design: cross-sectional descriptive design.Settings: The study was carried out at 16 rural health units representing the 16 health zones in El Beheria Governorate.Subjects: A convenience sample of 800 women selected from the previously mentioned setting (50 from each health unit).Tools: Two tools were used for data collection. The first tool was women’s experience of FGC structured interview schedule to identify data related to personal and socio-demographic characteristics, their experience of FGC, as well as their attitude towards FGC, which was assessed through 21 statements in three points Likert scale. The second tool was sexual satisfaction Scale to assess the sexual satisfaction among the married women.Results: Findings of the present study revealed that the majority (90.0%) of the women had undergone FGC. Moreover, less than two thirds (63.0%) of the women had positive attitude toward combating FGC. Additionally, around one tenth 9.8% of the women suffered from low sexual satisfaction compared to 18.4% of them who had high satisfaction. Moreover, significant correlations were found between women’s experience of FGC and their attitude toward it as well as with their sexual satisfaction.Conclusion: The study concluded that FGC is highly prevalent practices among rural women. There are a significant association between women’s experience of FCG and their attitude towards it as well as with the women’s sexual satisfaction.
背景:女性生殖器切割是一个复杂的问题,需要对可能面临风险或可能经历过这种有害做法的女孩和妇女进行持续护理。目的:评价El Beheria省农村妇女女性生殖器切割经历及其与性满意度的关系。设计:横断面描述性设计。环境:研究是在埃尔比赫里亚省16个卫生区的16个农村卫生单位进行的。对象:从前面提到的设置中选择的800名妇女(每个卫生单位50名)的方便样本。工具:使用两种工具进行数据收集。第一个工具是结构化访谈计划,以确定与个人和社会人口特征相关的数据,他们的FGC经历,以及他们对FGC的态度,通过21个陈述进行三点李克特量表评估。第二种工具是性满意度量表,用于评估已婚妇女的性满意度。结果:本研究结果显示,大多数(90.0%)的女性接受了FGC。此外,不到三分之二(63.0%)的妇女对打击女性暴力持积极态度。此外,大约十分之一的9.8%的女性对性满意度较低,而对性满意度较高的女性中有18.4%。此外,女性的FGC经历与她们对FGC的态度和性满意度之间存在显著相关。结论:该研究得出结论,女性生殖器切割在农村妇女中非常普遍。女性的FCG经历与她们对FCG的态度以及女性的性满意度之间存在显著的关联。
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引用次数: 0
Education Intervention Guideline on Knowledge and Self-Care Practice for Women With Vulvovaginities 女性外阴阴部知识及自我护理实践教育干预指南
Pub Date : 2019-01-07 DOI: 10.20849/ijsn.v4i1.552
S. A. Said, Hemmat Mostafe Elbana, A. Salama
Background Bacterial vaginosis (BV) is the most common vaginal infection affecting women of reproductive age (15-49 years of age). 5-8% of women with acute infection experience recurrent vulvo-vaginal candidiasis. Side effects of vaginitis can affect other aspects of health, which could be prevented by promoting a healthy related to vaginal health. Aim of the study. The aim of the present study was to evaluate the Education intervention guideline on knowledge and self-care practice for women with vulvovaginities. Design: A quasi- experimental design was adopted in the current study. Sample: A purposive sample of (130) women's were included in the current study. Setting: the current study was conducted at outpatient clinic affiliated at obstetric department at Benha University Hospital. Data collection: Two tools were used for data collection, first, interviewing questionnaire to collect data about the women' socio demographic characteristics and women's knowledge regarding vulvovaginities as definition, risk factors, complication, second tool, Self-Care Assessment Structured Interviewing Schedule as (Clean genital area after each toilet, dry after cleanliness) Results: the result of the present study should that the total knowledge was improved from (9.2%) at pre intervention to (86.2%) at post intervention phase. In addition there was demonstrates that, 87.7% of the women had an unsatisfactory level of self-care practices before the educational intervention. Meanwhile, after the educational intervention, 75.4% of them got a satisfactory level of self-care practices. Conclusion: Educational intervention was effective in improving the women's knowledge and self-care practices regarding vulvovaginities. Recommendations: Provide different educational programs regarding knowledge and self-care practice for women with vulvovaginities at different female health care settings.
细菌性阴道病(BV)是影响育龄妇女(15-49岁)最常见的阴道感染。5-8%的急性感染女性会经历反复的外阴-阴道念珠菌病。阴道炎的副作用会影响健康的其他方面,这可以通过促进与阴道健康相关的健康来预防。研究的目的。摘要本研究旨在评估外阴阴部女性知识及自我护理实践的教育干预指南。设计:本研究采用准实验设计。样本:有目的的(130)名女性样本被纳入了当前的研究。环境:本研究在本哈大学附属医院产科门诊进行。数据收集:采用两种工具进行数据收集,一种是访谈问卷,收集女性的社会人口学特征以及女性对外阴阴道的定义、危险因素、并发症的了解情况;第二种工具是自我保健评估结构化访谈表(每次如厕后清洁外阴区域,清洁后擦干)。本研究结果表明,总知识由干预前的9.2%提高到干预后的86.2%。此外,有证据表明,87.7%的妇女在教育干预前的自我保健实践水平不理想。同时,经教育干预后,75.4%的人对自我护理行为感到满意。结论:教育干预能有效提高妇女外阴阴道知识和自我护理行为。建议:在不同的女性保健机构中,为外阴阴部女性提供不同的知识教育和自我保健实践。
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引用次数: 6
Effect of Designed Teaching Protocol Regarding Patients' Safety after Cardiac Catheterization on Nurses' Performance and Patients’ Incidence of Vascular Complications 心导管术后患者安全教学方案设计对护士工作表现及患者血管并发症发生率的影响
Pub Date : 2019-01-07 DOI: 10.20849/IJSN.V4I1.555
H. Ali, M. Ali
Background: Vascular access-site complications are an important cause of morbidity and mortality, which is related mainly to vascular percutaneous intervention procedures and requires safe and standardized care policies, as well as qualified and skilled health provider to obtain good outcome of management. Aim of the study: to investigate the effect of designed teaching protocol regarding patients’ safety after cardiac catheterization on nurses’ performance and patients’ incidence of vascular complications. Aquasi-experimental design was used to conduct the current study in cardiac catheterization and coronary care units at Benha University Hospital during the period from beginning of April 2018 till beginning of October 2018. Subjects: A sample of convenience of 50 nurses who are willing to participate in the study, and patients who admitted for performing cardiac catheterization were 170 patients recruited according to the study formula based on the total number admitted to the study settings during 2017. Tools: Two tools were utilized for data collection, (Ι) Structured interviewing questionnaire for nurses, (II) Patients’ assessment sheet. Results: Showed that nurses’ level of knowledge and practice post implementing the designed teaching protocol was higher than pre implementation, with a significant correlation between nurses’ knowledge and practice(p= <0.001**), besides a lower incidence of complications among patients in intervention group than in control group . Conclusion: The designed teaching protocol was effective in improving nurses’ knowledge and practice, which were positively associated with each other and lower incidence of vascular complications among patients in the intervention group. Recommendation: The study suggested equipping cardiac catheterization unit with simple illustrated guidelines protocol covering percutaneous coronary intervention procedure practices knowledge pre/post cardiac catheterization.
背景:血管通路部位并发症是发病和死亡的重要原因,主要与血管经皮介入手术有关,需要安全、规范的护理政策,以及合格、熟练的医护人员才能获得良好的治疗效果。研究目的:探讨心导管术后患者安全教学方案设计对护士工作表现及患者血管并发症发生率的影响。本研究采用准实验设计,于2018年4月初至2018年10月初在Benha大学医院心导管和冠状动脉监护室进行。对象:自愿参加研究的50名护士为方便样本,入院实施心导管术的患者为170例,根据2017年研究设置的总入院人数,根据研究公式招募。工具:使用两种工具收集数据,(Ι)护士结构化访谈问卷,(II)患者评估表。结果:实施设计的教学方案后,护理人员的知识水平和实践水平均高于实施前,知识水平与实践水平显著相关(p= <0.001**),干预组患者的并发症发生率低于对照组。结论:设计的教学方案能有效提高护士的知识水平和实践水平,两者呈正相关,干预组患者血管并发症发生率较低。建议:研究建议为心导管室配备简单的有插图的指南,包括经皮冠状动脉介入手术、心导管术前/术后的知识。
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引用次数: 11
Nutses' Personal Values, Value Implementation at Work and the Difference Between Them Nutses的个人价值观、价值观在工作中的实现及其差异
Pub Date : 2019-01-07 DOI: 10.20849/ijsn.v4i1.545
Salam Hadid, Limor Malul, M. Khatib
Background: Schwarz (1992) held that all people have personal values systems which guide them. However, the degree to which nursing staff can implement personal values in the workplace can vary depending on environment and institutional policy. This study examined the personal values of nursing staff and the gap between values and their implementation at work. Method: This was a quantitative descriptive study, using demographic information and a structured questionnaire, Schwartz's Shorter Value Survey (SSVS), for examining the degree of implementation of personal values in clinical practice. Results: 425 respondents from different faiths assigned higher importance to certain values than to others, with demographic factors influencing decisions. Conclusion and Implications: Knowledge of the dominant personal values held by nursing staff may contribute to the organization's ability to cultivate and maintain the human resources within it. Institutions should be aware of possible gaps between the importance of values and the degree of their implementation.
背景:Schwarz(1992)认为所有的人都有个人的价值体系来指导他们。然而,护理人员在工作场所实现个人价值观的程度可能因环境和制度政策而异。本研究考察护理人员的个人价值观及其在工作中执行的差距。方法:这是一项定量描述性研究,使用人口统计信息和结构化问卷,Schwartz's short Value Survey (SSVS)来检查个人价值观在临床实践中的实施程度。结果:来自不同信仰的425名受访者认为某些价值观比其他价值观更重要,人口因素影响了他们的决定。结论与启示:护理人员所持有的主要个人价值观的知识可能有助于组织培养和维护其内部人力资源的能力。各机构应意识到价值观的重要性与其执行程度之间可能存在的差距。
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引用次数: 1
Flipping Roles: Exploring the Impact of a Flipped Classroom Method on the Student Success Rate in a Pharmacology Course 角色翻转:探索翻转课堂教学法对药理学课程学生成功率的影响
Pub Date : 2019-01-07 DOI: 10.20849/IJSN.V4I1.553
M. Kennedy
There are an estimated 1.05 million job postings across the United States for registered nurses by the year 2022. To answer for this demand, nursing programs across the nation are undertaking quality improvement initiatives to increase student success and graduation rates. Referencing Ausebel’s Assimilation Theory and motivated by the research question: Did the introduction of the active, flipped classroom make a difference in student success rates when compared to the student success rates in the traditional class room in a pharmacology course a retrospective data analysis was performed. The relationship between student success rates in the flipped classroom were compared to the relationship of student success rates in the traditional classroom based on the comprehensive final examination. There were 169 final examination scores extracted for data analysis 90 traditional classroom, 79 flipped classroom examination scores were extracted for data analysis. Independent t-tests were used to compare the means of the final examination scores in the traditional classroom to the means of the final examination scores in the flipped classroom. The findings of the research indicated there was no significant difference between the mean scores of the traditional classroom (M= 81.7, SD= 6.3) and the mean scores in the flipped classroom (M= 80.1, SD= 7.8, t(135)= 1.39, p= .15). Based on the results of this study, it is concluded that the flipped classroom can be utilized as an alternative method of instruction in the course as well as in other courses within the nursing program.
据估计,到2022年,美国将有105万个注册护士的招聘信息。为了满足这一需求,全国各地的护理项目都在开展质量改进计划,以提高学生的成功率和毕业率。参考Ausebel的同化理论,并受到研究问题的启发:在药理学课程中,与传统课堂的学生成功率相比,主动翻转课堂的引入是否对学生的成功率产生了影响?我们进行了回顾性数据分析。在综合期末考试的基础上,比较了翻转课堂与传统课堂的学生成功率关系。提取169个期末考试成绩进行数据分析,90个传统课堂,79个翻转课堂的考试成绩进行数据分析。采用独立t检验对传统课堂期末考试成绩均值与翻转课堂期末考试成绩均值进行比较。研究结果显示,传统课堂的平均分(M= 81.7, SD= 6.3)与翻转课堂的平均分(M= 80.1, SD= 7.8, t(135)= 1.39, p= 0.15)无显著差异。基于本研究的结果,结论是翻转课堂可以作为一种替代的教学方法,在本课程以及护理专业的其他课程中使用。
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引用次数: 0
Risk Factors of Stunting Among Children in Some Areas in Indonesia: A Literature Review 印度尼西亚部分地区儿童发育迟缓的危险因素:文献综述
Pub Date : 2018-07-30 DOI: 10.20849/ijsn.v3i3.468
I. Pratiwi, R. Wahyuningsih
Stunting is a malnutrition condition that caused by long-term insufficient nutrient intake. In 2010, the number of stunting in Indonesia reached 42.38%. In 2013, the prevalence of stunting in Indonesia amounted to 37.2%. The highest occurrence comes from East Nusa Tenggara with more than 50% of the children are stunted. The method used in this paper is Literature Review. We use keyword Risk Factor and Stunting in online resources such as Science Direct, Proquest, PubMed, Google Scholar and another related website. Many risk factors affect stunting in Indonesia. Stunting is caused by multi-dimensional factors and not only caused by malnutrition factors experienced by pregnant women and children under five. Some of the cases described above have contributed to the high prevalence of stunting in Indonesia and therefore a comprehensive intervention plan is required to reduce stunting prevalence in Indonesia.
发育迟缓是由于长期营养摄入不足而引起的营养不良状况。2010年,印度尼西亚发育迟缓的比例达到42.38%。2013年,印度尼西亚发育迟缓患病率为37.2%。发病率最高的是东努沙登加拉,超过50%的儿童发育迟缓。本文采用的方法是Literature Review。我们在Science Direct, Proquest, PubMed, Google Scholar和其他相关网站等在线资源中使用关键字Risk Factor和stunt。许多风险因素影响印度尼西亚的发育迟缓。发育迟缓是由多方面因素造成的,而不仅仅是由孕妇和五岁以下儿童所经历的营养不良因素造成的。上述一些病例导致印度尼西亚发育迟缓的高发,因此需要制定一项全面的干预计划来降低印度尼西亚的发育迟缓发生率。
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引用次数: 6
期刊
International journal of studies in nursing
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