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Article History

Received: 15 November 2024

Accepted: 17 November 2025

First Online: 2 February 2026

Declarations

:

: The authors declare no competing interests.

: This research was approved by the medical ethics committee of the First People’s Hospital of Xuzhou (identifier, xyyll [2023]138). This study does not involve the collection or analysis of data that could be used to identify participants. All information is anonymized and the submission does not include images that may identify the person. The procedures used in this study adhere to the tenets of the Declaration of Helsinki.

: Written informed consent was obtained from all participants. All participants were informed about the purpose and aims of this study, voluntarily participated in the study after the researcher assured them of anonymity, and that their responses were solely for academic purposes, as well as how the data would be used.