Funding for this research was provided by:
Basic Research Plan of Yunnan Provincial Science and Technology Department–Kunming Medical University (Grant No. 202101AY070001-067)
Special Fund for Nursing of Kunming Medical University (Grant No. 2025KYHLZXZK02)
Article History
Received: 4 April 2026
Accepted: 5 August 2026
First Online: 15 August 2026
Declarations
Ethics approval and consent to participate: This study was conducted in strict accordance with the Declaration of Helsinki. The study protocol was approved by the Medical Ethics Review Committee of Kunming Medical University (Approval No. KMMU2020MEC100). Written informed consent was obtained from all adult individual participants included in the study. For minor participants aged 15–17 years, written informed consent was obtained from their parents or legal guardians, and written informed assent was also obtained directly from the adolescent participants themselves.
Consent for publication: Not applicable. (Note: This manuscript does not contain any individual person’s data in any form, including individual details, images, or videos).
Competing interests: The authors declare no competing interests.