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Article History

Received: 23 August 2025

Accepted: 22 April 2026

First Online: 28 April 2026

Declarations

:

: During the investigation, investigators need to explain in detail to the research subjects that the data obtained from this investigation is only used for scientific research activities and will not disclose personal information. They should actively answer any unclear questions when students fill out the questionnaire and assist students in completing the questionnaire smoothly. All participants have signed informed consent forms.This study was approved by the ethics committee of the Gannan Medical University, China, No: 2021110. This study was conducted according to the guidelines in the Declaration of Helsinki, and all study participants provided informed consent, agreeing to the required measurement and survey completion procedures. All methods were performed in accordance with the relevant guidelines and regulations.

: No applicable.

: The authors declare no competing interests.