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Article History

Received: 15 November 2025

Accepted: 23 March 2026

First Online: 28 March 2026

Declarations

:

: Ethical approval for this study was obtained from the ethics committee of Xuzhou Medical University(XZHIUz-24106). This study followed the principles of the Declaration of Helsinki, and each participant provided signed informed consent to participate. We assured the participants that the privacy and confidentiality of their personal information would be maintained. They were also informed of their right to withdraw consent at any time during the interviews.

: Not applicable.

: The authors declare no competing interests.