1.A scoping review of palliative care needs of patients with Parkinson's disease
Xinyu SUN ; Hong LEI ; Anchun YIN ; Cong WANG ; Yanru LANG
Chinese Journal of Modern Nursing 2023;29(35):4892-4896
Objective:To conduct a scoping review of relevant literature on palliative care needs of patients with Parkinson's disease, so as to clarify the palliative care needs of patients with Parkinson's disease and its influencing factors.Methods:Literature on palliative care needs of patients with Parkinson's disease was systematically searched in PubMed, Embase, Cochrane Library, Web of Science, ProQuest, OpenGrey, Scopus, China National Knowledge Infrastructure, Wanfang database and China Biology Medicine disc. The search period was from the establishment of the databases to April 20, 2023, and the included articles were summarized and analyzed.Results:A total of 15 articles were included. The palliative care needs of patients with Parkinson's disease were high, and the main influencing factors included personal factors, disease factors, medical staff factors, caregiver factors, place factors and policy factors.Conclusions:The demand for palliative care in Parkinson's disease patients was influenced by multiple factors. Future research will focus on training palliative care professionals, establishing evidence-based palliative care needs assessment standards and nursing quality standards, and exploring the continuation mode of out-of-hospital palliative care, so as to provide references for helping medical staff identify palliative care needs of patients with Parkinson's disease and formulating needs assessment and nursing quality standards.
2.Exploration of Decision-Making Methods Based on Syndrome Differentiation by “Data-Knowledge” Dual-Driven Models: A Case Study of Gastric Precancerous State
Weichao XU ; Yanru DU ; Xiaomeng LANG ; Yingying LOU ; Wenwen JIA ; Xin KANG ; Shuo GUO ; Kun ZHANG ; Chunzhi SU ; Junbiao TIAN ; Xiaona WEI ; Qian YANG
Journal of Traditional Chinese Medicine 2024;65(2):154-158
Data analysis models may assist the transmission of traditional Chinese medicine (TCM) experience and clinical diagnosis and treatment, and the possibility of constructing a “data-knowledge” dual-drive model was explored by taking gastric precancerous state as an example. Data-driven is to make clinical decisions around data analysis, and its syndrome-differentiation decision-making research relies on hidden structural models and partially observable Markov decision-making processes to identify the etiology of diseases, syndrome elements, evolution of pathogenesis, and syndrome differentiation protocols; knowledge-driven is to make use of data and information to promote decision-making and action processes, and its syndrome-differentiation decision-making research relies on convolutional neural networks to improve the accuracy of local disease identification and syndrome differentiation. The “data-knowledge” dual-driven model can make up for the shortcomings of single-drive numerical simulation accuracy, and achieve a balance between local disease identification and macroscopic syndrome differentiation. On the basis of previous research, we explored the construction method of diagnostic assisted decision-making platform for gastric precancerous state, and believed that the diagnostic and decision-making ability of doctors can be extended through the assistance of machines and algorithms. Meanwhile, the related research methods were integrated and the core features of gastric precancerous state based on TCM syndrome differentiation and endoscopic pathology diagnosis and prediction were obtained, and the elements of endoscopic pathology recognition based on TCM syndrome differentiation were explored, so as to provide ideas for the in-depth research and innovative application of cutting-edge data analysis technology in the field of intelligent TCM syndrome differentiation.