1.Experience of exercise self-management in elderly patients with colorectal cancer and sarcopenia: a qualitative study
Mengchen JI ; Danfeng GU ; Yuan QIAN ; Ling HANG ; Mingqi ZHANG
Chinese Journal of Modern Nursing 2024;30(36):4901-4908
Objective:To explore the exercise self-management cognition and real experience of elderly patients with colorectal cancer and sarcopenia, providing reference for the development of exercise intervention programs.Methods:This study was a descriptive qualitative research. From September to December 2023, purposive sampling was used to select 13 elderly patients with colorectal cancer and sarcopenia who visited Affiliated Hospital of Jiangnan University as participants, and face-to-face semi-structured in-depth interviews were conducted. Content analysis method was used to analyze, summarize, and extract themes from interview data.Results:Among the 13 elderly patients with colorectal cancer, there were six males and seven females aged 61 to 70 years. A total of three core themes and ten sub-themes were extracted, namely, cognition of disease and exercise (cognition of disease concepts, cognition of exercise self-management), diverse experiences of exercise self-management (positive support for exercise self-management, negative response to exercise self-management, and concerns about exercise self-management due to self-drag), and expectations for exercise self-management (information support and professional management needs, diversity needs of exercise content and methods, scientific needs of exercise volume and intensity, safety needs of exercise process, and systematic needs of system guarantees) .Conclusions:Elderly patients with colorectal cancer and sarcopenia have a certain level of enthusiasm and expectation for exercise self-management, but due to weak cognition of disease concepts and the benefits of exercise, self-drag, and insufficient system guarantees, there are negative responses to exercise. Medical and nursing staff need to strengthen their assessment of this population and develop scientific and systematic exercise intervention programs. The government and all sectors of society should actively guide people to have a positive cognition of diseases and provide certain policy guarantees.
2.Application Progress of Digital Pulse Diagnosis Technology in Cardiovascular Diseases
Jinlian HUANG ; Mengchen LIANG ; Yu TANG ; Ji CUI
Chinese Journal of Information on Traditional Chinese Medicine 2024;31(7):193-196,封3
Digital pulse diagnosis technology based on pulse chart parameters is one of the important achievements of the modernization and intelligent development of TCM diagnosis.Pulse diagnosis instrument collects pulse signals for feature extraction and analysis,which promotes the objectification and digital progress of TCM pulse diagnosis.This article discussed the research and application progress of the digital pulse diagnosis technology from four aspects:sensor types and research achievements of pulse diagnosis instrument,the application of pulse signals analysis method,research and analysis methods for multi-source signal fusion sensors,and the correlation between pulse parameters and cardiovascular disease,so as to provide new research ideas and methods for the further development of digital pulse diagnosis technology.
3.Experience of exercise self-management in elderly patients with colorectal cancer and sarcopenia: a qualitative study
Mengchen JI ; Danfeng GU ; Yuan QIAN ; Ling HANG ; Mingqi ZHANG
Chinese Journal of Modern Nursing 2024;30(36):4901-4908
Objective:To explore the exercise self-management cognition and real experience of elderly patients with colorectal cancer and sarcopenia, providing reference for the development of exercise intervention programs.Methods:This study was a descriptive qualitative research. From September to December 2023, purposive sampling was used to select 13 elderly patients with colorectal cancer and sarcopenia who visited Affiliated Hospital of Jiangnan University as participants, and face-to-face semi-structured in-depth interviews were conducted. Content analysis method was used to analyze, summarize, and extract themes from interview data.Results:Among the 13 elderly patients with colorectal cancer, there were six males and seven females aged 61 to 70 years. A total of three core themes and ten sub-themes were extracted, namely, cognition of disease and exercise (cognition of disease concepts, cognition of exercise self-management), diverse experiences of exercise self-management (positive support for exercise self-management, negative response to exercise self-management, and concerns about exercise self-management due to self-drag), and expectations for exercise self-management (information support and professional management needs, diversity needs of exercise content and methods, scientific needs of exercise volume and intensity, safety needs of exercise process, and systematic needs of system guarantees) .Conclusions:Elderly patients with colorectal cancer and sarcopenia have a certain level of enthusiasm and expectation for exercise self-management, but due to weak cognition of disease concepts and the benefits of exercise, self-drag, and insufficient system guarantees, there are negative responses to exercise. Medical and nursing staff need to strengthen their assessment of this population and develop scientific and systematic exercise intervention programs. The government and all sectors of society should actively guide people to have a positive cognition of diseases and provide certain policy guarantees.
4.Investigation and correlation analysis of financial toxicity and risk of suicide in the patients with head and neck cancer
Mengchen SUN ; Fangming FENG ; Jiaqian HE ; Siyu FAN ; Ying YANG ; Jiani JI
Chinese Journal of Practical Nursing 2023;39(23):1815-1821
Objective:To understand the current state of financial toxicity and suicide risk in head and neck cancer patients, to investigate the correlation between the level of financial toxicity and suicide risk in head and neck cancer patients, and to provide a basis for reducing the level of financial toxicity and the risk of suicide in head and neck cancer patients.Methods:A cross-sectional survey was conducted, from March 1 to July 31, 2022, 150 head and neck cancer patients were selected from Oncology Department of East Hospital Affiliated to Tongji Universityby by convenient sampling method. The survey was carried out by means of the general questionnaire, Comprehensive Score for Financial Toxicity based on the Patient-Reported Outcome Measures (COST-PROM), Cancer Suicide Risk Scale (CSRS), and then analysis the datum.Results:The score of COST-PROM of 150 head and neck cancer patients was (18.00 ± 6.12) points, and the score of CSRS of head and neck cancer patients was (36.31 ± 8.51) points. The total score of economic toxicity was significantly negatively correlated with the total score of suicide risk and its dimensions ( r values were -0.446 to 0.235, all P<0.05). The total score of suicide risk was negatively correlated with the total score of economic toxicity and the scores of each dimension ( r values were -0.446 to -0.251, all P<0.05). Conclusions:Patients with head and neck cancer were at higher risk of suicide, and financial toxicity was a significant contributing factor to suicide risk, with higher levels of financial toxicity associated with a higher risk of suicide. Reducing the level of financial toxicity in patients with head and neck cancer has important implications for reducing their risk of suicide.

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