Objective:To explore the potential profile categories of self-disgust in young and middle-aged breast cancer patients, and analyze the influencing factors of different categories.Methods:A convenience sampling method was used, and 270 young and middle-aged breast cancer patients admitted to the thyroid and breast cancer ward and oncology ward of Fenyang Hospital in Shanxi Province from September 2023 to April 2024 were the study subjects. The survey was conducted transect surveys using the general information questionnaire, Questionnaire for the Assessment of Self-Disgust, Social Constraints Scale, the Chronic Illness Rejection and Discrimination Scale. Potential categories of self-disgust in young and middle-aged breast cancer patients were explored using latent profile analysis, and unordered multinomial Logistic regression was employed to investigate their influencing factors.Results:A total of 234 young and middle-aged female breast cancer patients were included, with the age of (45.61±10.90) years old. Latent profile analysis revealed three potential categories of self-hatred in these patients: low disgust group (45.30%, 106/234), medium disgust group (41.45%, 97/234), and generalized high disgust group (13.25%, 31/234). Compared to the low disgust group, patients with more comorbidities and poorer self-care ability were more likely to belong to the generalized high disgust group ( OR=0.244, 8.775, both P<0.05). Patients with a longer duration of illness and higher scores on the social constraints scale and chronic illness rejection and discrimination scale were more likely to fall into the medium disgust group and the generalized high disgust group ( OR values were 0.156 - 1.317, all P<0.05). Conclusions:The level of self-disgust in young and middle-aged breast cancer patients is significantly heterogeneous. Nursing staff should formulate personalized intervention strategies according to this classification characteristic, which can be cut from the perspective of reducing patients' social restriction and chronic illness rejection and discrimination to improve patients' acceptance of the disease and self-acceptance level, and then reduce their self-disgust.

Objective:To explore the potential profile categories of self-disgust in young and middle-aged breast cancer patients, and analyze the influencing factors of different categories.Methods:A convenience sampling method was used, and 270 young and middle-aged breast cancer patients admitted to the thyroid and breast cancer ward and oncology ward of Fenyang Hospital in Shanxi Province from September 2023 to April 2024 were the study subjects. The survey was conducted transect surveys using the general information questionnaire, Questionnaire for the Assessment of Self-Disgust, Social Constraints Scale, the Chronic Illness Rejection and Discrimination Scale. Potential categories of self-disgust in young and middle-aged breast cancer patients were explored using latent profile analysis, and unordered multinomial Logistic regression was employed to investigate their influencing factors.Results:A total of 234 young and middle-aged female breast cancer patients were included, with the age of (45.61±10.90) years old. Latent profile analysis revealed three potential categories of self-hatred in these patients: low disgust group (45.30%, 106/234), medium disgust group (41.45%, 97/234), and generalized high disgust group (13.25%, 31/234). Compared to the low disgust group, patients with more comorbidities and poorer self-care ability were more likely to belong to the generalized high disgust group ( OR=0.244, 8.775, both P<0.05). Patients with a longer duration of illness and higher scores on the social constraints scale and chronic illness rejection and discrimination scale were more likely to fall into the medium disgust group and the generalized high disgust group ( OR values were 0.156 - 1.317, all P<0.05). Conclusions:The level of self-disgust in young and middle-aged breast cancer patients is significantly heterogeneous. Nursing staff should formulate personalized intervention strategies according to this classification characteristic, which can be cut from the perspective of reducing patients' social restriction and chronic illness rejection and discrimination to improve patients' acceptance of the disease and self-acceptance level, and then reduce their self-disgust.

Objective:To explore the categories of health behavior autonomy of elderly breast cancer patients and their influencing factors, so as to provide reference for developing targeted strategies.Methods:A convenience sampling method was used to select 300 elderly breast cancer patients from Fenyang Hospital in Shanxi Province from December 2023 to May 2024, and a cross-sectional survey was conducted using general information questionnaire, Functional Indicator of Autonomy (FIA), Simplified Bidirectional Social Support Scale (SBSS), and Fried Frailty Scale (FFS) to explore the potential categories of autonomy by using latent profile analysis, and multicategorical Logistic regression was used to analyze the effects of each factor on their different categories.Results:Validly recovered questionnaires were 256, and the female elderly breast cancer patients aged (65.54 ± 5.34) years. The autonomy of health behaviors of breast cancer patients was divided into three groups: "low autonomy group" (35.56%, 91/256), "medium autonomy group" (48.82%, 125/256), "high autonomy group" (15.62%, 40/256) in 3 potential profiles. Logistic regression analysis showed that patients′knowledge of the disease, debilitation, comorbidities, and bi-directional social support were influential factors in patients′autonomy in health behaviors ( OR values were 0.283-4.310, all P<0.05). Conclusions:There is significant heterogeneity in the level of health behavior autonomy among elderly breast cancer patients. Healthcare professionals should focus on the characteristics of different patients′autonomy and give personalized guidance and nursing interventions to improve the autonomy of patients′health management, in order to provide a basis for intervention to improve the health behaviors of elderly breast cancer.

Objective:To explore the categories of health behavior autonomy of elderly breast cancer patients and their influencing factors, so as to provide reference for developing targeted strategies.Methods:A convenience sampling method was used to select 300 elderly breast cancer patients from Fenyang Hospital in Shanxi Province from December 2023 to May 2024, and a cross-sectional survey was conducted using general information questionnaire, Functional Indicator of Autonomy (FIA), Simplified Bidirectional Social Support Scale (SBSS), and Fried Frailty Scale (FFS) to explore the potential categories of autonomy by using latent profile analysis, and multicategorical Logistic regression was used to analyze the effects of each factor on their different categories.Results:Validly recovered questionnaires were 256, and the female elderly breast cancer patients aged (65.54 ± 5.34) years. The autonomy of health behaviors of breast cancer patients was divided into three groups: "low autonomy group" (35.56%, 91/256), "medium autonomy group" (48.82%, 125/256), "high autonomy group" (15.62%, 40/256) in 3 potential profiles. Logistic regression analysis showed that patients′knowledge of the disease, debilitation, comorbidities, and bi-directional social support were influential factors in patients′autonomy in health behaviors ( OR values were 0.283-4.310, all P<0.05). Conclusions:There is significant heterogeneity in the level of health behavior autonomy among elderly breast cancer patients. Healthcare professionals should focus on the characteristics of different patients′autonomy and give personalized guidance and nursing interventions to improve the autonomy of patients′health management, in order to provide a basis for intervention to improve the health behaviors of elderly breast cancer.

The choledocho-pancreatico-duodenal junc-tion is located at the central part of choledocho-pancreatico-duodenal region. During early embryogenetic stage, the primary duodenum develops from the end of foregut and the beginning part of the midgut. The dorsal pancreas, hepatic diverticulum and the ventral pancreas which arises from the basic part of hepatic diverticulum are growing and rotating following the duodenum. During the course, the formations of the choledocho-pancreatico-duodenal region and the central part of choledocho-pancreatico-duodenal junction are complete. The injuries in cho-ledocho-pancreatico-duedenal junction may be caused by metal probe or lithotomy forceps for exploring, dilatating the distal bile duct or taking out the stones from the bile duct. Even if the injuries of choledocho-pancreatico-duodenal junction are deve-loped in a limited scope of several centimeters, several adjacent organs may be involved. Injuries in choledocho-pancreatico-duo-denal junction are hard to be identified during operation and may develop into serious pathological procedures.