Aim To investigate the current status of self‐efficacy and physical activity among Chinese colorectal cancer (CRC) patients and explore the relationship between them. Design A cross‐sectional study. Methods This study was conducted on 282 CRC patients in China. Structured questionnaires were used to collect data on demographic and clinical information, self‐efficacy (Exercise Self‐Efficacy Scale [ESES]) and physical activity (International Physical Activity Questionnaire‐Short Form [IPAQ‐SF]). Results The median (interquartile range) total self‐efficacy score for patients with CRC was 52.78 (42.08–61.11), and the median (interquartile range) total physical activity score was 1776.00 (1142.25–2812.05). Only 28.37% of CRC patients met the guideline recommendations for physical activity. The total self‐efficacy score was significantly positively correlated with the total physical activity score ( r = 0.123, p = 0.040). Patient or Public Contribution CRC patients contributed to the data of this study. Hospital administrators facilitated the implementation of the study.

ObjectivesTo assess the quality of clinical practice guidelines (CPGs) of ostomy care, and to analyze the status quo and challenges of guideline development.MethodsCPGs of ostomy care were systematically searched in relevant guideline websites and electronic databases, including PubMed, ProQuest, Web of Science, CNKI, VIP, WANFANG, and SinoMed, from January 1, 2012, to November 24, 2021. Two appraisers used the Appraisal of Guidelines for Research and Evaluation, 2nd edition (AGREE II) instrument to assess the quality of the included CPGs independently and objectively. The consistency of assessment was calculated using intraclass correlation coefficients (ICC).ResultsA total of 5 CPGs relevant to ostomy care were assessed by AGREE II and the general quality of them was good. There were two CPGs of grade A and three CPGs of grade B. The domain scope and purpose (87.78%) had the highest scores, followed by the clarity of presentation (87.22%), the rigor of development (69.17%), stakeholder involvement (68.33%), and editorial independence (65.00%), and the lowest was applicability (55.42%). The overall assessment score was 5.40. All the ICCs for the AGREE II appraisal conducted by the two appraisers were >0.75.ConclusionsThe five CPGs of ostomy care have the potential to be adopted in clinical practice. However, they still have some room for improvement, especially in the applicability domain. The development of ostomy care CPGs should follow the evidence-based progress and methodology of guideline formulation specifications while considering the effects of the CPGs and the practical issues.

BackgroundAs pharmacotherapy often leads to adverse reactions, mind–body exercise (MBE) treatments have become a more popular option for treating depression in people living with breast cancer (BC). However, the most effective type of MBE treatment for this population remains unclear.AimsThe aim of this systematic review and network meta‐analysis (NMA) was to compare the efficacy of the different MBE modes for depression in people with BC.MethodsA systematic search for randomized controlled trials (RCTs) from inception to March 25, 2023, was conducted in the following database: EMBASE, PubMed, Web of Science, Cochrane Library, China National Knowledge Infrastructure, Wanfang Data, China Biology Medicine, OpenGrey, and ClinicalTrials.gov. A traditional meta‐analysis was conducted using the random‐effects model to directly assess the effectiveness of various MBE interventions. Stata 16.0 software was used for performing the NMA.ResultsThe NMA was performed in 32 eligible RCTs including 2361 participants. The efficacy of MBE treatments on depression was ranked as the following: Liuzijue (surface under the cumulative ranking curve [SUCRA] = 95.4%) > Tai chi (SUCRA = 76.9%) > yoga (SUCRA = 55.0%) > Baduanjin (SUCRA = 53.9%) > Pilates (SUCRA = 38.6%) > dance (SUCRA = 30.2%) > Qigong (SUCRA = 28.1%) > control (SUCRA = 21.9%).Linking Evidence to ActionOur research showed that Liuzijue and Tai chi might be the most significantly effective MBE intervention for mitigating depression among BC survivors. Healthcare professionals could consider recommending Liuzijue and Tai Chi as a complementary therapy for BC survivors who experience depression.

Colorectal cancer (CRC) is the third most frequent cancer globally; according to the latest data, the incidence of new colorectal cancer cases was as high as 10%, and the number of new cases worldwide reached 1.93 million in 2020 (Sung et al., 2021). One of the most common treatment options for CRC in clinical practice is radical resection combined with chemotherapy, which has greatly improved the survival rate (Iveson et al., 2019). However, the quality of life of CRC patients has not been promoted significantly due to the many adverse effects caused by cancer itself and treatments, especially chemotherapy, such as chronic pain, sleep disturbances, fatigue, depression and so on (Ketelaers et al., 2022;Sakr et al., 2020).Therefore, the burden of follow-up care for CRC survivors is expected to increase, and exploring ways to improve cancer-related symptoms and quality of life in this population deserves attention.Cancer-related fatigue (CRF), a sustained and distressing sense of tiredness or exhaustion, is currently recognized as one of the