Abstract: Objective: To systematically evaluate the perceived experience of masculinity in prostate cancer survivors and provide a reference for reconstructing personalized masculinity support strategies for prostate cancer survivors. Methods: CNKI, Wanfang database, VIP database, Chinese biomedical literature database, PubMed, Cochrane Library, Web of Science, Embase on prostate cancer survivors were retrieved from inception to March 2023. The quality evaluation of the included literatures was conducted using the Australian Joanna Briggs Institute (JBI), and the results were integrated by the Meta integration method. Results: Fifteen articles were included, 55 research results were extracted, and 10 new categories were summarized into 4 integrated results including multiple factors of weakened masculinity (sexual dysfunction, urinary incontinence, self-image disorder), weakened emotional disclosure and performance (stigma, a sense of shame, social avoidance), seeking medical treatment and emotional support (lack of medical information support and absence of emotional support), coping in a stoic masculine way (self-deprecating humor, positivity). Conclusion: Health care staff should pay attention to the weakening factors of perceived experience of masculinity in prostate cancer survivors, construct and improve masculinity, develop personalized support strategies to meet the needs of prostate cancer survivors and enhance their quality of life.

Key words: Prostate cancer, Survivor, Masculinity, Qualitative research, Meta integration

摘要： 目的：系统评价前列腺癌幸存者男子气概感知体验，为重构前列腺癌幸存者男子气概个性化支持策略提供参考依据。方法： 计算机检索中国知网、万方数据库、维普数据库、中国生物医学文献数据库、PubMed、Cochrane Library、Web of Science、Embase 关于前列腺癌幸存者男子气概感知体验质性研究，检索时限为建库至 2023 年 3 月。采用澳大利亚乔安娜布里格斯研究所（Joanna Briggs Institute，JBI）循证卫生保健中心质性研究质量评价标准对纳入的文献进行文献质量评价，采用 Meta 整合方法对结果进行整合。结果：共纳入 15 篇文献，共提炼出 55 个研究结果，归纳总结形成了 10 个新的类别，汇总成 4 个整合结果。男子气概弱化的多重因素（性功能障碍、尿失禁、自我形象紊乱）；男子气概弱化情感披露及表现(污名化、耻辱感、社交回避)；寻求医疗及情感支持（医护信息支持缺乏、情感支持丰富）；以坚忍男性化方式应对(自嘲幽默、积极乐观)。结论：医护人员应关注前列腺癌幸存者男子气概弱化因素，构建与完善男子气概，制订个性化的支持策略，满足前列腺癌幸存者需求，提高其生活质量。

关键词: 前列腺癌, 幸存者, 男子气概, 质性研究, Meta 整合