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.

Objective: To investigate the current status of patients′ personal mastery after permanent cardiac pacemaker implantation and analyze its influencing factors, providing reference of rehabilitation programs for patients. Methods: The questionnaire survey was conducted among 195 patients after permanent cardiac pacemaker implantation by using the General Information Questionnaire, the Connor-Davidson Resilience Scale (CD-RISC), the General Self-Efficacy Scale (GSES), and the Personal Mastery Scale(PMS). Results: The mean score of PMS, CD-RISC, and GSES were 21.95±5.20, 61.63±11.08, and 25.39±5.61, respectively. The participants were categorized into the better personal mastery group (n=51) and poorer personal mastery group (n=144) based on the total score of personal mastery scale. There was statistically significant difference when comparing the age, monthly household income per capita, education level, course of the disease, number of comorbidities, the score of GSES and the score of CD-RISC between the two groups ( P<0.05). The Logistic regression showed that the course of disease was a risk factor of patients′ personal mastery after permament cardiac pacemaker implantation ( P<0.05), while education level, monthly household income per capita, the score of GSES and the score of CD-RISC were protective factors for patients′ personal mastery after permanent cardiac pacemaker implantation( P<0.05). Conclusion: The level of patients′ personal mastery after permanent cardiac pacemaker implantation is poor. This study indicated that healthcare professionals need to pay special attention to patients with low economic income, low education, and prolonged medical conditions, and provide them with personalized health guidance in order to improve their level of psychological resilience, self-efficacy, and personal mastery.

Objective: To investigate the current situation of patient delay and analyze the influencing factors in children with congenital heart disease in the Northern Guizhou region, in order to provide a basis for promoting early detection, diagnosis, and treatment of congenital heart disease in children in this region and improving their postoperative survival quality. Methods: A convenience sampling method was used to select 259 children with congenital heart disease and their main caregivers from two Class A tertiary comprehensive hospitals in the Northern Guizhou region as study subjects to investigate the current situation of patient delay andanalyze the influencing factors. Results: Among the 259 children, 219 cases(84.56%) experienced patient delay, with the longest delay being 168 months and the shortest 1 month. Logistic regression analysis revealed that the family′s place of residence, monthly household income, and the number of children were influencing factors for patient delay in children with congenital heart disease ( P<0.05). Conclusion: The incidence of patient delay is high among children with congenital heart disease in the Northern Guizhou region, with a widespread phenomenon of patient delay. Children from rural areas, with lower economic income, and from larger families are more likely to experience patient delay.

Objective: To understand the clinical practice training experience of wound, ostomy and continence specialist nurses, so as to provide reference for the rational setting of practical training courses for wound, ostomy and continence specialist nurses, and to provide basis for further improving the training system of wound, ostomy and continence specialist nurses. Methods: The purpose sampling method was used to conduct semi-structured interviews with 14 trainees who participated in the training of wound, ostomy and continence specialist nurses in Henan Province from 2019 to 2022. The results were analyzed and refined according to Colaizzi′s 7-step analysis method. Results: Three themes were extracted from the training experience including the improvement of specialist knowledge and practical ability by training, the positive impact of clinical practice training and the factors affecting effectiveness of clinical practice training. Conclusion: The training of wound, ostomy and continence specialist nurses can effectively improve the clinical practice ability of students, but there are some shortcomings in the curriculum, such as short training time, few operation opportunities and imperfect teaching resources, which will affect the effect of clinical practice training. The relevant departments of the hospital should pay attention to the problems existing in the training, improve the clinical practice training program and improve the training effect.

Objective: To construct an evaluation tool for rehabilitation training compliance in patients after pacemaker implantation. Methods: Through literature review and group discussion, an initial rehabilitation training compliance scale for patients after pacemaker implantation was formed. After two rounds of expert consultation, a questionnaire survey was conducted among 250 patients who met the inclusion criteria and received permanent pacemaker implantation in the department of cardiovascular medicine of one Class A tertiary hospital in Anhui Province from March to July 2019 and the reliability and validity of the scale was tested. Results: Exploratory factor analysis showed that the rehabilitation training compliance scale contained three dimensions and 10 items in total, and the cumulative variance contribution rate was 66.945%. The item-level content validity index of the scale was 0.856~1.000, the scale-level content validity index was 0.945, the Cronbach’s α coefficient of the scale was 0.795, the split-half reliability of the scale was 0.814, and the retest reliability of the scale was 0.822. Conclusion: The rehabilitation training compliance scale has good reliability and validity in patients after pacemaker implantation, which can be used to assess the compliance of rehabilitation training in patients after pacemaker implantation.

Objective: To investigate the current status and influencing factors of kinesiophobia in elderly patients with acute ST-segment elevation myocardial infarction after percutaneous coronary intervention. Methods: A total of 157 elderly patients with acute ST-segment elevation myocardial infarction after percutaneous coronary intervention were included by convenient sampling method from cardiac care units. TSK-SV Heart, Self-Perceived Burden Scale and Simplified Coping Style Questionnaire were used in the investigation. Results: The score of TSK-SV Heart was 39.52±8.62, and 52.5% of the patients had kinesiophobia. Kinesiophobia was significantly influenced by gender, educational level, family income, negative coping and self-perceived burden.The total score of self-perceived burden partially mediated the relationship between negative coping and kinesiophobia. Conclusion: The incidence of kinesiophobia is high in elderly patients with acute ST-segment elevation myocardial infarction after percutaneous coronary intervention. Medical staff should pay attention to the influencing factors of kinesiophobia and encourage patients to take active coping methods by reducing the self-perceived burden, then help patients adopting cardiac rehabilitation to prevent the occurrence of kinesiophobia.

Objective: To explore the teaching experience of instructors in the training for specialist nurses in maternal and child care and to understand the effects and existing problems of the training, so as to provide reference and basis for further improvement in training proposal and teaching methods. Methods: Purposive sampling method was used to select 8 nursing instructors in the training for specialist nurses in maternal and child care. Face-to-face, semi-structured interviews based on phenomenological research methods in qualitative research were conducted in the study, and Colaizzi method was used to analyze the data. Results: A total of three themes were refined including realizing the benefits of training, problems in training, and thoughts on improving training. Conclusion: The effectiveness of the training for specialist nurses in maternal and child care is visible, but there are still some problems such as the level of teachers need to be improved, the base of trainees is uneven, the training content is not perfect, and the training time is tight, etc. So the relevant departments should pay attention to the problems in the training and try to improve the training proposal so as to promote the quality of training for specialist nurses in maternal and child care.

Objective: To explore the status and influencing factors of information needs for cardiac rehabilitation in patients after permanent pacemaker implantation. Methods: A total of 189 patients with permanent pacemaker implantation who were hospitalized in a grade 3 general hospital in Hefei city of Anhui Province from June to December 2020 were selected as the research objects.The status of patients’ needs was evaluated by questionnaire survey, and the influencing factors were analyzed. Results: The total score of patients’ needs for cardiac rehabilitation information after pacemaker implantation was 157.16±18.45, and the main needs were emergency and safety, drug knowledge, exercise etc.The needs mode was mainly "movies and videos that can be taken home" and "communication and discussion with medical staff during treatment". The multiple linear regression analysis showed that patients with longer course of disease, lower education level, higher cardiac function grade, more complications and not receiving cardiac rehabilitation related knowledge education had higher demand for cardiac rehabilitation information (P＜0.05).Conclusion: The demand of cardiac rehabilitation information of patients after pacemaker implantation is at a medium level, and affected by many factors.When carrying out cardiac rehabilitation health education for patients, medical staff should consider the individual situation of patients, design personalized education program and in the way that patients are more willing to accept.

Objective: To investigate the status of medical narrative ability of oncology specialist nurses and analyze its influencing factors. Methods: 220 oncology specialist nurses by convenience sampling method were investigated by Chinese medical narrative ability scale and family care scale. Results: The total score of the medical narrative ability of 220 oncology specialist nurses was 158.64±17.13. There were statistically significant differences in the medical narrative ability scores of oncology specialist nurses with different educational backgrounds, working years, departments, marital status, and whether any of their relatives had cancer（ P<0.05）. Multiple linear regression analysis showed that department, marital status and family care level were the main factors affecting the medical narrative ability. Conclusion: The medical narrative ability of oncology specialist nurses is at the upper-middle level and needs to be further improved. Nursing managers should formulate targeted intervention measures based on the influencing factors of medical narrative ability to improve their medical narrative ability.