Objective To explore the potential categories and influencing factors of perinatal women’s fear of childbirth, and to provide scientific basis for implementing targeted intervention measures in the future. Methods A total of 615 perinatal women hospitalized in the obstetrics department of a tertiary grade-A hospital in Changsha from November 2023 to January 2024 were selected as the research subjects. A self-designed General Information Questionnaire, the Chinese version of Childbirth Attitude Questionnaire(CAQ) and the Childbirth Readiness Scale (CRS) were used to for the investigation. The latent profile of perinatal women’s fear of childbirth was analyzed, and the influencing factors of different categories were analyzed by disordered multiple logistic regression. Results Perinatal women’s fear of childbirth can be classified into four potential categories: no fear group (22.1%), low fear-concerned about infant health group (43.0%), moderate fear-concerned about infant health group (26.7%), and high fear group (8.2%). Factors influencing the fear of childbirth in perinatal women included whether a multipara or not, pregnancy risk assessment, planned mode of delivery, sources of pregnancy-related knowledge and delivery readiness score (all P<0.05). Conclusion Obvious heterogeneity in the fear of childbirth in perinatal women is observed. Clinical workers should conduct targeted intervention according to the characteristics and influencing factors of different categories to reduce the level of fear of childbirth.

Objective To investigate the current status of fertility distress in male lymphoma patients of reproductive age and analyze its influencing factors. Methods Using convenient sampling, 204 male lymphoma patients of reproductive age who visited a hospital in Nanchang City, Jiangxi Province from April to September 2023 were selected as the objects. The General Information Questionnaire, the Reproductive Concern after Cancer Male (RCAC-M), and the Distress Disclosure Index (DDI) were used to conduct the investigation. The influencing factors of fertility distress were analyzed by multiple linear regression analysis. Results The average score of fertility distress among 204 male lymphoma patients of reproductive age was 49.92±12.66, and the score of distress disclosure index was 35.18±12.66. The fertility concerns negatively correlated distress disclosure index (r=-0.529, P<0.001). Age, education background, fertility intention, fertility history, and degree of distress disclosure were important influencing factors for reproductive concerns (P<0.05 for all), accounting for 43.2% of the total variance. Conclusion The level of reproductive concerns of male lymphoma patients of reproductive age is at a moderate to high level. Medical workers should focus on patients being young, highly educated, without bearing a child, with fertility intention and low ability of pain disclosure. Timely oncofertility-related education and psychological support should be considered to improve the self-disclosure ability of male lymphoma patients of reproductive age, so as to alleviate their reproductive concerns.

Objective To explore the potential categories and influencing factors of flourishing in secondary vocational nursing students. Methods A total of 1 314 secondary vocational nursing students from two nursing schools in Nanchong city were investigated using the General Information Questionnaire, the Flourishing Scale and The Resilience Scale for Chinese Adolescent in May 2023. Latent profile analysis was used to explore the potential categories of flourishing, and multiple logistic regression analysis to compare the characteristics of each potential categories. Results There were 3 potential categories of flourishing in secondary vocational nursing students including low level of flourishing (7.23%), medium level of flourishing (54.64%), and high level of flourishing (38.13%). Multiple logistic regression analysis showed that three groups showed statistically significant differences in academic performance, exercise frequency, family economic status and resilience (P<0.05). Conclusion There is heterogeneity in the flourishing of the secondary vocational nursing students. The students with better academic performance, higher exercise frequency, better family economic status and better resilience were more likely to enter high level flourishing group. Nursing educators can formulate targeted interventions according to the characteristics of different types of vocational nursing students, especially the low level flourishing group, to improve their flourishing.

Objective To explore the potential categories of loneliness among puerperal women at home and to analyze the influencing factors. Methods From August 2022 to April 2023, 390 postpartum women who attended the outpatient clinic within the first 42 days following birth in one tertiary grade-A hospital specializing in women and children’s health in Guangzhou were conveniently sampled as the survey subjects. The General Information Questionnaire, Simplified version of UCLA Loneliness Scale, Lubben Social Network Scale-6 and Postpartum Social Support Scale were used for the investigation. Potential category analysis of was conducted for the characteristics of loneliness of home-based puerperal women, and the influencing factors underlying the potential categories of loneliness were explored by univariate analysis and logistic regression analysis. Results （1）The loneliness among puerperal women at home was divided into two potential categories : high level-high fluctuation loneliness group (33.8%) and low-level loneliness group (66.2%).（2）Whether being primipara, whether to hire a maternity matron, friend network, emotional support, and evaluation support were the influencing factors of the potential category of loneliness in puerperium women at home. Conclusion This study identifies 2 potential categories of loneliness in home-based puerperal women. Women being primipara, without hiring a maternity matron, being isolated from friends, and with lower emotional support and evaluation support have a higher probability of experiencing loneliness. Community should pay attention to the loneliness of puerperal women, and give targeted support according to the characteristics of different types of home puerperal women.

Objective To study the current status and influencing factors of interprofessional collaborative competency among primary-level nurses, and to provide reference for the training of interdisciplinary collaboration for primary-level nurses. Methods By convenience sampling, from July to August 2024, 282 nurses from Juye County People’s Hospital were selected as the research subjects, and they were surveyed using General Information Questionnaire, Interprofessional Collaborative Competency Self-assessment Tool and Job Crafting Scale. Multiple linear regression analysis was used to analyze the influencing factors of primary-level nurses’ interprofessional collaborative competency. Results The total score of primary-level nurses’ interprofessional collaborative competency was 59.17±13.69. Multiple linear regression analysis showed that job crafting, fertility status, professional title and education background were main factor affecting interprofessional collaborative competency of primary-level nurses (all P<0.05),explaining 51.3% of the total variation. Conclusion Interprofessional collaborative competency of primary-level nurses in this group is at a medium level. Primary-level nurses with a bachelor’s degree or higher education, higher professional titles, fewer children, and stronger job crafting abilities tend to have better interprofessional collaborative competency. Nursing managers can enhance these skills by recruiting highly educated nursing talents, developing interprofessional collaboration training programs, implementing hierarchical management of nurses, establishing interprofessional learning platforms, and promoting job crafting.

Objective To investigate the current status and needs of postoperative cardiac rehabilitation in patients with AIDS and concomitant valvular heart disease, and to provide reference for further cardiac rehabilitation services. Methods Eleven cases of AIDS patients with heart valvular disease from June 2023 to June 2024 were interviewed in depth and the data were analyzed by phenomenological method. Results Three themes of the status quo of cardiac rehabilitation were extracted: coping with physical discomfort, the influence of immunological function, insufficient awareness and cognition of cardiac rehabilitation; Three themes of rehabilitation needs included disease-related counseling, equal access to health care, and home cardiac rehabilitation. Conclusion The construction of medical system should be strengthened to guarantee the equal right to medical treatment of AIDS patients. A home cardiac rehabilitation program for patients with AIDS and valvular heart disease, and wearable devices and cardiac rehabilitation applications are conducive to remotely monitoring and guiding patients to carry out home cardiac rehabilitation more safely and effectively.

Objective To summarize the nursing experience of individualized anticoagulation therapy for one patient undergoing ischemia-free liver transplantation (IFLT) combined with pancreatic islet transplantation. Methods Key postoperative nursing interventions for the patient undergoing IFLT-islet transplantation in September 2023 included: (1) dynamic monitoring of coagulation profiles for guiding precise anticoagulation therapy to prevent portal vein thrombosis (PVT), hepatic artery thrombosis (HAT), and hemorrhagic complications; (2)identification of high-risk factors combined with targeted interventions to mitigate deep vein thrombosis (DVT) risk. Results Through these measures, the patient achieved full functional recovery, and discharged on 17 days after surgery, without thrombotic or hemorrhagic events during hospitalization. During 1-year follow-up, the patient demonstrated sustained graft viability. Conclusion Nursing care for individualized anticoagulation protocol is critical for preventing vascular complications for IFLT-islet transplantation recipients, effectively promoting graft success and supporting patient recovery.