Objective: To develop and evaluate the reliability and validity of Home Medication Safety Assessment Scale of Children's Caregivers. Methods: Based on the health belief model, the initial scale was firstly developed through literature review and qualitative interview of children's caregivers. The final scale was formed by expert consultation and pre-investigation. From March to April 2022, a total of 250 cases of children caregivers were selected by convenience sampling for item analysis and factor analysis. From May to July 2022, totally 402 children caregivers were selected for questionnaire survey to further analyze the reliability and validity of the scale. Results: There were 34 items in the formal scale, with 7 dimensions including perceived threat, perceived benefits, perceived obstacles, self-efficacy, safe medication behavior, potentially risky medication behavior and unsafe medication behavior. Seven common factors were extracted from exploratory factor analysis, and the cumulative variance contribution rate was 69.066%. Confirmatory factor analysis showed that the model fit was good and the scale factor structure was stable. The content validity index of each item was 0.838-1.000; the content validity index of the average scale level was 0.940; the Cronbach's α coefficient of the scale was 0.848; the split-half reliability was 0.776; and the test-retest reliability was 0.880. Conclusion: The home medication safety assessment scale of children's caregivers developed in this study has a good reliability and validity, which can be used as a scientific tool to evaluate the home medication safety of children caregivers, and provide guidance for the development of home medication safety improvement programs for children caregivers.

Against the background of an increasingly obvious population aging trend, social frailty as one of the important dimensions of frailty, plays an important role in regulating and predicting related adverse health outcomes. This article summarizes and analyzes the assessment content, assessment methods and application of commonly used social frailty assessment tools at home and abroad, aiming to provide reference for medical staff to select the appropriate social frailty assessment tools.

Objective: To develop an evidence-based fall prevention management protocol for hospitalized patients based on the Comprehensive Unit-based Safety Program and evaluate its clinical effectiveness, and to provide references for improving the systematic management of falls in hospitalized patients. Methods: Based on literature review and expert consultation, an evidence-informed fall management protocol was developed. A stepped-wedge cluster randomized trial design with purposive sampling was employed. Nursing units with fall incidence rate higher than the hospital-wide average from 2020 to 2022 and their nurses were selected as participants. Intervention began in June 2023, the pre-intervention phases followed routine nursing practices with reference to the hospital-wide unified fall management documents, while the post-intervention phases implemented the evidence-informed fall management protocol. Outcomes included fall incidence, injury rates, and nurses' safety attitudes and safety culture cognition levels. Results: Eight nursing units and 158 nurses were included. After the intervention, the incidence (0.49‰) and injury rate (25.00%) of falls were lower than before (1.06‰ and 68.18%), nurses' safety attitude and safety culture cognition scores were higher than before, the differences were all statistically significant (P<0.05). Conclusion: The developed evidence-informed fall management protocol exhibits scientific rigor and practical applicability, reduces the incidence of falls and injury rate, and promotes nurses' safety attitude as well as safety culture cognition.

Objective: To sinicize The Nursing Presence Scale for Hospitalized Patients and test its reliability and validity, so as to provide a reliable and effective evaluation tool for clinical investigation of patients' nursing experience. Methods: After obtaining authorization from the original author of the scale, we translated the English version of The Nursing Presence Scale for Hospitalized Patients and conducted back-translated, and carried out cultural adaptation. Formal questionnaire survey were conducted among the 530 inpatients of a tertiary grade A hospital in Wuhan by convenience sampling. Results: The Chinese version scale contains 33 items and was divided into 4 dimensions. The Cronbach's α for the total scale was 0.931, and for the dimensions ranged from 0.738 to 0.852. The content validity index of the scale was 0.98. Confirmatory Factor Analysis (CFA) showed that χ2/df was 1.897, GFI was 0.812, CFI was 0.869, IFI was 0.871, TLI was 0.859, RMR was 0.024, RMSEA was 0.062, which indicated that the four-factor model provided the best fit. Conclusion: The Chinese version of The Nursing Presence Scale for Hospitalized Patients has good reliability and validity, and is suitable for evaluating Chinese inpatients' feelings and experience of nursing presence.

This paper summarized the status quo, influencing factors, assessment tools, and interventional programs of kinesiophobiain patients with Chronic Obstructive Pulmonary Disease. We aimed to call attention of clinical nurses to timely detect kinesiophobia in patients and take targeted interventions. Accordingly, the level of kinesiophobia in patients will be decreased, the exercise behavior will be promoted, and the quality of life and prognosis of patients with Chronic Obstructive Pulmonary Disease will be improved finally.

Objective: To translate the Chronic Illness Anticipated Stigma Scale (CIASS) into Chinese, and to test the reliability and validity among patients with permanent enterostomy, in order to provide a measuring tool for the evaluation of anticipated stigma among patients with permanent enterostomy in China. Methods: The Brislin model was adopted to conduct translation and cultural adjustment, pre-investigation of the CIASS was conducted. From March to December 2023, 541 patients with permanent enterostomy in three tertiary grade A hospitals in Hunan province were investigated by using Chinese version of CIASS (CCIASS) to test the reliability and validity of the scale. Results: The I-CVI of the scale was 0.853-1.000, the S-CVI/UA was 0.865, and the S-CVI/Ave was 0.973. The KMO value was 0.893, and Bartlett's sphericity test chi square value was 1128.531 (P<0.01). Three common factors were extracted, and the cumulative variance contribution rate was 68.725%. The results of confirmatory factor analysis showed that the model fitted well, with χ2/df of 2.027, RMSEA of 0.073, GFI of 0.915, CFI of 0.918, IFI of 0.936 and TLI of 0.922. In addition, the total score of CCIASS is positively correlated with the total score of Social Impact Scale (r=0.655, P<0.01). The total Cronbach's α coefficient of CCIASS was 0.925, Cronbach's α coefficients of friends and family members, work colleagues, and healthcare workers dimension were 0.907, 0.893 and 0.916 respectively, and the test-retest reliability was 0.872. Conclusion: The CCIASS contains 3 dimensions and 12 items, and its reliability and validity are good in patients with permanent enterostomy, so it can be used to evaluate the anticipated stigma of patients with permanent enterostomy.

Objective: To construct the framework of core competence for Advanced Practice Nurse (APN) in China, and to provide a reference for APN training and evaluation. Methods: The element pool of core competence for APN was formed by job analysis and literature review. Delphi method was used for evaluation, screening and integration of the core competence elements. Results: After two rounds of Delphi consultations, the APN core competence framework was formed, including 6 dimensions (care, consultation, coordination, leadership, teaching and research) and 15 secondary indexes. The authority coefficient for both rounds of expert consultation was 0.89. The importance score of the dimensions ranged from 4.58 to 4.95, with a coefficient of variation score of 0.04 to 0.13. The importance score of the secondary indexes ranged from 4.52 to 5.00, with a coefficient of variation score of 0 to 0.23. Conclusion: The constructed framework of core competence for APN is scientific, reliable and practical, and it is expected to provide reference for the related research and practice of APN in China.

The current hospital quality improvement measures, focusing on patient experience, have garnered significant attention. Patient journey mapping, which tracks the interactions between patients and healthcare institutions from the patient's perspective, helps to comprehensively understand the patient's experience throughout the care process. This article reviews the definition and evolution of patient journey mapping and related definitions, common presentation formats and construction methods, as well as the progress in their application to improve patient experience. It explores its role in optimizing care processes, improving the care environment, enhancing doctor-patient communication, and assisting special populations. Additionally, it provides outlooks for using patient journey maps to improve nursing services, offering a reference for its application in the field of clinical healthcare.

The association standard Prevention of aspiration in older adults was released by the Chinese Nursing Association in January 2023. This paper interprets this standard in detail, including basic requirements and measures of the risk identification and prevention of aspiration in older adults, to help nursing staff at all levels of all types of medical institutions better understand and utilize this standard for the prevention of aspiration in older adults.

This paper systematically analyzes the common problems in knowledge translation research in the field of nursing in China, focusing on three key research components: evidence summary, evidence-based nursing practice, and quality improvement, which share common issues including insufficient understanding of research nature, inappropriate application of methodology, and lack of scientific theoretical guidance. The paper proposes several strategies for improvement: clarifying the relationships and definitions among the three components, emphasizing collection and evaluation of diverse evidence types, enhancing scientific rigor in context-oriented intervention selection and evaluation, and incorporating adaptive designs. Future directions suggest transitioning toward an "Evidence-based Nursing+" model, advancing evidence-based nursing practice through conceptual updates, methodological innovations, and practical reforms.

Objective: To explore the dyadic coping and emotion regulation experience of infertile couples in family environment, so as to provide reference for the development of targeted intervention strategies. Methods: Purposive sampling was used to recruit infertile patients and their spouses who visited the Reproductive Center of a tertiary grade A hospital from November to December 2022. The adjustment process of emotion and environment in the family space was explored through family interview emotion map. Data were analyzed by using the grounded theory. Results: Three core concepts, Stress communication process based on family space, Dyadic coping with space separation and Dyadic coping with space sharing, were proposed according to the three-level coding of grounded theory. Conclusion: As a key social physical environment, family has a profound impact on environmental and emotion self-regulation and dyadic coping when one partner experiences illness. Medical staff should attach importance to the mediating effect of family space on dyadic coping and emotion regulation of infertile patients and their spouses, and develop coping intervention strategies based on spatial perspective, so that they can better face the disease and improve their clinical outcomes.

Objective: To construct a volume management scheme for patients with maintenance hemodialysis and to evaluate its effect. Methods: A volume management scheme for patients with maintenance hemodialysis was established under the guidance of Information-Knowledge-Attitude-Practice (IKAP) theory through literature review, expert consultation and pilot study. Ninety-six patients with maintenance hemodialysis in the blood purification center of a tertiary grade A hospital in Nanchang city from June to December 2022 were conveniently recruited. The patients were divided into the experimental group or the control group by tossing a coin. Patients in the control group received routine care, and patients in the interventional group were given volume management programme. The interventional effects of the two groups were compared. Results: After 3 months, the volume management ability, self-efficacy, interdialytic daily weight gain and the incidence of common acute complications of dialysis of patients in the experimental group were significantly better than those in the control group (P<0.05). Conclusion: The volume management scheme for maintenance hemodialysis patients established in this study is scientific and feasible, and has guiding significance for the volume management of this patient.

Objective: To systematically integrate the qualitative research on the father's care needs of infants in Neonatal Intensive Care Unit (NICU), so as to provide reference for the formulation of father participation care program. Methods: Qualitative studies on fathers' care needs of newborn in NICU were searched from various databases at home and abroad from the establishment of the database to January, 2023, and the results were integrated by Meta-integration method of JBI evidence-based health care centers. Results: A total of 15 studies were included, and 58 research topics were extracted, which were summarized into 11 categories and grouped into 4 integrated findings: information knowledge needs, father's role identification needs, psychological and emotional needs, and social support needs. Conclusion: The specific needs of fathers with newborn in NICU deserve attention, and it is necessary to develop father support strategies and construct father participatory care program to improve the confidence and caring ability of fathers.

Objective: To develop and validate the factors related to physical activity questionnaire in pregnant women based on the Socioecological Model. Methods: The primary questionnaire was developed through literature review, semi-structured interviews, expert consultation and pilot survey. The convenience sampling was adopted to recruit 250 and 300 pregnant women from August to September, October to December, 2022, respectively, in a tertiary grade A hospital in Guangzhou. The items screening and the test of reliability and validity were carried out. Results: The questionnaire had 3 dimensions and 31 items. The positive coefficients of 2 rounds of letter consultations were all 100.0%, the authority coefficients were all 0.895, and the coordination coefficients were 0.117-0.496. Three common factors were extracted from the exploratory factor analysis, explaining 61.4% of the total variances. The confirmatory factor analysis showed that the factor structure model of the factors influencing physical activity of pregnant women was well fitted. The Cronbach's α coefficient was 0.932, the split reliability was 0.667, the test-retest reliability was 0.886, the content validity was 0.87-1.00, and the average content validity of the questionnaire was 0.99. Conclusion: The factors related to physical activity questionnaire in pregnant women based on the Socioecological Model has good reliability and validity. It is a reliable tool to evaluate the influencing factors of physical activity in pregnant women.

Objective: To construct the competency training system for pain specialist nurses in Zhejiang province, and to explore its practical effect. Methods: Based on the core competencies of pain care nursing and the post competence model, a capability training system for pain specialist nurses in Zhejiang province was established and applied in 4 training sessions from January 2020 to August 2023. Training effectiveness were evaluated using comprehensive quantitative assessments, clinical practice core competencies scores, and post-training work engagement and satisfaction with the program. Results: The training system for pain specialist nurses consisted of modules on theoretical knowledge, clinical skills, teaching ability, quality improvement, and research ability, with a total of 183 specialized nurses trained. The knowledge score was 91.45±8.38, the first time pass rate in clinical skill exam was 97.81%, the scores of clinical practice core competencies was significantly improved (P<0.001), and the trainees' satisfaction with training was 94.25±9.21. Conclusion: This training system helps to enhance the competency of pain specialist nurses in Zhejiang province and provides sustainable human resources support for the long-term development of pain care nursing.

With the advancement of medically assisted reproductive technology, reproductive-age cancer patients are increasingly likely to preserve their fertility before receiving treatment. This study provids an overview of the decision-making motives regarding fertility preservation among reproductive-age cancer patients, along with the current status of research both domestically and internationally, influencing factors, and interventions, and to provide a theoretical basis for clinical staff to promote timely referral for cancer patients with fertility needs and to improve the quality of patients' decision-making.

Pediatric Advance Care Planning is an important part of palliative care for children. Due to the lack of decision-making ability, complex social situation, and common family participation in decision-making in terminally period children, there is a strong demand for developing pediatric Advance Care Planning suitable for Chinese cultural background and medical needs. Family-centered clinical intervention models and dialogue tools for pediatric Advance Care Planning have been developed abroad, which have been shown to be conducive to protecting children's right to independent decision-making, enhancing medical decision-making compliance, and assisting families to make joint decisions and alleviate family grief. This paper reviews the current development status of family-centered pediatric Advance Care Planning, expounds its feasibility, analyzes its development resistance and proposes relevant practice strategies, in order to promote the development of pediatric Advance Care Planning in China.

Objective: To integrate qualitative research on the experience of stroke patients participating in rehabilitation training with Virtual Reality (VR) technology, and to provide a reference basis for clinical development and improvement of rehabilitation training with VR technology. Methods: The Chinese and English databases were searched for qualitative studies on stroke patients' participation in VR rehabilitation training experience, and the search period was from the establishment of the databases to March 2024. The quality of the literature was evaluated according to the Quality Assessment Criteria for Qualitative Research of the JBI Centre for Evidence-Based Health Care in Australia, and the results were integrated using the Pooled Meta-Integration Method. Results: A total of 13 studies were included, and 43 findings were distilled, 11 new categories were generalised, and integrated into 3 integrated outcomes: higher acceptance of VR technology for rehabilitation training in stroke, perceived benefits of participation in VR technology rehabilitation training, and perceived barriers for stroke patients. Conclusion: VR technology brings a positive rehabilitation experience to most stroke patients, but still faces multiple barriers such as cognitive, physical and psychological barriers. Healthcare professionals should alleviate patients' negative emotions to increase acceptance of VR technology rehabilitation training, strengthen patients' perception of the benefits of VR rehabilitation training to enhance motivation and confidence in participation, and reduce the barriers and challenges to participation in VR technology rehabilitation training to optimize the rehabilitation training experience.

Objective: To establish a clinical pain assessment and management system and evaluate its application effect, so as to provide a reference for standardized clinical pain assessment and management. Methods: The pain assessment and management system was established from the aspects of clinical pain assessment methods, management tools, quality evaluation and the closed-loop information management platform of pain score. Nurses' performance in pain assessment, patient pain control effect, and patient satisfaction were compared before and after the application of system. Results: After the application of the system, the completeness and accuracy of pain assessment improved (P<0.05), the proportion of intravenous analgesics decreased (P<0.05), the timely treatment rate for explosive or severe pain increased (P<0.05), and patients' satisfaction with pain control effectiveness increased (P<0.05). Conclusion: This system can objectively reflect the condition and treatment outcome of related painful diseases, laying a solid foundation for improving the overall pain assessment and management level and clinical diagnosis and treatment effect, and is worthy of further promotion.

This paper introduces the three stages before and after the issue and revision of WS 310, which were short for 3 regulations concerning Central Sterile Supply Department. Under the leading of the 3 regulations, our hospital has gradually improved the management of loaned instruments and implants to promote the reprocessing quality and management of loaned instruments and implants.

The elderly are at risk of cognitive impairment, and early control of risk factors and rational use of protective factors can effectively prevent or delay the deterioration of cognitive function. This paper reviews the research progress on risk prediction models for cognitive impairment in the elderly, and summarizes, analyzes and compares related studies from the aspects of model construction methods, basic information and prediction performance, so as to provide reference for the construction and application of risk prediction models for cognitive impairment in the elderly.

Early screening is important to promote early detection, diagnosis and treatment of cancer so as to reduce the economy burden caused by the disease. Nurses have been increasingly playing a professional role in cancer prevention and early screening. This article reviews the roles and functions of nurses as evaluators, educators, counselors and so on in cancer prevention, detection and early diagnosis, to provide nurses with reference for their professional development, clinical practice and researches in the field of cancer prevention and treatment.

Objective: To develop and implement nursing quality improvement strategies for moderate to severe pain inpatients, providing reference for clinical improvement of pain management. Methods: The issues on management of inpatients with moderate to severe pain was analyzed by literature review and questionnaire survey methods, a quality improvement program on pain management was developed and implemented in all wards, including establishing indicator for pain assessment completion rate among nurses after using opioid drugs, updating pain assessment standards, constructing pain care training outline, developing pain assessment scales and education video. Completion rate and accuracy of pain assessment, familiarity rate, and satisfaction with pain management of inpatients before and after the program were compared. Results: Completion rates, accuracy rates of pain assessment of nurses, total familiarity rates of pain assessment of inpatients, and satisfaction rates of patients with moderate to severe pain were improvement after the implementation of the quality improvement program (P<0.05). Conclusion: The construction of sensitive quality indicators for pain specialized nursing, updating of the inpatient pain assessment standards, and pain training based on nurse needs and guidelines can significantly improve the nursing satisfaction and quality of patients with moderate to severe pain, and is worthy of further clinical application.

Objective: To investigate the pain nursing management status in hospitals, so as to provide basis for promoting the further development of pain care management in China. Methods: Totally 145 hospitals were selected using convenience sampling method in June 2023, and a self-designed survey questionnaire was used to collect data. Results: Of the 145 hospitals, 138 (95.17%) hospitals established pain care management system, and 53 (36.55%) hospitals set up pain care outpatient clinic or pain healthcare joint outpatient clinic. There were 92 (63.45%), 92 (63.45%), and 128 (88.28%) hospitals conducting pain assessment for outpatient, emergency, and hospitalized patients, respectively. Thirteen provincial nursing societies where 91(62.76%) hospitals located established pain nursing professional committees, and 10 pain nursing professional committees carried out pain specialist nurse training. Totally 118 (81.38%) hospitals conducted pain care training throughout the hospital. Conclusion: The establishment of a national hospital pain care management system and the implementation of pain care for inpatients are continuously improving. However, there is still room for improvement in exploring a nurse-led outpatient working model, further improving the standardization of pain assessment, implementing the training and usage rules for pain specialist nurses, and strengthening training for nurses.

Advance Care Planning provides an opportunity for patients at the end of life to express their wishes and preferences, help them participate in treatment decision-making, and reduce the decision-making burden of family members. This paper provides an overview of the development, importance and necessity, strategies, challenges and countermeasures of implementing Advance Care Planning among adolescents, and provides reference for clinical, communities and families to promote hospice care and Advance Care Planning in adolescents.

Objective: To explore the experience of neonatology nurses' participation in pain management from the perspectives of core competencies, and provide a basis for improving the quality of pain management in neonates. Methods: From November 2022 to February 2023, 16 nurses in neonatology units from five tertiary general hospitals and five tertiary specialty hospitals in Guangdong province were recruited for semi-structured interviews for pain management experience. The content analysis method was used to summarize and extract the themes. Results: Four main themes and 12 sub-themes were identified. Four main themes were challenges of pain management in neonates, difficulties in neonatal pain assessment and measurement, insufficient pain management and prevention in neonates, and impediments to neonatology nurses' knowledge transformation and utilization. Conclusion: Problems and difficulties in neonatal pain assessment and management, and knowledge application are acknowledged by the interviewees. Managers should design training and improvement projects based on core competencies for pain management to improve the quality of integrated pain care in neonates.

Objective: To systematically evaluate the medication management experience of family caregivers of aged patients with polypharmacy to provide a reference for developing individualized support strategies for family caregivers to participate in medication management. Methods: We searched both Chinese and English databases to include eligible literatures whose quality was later evaluated. The retrieval time limit was from the inception to 26th, December 2023. The results were summarized using the meta-synthesis of qualitative research. Results: A total of 11 articles were included from which 39 research topics were extracted and summarized into 13 new categories. The new categories were grouped into 4 integrated findings: the tasks and participation types of family caregivers; influencing factors of family caregivers' participation in medication management; the challenges and needs of family caregivers; the effective strategies adopted by family caregivers in the process of medication management. Conclusion: The experience of family caregivers participating in medication management is complex and diverse. Medical staff should respect the different participation types caregivers in medication management practice and provide professional and individualized guidance for them to improve their participation experience, and provide medication management support services for elderly patients with polypharmacy and their caregivers.

Thriving at work can produce positive personal growth to nurses, promote organizational development, and play significant implications for promoting research on nurses' positive mental health. This article reviews the concept, origin, and theoretical models of thriving at work, and summarizes the research tool, current research status, significance, and influencing factors of thriving at work among nurses, in order to provide reference for research on nurses' thriving at work.

Objective: To construct and evaluate a Traditional Chinese Medicine Nursing Decision Support System (TCMNDSS) based on clinical needs, aiming to provide scientific and objective decision support tools for nursing staff in their practice of Traditional Chinese Medicine (TCM) nursing. Methods: A questionnaire survey was conducted to collect clinical needs of TCM nurses, and an expert discussion meeting was held to determine the TCMNDSS function list. TCMNDSS was developed and put into use. A total of 60 nurses from a tertiary grade A TCM hospital in Jiujiang city from October to December 2023 were recruited as the research participants and randomly divided into a control group (n=30) and an intervention group (n=30). The nurses in the control group used the traditional TCM nursing model, and the intervention group implemented the TCM nursing model assisted by TCMNDSS. The clinical decision-making ability, decision-making quality, decision-making efficiency of the two groups of nurses were compared. The experience of the nurses in the intervention group on TCMNDSS were investigated. Results: TCMNDSS included the following functions: TCM operation taboos, TCM acupoint positioning, TCM food taboos, TCM nursing plan, and TCM health education. The clinical decision-making ability, and decision-making quality of the intervention group were higher than those of the control group (P<0.05). The decision-making efficiency of the five functions of the intervention group was higher than that of the control group (P<0.05). The intervention group scored high on the experience of using TCMNDSS. Conclusion: The construction process of TCMNDSS based on clinical needs is scientific, which can be applied in clinical practice and assist TCM nurses in making decisions, and nurses have a good experience with TCMNDSS.

This paper reviewed the research status on application of Virtual Reality technology in patient education, focusing on the application situation, application effect, limitation, and future development of Virtual Reality technology in patient education. It is hoped that reference can be provided for the introduction and development of Virtual Reality system in the field of patient education in China.

Objective: To explore the effects of applying 4R crisis management theory to the 6 Minutes Walking Test (6MWT) management of patients with Connective Tissue Disease associated Pulmonary Arterial Hypertension (CTD-PAH). Methods: Totally 120 patients with CTD-PAH in the Department of Immunology of Peking Union Medical College Hospital from January to December 2022 were enrolled and divided into two groups. The control group was given the routine care of the 6 Minutes Walking Test (6MWT) while the experimental group received the updated care during the 6MWT based on the 4R crisis management theory. The differences of blood oxygen saturation and the occurrence of adverse events after the walking test between the two groups were analyzed. Results: As to the walking distance of patients, no significant differences between the two groups were observed. The blood oxygen saturation of the experimental group was significantly higher than that of the control group after the 6MWT and 3 minutes after the test. The incidence of hypoxia and adverse events during the 6MWT in the experimental group was significantly lower than that in the control group. Conclusion: Care based on the 4R crisis management during the 6MWT can significantly reduce the incidence of hypoxia and adverse reactions in patients with CTD-PAH, greatly ensuring the safety of those patients.

Objective: To develop a decision support tool for fertility preservation in female of reproductive age with cancer and evaluate its application effects, aiming to provide clinical guidance for fertility preservation in those patients. Methods: This study utilized literature analysis, qualitative interviews, and expert consultations to develop the decision support tool. Fifty female cancer patients of reproductive age admitted to the oncology department of a tertiary grade A hospital in Hunan province from November 2023 to January 2024 were selected by convenient sampling method, and they were randomly divided into the control group and the intervention group using a random number table, with 25 cases in each group. The control group received routine fertility protection decision-making process, while the intervention group utilized the fertility preservation decision support tool. Scores of fertility preservation knowledge questionnaire, decision self-efficacy scale, and decision conflict scale were compared between the two groups. After the intervention, subjects' acceptance and evaluation of the tool were collected. Results: Compared to the control group, patients in the intervention group scored higher on the fertility preservation knowledge questionnaire and the decision self-efficacy scale, and lower on the decision conflict scale, all with statistically significant differences (P<0.05). The user acceptance score for the intervention group was 16.84±1.49, indicating a high level of acceptance for the fertility preservation decision support tool among female cancer patients of reproductive age. Conclusion: Patients show a high level of acceptance for the fertility preservation decision support tool for female cancer patients of reproductive age. This tool can effectively enhance patients' knowledge of fertility preservation and their decision self-efficacy, while reducing decision conflict.