Author Affiliation: Faculty of Nursing, University of New Brunswick, Fredericton, Canada.
Cancer Nurs. 2011 Nov-Dec;34(6):487-94. doi: 10.1097/NCC.0b013e318208f2b3.
Recent research shows that cancer survivors are at greater risk of developing cancer than the general population. Although recommended, many cancer survivors receive no regular cancer screening. Cancer survivors' perceptions of their second cancer risk are, in part, suspected to influence their participation in cancer screening.
This study was conducted to explore how cancer survivors define and interpret second cancer risk.
An interpretive descriptive approach was taken whereby semistructured interviews were conducted with 22 cancer survivors (16 women and 6 men) drawn from a provincial cancer registry. The sample ranged in age from 19 to 87 years. The cancer history of the participants varied. Data were analyzed using the constant comparative method of data analysis.
The overall theme, "life after cancer-living with risk," described cancer survivors' sense that risk is now a part of their everyday lives. Two themes emerged from the data that speak to how cancer survivors lived with second cancer risk: (1) thinking about second risk and (2) living with risk: a family affair.
Effective risk communication to support the decisions made by cancer survivors with respect to cancer screening is warranted.
Study results provide foundational knowledge about the nature of second cancer risk that may be used to develop and refine standards for survivorship care including how second cancer risk can be best managed.
最近的研究表明，癌症幸存者患癌症的风险比一般人群更高。尽管建议进行，但许多癌症幸存者没有接受定期的癌症筛查。癌症幸存者对自身二次癌症风险的认知被怀疑部分影响了他们参与癌症筛查的程度。
本研究旨在探讨癌症幸存者如何定义和解释二次癌症风险。
采用解释性描述方法，对来自省级癌症登记处的 22 名癌症幸存者（16 名女性和 6 名男性）进行了半结构化访谈。参与者的年龄从 19 岁到 87 岁不等，癌症病史各不相同。使用数据分析的恒比方法对数据进行分析。
总体主题为“癌症后的生活——与风险共存”，描述了癌症幸存者的一种观念，即风险现在是他们日常生活的一部分。数据中出现了两个主题，涉及癌症幸存者如何应对二次癌症风险：（1）思考二次风险，（2）与风险共存：家庭事务。
需要进行有效的风险沟通，以支持癌症幸存者在癌症筛查方面做出决策。
研究结果提供了有关二次癌症风险本质的基础知识，可用于制定和完善包括如何最好地管理二次癌症风险在内的生存护理标准。
