College of Medicine and Yonsei Cancer Center, Yonsei University, Seoul, South Korea.
College of Nursing and Brain Korea 21 FOUR Project, Yonsei University, Seoul, South Korea.
Eur J Oncol Nurs. 2022 Jun;58:102138. doi: 10.1016/j.ejon.2022.102138. Epub 2022 Apr 14.
Fear of cancer recurrence (FCR) is a major issue in the context of survivorship. The identification of predictors and outcomes of FCR is a top research priority. The purpose of this study was to understand FCR as a process and to identify predictors and outcomes of FCR among Korean cancer survivors.
A descriptive correlational study was conducted on 240 cancer survivors who had completed cancer treatment and were then receiving regular follow-up care. The FCR, health behaviors, and quality of life (QoL) of participants were measured. The process of FCR was evaluated using mediation analysis, moderation analysis and path analysis. Predictors and outcomes of FCR were identified using t tests, chi-square tests, Spearman correlation analysis and multiple regression analysis.
The clinical level of FCR (≥13) was experienced by 66.2% of cancer survivors. Female and breast cancer patients demonstrated higher FCR severity. FCR severity functioned as a mediator between triggers and both psychological distress and functioning impairments. FCR severity was not related to health behaviors. Significant but small variance in QoL was explained by FCR severity and functional status (p < .001).
The process of FCR was explained in terms of FCR severity functioning as a mediator between triggers and both psychological distress and functioning impairments. The small but significant contribution of FCR severity to QoL indicated the significance of addressing FCR in survivorship care by screening and providing interventions for at-risk survivors.
癌症复发恐惧（FCR）是生存者护理背景下的一个主要问题。识别 FCR 的预测因素和结果是首要的研究重点。本研究旨在了解 FCR 作为一个过程，并确定韩国癌症生存者的 FCR 预测因素和结果。
对 240 名已完成癌症治疗且正在接受常规随访护理的癌症幸存者进行描述性相关性研究。测量了参与者的 FCR、健康行为和生活质量（QoL）。使用中介分析、调节分析和路径分析评估 FCR 过程。使用 t 检验、卡方检验、Spearman 相关分析和多元回归分析确定 FCR 的预测因素和结果。
66.2%的癌症幸存者经历了 FCR 的临床水平（≥13）。女性和乳腺癌患者表现出更高的 FCR 严重程度。FCR 严重程度在触发因素与心理困扰和功能障碍之间起中介作用。FCR 严重程度与健康行为无关。FCR 严重程度和功能状态可解释 QoL 显著但较小的变异（p<.001）。
FCR 过程可以通过 FCR 严重程度在触发因素与心理困扰和功能障碍之间起中介作用来解释。FCR 严重程度对 QoL 的微小但显著的贡献表明，通过筛查和为高危幸存者提供干预措施，在生存者护理中解决 FCR 具有重要意义。
