Wang Kai-Yue, Li Hui, Qin Nan
Department of Nursing, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & Institute, Shenyang, Liaoning, China.
Department of Breast Surgery, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & Institute, Shenyang, Liaoning, China.
Public Health Nurs. 2025 Jan-Feb;42(1):457-465. doi: 10.1111/phn.13467. Epub 2024 Nov 3.
This review aimed to consolidate existing knowledge on this phenomenon by incorporating direct testimonies from individuals who have experienced breast cancer.
A thorough metasynthesis of qualitative studies was conducted. English articles published prior to September 18 2023 were searched from eight databases, including PubMed, Cochrane Library, Web of Science, Embase, the Chinese biomedical literature service system, the China National Knowledge Infrastructure, the Wanfang Database, and the Wipu Database. After screening the titles, abstracts, and full texts, six articles were finally included in the quality appraisal and metaaggregation.
A total of 30 research findings were distilled and integrated into three themes: causes of fear of cancer recurrence (FCR); feelings of FCR; coping with FCR; and six subthemes: disease treatment factors; psychological factors; FCR is worry and fear; overcoming; negative response; positive response.
FCR is a subjective feeling; it is influenced by the interplay between the external environment (adjuvant therapy) and internal environment (psychological factors). Therefore, future care measures should be designed comprehensively, considering the individual characteristics of breast cancer survivors and the external environment. This could be the primary focus for addressing FCR in cancer patients in the future.
本综述旨在通过纳入乳腺癌患者的直接证词来巩固关于这一现象的现有知识。
对定性研究进行了全面的元综合分析。从包括PubMed、Cochrane图书馆、科学网、Embase、中国生物医学文献服务系统、中国知网、万方数据库和维普数据库在内的八个数据库中检索2023年9月18日前发表的英文文章。在筛选标题、摘要和全文后，最终纳入六篇文章进行质量评估和元聚合。
共提炼出30项研究结果，并整合为三个主题：癌症复发恐惧（FCR）的原因；FCR的感受；应对FCR；以及六个子主题：疾病治疗因素；心理因素；FCR即担忧和恐惧；克服；负面反应；正面反应。
FCR是一种主观感受；它受外部环境（辅助治疗）和内部环境（心理因素）相互作用的影响。因此，未来的护理措施应综合考虑乳腺癌幸存者的个体特征和外部环境来设计。这可能是未来解决癌症患者FCR问题的主要重点。
