Kenny-Jones Maebh, Nankivell Paul, Mehanna Hisham, Ozakinci Gozde
Division of Psychology, Faculty of Natural Sciences, University of Stirling, Stirling FK9 4LA, UK.
Institute of Head and Neck Studies and Education, Department of Cancer and Genomic Sciences, University of Birmingham, Birmingham B15 2TT, UK.
Curr Oncol. 2024 Nov 29;31(12):7586-7602. doi: 10.3390/curroncol31120559.
Cancer care is evolving, and digital resources are being introduced to support cancer patients throughout the cancer journey. Logistical concerns, such as health literacy and the emotional experience of cancer, need to be considered. Fear of cancer recurrence (FCR) and fear of cancer progression (FOP) are relevant emotional constructs that should be investigated. This scoping review explored two main objectives: first, the link between FCR/FOP and engagement with digital resources, and second, the link between FCR/FOP and health literacy. A database search was conducted separately for each objective. Relevant papers were identified, data were extracted, and a quality assessment was conducted. Objective 1 identified two relevant papers that suggested that higher levels of FCR were correlated with lower levels of engagement with digital resources. Objective 2 identified eight relevant papers that indicated that higher FCR/FOP is correlated with lower health literacy. However, one paper with a greater sample size and a more representative sample reported no significant relationship. There may be important relationships between the constructs of FCR/FOP, resource engagement, and health literacy and relationships may differ across cancer type and sex. However, research is limited. No studies examined the relationship between FOP and engagement or FCR/FOP and digital health literacy, and the number of studies identified was too limited to come to a firm conclusion. Further research is needed to understand the significance and relevance of these relationships.
癌症护理正在不断发展，数字资源也被引入以在整个癌症治疗过程中为癌症患者提供支持。诸如健康素养和癌症患者的情感体验等后勤方面的问题需要加以考虑。对癌症复发的恐惧（FCR）和对癌症进展的恐惧（FOP）是相关的情感概念，值得深入研究。本范围综述探讨了两个主要目标：第一，FCR/FOP与数字资源使用之间的联系；第二，FCR/FOP与健康素养之间的联系。针对每个目标分别进行了数据库搜索。确定了相关论文，提取了数据，并进行了质量评估。目标1确定了两篇相关论文，表明较高水平的FCR与较低的数字资源使用水平相关。目标2确定了八篇相关论文，表明较高的FCR/FOP与较低的健康素养相关。然而，一篇样本量更大且样本更具代表性的论文报告称两者无显著关系。FCR/FOP、资源使用和健康素养之间可能存在重要联系，且这些联系可能因癌症类型和性别而异。然而，相关研究有限。尚无研究探讨FOP与资源使用或FCR/FOP与数字健康素养之间的关系，且已确定的研究数量太少，无法得出确凿结论。需要进一步研究以了解这些关系的重要性和相关性。
