Fear of the Cancer Coming Back: A Metasynthesis of Fear of Recurrence in Breast Cancer.

IF 1.7 4区医学 Q2 NURSING Public Health Nursing Pub Date : 2024-11-03 DOI:10.1111/phn.13467

Kai-Yue Wang, Hui Li, Nan Qin

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Abstract

Objective: This review aimed to consolidate existing knowledge on this phenomenon by incorporating direct testimonies from individuals who have experienced breast cancer.

Methods: 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.

Results: 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.

Conclusions: 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.

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害怕癌症复发：乳腺癌复发恐惧的元综合。

目的本综述旨在通过纳入经历过乳腺癌的个人的直接证词来巩固有关这一现象的现有知识：方法：对定性研究进行了全面的综合分析。从 PubMed、Cochrane Library、Web of Science、Embase、中国生物医学文献服务系统、中国国家知识基础设施、万方数据库和维普数据库等 8 个数据库中检索 2023 年 9 月 18 日之前发表的英文文章。经过对标题、摘要和全文的筛选，最终有 6 篇文章被纳入质量评价和元分类：共提炼出30项研究成果，并整合为三个主题：癌症复发恐惧（FCR）的原因；FCR的感受；FCR的应对；六个次主题：疾病治疗因素；心理因素；FCR是担心和恐惧；克服；消极应对；积极应对：结论：FCR 是一种主观感受，它受到外部环境（辅助治疗）和内部环境（心理因素）之间相互作用的影响。因此，在设计未来的护理措施时，应综合考虑乳腺癌幸存者的个体特征和外部环境。这可能是未来解决癌症患者 FCR 问题的首要重点。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Public Health Nursing 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.50

自引率

4.80%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Public Health Nursing publishes empirical research reports, program evaluations, and case reports focused on populations at risk across the lifespan. The journal also prints articles related to developments in practice, education of public health nurses, theory development, methodological innovations, legal, ethical, and public policy issues in public health, and the history of public health nursing throughout the world. While the primary readership of the Journal is North American, the journal is expanding its mission to address global public health concerns of interest to nurses.