Fear of Cancer Recurrence Prevalence and Its Associated Factors Among Family Caregivers of Women With Breast Cancer: A Systematic Review and Meta-Analysis

IF 3.5 3区医学 Q1 NURSING Journal of Clinical Nursing Pub Date : 2025-02-24 DOI:10.1111/jocn.17680

Xiaofan Bu, Ling Jiang, Doris Y. P. Leung

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Abstract

Background

The fear of cancer recurrence (FCR) levels reported by caregivers are as high as those reported by women with breast cancer, with some caregivers even reporting FCR levels higher than women with breast cancer. The recognition of factors associated with caregiver FCR is important for providing proactive support to caregivers at risk.

Objective

To identify factors associated with high FCR in caregivers of women with breast cancer.

Methods

A systematic search of eight electronic databases was conducted from database inception to August 2023. The identified papers were screened, and their full texts were further assessed. The quality of the included studies was examined by using a checklist, and relevant data were extracted with a predeveloped data extraction form. The best-evidence synthesis model was used for data synthesis. Meta-analysis was conducted to calculate the prevalence of caregiver FCR.

Results

The search yielded a total of 2137 studies, and 15 studies involving 2461 caregivers were included after the screening and full assessment of 56 papers. A total of 29 factors were identified. Of these factors, five factors with a moderate level of evidence associated with high FCR were identified: insufficient communication of women with breast cancer, low level of resilience, high social constraints, high protective buffering and insufficient communication of caregivers; 15 associated factors were supported by limited-level evidence and nine were supported by conflicting-level evidence. The prevalence of FCR in caregivers was 45%.

Conclusions

The associated factors examined provide some evidence for identifying caregivers who are at high risk of high FCR. Identifying factors contributing to FCR in caregivers is important for developing interventions for those caregivers most in need and reducing adverse health outcomes related to caregiver FCR. Additional studies are needed to examine the relationship between conflicting factors and caregiver FCR.

Patient or Public Contribution

No patient or public contribution.

Trial Registration: PROSPERO registration number: CRD42023469754; identifier: https://www.crd.york.ac.uk/PROSPERO/#recordDetails

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乳腺癌女性患者家庭照顾者对癌症复发的恐惧感及其相关因素：系统回顾与元分析》。

背景：护理人员报告的癌症复发恐惧（FCR）水平与乳腺癌妇女报告的一样高，一些护理人员甚至报告的FCR水平高于乳腺癌妇女。识别与照顾者FCR相关的因素对于为有风险的照顾者提供积极的支持是很重要的。目的：探讨乳腺癌患者照护者高FCR的相关因素。方法：系统检索自数据库建立至2023年8月的8个电子数据库。筛选已确定的论文，并对其全文进行进一步评估。使用检查表检查纳入研究的质量，并使用预先开发的数据提取表提取相关数据。采用最佳证据综合模型进行数据综合。通过荟萃分析计算照顾者FCR的患病率。结果：共检索到2137项研究，在对56篇论文进行筛选和全面评估后，纳入了15项研究，涉及2461名护理人员。总共确定了29个因素。在这些因素中，确定了5个与高FCR相关的中等证据水平的因素：乳腺癌妇女沟通不足、恢复能力低、社会约束高、保护性缓冲高和照顾者沟通不足；15个相关因素得到有限水平证据的支持，9个相关因素得到冲突水平证据的支持。护理人员中FCR的患病率为45%。结论：相关因素的检测为识别高FCR高危护理人员提供了一些证据。确定导致护理人员FCR的因素对于为最需要的护理人员制定干预措施和减少与护理人员FCR相关的不良健康结果非常重要。需要进一步的研究来检验冲突因素与照顾者FCR之间的关系。患者或公众捐款：没有患者或公众捐款。试验注册：普洛斯彼罗注册号：CRD42023469754；标识符:https://www.crd.york.ac.uk/PROSPERO/ # recordDetails。

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来源期刊

Journal of Clinical Nursing 医学-护理

CiteScore

6.40

自引率

2.40%

发文量

审稿时长

2 months

期刊介绍： The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice. JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice. We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.