Fear of cancer recurrence in cancer patients：a qualitative Meta-synthesis

doi:10.3761/j.issn.0254-1769.2023.20.014

Abstract

Abstract:

Objective To systematically evaluate and analyze the qualitative research about the fear of recurrence in cancer patients，in order to help medical workers to provide the psychological support for cancer patients. Methods Qualitative studies about the fear of recurrence in cancer patients were systematically searched from Cochrane Library，PubMed，Embase，Web of Science，PsycINFO，CINAHL，SinoMed，Wanfang Database，CNKI and VIP database，and the search time limit was from the establishment of the databases to June 2022. The quality of the literature was evaluated according to the JBI Critical Appraisal Checklist for Qualitative Research，and the included literature was integrated and analyzed using the integrating method. Results A total of 13 pieces of the literature were included，and 59 research results were extracted，which were finally summarized into 14 categories and 3 integrated results：multiple typical manifestations of the fear of cancer recurrence，complex triggering factors of the fear of cancer recurrence，and diverse coping strategies of the fear of cancer recurrence. Conclusion On the basis of understanding the multiple manifestations，triggers and individual coping differences of cancer patients’ fear of recurrence，medical staff can cooperate with patients，family members and social workers to construct a comprehensive support model of hospital-family-society integration，so as to correct irrational cognition，eliminate the uncertainty of recurrence，face the fear bravely and positively，so as to improve the quality of life.

Key words: Cancer, Fear of Recurrence, Qualitative Research, Meta-Synthesis, Evidence-Based Nursing

摘要：

目的系统评价与分析癌症患者复发恐惧体验的质性研究，旨在为医护工作者给予癌症患者心理支持提供依据。方法系统检索Cochrane Library、PubMed、Embase、Web of Science、PsycINFO、CINAHL、中国生物医学文献数据库、万方数据库、中国知网和维普数据库，检索关于癌症患者复发恐惧体验的质性研究，检索时限为建库至2022年6月。根据乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价工具对文献进行质量评价，采用汇集型整合法对纳入的文献进行整合与分析。结果最终共纳入13篇文献，提取59个研究结果，最终归纳为3个整合结果：癌症复发恐惧存在多重典型表现、癌症复发恐惧的触发因素复杂、癌症复发恐惧的应对策略多样，共14个类别。结论医护人员在理解癌症患者复发恐惧的多重表现、触发因素和个人应对差异的基础上，可联合患者、家属和社会工作者共同建构医院-家庭-社会一体化的综合支持模式，以纠正非理性认知，消除复发不确定感，积极勇敢地面对恐惧，从而提高生活质量。

关键词: 癌症, 复发恐惧, 质性研究, Meta整合, 循证护理学

YE Chenglin, LIU Hongyan, ZHANG Xiuwei, CHEN Qiuqiang, ZHANG Xiaoxu, ZHANG Mengtian. Fear of cancer recurrence in cancer patients：a qualitative Meta-synthesis[J]. Chinese Journal of Nursing, 2023, 58(20): 2530-2537.

叶铖林, 刘红彦, 张秀伟, 陈秋强, 张晓旭, 张梦甜. 癌症患者复发恐惧体验质性研究的Meta整合[J]. 中华护理杂志, 2023, 58(20): 2530-2537.

Figures/Tables 3

References 37

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