癌症患者及家庭照顾者复发恐惧影响因素的范围综述  

A scoping review of influencing factors for fear of cancer recurrence in patients and their family caregivers

作　　者：葛蓉 万宏伟 朱毓 GE Rong;WAN Hongwei;ZHU Yu(Department of Nursing,Shanghai Proton and Heavy Ion Center&Shanghai Key Laboratory of Radiation Oncology&Shanghai Engineering Research Center of Proton and Heavy Ion Radiation Therapy,Shanghai 201315,China)

机构地区：[1]上海市质子重离子医院护理部,上海市放射肿瘤学重点实验室,上海质子重离子放射治疗工程技术研究中心,上海201315

出　　处：《护士进修杂志》2025年第1期90-97,共8页Journal of Nurses Training

基　　金：上海市医院协会项目(编号:FDYGC20230117);上海申康医院发展中心管理研究项目(编号:2023SKMR-36);复旦大学医院管理建设项目(编号:FDYGC20230117);上海申康医院发展中心医疗质量安全项目(编号:SHDC1202262)。

摘　　要：目的对使用主客体互倚模型(actor-partner interdependence model,APIM)探究癌症患者及家庭照顾者癌症复发恐惧(fear of cancer recurrence,FCR)影响因素主客体效应的现有证据进行系统化总结。方法以JBI范围综述指南为方法学框架,检索中英文数据库中有关成人癌症患者及其家庭照顾者FCR影响因素主客体效应的研究。检索时限为建库至2023年1月1日。对纳入文献进行数据提取及汇总分析。结果纳入15篇研究,发现具有全部主客体效应的因素包括:双方年轻年龄、家庭回避癌症沟通、感恩、正念、抑郁。结论本综述纳入研究的研究对象、样本量、研究设计、研究工具方面仍需要进一步完善,现阶段的研究不足以支持上述因素的主客体效应,在未来的研究中需开展大样本、设计严谨的研究以确定影响癌症患者及家庭照顾者FCR的关键因素,从而进行有效二元干预。Objective To systematically summarize the current evidence on the actor and partner effects of factors influencing cancer patients'and family caregivers'fear of cancer recurrence(FCR)using the actor-partner interdependence model.Methods Following the JBI scoping review guidelines as the methodological framework,relevant studies about actor and partner effects of factors influencing FCR among adult cancer patients and their family caregivers were searched in Chinese and English databases.The search time was from inception of the database until January 1,2023.Data extraction and summary analysis were conducted for all included studies.Results A total of 15 studies were included,and it was found that the factors with full actor and partner effects included:Young age of both partners,family avoidance of communication about cancer,gratitude,mindfulness,and depression.Conclusion The research objects,sample size,research design,and research tools of the studies included in this review still need to be further improved,and the current research is not enough to support the actor and partner effects of the above factors.Hence,future studies should aim for larger sample sizes,and rigorous designs to identify the key factors influencing FCR of cancer patients and their family caregivers,so as to develop effective dyadic interventions.

关 键 词：癌症 家庭照顾者 复发 恐惧 影响因素 主客体互倚模型 范围综述 

分 类 号：R473.73[医药卫生—护理学]