Cancer Nursing最新文献

{"title":"Identifying Adolescent and Young Adults' Preferences for Oncology Symptom Management Clinical Trial Participation.","authors":"Robert Knoerl, Liat Smener, Katherine Grandinetti, Leslie A Fecher, N Lynn Henry, Yasmin Karimi, Kristen Pettit, Scott Schuetze, Emily Walling, Anao Zhang, Debra Barton","doi":"10.1097/NCC.0000000000001463","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001463","url":null,"abstract":"<p><strong>Background: </strong>Most studies to date exploring facilitators and barriers to adolescent and young adults' (AYAs') participation in clinical trials have been focused on external factors to AYAs' participation or recruitment strategies.</p><p><strong>Objective: </strong>The purpose of this mixed-methods study was to determine AYA cancer survivors' preferences for oncology symptom management clinical trial participation.</p><p><strong>Methods: </strong>Semistructured interviews and conjoint analysis were conducted to clarify potential attributes (eg, characteristics) and levels (eg, value of the characteristic) that may be important to AYA cancer survivors when considering clinical trial participation (n = 19). The final list of attributes and levels was administered within a choice-based conjoint analysis survey (n = 52). The utility score for each level was analyzed using hierarchical Bayes estimation, and the feature importance for each attribute was quantified.</p><p><strong>Results: </strong>The type of new treatment (22.9%) and perceived importance of study topic (19.5%) were the most important attributes identified by participants. The levels with the highest utility scores within each attribute included prescription medicine treatment with mild side effects, electronic surveys, under-30-minute study visits, no follow-up visits, 4-week treatment period, and once-a-week treatment frequency.</p><p><strong>Conclusion: </strong>The data support that study designs with low participant burden, interventions with few side effects, and the involvement of AYAs in determining the priority of the research topic are appealing to AYAs when considering participation in symptom management trials.</p><p><strong>Implications for practice: </strong>AYA participation in clinical trials is necessary to develop new symptom management modalities. Clinicians may use the results to introduce clinical trials containing trial characteristics that appeal to AYA cancer survivors.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient-Centered Physical Activity Intervention in Lung Cancer Patients: A Clinical Severity and Functional Capacity Systematic Review and Meta-analysis.","authors":"Alejandro Heredia Ciuró, Javier Martín Núñez, Alba Navas Otero, Andrés Calvache Mateo, Irene Torres Sánchez, María Granados Santiago, Marie Carmen Valenza","doi":"10.1097/NCC.0000000000001465","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001465","url":null,"abstract":"<p><strong>Background: </strong>Increasing physical activity levels is a significant unmet need in cancer survivors, and it can likely be enhanced through a better understanding of the interventions developed. Some studies on patient-centered physical activity interventions have shown promising results in increasing daily activity levels among lung cancer survivors. However, the programs present a high heterogeneity, and there is no consensus on the parameters and their effectiveness.</p><p><strong>Objective: </strong>To examine the effectiveness of patient-centered physical activity interventions on clinical severity and functional capacity in lung cancer patients.</p><p><strong>Methods: </strong>A systematic review was performed on randomized controlled trials. A literature search was conducted using MEDLINE, Web of Science, Science Direct, and Cochrane Library (last search November 2023). The Cochrane tool and the Grading of Recommendations Assessment, Development, and Evaluation system were used for quality assessment. Pooled data were meta-analyzed for physical activity levels, functional capacity, and cancer-related symptoms.</p><p><strong>Results: </strong>Fourteen studies, encompassing 1123 lung cancer patients, were included. The treatment status of patients varied. The components of the physical activity programs showed heterogeneity. Results revealed significant differences favoring patient-centered physical activity interventions over the control group for physical activity levels (P < .05), functional capacity (P < .001), and cancer-related symptoms (P < .05).</p><p><strong>Conclusion: </strong>The results indicate that patient-centered physical activity programs positively enhance physical activity levels, improve functional capacity, and reduce cancer-related symptoms in patients with lung cancer.</p><p><strong>Implications for practice: </strong>Patient-centered physical activity interventions show promise in improving the care and management of lung cancer patients. These interventions provide a basis for encouraging lung cancer patients to actively participate in their treatment.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Do People Living With Cancer Navigate Health Systems?: A Multi-Grounded Theory.","authors":"Emma Hennessey, Amy Kirkegaard, Lauren Ball","doi":"10.1097/NCC.0000000000001468","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001468","url":null,"abstract":"<p><strong>Background: </strong>Cancer and its physiological and psychological effects are well defined, but how these factors impact health system navigation for people living with cancer (PLWC) is lacking.</p><p><strong>Objective: </strong>To develop a theory explaining how PLWC navigate health systems to meet their health and well-being needs.</p><p><strong>Methods: </strong>This study used multi-grounded theory to explain how PLWC navigate health systems to meet their needs. Individuals more than 6 months postdiagnosis participated in semistructured interviews. The theory was grounded with the Health Beliefs Model and Socioecological Model to generate a candidate theory.</p><p><strong>Results: </strong>Eighteen participants were interviewed (n = 12 female); the most prominent cancer type was breast (50%). The theory comprised 5 components describing how PLWC navigate health services: (1) \"being on the journey\" referenced a core care team and differing utilization over time; (2) \"adjusting to a new identity\" addressed feeling lost and isolated and a desire to be around people who have experienced cancer; (3) \"assimilating knowledge\" included knowledge about cancer, timing, and source of information; (4) \"navigating the health system\" found health-seeking attitudes and behaviors dictated whether services were accessed; and (5) \"policy environment\" acknowledged how policy set the context within which all theory components exist.</p><p><strong>Conclusions: </strong>The candidate theory depicts core factors influencing how PWLC navigate health and well-being services over their cancer journey and into survivorship.</p><p><strong>Implications for practice: </strong>The theory identifies factors that influence access to healthcare, including trust and knowledge, which can form the basis of navigational initiatives and programs.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Traditional Chinese Baduanjin Exercise With Nursing and Peer Group Support in the Care of Patients After Allogeneic Hematopoietic Stem Cell Transplantation: Evaluation of Application and Survival Analysis.","authors":"Jianli Guo, Lingyu Liu, Cuifen He, Xuhong Ma, Huimin Liu, Zhuanzhen Zheng, Yuanjuan Zhang","doi":"10.1097/NCC.0000000000001460","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001460","url":null,"abstract":"<p><strong>Background: </strong>Sleep problems and anxiety are imperative for continuity of care and rehabilitation in patients following an allogeneic hematopoietic stem cell transplantation (allo-HSCT).</p><p><strong>Objective: </strong>The aim of this study was to investigate the impact on anxiety, sleep quality, and survival of integrating traditional Chinese Baduanjin exercises to track the control of continuous care in patients receiving an allo-HSCT.</p><p><strong>Methods: </strong>A total of 75 patients discharged after receiving an allo-HSCT were included. The control group received routine continuity of care, whereas the intervention group carried out Baduanjin exercises combined with 3C (company, clinical nurse, community nurse) support. Follow-up data were compared between the 2 groups using the Generalized Anxiety Disorder 7-item scale score for anxiety and the Pittsburgh Sleep Quality Index for sleep quality.</p><p><strong>Results: </strong>Both the control and intervention groups showed that continuity of care measures were effective for improving sleep quality (P < .05). The continuity of care model and the time effect in the intervention group during the first 6 months of follow-up were associated with patient anxiety (P < .05). The median survival time was 26 months in the control group and 41 months in the intervention group, with this difference being statistically significant (P = .0239).</p><p><strong>Conclusion: </strong>The 3C support group improved patients' compliance with continuity of care. Also, integrating Baduanjin exercises with continuous care alleviated anxiety, improved sleep quality, and prolonged median survival time in patients after an allo-HSCT.</p><p><strong>Implications for practice: </strong>The results indicate this model of care is potentially suitable for clinical promotion and application of allo-HSCT patients.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and Facilitators of Implementing Colorectal Cancer Screening Management in China: A Mixed-Methods Study.","authors":"Bingzi Shi, Jing Zhang, Yasi Zhang, Yujing Sun, Chen Xu, Wenming Cui","doi":"10.1097/NCC.0000000000001443","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001443","url":null,"abstract":"<p><strong>Background: </strong>Colorectal cancer is a major cause of cancer-related deaths in China. Timely screening is essential for reducing mortality, but implementing comprehensive programs in Chinese healthcare settings is challenging.</p><p><strong>Objective: </strong>This study identifies barriers and facilitators to colorectal cancer screening (CRCS) in China and recommends effective implementation strategies.</p><p><strong>Methods: </strong>Conducted from October 2023 to April 2024, this mixed-methods study under the Consolidated Framework for Implementation Research involved 128 practitioners and 440 residents near 5 community health centers and 4 tertiary care hospitals in Harbin, Heilongjiang Province. Quantitative data were analyzed using descriptive statistics and logistic regression, whereas qualitative data from 21 practitioners and 23 community members underwent directed content analysis.</p><p><strong>Results: </strong>The study identified 18 facilitators and 29 barriers to CRCS implementation in China, analyzed across 5 Consolidated Framework for Implementation Research domains: innovation (2 facilitators, 5 barriers), outer setting (5 facilitators, 4 barriers), inner setting (3 facilitators, 4 barriers), individual characteristics (5 facilitators, 11 barriers), and implementation process (3 facilitators, 5 barriers).</p><p><strong>Conclusion: </strong>This study highlights critical facilitators and barriers from the perspectives of healthcare professionals and the screening-eligible population. It suggests strategies to enhance early CRCS initiatives in China, including regular training, public education, financial support, and improved accessibility.</p><p><strong>Implications for practice: </strong>The findings from this study provide actionable insights for enhancing the implementation of CRCS in Chinese healthcare settings.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Needs Assessment to Guide the Development of a Pediatric Survivorship Program to Promote the Physical and Psychological Well-being of Children After Cancer Treatment.","authors":"Oi Kwan Joyce Chung, William Ho Cheung Li, Shirley Siu Yin Ching, Sau Ying Chiu, Shuk Yan Mak, Godfrey Chi Fung Chan","doi":"10.1097/NCC.0000000000001464","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001464","url":null,"abstract":"<p><strong>Background: </strong>Studies have provided insights into the major challenges and needs of young children who survive cancer. Many such challenges are related to a lack of support during the patient's transition back to normal life. Survivorship programs are designed to help survivors cope with potential late effects of treatment and to provide psychosocial support. However, there is not yet a survivorship program in Hong Kong that provides young survivors with continuous care.</p><p><strong>Objectives: </strong>To explore the challenges and needs faced by pediatric cancer survivors during their transition from patient to survivor and to guide the development of the survivorship program.</p><p><strong>Methods: </strong>A qualitative descriptive design utilizing purposive sampling was used. Semistructured interviews were conducted with 30 pediatric cancer survivors aged between 9 and 18 years, along with their parents/caregivers, as well as 5 pediatric cancer oncology nurses and 3 pediatric oncologists.</p><p><strong>Results: </strong>The interviews yielded 4 overarching themes: (1) challenges in school reintegration, (2) concerns relating to physical and psychological well-being, (3) lack of social support and adaptation difficulties, and (4) needs for supportive care services.</p><p><strong>Conclusion: </strong>The findings provide insights into the needs of pediatric cancer survivors, their parents, and other key stakeholders. These insights suggest that a pediatric cancer survivorship program should be established in Hong Kong as an essential component of the continuum of cancer care.</p><p><strong>Implications for practice: </strong>Survivor clinic care should be enhanced to provide continuous support for children who have completed medical treatment and their caregivers, incorporating the perspectives of all stakeholders.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Young Adult Community Health Advisor-Led Intervention to Promote Colorectal Cancer Screening Uptake Among South Asians in Hong Kong: A Randomized Controlled Trial.","authors":"Tika Rana, Dorothy N S Chan, Kai Chow Choi, Winnie K W So","doi":"10.1097/NCC.0000000000001438","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001438","url":null,"abstract":"<p><strong>Background: </strong>Colorectal cancer is the most common cancer globally, and its prevalence is high in minority populations.</p><p><strong>Objectives: </strong>To investigate the effectiveness of a young adult community health advisor (YACHA)-led intervention in enhancing the colorectal cancer (CRC) screening uptake rate among asymptomatic South Asians aged 50 to 75 years residing in Hong Kong and to investigate the acceptability of this intervention.</p><p><strong>Methods: </strong>A randomized controlled trial design was adopted. Eighty asymptomatic South Asian participants aged 50 to 75 years were recruited from the community in Hong Kong and then randomly allocated either to a YACHA-led intervention group or a control group. The intervention group received YACHA-led intervention, whereas the control group would receive the intervention after all follow-up assessments. The outcome measure was the uptake of CRC screening test. The acceptability of the intervention was explored through semistructured interviews.</p><p><strong>Results: </strong>The findings showed that the CRC screening uptake rate of the intervention group was significantly higher than that of the control group (85.0% vs 2.5%, P < .001). All the interviewees were satisfied with the intervention.</p><p><strong>Conclusion: </strong>The YACHA-led intervention improves the uptake of CRC screening among asymptomatic South Asians.</p><p><strong>Implications for practice: </strong>It is suggested that more resources should be allocated to empower young members of minority groups to reduce the health disparity.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adherence to Oral Anticancer Agents Among Adults With Gastrointestinal Tract Cancer: A Scoping Review.","authors":"Yongfeng Chen, Marques Shek Nam Ng, Mengyue Zhang, Carmen Wing Han Chan","doi":"10.1097/NCC.0000000000001450","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001450","url":null,"abstract":"<p><strong>Background: </strong>Patients with gastrointestinal tract cancer reported suboptimal adherence to oral anticancer agents (OAAs), reducing their therapeutic benefit and increasing mortality risk. A scoping review can comprehensively map available evidence on adherence to OAAs and inform appropriate support to improve treatment outcomes.</p><p><strong>Objective: </strong>The aim of this study was to comprehensively map studies on adherence to OAAs among adults with gastrointestinal tract cancer, including the adherence rate, nonadherence reasons, influential factors, management strategies, and theories that guide these studies.</p><p><strong>Methods: </strong>The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews Checklist and the 5-stage methodological framework of scoping review were followed. According to the 5 research questions, 7 databases were systematically searched for peer-reviewed original studies, and a narrative synthesis was performed.</p><p><strong>Results: </strong>Fifty-two studies were included. Adherence ranged from 16.7% to 100%, giving a median rate of 68% by self-report. Seven categories of nonadherence reasons were identified, with adverse effects, cancer progression, patient refusal, and forgetfulness being most frequently reported. Furthermore, more than 40 influential factors were identified. They are related to patient, disease condition, therapy, socioeconomic, and healthcare-system dimensions. Education and follow-up care were the main components of management strategies, but the effectiveness was inconsistent. Currently, only 3 of 52 studies adopted theoretical frameworks.</p><p><strong>Conclusion: </strong>Adherence to OAAs among adults with gastrointestinal tract cancer is suboptimal. Future studies with rigorous designs and theoretical frameworks are needed to develop adherence-enhancing strategies and explain theoretical mechanisms.</p><p><strong>Implications for practice: </strong>Routine assessments and preventive actions are suggested to delay modifiable nonadherence.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship Between Posttraumatic Growth and Illness Uncertainty in Young Women With Breast Cancer: The Mediating Role of Self-compassion.","authors":"Özkan Uğuz, Satı Dogan","doi":"10.1097/NCC.0000000000001434","DOIUrl":"10.1097/NCC.0000000000001434","url":null,"abstract":"<p><strong>Background: </strong>The recovery process for young women with breast cancer is influenced by several factors, including the uncertainty of disease, posttraumatic growth, and self-compassion.</p><p><strong>Objective: </strong>To examine the association between illness uncertainty and posttraumatic growth in young women with breast cancer and to determine the mediating role of self-compassion in this association.</p><p><strong>Methods: </strong>This cross-sectional, descriptive and correlational study was conducted in Western Turkey between September 2023 and December 2023. Data were collected from 153 young women with breast cancer using the demographic and clinical questionnaire, the Posttraumatic Growth Inventory, Mishel Uncertainty in Illness Scale-Community, and the Self-compassion Scale.</p><p><strong>Results: </strong>Posttraumatic growth was negatively correlated with illness uncertainty ( r = -0.304, P < .001) and positively correlated with self-compassion ( r = 0.581, P < .001). Illness uncertainty negatively predicted posttraumatic growth ( P < .001), whereas self-compassion positively predicted posttraumatic growth ( P < .001). When self-compassion was included in the model, the effect of illness uncertainty on posttraumatic growth became insignificant ( P > .05).</p><p><strong>Conclusion: </strong>Results of the study indicate that self-compassion has a fully mediating effect on the relationship between illness uncertainty and posttraumatic growth in young women with breast cancer.</p><p><strong>Implications for practice: </strong>Psychosocial care of young women with breast cancer by oncology nurses can significantly improve self-compassion, reduce illness uncertainty, and promote posttraumatic growth.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated With Fear of Cancer Recurrence in Colorectal Cancer Patients: A Meta-analysis in Health Ecological Perspective.","authors":"Yanlei Sheng, Qingyi Li, Fan Shen, Luhong Hu, Jie Li, Qianyun Wang, Li He","doi":"10.1097/NCC.0000000000001442","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001442","url":null,"abstract":"<p><strong>Background: </strong>Fear of cancer recurrence is a major source of stress and unmet need for colorectal cancer patients.</p><p><strong>Objective: </strong>This review aimed to identify factors influencing fear of cancer recurrence in colorectal cancer patients.</p><p><strong>Methods: </strong>Multiple electronic databases were systematically searched for studies from inception to January 2024 using concepts \"colorectal neoplasm,\" \"fear,\" and \"recurrence.\" Two authors independently screened, assessed the quality of eligible studies, and extracted relevant data. The synthesis of effect sizes was conducted using R software version 4.3.1.</p><p><strong>Results: </strong>A total of 20 studies were included, of which 11 were of moderate quality and 9 were of high quality. The studies reported on 22 potential influencing factors across 5 levels of the health ecological model, including innate personal traits, psychobehavioral factors, interpersonal network factors, living and working conditions, and policy environment factors. After synthesizing the data, it was found that all 22 factors were significantly associated with fear of cancer recurrence in colorectal cancer patients. Of these, 9 factors showed a moderate correlation with fear of cancer recurrence (0.3 < r ≤ 0.6), whereas 13 factors showed a lower level of correlation (r ≤ 0.3).</p><p><strong>Conclusions: </strong>The factors associated with the fear of cancer recurrence in colorectal cancer patients are complex and partially modifiable.</p><p><strong>Implications for practice: </strong>This study suggests that healthcare providers can use a health ecological perspective to provide interventions targeting these factors for colorectal cancer patients to effectively alleviate their fear of cancer recurrence and improve their quality of life.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}