护理实践中评估成人癌症复发恐惧的评估工具：系统综述。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing Pub Date : 2025-06-01 DOI:10.1016/j.soncn.2025.151850

Cristina Díaz-Periánez , Rafaela Camacho-Bejarano , Susanne Cruickshank , Gerry Humphris , Eloisa Bayo-Lozano , Dolores Merino-Navarro

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引用次数: 0

摘要

目的：识别、评估和比较国际上有效的测量成年癌症幸存者对复发恐惧的工具。方法：本系统综述以PRISMA报告指南为基础，采用COSMIN方法分析所选评估工具的心理测量特性和验证过程。检索于2001年至2023年在PubMed/Medline、Cochrane Library、CINAHL、Web of Science、Scopus和LILACS 6个数据库进行。使用的描述词是：“对癌症复发的恐惧”、“工具”、“有效性”、“可靠性”和“癌症幸存者”。选择了针对成年癌症患者癌症复发恐惧工具的设计、验证或文化适应的研究。使用COSMIN检查表比较工具的测量特性，包括以下维度：概念适用性、适用性和心理测量特征，并评估不同研究的方法学质量和偏倚风险。结果：纳入18项研究。确定了三种有效的工具来测量成人对癌症复发的恐惧：CARS， FCRI和FCR7，它们也被改编成各种语言。虽然在验证过程中存在差异，但大多数工具都具有可接受的心理测量特性和适当的文化适应性。结论：确定的3种主要工具可有效测量对癌症复发的恐惧，尽管它们的发展水平不同，其中FCR4/7是最新和一致的1。尽管有这些工具，但在西班牙语环境中缺乏经过验证的工具。在护理实践中经常使用这些工具有助于早期发现对癌症复发的恐惧，并有效地管理它，提高癌症患者的生活质量。最近出现了更短的版本，以方便其适用性。

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Evaluating Tools for Assessing Fear of Cancer Recurrence in Adults for Nursing Practice: A Systematic Review

Objective

To identify, assess and compare internationally validated tools that measure the fear of recurrence in adult survivors of cancer.

Methods

This systematic review was based on the PRISMA reporting guidelines and COSMIN methodology was applied to analyses the psychometric properties and the validation process of the selected assessment tools. The search was conducted on 6 databases: PubMed/Medline, Cochrane Library, CINAHL, Web of Science, Scopus and LILACS, from 2001 to 2023. The descriptors used were: “fear of cancer recurrence,” “tools,” “validity,” “reliability” and “cancer survivors.” Studies focused on the design, validation or cultural adaptation of fear of cancer recurrence tools in adult cancer patients were selected. The COSMIN checklist was used to compare the tools measurement properties, including the following dimensions: conceptual suitability, applicability and psychometric features, and also to assess the methodological quality and the risk of bias of the different studies.

Results

18 studies have been included. Three validated tools were identified for measuring fear of cancer recurrence in adults: CARS, FCRI and FCR7, which were also adapted in various languages. Although there are differences in the validation process, most of the tools were validated with acceptable psychometric properties and with a suitable cultural adaptation.

Conclusions

The 3 main tools identified are valid to measure fear for cancer recurrence although vary on their level of development, being FCR4/7 the most recent and consistent 1. Despite the availability of these tools, there is a lack of validated instruments in Spanish-speaking contexts. Regular use of these tools in Nursing practice would contribute to early detect fear of cancer recurrence and to effectively manage it, improving the quality of life of cancer patients. Recently, shorter versions have arisen to facilitate its applicability.

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来源期刊

Seminars in Oncology Nursing Nursing-Oncology (nursing)

CiteScore

3.40

自引率

0.00%

发文量

审稿时长

45 days

期刊介绍： Seminars in Oncology Nursing is a unique international journal published six times a year. Each issue offers a multi-faceted overview of a single cancer topic from a selection of expert review articles and disseminates oncology nursing research relevant to patient care, nursing education, management, and policy development.