癌症病人害怕癌症復發臨床評估及護理處置

Clinical Evaluation and Nursing Management of Fear of Cancer Recurrence in Cancer Patients

郭于綾(Yu-Ling Kou) ； 黃盈芳(Ying-Fang Huang) ； 陳淑卿(Shu-Ching Chen)

《長庚護理》 34卷4期 (2023/12) Pp. 28-40

https://doi.org/10.6386/CGN.202312_34(4).0003

摘要

癌症病人從癌症診斷至存活期間經常感受到害怕癌症復發，若未能及時評估及處置會影響身心功能，進而干擾因應能力。本文主要目的為探討害怕癌症復發的定義及特徵、相關因素、造成的影響及後果、評估工具及護理照護與處置。女性、年輕、晚期癌症、情緒困擾及社會情緒功能不良的癌症病人，感受到較高的害怕癌症復發。高度的害怕癌症復發，會造造成睡眠困擾、情緒反應變差及身體功能缺損及習慣性反覆思考。護理處置包括：自我調節、正念、認知行為治療及征服恐懼訓練。

關鍵字

癌症 ； 復發 ； 存活 ； 存活照護 ； 害怕癌症復發

並列摘要

Cancer patients often experience a persistent fear of cancer recurrence from the time of diagnosis throughout the survival period. This fear can lead to both physical and psychological dysfunction, disrupting coping abilities. The objective of this article is to delve into the definition, characteristics, related factors, consequences, assessment instruments, nursing care, and management strategies for cancer patients grappling with the fear of cancer recurrence. It was observed that female patients, those of a younger age, individuals with advanced cancer stages, as well as those experiencing psychological dysfunction and social-emotional impairment, were more prone to harboring a fear of cancer recurrence. Elevated levels of this fear correlated with sleep disturbances, poor emotional responses, impairment in physical functioning, and habitual rumination. Nursing management strategies encompassed various approaches, including self-regulation techniques, mindfulness practices, cognitive behavior therapy, and fear mastery training.

並列關鍵字

cancer ； recurrence ； survival ； survivorship care ； fear of cancer recurrence

參考文獻

Cameron, L.D., Booth, R., Schlatter, M., Ziginskas, D., & Harman, J. (2007). Changes in emotion regulation and psychological adjustment following use of a group psychosocial support program for women recently diagnosed with breast cancer. Psycho Oncology, 16(3), 171–180. https://doi.org/10.1002/pon.1050

Chiang, C. J., Lo, W. C., Yang, Y. W., You, S. L., Chen, C. J., & Lai, M. S. (2016). Incidence and survival of adult cancer patients in Taiwan, 2002-2012. Journal of Formosan Medical Association, 115(12), 1076–1088. https://doi.org/10.1016/j.jfma.2015.10.011

Crist, J. V., & Grunfeld, E. A. (2013). Factors reported to influence fear of recurrence in cancer patients: A systematic review. Psycho Oncology, 22(5), 978–986. https://doi.org/10. 1002/pon.3114

Daily, K., Douglas, E., Romitti, P. A., & Thomas, A. (2021). Epidemiology of de novo metastatic breast cancer. Clinical Breast Cancer, 21(4), 302–308. https://doi.org/10.1016/j.clbc. 2021.01.017

Deimling, G. T., Bowman, K. F., Sterns, S., Wagner, L. J., & Kahana, B. (2006). Cancer-related health worries and psychological distress among older adult, long-term cancer survivors. Psycho Oncology, 15(4), 306–320. https://doi.org/10.1002/pon.955