Exploring fear of cancer recurrence and related factors among breast cancer patients: A cross‐sectional study

Author:

Li Yang1,Fang Chao2,Xiong Meidi34,Hou Hao5,Zhang Yanting6,Zhang Chunhua4ORCID

Affiliation:

1. Department of Endocrinology Zhongnan Hospital of Wuhan University Wuhan China

2. Department of Anesthesiology Zhongnan Hospital of Wuhan University Wuhan China

3. Medical School Yangtze University Jingzhou China

4. Department of Nursing Zhongnan Hospital of Wuhan University Wuhan China

5. School of Nursing Wuhan University Wuhan China

6. Department of Critical Care Medicine Zhongnan Hospital of Wuhan University Wuhan China

Abstract

AbstractAimsFear of cancer recurrence (FCR) is a multifaceted concept influenced by individual characteristics, social support, psychological factors. This study aims to identify distinct FCR profiles among breast cancer patients and explore the associated variables with these patterns.DesignA cross‐sectional study was conducted from April 2022 to March 2023.MethodsA convenience sample of 339 patients completed a questionnaire that assessed general and disease‐related data, including the Fear of Progression Questionnaire‐Short Form, Social Support Rating Scale, Medical Coping Modes Questionnaire. Statistical analysis involved latent profile analysis (LPA) and multinomial logistic regression.ResultsThree latent patterns of FCR were found: the low fear (28.9%), the moderate fear (51.3%), and the high fear (18.0%). The study identified the social support, family monthly income, employment status, utilization of confrontation coping mode and avoidance coping mode, as factors that impacted the FCR.ConclusionsSocial support, family monthly income, employment status, and medical coping modes have been found to impact the FCR among newly diagnosed breast cancer patients. Healthcare professionals should focus on addressing FCR at diagnosis and implement effective interventions, such as promoting social support and encouraging adaptive coping, to alleviate this concern.ImpactUrgently addressing the FCR in Chinese breast cancer patients is imperative due to its profound influence on their holistic health. Through advanced LPA, we categorized the FCR progression, highlighting risks. These findings have implications for healthcare strategies, offering new insights to manage the FCR and improve patient well‐being. Our study adds a fresh perspective to the factors underlying the FCR in breast cancer patients, contributing to the broader comprehension and management of this complex survivorship issue.Patient or Public ContributionNo patient or public contribution.

Publisher

Wiley

Subject

General Nursing

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