目的 系统评价癌症患者家庭照顾者癌症复发恐惧（fear of cancer recurrence，FCR）体验，为制订针对性心理支持干预提供证据。方法 检索PubMed、Web of Science、Cochrane Library、Embase、CINAHL、知网、万方和维普等数据库中关于照顾者FCR体验的质性研究，检索时限为建库至2025年10月。采用Meta整合方法分析结果。结果 共纳入17篇文献，提炼出27个研究结果，归纳为8个类别，综合成3个整合结果：照顾者FCR的身心表现、照顾者对FCR相关因素的感知、照顾者采用不同策略应对FCR。结论 癌症患者家庭照顾者的FCR体验表现为身心多重负担，护理人员应开展FCR筛查，在关键医疗节点加强专业支持，并构建基于不同应对策略的阶梯式、多学科协同干预体系，以减轻照顾者的FCR。

Objective To systematically review the fear of cancer recurrence (FCR) experience among family caregivers of cancer patients,providing evidence for developing targeted psychological support intervention.Methods Qualitative studies on the FCR experience of caregivers were retrieved from databases including PubMed,Web of Science,Cochrane Library,Embase,CINAHL,CNKI,Wanfang,and VIP,from inception to October 2025.Results were analyzed using the meta-synthesis method.Results A total of 17 articles were included,yielding 27 research findings.These were summarized into 8 categories and synthesized into 3 integrated findings:the physical and psychological manifestations of FCR in caregivers;caregivers’ perceptions of factors related to FCR;caregivers’ adoption of various strategies to cope with FCR.Conclusions The FCR experience among family caregivers of cancer patients manifests as a multifaceted physical and psychological burden.Nursing professionals should implement FCR screening,enhance professional support at key medical junctures,and establish a stepped,multidisciplinary collaborative intervention system based on different coping strategies to alleviate caregivers’ FCR.

R473.73

湖南省自然科学基金青年基金（2023JJ40884）