Background: Fear of cancer recurrence can act as a critical variable in cancer coping, and effectively managing this fear is crucial for the treatment and recovery processes.

Objective: This study aims to examine the impact of fear of cancer recurrence, perceived health status, and mindfulness on cancer coping among female patients with cancer. The focus is on the mediating effects of perceived health status and mindfulness in this relationship.

Methods: The study participants consisted of 202 women with cancer, and the data were collected through an online survey. The mediation effects were analyzed using PROCESS Macro 3.5 Model 6.

Results: The results of the direct effect analysis indicated that fear of cancer recurrence had a significant positive effect on cancer coping, whereas fear of cancer recurrence had a significant negative effect on perceived health status and mindfulness. The results of the indirect effect analysis showed that the fear of cancer recurrence significantly influenced cancer coping through both perceived health status and mindfulness. The effect size was -0.03, with a 95% confidence interval ranging from -0.05 to -0.01.

Conclusions: It is imperative in clinical practice to offer psychological support to patients experiencing high levels of fear of cancer recurrence. Moreover, ongoing education is crucial to promote a positive perception of health status and to cultivate mindfulness practices.

Implications for practice: Oncology nurses can facilitate effective coping and help to reduce fear of cancer recurrence by assisting patients in cognitively reevaluating their perceived health status and integrating mindfulness practices into daily life.

Keywords: Fear of cancer recurrence; Mindfulness; Neoplasms; Perceived health status; Psychological coping.

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背景：

癌症复发的恐惧可以作为癌症应对过程中的一个关键变量，有效管理这种恐惧对治疗和康复过程至关重要。

目的：

本研究旨在考察癌症复发恐惧、感知健康状况以及正念对女性癌症患者癌症应对的影响。重点在于探讨感知健康状况和正念在此关系中的中介效应。

方法：

研究参与者包括202名患有癌症的女性，数据通过在线调查收集。使用PROCESS Macro 3.5 Model 6分析了中介效应。

结果：

直接效应分析的结果显示，癌症复发恐惧对癌症应对有显著的正向影响，而对感知健康状况和正念则有显著的负向影响。间接效应分析结果显示，癌症复发恐惧通过感知健康状况和正念显著地影响了癌症应对。效应量为-0.03，95%置信区间范围从-0.05到-0.01。

结论：

在临床实践中，向经历高水平癌症复发恐惧的患者提供心理支持是至关重要的。此外，持续教育对于促进积极的健康感知和培养正念实践也至关重要。

对实践的影响：

肿瘤科护士可以通过帮助患者重新评估其感知健康状况，并将正念练习融入日常生活来促进有效的应对策略并减少癌症复发恐惧。

关键词：

癌症复发的恐惧；正念；新生物（肿瘤）；感知健康状况；心理应对。

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