Risk-Informed Self-Care for Recurrence Risk Reduction among Breast Cancer Survivors: A Concept Analysis for Nursing Language Development.

Authors

Dian Anggraini, Tuty Pahria, Hartiah Haroen, Pandji Irani Fianza

Published in

International journal of nursing knowledge. Pages 20473087261496446. Oct 12, 2026. Epub Oct 12, 2026.

Abstract

BackgroundBreast cancer survivors live with heterogeneous recurrence risks. Recurrence-related nursing guidance often combines follow-up, adherence, symptom monitoring, lifestyle behaviors, and fear management under broad self-care language, limiting precision for nursing assessment and language development.PurposeTo analyze the concept of risk-informed self-care for recurrence risk reduction among breast cancer survivors and clarify its relevance for nursing language development.MethodsWalker and Avant's method guided the analysis. Literature searches were updated on 5 July 2026 in PubMed, CINAHL, Scopus, ScienceDirect, ProQuest, Google Scholar, and guideline sources. English-language literature from 2013-2026 was prioritized; older landmark theory and instrument sources were retained when conceptually necessary. Thirty-four core sources were mapped to concept uses, attributes, antecedents, consequences, empirical referents, and possible nursing language descriptors.ResultsThe concept is defined as a supported process through which breast cancer survivors use credible recurrence-related information and survivorship recommendations to maintain treatment continuity, participate in appropriate surveillance, manage modifiable survivorship-related determinants, monitor symptoms proportionally, and seek help when needed. Five attributes were identified: risk-calibrated understanding, guideline-concordant treatment continuity and surveillance participation, management of modifiable survivorship-related determinants, proportional symptom monitoring and timely help-seeking, and adaptive self-care management decision-making.ConclusionsRisk-informed self-care for recurrence risk reduction offers a more precise construct than general survivor self-care. It may inform recurrence-related nursing assessment, diagnostic reasoning, care planning, documentation, outcomes evaluation, and future standardized nursing language development.

PMID:
42862119
Bibliographic data and abstract were imported from PubMed on 12 Oct 2026.

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