Keywords
Skeletal-related events
Risk perception
Review
Nursing
Submitted : 2026-03-08
Accepted : 2026-03-23
Published : 2026-04-07
Abstract
Skeletal-related events are common complications in patients with advanced solid tumors and bone metastases, significantly affecting their quality of life and survival prognosis. Risk perception refers to an individual's recognition, judgment, and understanding of risky matters, which holds great significance in promoting healthy behaviors and improving preventive actions among patients. Understanding the level of risk perception for bone-related events in patients with solid tumors is a crucial approach to enhancing their subjective initiative and compliance in bone health management behaviors. This article provides a comprehensive review of the current status, measurement tools, influencing factors, and intervention strategies related to the risk perception of bone-related events in patients with solid tumors. The aim is to enhance the awareness of bone-related events among patients with solid tumors and clinical practitioners, providing references for promoting bone health management behaviors and improving patients' quality of life.
References
Shan J, Lv S, Li T, 2023, Research Progress on Bone Health Management in Patients with Bone Metastases Experiencing Skeletal-Related Events. Chinese Evidence-Based Nursing, 9(12): 2177–2180.
Lun D, Hu Y, 2025, Improving Multidisciplinary Treatment of Bone Metastases and Emphasizing Management of Skeletal-Related Events. Chinese Journal of Orthopaedic Surgery, 33(14): 1252–1257.
Ma Z, 2022, Risk Factors for Skeletal-Related Events in Lung Cancer Bone Metastases and Construction of Prediction Model, thesis, Beijing University of Chinese Medicine.
Qian Y, Arellano J, Hauber A, et al., 2016, Patient, Caregiver, and Nurse Preferences for Treatments for Bone Metastases. The Patient, 9(4): 323–333.
Flora D, Carlson K, Fuehrer D, et al., 2021, Assessment of Bone Health Education in US Multiple Myeloma and Solid Tumor Patients at Risk for Skeletal-Related Events. Cancer Management and Research, 13: 3529–3537.
Drudge-Coates L, Van Muilekom E, De La Torre-Montero J, et al., 2020, Management of Bone Health in Cancer Patients: A Survey of Specialist Nurses. Supportive Care in Cancer, 28(3): 1151–1162.
Cao S, Li X, Zhang Y, et al., 2025, Interpretation of Chinese Clinical Diagnosis and Treatment Guidelines for Lung Cancer Bone Metastasis (2024 Edition). Journal of Hebei Medical University, 46(7): 745–750.
Guo W, 2022, Expert Consensus on Clinical Diagnosis and Treatment of Breast Cancer Bone Metastasis. Chinese Journal of Clinical Oncology, 49(13): 660–669.
Flora D, Schenfeld J, Saad H, et al., 2023, Assessment of Bone Health Awareness and Education in Breast Cancer Patients with Bone Metastasis. Journal of Cancer Education, 38: 1522–1530.
Shan J, Lyu S, Chen L, et al., 2023, Oncology Nurses’ Knowledge of Bone Health among Cancer Patients: A Cross-Sectional Study. Supportive Care in Cancer, 31: 501.
Fang L, 2015, Development of Chronic Disease Patient Risk Perception Questionnaire and Influencing Factors, thesis, Fourth Military Medical University.
Zhang H, Yu W, Zhang L, et al., 2024, Latent Profile Analysis of Fall Risk Perception among Community-Dwelling Older Adults. Military Nursing, 41(10): 52–56.
Ma Z, Sun L, Zhang Y, et al., 2024, Consistency between Perceived and Objective Risk of Breast Cancer-Related Lymphedema. China Medical Herald, 21(28): 11–16.
Chen X, Zhao L, Zhang X, et al., 2024, Research Progress on Risk Perception of Venous Thromboembolism in Hospitalized Patients. Nursing Practice and Research, 21(2): 249–254.
Lobchuk M, McClement S, McPherson C, et al., 2012, Impact of Patient Smoking Behavior on Empathic Helping by Family Caregivers in Lung Cancer. Oncology Nursing Forum, 39(2): E112–E121.
Hoffman A, 2013, Enhancing Self-Efficacy for Optimized Outcomes through Symptom Self-Management Theory. Cancer Nursing, 36(1): E16–E26.
Chirico A, Lucidi F, Merluzzi T, et al., 2017, Cancer Coping Self-Efficacy with Distress and Quality of Life: A Meta-Analysis. Oncotarget, 8(22): 36800–36811.
Turner B, Ali, Drudge-Coates L, et al., 2016, Skeletal Health Part 1: Overview of Bone Health Management in Cancer Setting. Urologic Nursing, 36(1): 17–21 + 26.
Wang R, 2025, Information Needs in Lung Cancer Patients: A Mixed-Methods Study, thesis, Hubei University of Medicine.
Zhao Q, 2024, Health Literacy, Caregiving Burden and Quality of Life among Caregivers of Elderly Lung Cancer Patients, thesis, University of Electronic Science and Technology of China.