乳腺癌女性的创伤后成长经历及其背景因素:一项综合综述。

Posttraumatic growth experiences and its contextual factors in women with breast cancer: An integrative review.

作者信息

Zhai Jianxia, Newton Jennifer, Copnell Beverley

机构信息

a Nursing and Midwifery , Monash University Melbourne , Melbourne , Victoria , Australia.

b School of Nursing , McMaster University , Hamilton , Onatrio , Canada.

出版信息

Health Care Women Int. 2019 May;40(5):554-580. doi: 10.1080/07399332.2019.1578360. Epub 2019 Feb 22.

Abstract

In this article, we synthesize current research that examines determinants and manifestations of posttraumatic growth (the phenomenon of posttraumatic growth can be embodied in several domains) in women with breast cancer. The findings of the integrative literature review may contribute to facilitating person-centered oncology care by raising health care professionals' awareness and understanding of posttraumatic growth phenomenon among breast cancer survivors. The identification of factors contributing to posttraumatic growth and manifestations of posttraumatic growth are important in increasing the effectiveness of interventions in supporting women during their breast cancer journey. The methods proposed by Whittemore and Knafl ( 2005 ) were adopted to guide this integrative review. Quality assessment was conducted using recognized critical appraisal tools relating to quantitative and qualitative studies. Four main manifestations were synthesized from the literature: new perception of self; relatedness to others; new life philosophy; and spiritual and religious growth. Personal characteristics, illness factors, cognitive processing, coping strategies, social support, religion and spirituality, the body's role and physical activities were identified as influencing posttraumatic growth in women with breast cancer.

摘要

在本文中,我们综合了当前有关乳腺癌女性创伤后成长(创伤后成长现象可体现在多个领域)的决定因素及表现的研究。整合文献综述的结果可能有助于提高医护人员对乳腺癌幸存者创伤后成长现象的认识和理解,从而促进以患者为中心的肿瘤护理。确定促成创伤后成长的因素以及创伤后成长的表现,对于提高在乳腺癌治疗过程中支持女性的干预措施的有效性至关重要。采用了惠特莫尔和克纳夫(2005年)提出的方法来指导这一整合性综述。使用与定量和定性研究相关的公认批判性评估工具进行质量评估。从文献中总结出了四个主要表现:对自我的新认知;与他人的关系;新的人生哲学;以及精神和宗教成长。个人特征、疾病因素、认知加工、应对策略、社会支持、宗教和灵性、身体的作用以及体育活动被确定为影响乳腺癌女性创伤后成长的因素。

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