Nierop-van Baalen Corine, Grypdonck Maria, van Hecke Ann, Verhaeghe Sofie
Haaglanden Medical Center, The Hague, The Netherlands.
Department of Public Health and Primary Care, University Hospital, Ghent University, Ghent, Belgium.
J Adv Nurs. 2020 Jul;76(7):1520-1537. doi: 10.1111/jan.14344. Epub 2020 Mar 20.
To identify the associated factors of hope during treatment in cancer patients.
Hope is very important to cancer patients at all stages of the disease process. Hope is seen as an important coping mechanism. Most research about hope in cancer patients considered the end of life or in palliative care. Several and different factors are associated with hope. It is not yet sufficiently clear which factors are associated with hope during the treatment.
A systematic literature review of quantitative empirical studies on hope in cancer patients during treatment.
Search in MEDLINE (PubMed interface), CINAHL (EBSCO interface), Psychinfo and Cochrane (January 2009-December 2018).
Empirical quantitative studies were included regardless of the disease stage, written in English or Dutch, measuring hope from the perspective of cancer patients. Two authors independently screened all the studies and assessed their quality.
Thirty-three studies were included. Positive relationship has been established between hope and quality of life, social support, spiritual and existential well-being. Hope appears to be negatively associated with symptom burden, psychological distress and depression. There appears to be no relationship between hope and demographic and clinical variables. The relationship between anxiety and hope remains unclear.
Hope primarily seems to be a process that takes place in a person's inner being rather than being determined from outside.
Health professionals may want to focus on the meaning of hope for cancer patients in relation to the associated factors. A better understanding of the meaning of hope during treatment can be of great value in supporting cancer patients with regard to treatment decisions, psychosocial support, the experienced quality of life and symptom burden and any wishes they may have with regard to advanced care planning.
确定癌症患者治疗期间希望的相关因素。
希望对处于疾病过程各个阶段的癌症患者都非常重要。希望被视为一种重要的应对机制。大多数关于癌症患者希望的研究都考虑生命末期或姑息治疗阶段。有几个不同的因素与希望相关。但对于治疗期间哪些因素与希望相关尚不够明确。
对关于癌症患者治疗期间希望的定量实证研究进行系统的文献综述。
检索MEDLINE（PubMed界面）、CINAHL（EBSCO界面）、Psychinfo和Cochrane（2009年1月至2018年12月）。
纳入实证定量研究，无论疾病阶段如何，研究需用英文或荷兰文撰写，从癌症患者角度衡量希望。两位作者独立筛选所有研究并评估其质量。
纳入33项研究。已确定希望与生活质量、社会支持、精神和生存幸福感呈正相关。希望似乎与症状负担、心理困扰和抑郁呈负相关。希望与人口统计学和临床变量之间似乎没有关系。焦虑与希望之间的关系仍不明确。
希望主要似乎是一个发生在人内心的过程，而非由外部决定。
卫生专业人员可能希望关注希望对癌症患者的意义及其相关因素。更好地理解治疗期间希望的意义对于在治疗决策、心理社会支持、生活质量体验、症状负担以及他们在临终关怀规划方面可能有的任何愿望等方面支持癌症患者具有重要价值。
