School of Nursing, Jiangsu Vocational College of Medicine, Jiangsu, China.
Faculty of Nursing, Burapha University, Chon Buri, Thailand.
Nurs Open. 2021 Sep;8(5):2131-2141. doi: 10.1002/nop2.771. Epub 2021 Jan 19.
To explore resilience and associated factors in spousal caregivers of patients with cancer.
An integrative review.
This review used the standardized critical appraisal instruments developed by the Joanna Briggs Institute and was conducted by researching the electronic databases of Cochrane, CINAHL, ProQuest, Science Direct, PubMed, Scopus, EBSCO and Google Scholar. The articles were published in English with full text from January 2010 to January 2020.
According to data retrieval, 26 articles were finally selected. From this review, resilience was typically measured by using exact resilience scales (i.e. Connor-Davidson or Wagnild Resilience Scales) or using other variables to indicate either more positive psychological outcomes or less negative psychological outcomes. For factors associated with resilience, these were classified as individual internal and external factors. Internal factors included caregiver burden, psychological distress, coping strategies and other factors, whereas social support, couple interaction, patient health status and other parameters were considered external factors.
Resilience plays an important role in promoting positive adaptation in spite of adversity among the spousal caregivers of patients with cancer. Due to the uniqueness of resilience among spousal caregivers, ways to assess resilience and identify its associated factors deserve more attention and careful consideration.
探讨癌症患者配偶照顾者的韧性及其相关因素。
综合回顾。
本研究采用 Joanna Briggs 研究所制定的标准化批判性评估工具，检索 Cochrane、CINAHL、ProQuest、Science Direct、PubMed、Scopus、EBSCO 和 Google Scholar 电子数据库，检索时间为 2010 年 1 月至 2020 年 1 月，以英文全文发表的文献。
根据数据检索，最终选择了 26 篇文章。本综述中，韧性通常通过使用精确的韧性量表（即 Connor-Davidson 或 Wagnild 韧性量表）或使用其他变量来表示更积极的心理结果或更少的负面心理结果来衡量。与韧性相关的因素可分为个体内部和外部因素。内部因素包括照顾者负担、心理困扰、应对策略等，而社会支持、夫妻互动、患者健康状况等则被认为是外部因素。
尽管癌症患者的配偶照顾者面临逆境，但韧性在促进积极适应方面发挥着重要作用。由于配偶照顾者的韧性具有独特性，因此评估韧性和识别其相关因素的方法值得更多关注和仔细考虑。
