Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Saw Swee Hock School of Public Health, National University of Singapore, Singapore.
Psychooncology. 2021 Jul;30(7):1029-1040. doi: 10.1002/pon.5666. Epub 2021 Mar 16.
The palliative journey can be emotionally stressful for both patients with advanced cancer and their families. Psychological resilience is crucial in aiding with patients' adaptation and post-traumatic growth. The aim of this systematic review was to critically examine the definitions of psychological resilience and its associated factors in palliative patients with advanced cancer.
Four databases were systematically searched from inception to August 2020. Both qualitative and quantitative studies that examined factors associated with psychological resilience in a sample of patients with advanced cancer undergoing palliative care were included.
A total of 15 studies met the criteria, of which 10 were qualitative and five were quantitative. Nine studies included a definition of psychological resilience, from which five common themes of buffering, adaptation, resources, recovery, and growth were derived. The quantitative studies found association between resilience and hope, independence, social support, fatigue, emotional distress, and coping strategies. The qualitative studies reported additional sources of resilience such as spirituality, social support, prior experience dealing with illness and life adversity, meaning-making, reconciling with life's finiteness, acceptance of illness, control, determination, positive attitude, dignity, engagement with palliative care and quality of life being supported by palliative care.
More research is needed for developing an overarching definition of psychological resilience in palliative advanced cancer patients that acknowledges and appreciates the contextual sensitivity of this concept among different cultural groups. Further studies are also needed to examine a holistic range of bio-psycho-socio-spiritual factors associated with psychological resilience among these patients and their families.
晚期癌症患者及其家属的姑息治疗之旅可能会在情感上带来压力。心理弹性对于帮助患者适应和创伤后成长至关重要。本系统评价的目的是批判性地检查姑息治疗晚期癌症患者心理弹性的定义及其相关因素。
从创建到 2020 年 8 月，系统地在四个数据库中进行了搜索。纳入了研究姑息护理中晚期癌症患者与心理弹性相关因素的定性和定量研究。
共有 15 项研究符合标准，其中 10 项为定性研究，5 项为定量研究。9 项研究对心理弹性进行了定义，从中得出了缓冲、适应、资源、恢复和成长五个共同主题。定量研究发现，心理弹性与希望、独立性、社会支持、疲劳、情绪困扰和应对策略之间存在关联。定性研究报告了其他来源的心理弹性，如灵性、社会支持、处理疾病和生活逆境的先前经验、意义构建、与生命有限性和解、接受疾病、控制、决心、积极态度、尊严、参与姑息治疗和姑息治疗支持的生活质量。
需要进一步的研究来为姑息治疗晚期癌症患者的心理弹性制定一个全面的定义，该定义承认并欣赏不同文化群体中这一概念的情境敏感性。还需要进一步研究来检查与这些患者及其家属的心理弹性相关的一系列广泛的生物心理社会精神因素。
