Shimada Shiena, Aoyanagi Michiko, Sumi Naomi
Department of Nursing, Hokkaido University Hospital, Sapporo 060-8648, Japan.
Faculty of Health Sciences, Hokkaido University, Sapporo 060-0812, Japan.
Healthcare (Basel). 2021 Mar 8;9(3):300. doi: 10.3390/healthcare9030300.
Resilience is considered an effective concept for cancer patients, but nursing interventions for improving resilience have not been studied adequately yet. We aimed to explore the components and related factors of nursing interventions for promoting resilience among cancer patients receiving chemotherapy (NIPRPC). This cross-sectional study included 68 facilities from 396 cancer hospitals in Japan. Participants were 377 nurses who worked at the outpatient chemotherapy center or cancer ward. They completed self-administered questionnaires including the NIPRPC items and Resilience Scale for Nurses, etc. We conducted factor, correlational, and regression analysis. Based on the exploratory factor analysis, six-dimensional factor components: "Support for patients during the present situation and increasing their self-affirmation", "Support for self-help", "Support for utilizing the cancer medical team", "Support for obtaining family cooperation", "Support for maintaining regular lifestyle during chemotherapy", and "Support for interacting with cancer patients and utilizing necessary information". The strong related factors for all six factors were the resilience of the nurses and the number of collaborations with multiple occupations. Our findings will help nurses improve the psychosocial quality of life of cancer patients and address their needs related to cancer chemotherapy treatment.
复原力被认为是对癌症患者有效的概念，但改善复原力的护理干预措施尚未得到充分研究。我们旨在探讨促进接受化疗的癌症患者复原力的护理干预措施（NIPRPC）的组成部分和相关因素。这项横断面研究纳入了日本396家癌症医院中的68家机构。参与者为377名在门诊化疗中心或癌症病房工作的护士。他们完成了包括NIPRPC项目和护士复原力量表等的自填式问卷。我们进行了因素、相关性和回归分析。基于探索性因素分析，得出六个维度的因素组成部分：“在当前状况下对患者的支持及增强其自我肯定”、“对自助的支持”、“对利用癌症医疗团队的支持”、“对获得家庭合作的支持”、“对化疗期间保持规律生活方式的支持”以及“对与癌症患者互动和利用必要信息的支持”。所有六个因素的强相关因素是护士的复原力以及与多个职业的合作次数。我们的研究结果将有助于护士提高癌症患者的心理社会生活质量，并满足他们与癌症化疗治疗相关的需求。
