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成人结直肠癌患者的韧性:使用描述性定性方法完善概念模型。

Resilience in adults with colorectal cancer: Refining a conceptual model using a descriptive qualitative approach.

机构信息

Cancer Care Research Unit, Susan Wakil School of Nursing and Midwifery, University of Sydney, Sydney, New South Wales, Australia.

The Daffodil Centre, Sydney, New South Wales, Australia.

出版信息

J Adv Nurs. 2023 Jan;79(1):254-268. doi: 10.1111/jan.15464. Epub 2022 Oct 14.

Abstract

AIMS

To examine and refine a conceptual model of resilience in adult cancer care based on the perspectives and experiences of resilience in adults with colorectal cancer.

DESIGN

A descriptive qualitative study was performed.

METHODS

Twelve participants diagnosed with colorectal cancer that had completed cancer treatment with curative intent were recruited from a tertiary hospital in Australia from July to December 2019. The meaning of individual resilience was explored using in-depth individual interviews. Data were analysed using inductive thematic analysis. Following data analysis, the elements of the conceptual model of resilience were mapped against the themes and subthemes to refine the model.

RESULTS

Five themes were identified as key elements of individual resilience in adults with colorectal cancer: (1) seeking motivations to move forward; (2) striving for normality; (3) adapting and managing self; (4) drawing on external supports; (5) redefining self. A refined conceptual model of individual resilience in adults with colorectal cancer was developed based on the integration of the themes and the elements of the conceptual model of individual resilience.

CONCLUSIONS

Our refined conceptual model of individual resilience in adults with colorectal cancer could facilitate nurses' and other health professionals' understanding of the process of how resilient individuals with colorectal cancer overcome their illness-related adversity. This refined model may be used to further develop and test cancer-specific resilience measures and develop interventions to facilitate resilience in people living with colorectal cancer.

IMPACT

This research identified five features of resilience in adults with colorectal cancer and refined a conceptual model of resilience in adults with colorectal cancer. The findings could help nurses and other health professionals with identifying individuals who are at risk of adaptation difficulties and contribute to an early referral to psychosocial support services.

摘要

目的

基于结直肠癌成年患者的适应力观点和经验,研究并完善成人癌症护理中适应力的概念模型。

设计

描述性定性研究。

方法

2019 年 7 月至 12 月,从澳大利亚一家三级医院招募了 12 名诊断为结直肠癌且已完成治愈性治疗的成年患者。使用深入的个人访谈探索个人适应力的意义。使用归纳主题分析进行数据分析。在数据分析之后,将适应力概念模型的要素映射到主题和子主题上,以完善模型。

结果

确定了成年结直肠癌患者个体适应力的五个关键要素:(1)寻找前进的动力;(2)努力恢复正常;(3)自我调整和管理;(4)利用外部支持;(5)重新定义自我。基于主题和个体适应力概念模型要素的整合,提出了成年结直肠癌患者个体适应力的完善概念模型。

结论

我们提出的成年结直肠癌患者个体适应力的完善概念模型,可以帮助护士和其他卫生专业人员理解具有结直肠癌的适应力个体如何克服与疾病相关的逆境的过程。该完善模型可用于进一步开发和测试特定于癌症的适应力衡量标准,并开发促进结直肠癌患者适应力的干预措施。

影响

本研究确定了结直肠癌成年患者适应力的五个特征,并完善了结直肠癌成年患者适应力的概念模型。研究结果有助于护士和其他卫生专业人员识别可能面临适应困难的个体,并有助于及早转介到社会心理支持服务。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbfe/10092807/be9a9d206735/JAN-79-254-g002.jpg

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