癌症治疗中的家庭复原力及关键影响因素：一项系统综述
Family resilience in cancer treatment and key influencing factors: A systematic review.
作者信息
Shao Mengwei, Yang Huashan, Du Ruofei, Zhang Menghan, Zhu Jizhe, Zhang Haoning, Ma Bin, Chen Changying, Wang Tao
机构信息
The College of Nursing and Health of Zhengzhou University, Zhengzhou, 450001, China.
The College of Nursing and Health of Zhengzhou University, Zhengzhou, 450001, China; Academy of Medical Sciences of Zhengzhou University, Zhengzhou, 450001, China.
出版信息
Eur J Oncol Nurs. 2023 Oct;66:102403. doi: 10.1016/j.ejon.2023.102403. Epub 2023 Jul 28.
OBJECTIVE
To identify the status quo and key influencing factors of family resilience in cancer treatment.
METHODS
Eight electronic databases (PubMed, Cochrane Library, Embase, CINAHL, Web of Science, CNKI, Wan Fang Database, VIP Database) were searched from 2000 to 10 May 2023. Inclusion criteria were the following: (a) study subjects were cancer patients or their family caregivers, (b) family resilience was measured as a variable, (c) reported factors associated with family resilience, (d) employed either quantitative or mixed methods design, (e) written in English or Chinese, (f) published in peer-reviewed journals. All included studies were evaluated for quality using the Mixed Method Appraisal Tool.
RESULTS
Thirty studies were included in the systematic review. According to our analysis, the family resilience of cancer patients could be influenced by various factors associated with six clusters: (a) demographic characteristics, (b) severe staging and treatment of cancer, (c) psychological and health statuses, (d) family, and (e) social environment. Meanwhile, several specific protective factors and risk factors of family resilience were also identified.
CONCLUSION
Family resilience plays an important role in promoting positive adaptation in the face of adversity in families of cancer patients/caregivers. This study classifies related influencing factors by analyzing both protective factors and risk factors (and some controversial factors of family resilience). We found that longitudinal studies are needed to further verify the dynamic changes of family resilience, and future research should focus on understanding family resilience from the dual perspectives of cancer patients and their caregivers, to provide comprehensive information for health professionals, and facilitate the development of effective family resilience intervention programs.
目的
确定癌症治疗中家庭复原力的现状及关键影响因素。
方法
检索了2000年至2023年5月10日期间的八个电子数据库（PubMed、Cochrane图书馆、Embase、CINAHL、科学网、中国知网、万方数据库、维普数据库）。纳入标准如下：（a）研究对象为癌症患者或其家庭照顾者；（b）将家庭复原力作为一个变量进行测量；（c）报告了与家庭复原力相关的因素；（d）采用定量或混合方法设计；（e）以英文或中文撰写；（f）发表在同行评审期刊上。使用混合方法评估工具对所有纳入研究的质量进行评估。
结果
系统评价纳入了30项研究。根据我们的分析，癌症患者的家庭复原力可能受到与六个类别相关的各种因素的影响：（a）人口统计学特征；（b）癌症的严重分期和治疗；（c）心理和健康状况；（d）家庭；（e）社会环境。同时，还确定了家庭复原力的几个具体保护因素和风险因素。
结论
家庭复原力在促进癌症患者/照顾者家庭面对逆境时的积极适应方面发挥着重要作用。本研究通过分析保护因素和风险因素（以及家庭复原力的一些有争议的因素）对相关影响因素进行了分类。我们发现需要进行纵向研究以进一步验证家庭复原力的动态变化，未来的研究应从癌症患者及其照顾者的双重角度关注家庭复原力，为卫生专业人员提供全面信息，并促进有效的家庭复原力干预项目的发展。
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