Bernier Pascal
CHU Sainte-Justine Research Centre - Immune Diseases and Cancer Axis.
Can Oncol Nurs J. 2024 Apr 1;34(2):173-178. doi: 10.5737/23688076342173. eCollection 2024 Spring.
Explore knowledge on resilience-promoting interventions among adolescents receiving active cancer treatment. The question used to guide the research was: How can nurses promote resilience among adolescents receiving active cancer treatment?
Adolescence is a very turbulent stage of development (Young, 2014). A cancer diagnosis at this age contributes to emotional distress and reduces quality of life (Sodergren et al., 2017). However, some youth develop positive coping mechanisms that lead to increased resilience (Bellizzi et al., 2012; Sodergren et al., 2017). Because nurses often care for these patients over an extended period of time, they can play an important role in fostering this resilience.
Three databases (CINAHL, PubMed and PsycArticles) were consulted in February 2023, using research limiters "2013-2023" and "adolescents" (teenagers) both in French and in English. Potentially relevant sources were selected based on the guidelines identified by Pollock et al., (2021). Data were extracted, analyzed and presented using the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews checklist (Tricco et al., 2018). The results were categorized, using deductive reasoning, as either protective factors or risk factors, in line with the Resilience in Illness Model (RIM; (Haase et al., 2014, 2017). Finally, potential interventions were identified where nurses can foster resilience among adolescents actively undergoing cancer treatment.
The method used returned 86 studies, 17 of which met the selection criteria. Of these, 10 were quantitative in nature, three were qualitative, three were theoretical (including literature reviews and meta-analyses) and one was an editorial. The majority (n = 15) were published in the United States. There have been no studies specifically examining the role of nurses in promoting resilience among adolescents undergoing active cancer treatment since 2013.
Based on the findings of this paper, considering that information has been published on the role nurses serve in caring for adolescents who have a chronic illness other than cancer, the conclusion is that pediatric oncology nurses can be key players in promoting resilience among patients at this stage of development. Studies focusing specifically on this topic would be useful in determining how to facilitate adaptation and foster resilience effectively among adolescents receiving active cancer treatment.
探究正在接受积极癌症治疗的青少年中促进心理韧性干预措施的相关知识。用于指导该研究的问题是：护士如何促进正在接受积极癌症治疗的青少年的心理韧性？
青春期是一个非常动荡的发育阶段（扬，2014年）。在这个年龄段被诊断出患有癌症会导致情绪困扰并降低生活质量（索德格伦等人，2017年）。然而，一些青少年会形成积极的应对机制，从而增强心理韧性（贝利齐等人，2012年；索德格伦等人，2017年）。由于护士通常会长期护理这些患者，他们在培养这种心理韧性方面可以发挥重要作用。
2023年2月查阅了三个数据库（护理学与健康领域数据库、医学期刊数据库和心理学文摘数据库），使用了“2013 - 2023年”以及法语和英语的“青少年”（十几岁的青少年）作为研究限制条件。根据波洛克等人（2021年）确定的指南选择潜在相关来源。使用系统评价和Meta分析扩展版的范围综述清单（特里科等人，2018年）提取、分析和呈现数据。根据疾病心理韧性模型（RIM；哈泽等人，2014年、2017年），通过演绎推理将结果分类为保护因素或风险因素。最后，确定了护士可以在正在接受癌症治疗的青少年中培养心理韧性的潜在干预措施。
所使用的方法返回了86项研究，其中17项符合选择标准。其中，10项是定量研究，3项是定性研究，3项是理论性研究（包括文献综述和Meta分析），1项是社论。大多数（n = 15）发表在美国。自2013年以来，尚未有专门研究护士在促进正在接受积极癌症治疗的青少年心理韧性方面作用的研究。
基于本文的研究结果，鉴于已发表了关于护士在护理患有非癌症慢性病青少年方面所起作用的信息，得出的结论是儿科肿瘤护士可以成为在这一发育阶段促进患者心理韧性的关键角色成员。专门针对该主题的研究将有助于确定如何有效地促进正在接受积极癌症治疗的青少年的适应能力并培养其心理韧性。
