Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Department of Nursing, National Cancer Centre, Singapore Health Services, Singapore.
Eur J Oncol Nurs. 2024 Aug;71:102640. doi: 10.1016/j.ejon.2024.102640. Epub 2024 Jun 13.
This systematic review and meta-synthesis seeks to explore cancer patients' journey towards resiliency. The secondary aim of this review is to identify unique resilience protective factors among cancer patients.
A thorough search was conducted in eight electronic databases and the grey literature for published or unpublished qualitative and mixed methods studies. Studies that explored resilience among cancer patients were included. The studies were appraised using the Critical Appraisal Skill Programme Checklist. The overall certainty of evidence was further evaluated using the Grading of Recommendations, Assessment, Development, and Evaluation's Confidence in Evidence from Reviews of Qualitative Research. Themes identified were synthesized using Sandelowski and Barroso's meta-synthesis method.
A total of 34 studies comprising 987 cancer patients were included in this review. Three themes and nine subthemes were generated from the meta-synthesis. The themes were: (1) Confronting the cancer diagnosis, (2) personal adaptations to cancer, and (3) drawing strength from others. The findings highlighted how individuals overcame cancer adversities through resilience, which is influenced by various factors, including life experiences, social-cultural stigmas, spirituality, social support networks, coping strategies, motivation, acceptance of illness, positive mindset, and engagement with healthcare facilities.
This review highlights the role of resilience in a cancer patient's journey. It emphasizes on the importance of building resilience in both cancer patients and survivors to effectively overcome the challenges of their cancer diagnosis. These insights are essential for developing interventions that promote resilience and improve existing psychosocial oncology services. Future research should focus on longitudinal studies to better understand how resilience evolves and pinpoint factors that can further influence one's resilience.
本系统评价和荟萃分析旨在探索癌症患者走向韧性的历程。本综述的次要目的是确定癌症患者中独特的韧性保护因素。
在八个电子数据库和灰色文献中进行了全面搜索，以寻找已发表或未发表的定性和混合方法研究，这些研究探讨了癌症患者的韧性。使用关键评估技能计划清单对研究进行评估。使用 Grading of Recommendations, Assessment, Development, and Evaluation 的证据信心评估方法进一步评估证据的总体确定性来自对定性研究的审查。使用 Sandelowski 和 Barroso 的荟萃分析方法综合主题。
本综述共纳入 34 项研究，涉及 987 名癌症患者。从荟萃分析中生成了三个主题和九个子主题。这些主题是：（1）面对癌症诊断，（2）个人对癌症的适应，（3）从他人中汲取力量。研究结果强调了个体如何通过韧性克服癌症逆境，而韧性受多种因素的影响，包括生活经历、社会文化耻辱、精神信仰、社会支持网络、应对策略、动机、对疾病的接受、积极心态和与医疗保健设施的互动。
本综述强调了韧性在癌症患者历程中的作用。它强调了在癌症患者和幸存者中建立韧性的重要性，以有效应对癌症诊断带来的挑战。这些见解对于开发促进韧性和改善现有心理肿瘤学服务的干预措施至关重要。未来的研究应侧重于纵向研究，以更好地了解韧性的演变，并确定进一步影响个体韧性的因素。
