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癌症患者及其家庭成员的家庭复原力及其影响因素:一项系统综述。

Family Resilience and Its Influencing Factors in Patients With Cancer and Their Family Members: A Systematic Review.

作者信息

Qiu Xiaoke, Mao Jiayu, Wang Can, Yang Xueli, Li Qiuping

机构信息

Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu Province, China.

Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu Province, China.

出版信息

J Clin Nurs. 2025 Apr;34(4):1124-1148. doi: 10.1111/jocn.17485. Epub 2024 Oct 15.

Abstract

AIMS

This review aims to explore factors influencing family resilience in families providing care for patients with cancer and to provide suggestions for future research directions.

METHODS

Six electronic databases were searched including Web of Science, CINAHL, EMBASE, PsycINFO, PubMed and CNKI from their inception to December 2023. The article reference lists were also manually searched. The Mixed Method Appraisal Tool was used to assess the included studies in this review. The 27-item checklist Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement was followed to report this review.

RESULTS

Twenty-one studies from six online databases reported that either individual or family factors have effects on family resilience and were described into five clusters on the basis of the Walsh model of family resilience, including demographic and clinical factors, personal strengths and resources, family stressors, family resilient coping processes and family resilient adaptation outcomes.

CONCLUSION

Family resilience in cancer families plays a pivotal role in coping with family stressors and facilitating positive outcomes through domains of coping. Future researches need to explore factors related to family resilience from dyadic perspectives and to establish multidisciplinary intervention strategies for developing levels of family resilience in cancer families.

TRIAL REGISTRATION

PROSPERO: CRD42024535349.

摘要

目的

本综述旨在探讨影响为癌症患者提供护理的家庭中家庭复原力的因素,并为未来的研究方向提供建议。

方法

检索了六个电子数据库,包括从创刊到2023年12月的科学网、护理学与健康领域数据库、医学数据库、心理学文摘数据库、医学期刊数据库和中国知网。还手动检索了文章的参考文献列表。本综述使用混合方法评估工具对纳入的研究进行评估。遵循27项清单《系统评价和荟萃分析的首选报告项目》(PRISMA)声明来报告本综述。

结果

来自六个在线数据库的21项研究报告称,个体或家庭因素对家庭复原力有影响,并根据家庭复原力的沃尔什模型分为五个类别,包括人口统计学和临床因素、个人优势和资源、家庭压力源、家庭复原力应对过程和家庭复原力适应结果。

结论

癌症家庭中的家庭复原力在应对家庭压力源和通过应对领域促进积极结果方面起着关键作用。未来的研究需要从二元视角探索与家庭复原力相关的因素,并建立多学科干预策略,以提高癌症家庭的家庭复原力水平。

试验注册

国际前瞻性系统评价注册库:CRD42024535349。

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