Xiu Wen Khok , Wai Hung Daniel Ng , Ang Yun Lee , Hyo Jin Yoon , M Kamala Devi , Bridget Johnston , Wei How Darryl Ang
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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.</p></div><div><h3>Results</h3><p>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. 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引用次数: 0
摘要
目的 本系统综述和荟萃分析旨在探讨癌症患者的复原力历程。方法 在八个电子数据库和灰色文献中对已发表或未发表的定性和混合方法研究进行了全面检索。纳入了探讨癌症患者复原力的研究。研究采用批判性评估技能计划核对表进行评估。使用 "推荐、评估、发展和评价分级"（Grading of Recommendations, Assessment, Development, and Evaluation's Confidence in Evidence from Reviews of Qualitative Research）对证据的整体确定性进行了进一步评估。采用桑德洛夫斯基和巴罗佐的元综合法对确定的主题进行了综合。元综合法产生了三个主题和九个次主题。这些主题是(1) 面对癌症诊断，(2) 个人对癌症的适应，以及 (3) 从他人身上汲取力量。研究结果强调了个人如何通过抗逆力克服癌症逆境，抗逆力受到各种因素的影响，包括生活经历、社会文化污名、灵性、社会支持网络、应对策略、动机、对疾病的接受程度、积极心态以及与医疗机构的接触。它强调了培养癌症患者和幸存者的抗逆力以有效克服癌症诊断带来的挑战的重要性。这些见解对于制定促进抗逆力的干预措施和改善现有的社会心理肿瘤学服务至关重要。未来的研究应侧重于纵向研究，以更好地了解抗逆力是如何演变的，并找出可进一步影响个人抗逆力的因素。
Journey towards resiliency: A systematic review and meta-synthesis of cancer patients’ experiences
Purpose
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.
Methods
A thorough search was conducted in eight electronic databases and the grey literature for published or unpublished qualitative and mixed methods studies.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.
Results
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.
Conclusions
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.
期刊介绍：
The European Journal of Oncology Nursing is an international journal which publishes research of direct relevance to patient care, nurse education, management and policy development. EJON is proud to be the official journal of the European Oncology Nursing Society.
The journal publishes the following types of papers:
• Original research articles
• Review articles
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