Resilience among patients across the cancer continuum: diverse perspectives.
Resilience among patients across the cancer continuum: diverse perspectives.
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DOI：
10.1188/14.cjon.93-101
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发表时间：
2014-02
影响因子：
1.1
通讯作者：
Rosenberg AR
中科院分区：
文献类型：
--
作者：
Molina Y;Yi JC;Martinez-Gutierrez J;Reding KW;Yi-Frazier JP;Rosenberg AR
癌症经历的每个阶段都深刻影响着患者的生活。大部分文献都集中在癌症的负面影响;然而，韧性的研究可能使供应商促进更积极的心理社会结果之前，期间和之后的癌症经验。目前的审查描述了在癌症连续体的每个阶段的弹性元素已被定义和研究的方式。进行了广泛的文献检索，以找到评估成人癌症连续体的一个或多个阶段的恢复力的研究。对于癌症连续体的所有阶段，复原力描述包括预先存在的或基线特征，如人口统计学和个人属性（例如，乐观，社会支持），适应机制，如应对和医疗经验（例如，积极的提供者沟通），以及社会心理结果，如成长和生活质量。促进复原力是患者心理社会护理的一个关键要素。护士可以通过识别和促进某些基线特征和优化适应机制来实现弹性。
Each phase of the cancer experience profoundly affects patients’ lives. Much of the literature has focused on negative consequences of cancer; however, the study of resilience may enable providers to promote more positive psychosocial outcomes before, during, and after the cancer experience. The current review describes the ways in which elements of resilience have been defined and studied at each phase of the cancer continuum. Extensive literature searches were conducted to find studies assessing resilience during one or more stages of the adult cancer continuum. For all phases of the cancer continuum, resilience descriptions included preexisting or baseline characteristics, such as demographics and personal attributes (e.g., optimism, social support), mechanisms of adaptation, such as coping and medical experiences (e.g., positive provider communication), as well as psychosocial outcomes, such as growth and quality of life. Promoting resilience is a critical element of patient psychosocial care. Nurses may enable resilience by recognizing and promoting certain baseline characteristics and optimizing mechanisms of adaptation.