Family Resilience in Adult Oncology: A Systematic Review and Meta-Analysis.

IF 1.6 4区 医学 Q2 NURSING
Autumn Ashley, Kristen Marsh, Jiying Ling, Rebecca H Lehto, Horng-Shiuann Wu, Jason S Moser, Andrea K Wittenborn
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引用次数: 0

Abstract

Problem identification: This systematic review and meta-analysis assessed the state of the science to determine relationships among adult patient- and family member-perceived family resilience, individual resilience and perceived family resilience, and perceived family resilience and psychosocial outcomes.

Literature search: PubMed®, CINAHL®, PsycINFO®, Sociological Abstracts, and Cochrane Library databases were searched. Random effects models were performed to calculate pooled effect sizes, and meta-analyses were conducted.

Data evaluation: Two authors assessed risk of bias using the Appraisal tool for Cross-Sectional Studies and the Mixed Methods Appraisal Tool. Study heterogeneity was assessed using Cochran's Q test and the I2 statistic. Publication bias was evaluated.

Synthesis: Patient-perceived family resilience and family member-perceived family resilience were positively correlated. Family resilience was positively related to patient and family member individual resilience. Higher family resilience was associated with patients' reduced symptom burden and perceived stress and improved affect and quality of life, and family members' reduced caregiver burden and stress and higher social support and quality of life.

Implications for nursing: Investigations employing a longitudinal design are needed to understand any causal relationships between family resilience and psychosocial outcomes for the dyad.

成人肿瘤的家庭恢复力:系统回顾和荟萃分析。
问题识别:本系统综述和荟萃分析评估了科学现状,以确定成人患者和家庭成员感知家庭弹性、个人弹性和感知家庭弹性、感知家庭弹性和心理社会结局之间的关系。文献检索:检索PubMed®、CINAHL®、PsycINFO®、Sociological Abstracts和Cochrane Library数据库。采用随机效应模型计算合并效应量,并进行meta分析。资料评估:两位作者使用横断面研究评估工具和混合方法评估工具评估偏倚风险。采用Cochran’s Q检验和I2统计量评估研究异质性。评价发表偏倚。综合:患者感知家庭弹性与家庭成员感知家庭弹性正相关。家庭心理弹性与患者和家庭成员个体心理弹性呈正相关。较高的家庭弹性与患者减轻症状负担和感知压力、改善情感和生活质量有关,与家庭成员减轻照顾者负担和压力、提高社会支持和生活质量有关。对护理的启示:需要采用纵向设计的调查来了解家庭弹性和二联体的社会心理结果之间的因果关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Oncology nursing forum
Oncology nursing forum 医学-护理
CiteScore
3.20
自引率
0.00%
发文量
76
审稿时长
>12 weeks
期刊介绍: The mission of the Oncology Nursing Forum, an official publication of ONS, is to Convey research information related to practice, technology, education, and leadership. Disseminate oncology nursing research and evidence-based practice to enhance transdisciplinary quality cancer care. Stimulate discussion of critical issues relevant to oncology nursing.
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