Abstract
Resilience is considered an effective concept for cancer patients, but nursing interventions for improving resilience have not been studied adequately yet. We aimed to explore the components and related factors of nursing interventions for promoting resilience among cancer patients receiving chemotherapy (NIPRPC). This cross-sectional study included 68 facilities from 396 cancer hospitals in Japan. Participants were 377 nurses who worked at the outpatient chemotherapy center or cancer ward. They completed self-administered questionnaires including the NIPRPC items and Resilience Scale for Nurses, etc. We conducted factor, correlational, and regression analysis. Based on the exploratory factor analysis, six-dimensional factor components: “Support for patients during the present situation and increasing their self-affirmation”, “Support for self-help”, “Support for utilizing the cancer medical team”, “Support for obtaining family cooperation”, “Support for maintaining regular lifestyle during chemotherapy”, and “Support for interacting with cancer patients and utilizing necessary information”. The strong related factors for all six factors were the resilience of the nurses and the number of collaborations with multiple occupations. Our findings will help nurses improve the psychosocial quality of life of cancer patients and address their needs related to cancer chemotherapy treatment.
Highlights
We asked them to recruit 10 nurses (i.e., 5 nurses working for the outpatient chemotherapy center and 5 nurses working for the cancer ward, which mainly offers chemotherapy to gastrointestinal cancer patients)
We made items based on previous reports on resilience in patients or nursing interventions based on resilience as well as our previous study where we interviewed 1 CNS in cancer nursing, 4 CNS, and 2 nurses working at chemotherapy centers based on the advice of CNS in cancer nursing [25,26,27,28,29,30,31,32]
We investigated contents of the nursing intervention to promote resilience in cancer patients receiving chemotherapy and obtained a result to suggest the support with cognitive and psychological viewpoints and holistic
Summary
Cancer patients undergoing chemotherapy experience various physical and psychological symptoms [1,2]. Chemotherapy is associated with distressing symptoms, impaired quality of life, and psychological distress. There is a slightly different definition of resilience in a previous study, most of the proposed definitions include a concept of healthy, adaptive, or integrated positive functioning during a period after experiencing adversity [3]. Resilience is effective for reducing psychological distress [6,7], depression [7,8], and fatigue [9] in patients. It is reported that resilience is positively associated with QOL and may comprise a robust buffer between depression and QOL in chemotherapy patients [15]
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