Abstract
To explore resilience and its related factors in adult colorectal cancer patients. Three databases (CINAHL, Scopus and PubMed) were searched for literature published from January 2009 to February 2021 using the terms colorectal and resilience or resilient or resiliency. The review was registered with PROSPERO and followed the PRISMA statement guidelines. The studies (n=11) showed that most colorectal cancer patients exhibit moderate levels of resilience. Resilience was identified as a mediator in the positive or negative aspects of illness, while three studies investigated resilience as an outcome variable. Resilience was associated with social support, mental and physical burden, post-traumatic growth, hope, and quality of life. The studies showed that resilience might not be an immutable situation; social support seemed to provide patients the tools necessary for managing their illness, as well as helped them confront future events. The interventions designed to help with self-care issues and coping strategies eased a patient's mental and physical burden, and improved resilience. Resilience among colorectal cancer patients was connected to both negative and positive aspects of the illness. Psychosocial and illness-related practical support might be key for strengthening resilience in these patients. However, longitudinal and intervention studies are required to confirm these indications. Research should study resilience as an outcome variable and provide information related to resilience at different phases of cancer, and what type of support is offered by professionals.
Highlights
Colorectal cancer is a type of cancer that develops in the human large intestine or rectum (Ratjen et al, 2018)
Of the studies identified during the systematic review, 11 were considered to be of acceptable methodological quality (Table 1), receiving quality scores of 5–7 out of 8, and 9–12 out of 13, on the Joanna Briggs Institute (JBI) Critical Appraisal Checklists
The findings presented by Solano et al (2016) caused us to question the perspective of patients with depression, as this group of patients showed moderate levels of resilience (Solano et al, 2016)
Summary
Colorectal cancer is a type of cancer that develops in the human large intestine (colon) or rectum (Ratjen et al, 2018). Over 60% of patients can survive colorectal cancer if it does not spread and metastasize (Cancer Research UK, 2020; Finnish Cancer Registry, 2018) Despite their illness, some colorectal cancer patients show resilience (Üzar-Ozҫ;etin et al, 2019), which is defined as the ability to overcome adversities with confidence in the future and themselves (Connor and Davidson, 2003; Sisto et al, 2019). Some researchers have questioned whether resilience can be reliably measured (Bonanno et al, 2011), including Connor and Davidson (2003) themselves. In measures of resilience, subjects answer questions about themselves (Connor and Davidson, 2003), which requires them to identify personal resources. There is prior evi dence that certain interventions can build resilience, as well as that resilience can improve personal strength to confront future events, a phenomenon referred to as post-traumatic growth (Ludolph et al, 2019; Seiler and Jenewein, 2019 Üzar-Ozҫ;etin et al, 2019)
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