Family resilience in cancer treatment and key influencing factors: A systematic review

Mengwei Shao; Huashan Yang; Ruofei Du; Menghan Zhang; Jizhe Zhu; Haoning Zhang; Bin Ma; Changying Chen; Tao Wang

doi:10.1016/j.ejon.2023.102403

Family resilience in cancer treatment and key influencing factors: A systematic review

Eur J Oncol Nurs. 2023 Oct:66:102403. doi: 10.1016/j.ejon.2023.102403. Epub 2023 Jul 28.

Authors

Mengwei Shao¹, Huashan Yang², Ruofei Du³, Menghan Zhang⁴, Jizhe Zhu⁴, Haoning Zhang⁴, Bin Ma⁵, Changying Chen⁶, Tao Wang⁷

Affiliations

¹ The College of Nursing and Health of Zhengzhou University, Zhengzhou, 450001, China. Electronic address: wean8082@163.com.
² The College of Nursing and Health of Zhengzhou University, Zhengzhou, 450001, China. Electronic address: YHS790827@zzu.edu.cn.
³ The College of Nursing and Health of Zhengzhou University, Zhengzhou, 450001, China; Academy of Medical Sciences of Zhengzhou University, Zhengzhou, 450001, China.
⁴ The College of Nursing and Health of Zhengzhou University, Zhengzhou, 450001, China.
⁵ School of Medical, Molecular and Forensic Sciences, Murdoch University, 6149, Australia.
⁶ Department of Quality Control, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China. Electronic address: changying@zzu.edu.cn.
⁷ The College of Nursing and Health of Zhengzhou University, Zhengzhou, 450001, China; Medical School, University of Western Australia, Perth, WA, 6872, Australia; People' s Hospital of Hebi, Hebi, 458010, China. Electronic address: wangtaomary@zzu.edu.cn.

PMID: 37690311
DOI: 10.1016/j.ejon.2023.102403

Abstract

Objective: To identify the status quo and key influencing factors of family resilience in cancer treatment.

Methods: Eight electronic databases (PubMed, Cochrane Library, Embase, CINAHL, Web of Science, CNKI, Wan Fang Database, VIP Database) were searched from 2000 to 10 May 2023. Inclusion criteria were the following: (a) study subjects were cancer patients or their family caregivers, (b) family resilience was measured as a variable, (c) reported factors associated with family resilience, (d) employed either quantitative or mixed methods design, (e) written in English or Chinese, (f) published in peer-reviewed journals. All included studies were evaluated for quality using the Mixed Method Appraisal Tool.

Results: Thirty studies were included in the systematic review. According to our analysis, the family resilience of cancer patients could be influenced by various factors associated with six clusters: (a) demographic characteristics, (b) severe staging and treatment of cancer, (c) psychological and health statuses, (d) family, and (e) social environment. Meanwhile, several specific protective factors and risk factors of family resilience were also identified.

Conclusion: Family resilience plays an important role in promoting positive adaptation in the face of adversity in families of cancer patients/caregivers. This study classifies related influencing factors by analyzing both protective factors and risk factors (and some controversial factors of family resilience). We found that longitudinal studies are needed to further verify the dynamic changes of family resilience, and future research should focus on understanding family resilience from the dual perspectives of cancer patients and their caregivers, to provide comprehensive information for health professionals, and facilitate the development of effective family resilience intervention programs.

Keywords: Cancer; Family; Influence factor; Resilience; Systematic review.

Publication types

Review