癌症病人的復原力及其護理處置

Resilience in Cancer Patients and Related Nursing Interventions

癌症是台灣地區的重要健康問題，隨著疾病診斷的確立與治療的開始，一連串的生理、心理、社會問題及存活的壓力接踵而至，這些不斷反覆發生的慢性壓力常使癌症病人經歷許多痛苦。近年來，癌症護理的研究趨勢，逐漸從疾病導因延伸至探究正向力量對於病人的影響。然而，關於癌症病人如何學習與疾病共處，甚至展現復原力使其適應良好，則少有研究針對病人的復原力進行分析與討論。因此，本文藉由說明復原力的定義、影響因素及彙整文獻後提出的四項促進癌症病人復原力之護理處置，期盼能提供護理人員日後協助癌症病人發展復原力之參考。

Cancer is a critical health problem in Taiwan. The range of physical, psychological, social, and existential stressors associated with cancer diagnosis and treatment can cause significant distress in cancer patients and survivors. The focus of cancer research has broadened in the past decade from the disease itself to factors that can have a positive influence on the health and life quality of cancer patients. However, few studies have explored how patients adapt and become resilient to the life challenges of their disease. This article introduces the concept of resilience and its influence factors. We analyze study findings and introduce four nursing interventions that have been used to nurture resilience in cancer patients. The authors hope findings help strengthen nurse competencies in order to enhance cancer patient quality of care.