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Abstract(s)
Enquadramento: A doença oncológica coloca as pessoas numa situação desagradável e a maneira como dão resposta a essa situação determina a sua condição de vida. Se os doentes forem resilientes, conseguirão adaptar-se de forma mais positiva às novas exigências que lhe são impostas pela doença, aderindo ao tratamento, fomentando uma melhor qualidade de vida, mesmo face a uma situação tão complicada como a doença oncológica.
Objetivo: Verificar como a resiliência no doente oncológico pode ajudar a vivenciar a situação de doença e tratamentos.
Métodos: Foi realizada uma revisão sistemática da literatura sobre a resiliência no doente oncológico. Efetuou-se uma pesquisa na PUBMED, The Cochrane Library, Scielo, Google Académic, CINAHL Plus, MEDLINE, Database of Abstracts of Reviews of Effects, Cochrane Controlled Trials Register, Library, Information Science & Technology Abstracts, Nursing & Allied Health: Comprehensive Edition, MedicLatina e Academic Search Complet de estudos publicados entre janeiro de 2010 a outubro de 2017, partindo dos critérios de inclusão previamente definidos, os estudos selecionados foram posteriormente avaliados. Dois revisores avaliaram a qualidade dos estudos a incluir.
Resultados: Sete estudos preencheram os critérios de inclusão, tendo os mesmos qualidade metodológica. Os resultados mostram que há doentes que utilizam duas estratégias para enfrentar o problema: focarem-se no problema e focarem-se na emoção. O tratamento contribui para o desenvolvimento da resiliência, promovendo maior utilização dos fatores protetores dos doentes. Os doentes, ao utilizarem valores vivenciais e atitudinais durante o processo de tratamento, conseguem encontrar um sentido no facto de terem adoecido e na própria vida, favorecendo comportamentos resilientes. Procurar resistir ao processo de doença e aos abalos físicos e emocionais que a doença traz, permite repensar a existência e encontrar formas de resiliência para enfrentar esta condição. A capacidade de superação das situações adversas e de dar um novo sentido à vida resulta em resiliência. As formas que os doentes usam para enfrentarem a doença são o culto religioso, procurando conforto espiritual, seguido da procura do apoio de familiares e amigos.
Conclusão: A resiliência aumenta à medida que o tempo passa e perante os tratamentos. Está significativamente associada a menos desesperança e a níveis mais elevados de perceção de apoio e social. A espiritualidade e a religiosidade surgem como um fatores associado à resiliência e a uma adaptação mais positiva à doença oncológica/tratamento.
Palavras-chave: Resiliência; Doente oncológico.
Abstract Background: Oncological disease puts people in an unpleasant situation and the way they respond to this situation determines their condition of life. If patients are resilient, they will be able to adapt more positively to the new demands placed on them by adhering to treatment, promoting a better quality of life, even in the face of such a complicated situation as cancer disease. Objective: To verify how resilience in the cancer patient can help to experience the disease situation and treatments. Methods: A systematic review of the literature on cancer patient resilience was performed. A search was performed in PUBMED, The Cochrane Library, Scielo, Google Academic, CINAHL Plus, MEDLINE, Database of Abstracts of Reviews of Effects, Cochrane Controlled Trials Register, Library, Information Science & Technology Abstracts, Nursing & Allied Health: Comprehensive Edition , MedicLatina and Academic Search Complet of studies published between January 2010 and October 2017, based on the previously defined inclusion criteria, the selected studies were subsequently evaluated. Two reviewers assessed the quality of the studies to be included. Results: Seven studies fulfilled the inclusion criteria, having the same methodological quality. The results show that there are patients who use two strategies to tackle the problem: focusing on the problem and focusing on the emotion. The treatment contributes to the development of resilience, promoting greater use of the protective factors of the patients. Patients, using experiential and attitudinal values during the treatment process, can find meaning in the fact that they have become ill and in their own lives, favoring resilient behavior. Trying to resist the disease process and the physical and emotional upheavals that the disease brings, allows us to rethink the existence and find ways of resilience to face this condition. The ability to overcome adverse situations and give new meaning to life results in resilience. The ways patients use to cope with illness are religious worship, seeking spiritual comfort, followed by seeking the support of family and friends. Conclusion: Resilience increases as time goes by and before treatments. It is significantly associated with less hopelessness and higher levels of supportive and social perception. Spirituality and religiosity arise as a factor associated with resilience and a more positive adaptation to oncological disease / treatment. Keywords: Resilience; Cancer patient.
Abstract Background: Oncological disease puts people in an unpleasant situation and the way they respond to this situation determines their condition of life. If patients are resilient, they will be able to adapt more positively to the new demands placed on them by adhering to treatment, promoting a better quality of life, even in the face of such a complicated situation as cancer disease. Objective: To verify how resilience in the cancer patient can help to experience the disease situation and treatments. Methods: A systematic review of the literature on cancer patient resilience was performed. A search was performed in PUBMED, The Cochrane Library, Scielo, Google Academic, CINAHL Plus, MEDLINE, Database of Abstracts of Reviews of Effects, Cochrane Controlled Trials Register, Library, Information Science & Technology Abstracts, Nursing & Allied Health: Comprehensive Edition , MedicLatina and Academic Search Complet of studies published between January 2010 and October 2017, based on the previously defined inclusion criteria, the selected studies were subsequently evaluated. Two reviewers assessed the quality of the studies to be included. Results: Seven studies fulfilled the inclusion criteria, having the same methodological quality. The results show that there are patients who use two strategies to tackle the problem: focusing on the problem and focusing on the emotion. The treatment contributes to the development of resilience, promoting greater use of the protective factors of the patients. Patients, using experiential and attitudinal values during the treatment process, can find meaning in the fact that they have become ill and in their own lives, favoring resilient behavior. Trying to resist the disease process and the physical and emotional upheavals that the disease brings, allows us to rethink the existence and find ways of resilience to face this condition. The ability to overcome adverse situations and give new meaning to life results in resilience. The ways patients use to cope with illness are religious worship, seeking spiritual comfort, followed by seeking the support of family and friends. Conclusion: Resilience increases as time goes by and before treatments. It is significantly associated with less hopelessness and higher levels of supportive and social perception. Spirituality and religiosity arise as a factor associated with resilience and a more positive adaptation to oncological disease / treatment. Keywords: Resilience; Cancer patient.
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Keywords
Neoplasias Psico-oncologia Resiliência psicológica Revisão Neoplasms Psycho-oncology Resilience, psychological Review