Resilience and related factors in colorectal cancer patients: A systematic review

Sihvola, Saija; Kuosmanen, Lauri; Kvist, Tarja

doi:10.1016/j.ejon.2021.102079

Cited by 31 publications

(22 citation statements)

References 61 publications

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“…Resilience, or the ability to recover when faced with stressful situations (Sihvola et al, 2022), is also linked to the caregiver's role. In fact, resilience increases care readiness (Lester et al, 2020; Zale et al, 2018), and having the ability to adequately cope with issues decreases a caregiver's burden and anxiety (Li et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Predictive model for the preparedness level of the family caregiver

Gutierrez-Baena

Romero‐Grimaldi

2022

Int J of Nursing Practice

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Background Many caregivers are insufficiently prepared, and little is known about measures that can be employed to enhance their preparedness. Aim The aim of this study was to explore the factors associated with caregiver preparedness and establish a predictive model including the relationship between preparedness, burden, resilience and anxiety. Design A cross‐sectional design was used. Methods The sample included 172 family caregivers who were selected from one private hospital and daytime nursing centres. Caregivers were recruited from 2018 to 2019; they completed assessments for caregiver preparedness, anxiety, resilience and burden. A multiple linear regression analysis was performed to identify the factors associated with preparedness. Results Preparedness was significantly associated with high levels of resilience and a low level of burden, while it was not associated with anxiety. Caregivers' gender, experience and cohabitation status were the main predictors. Resilience is an explanatory factor for caregiver preparedness in the predictive model. Conclusion The demographic variables related to preparedness can be used to guide efforts to meet the needs of vulnerable caregivers. A caregiver's preparedness depends on their level of burden and resilience. Nursing interventions focused on these aspects could make the caregiver's role easier and improve the quality of care provided.

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Section: Introductionmentioning

confidence: 99%

Predictive model for the preparedness level of the family caregiver

Gutierrez-Baena

Romero‐Grimaldi

2022

Int J of Nursing Practice

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“…52 In a recent systematic review and inductive content analysis of literature pertaining to resilience in colorectal cancer patients, resilience was associated with a variety of factors, including social support, hope, mental and physical burden, quality of life, and post-traumatic growth. 53 Other research has shown that cancer patients with higher resiliency report lower levels of emotional distress 54 and better quality of life. 55 Recently, Dionne-Odom et al found higher caregiver-reported resilience was associated with higher caregiver preparedness.…”

Section: Influential Othersmentioning

confidence: 99%

“Keep Your Chin Up, and Keep Eating”: Perceptions of Barriers and Facilitators to Healthful Dietary Behaviors Among Individuals With Gastrointestinal Cancer and Caregivers

Milliron,

Klobodu,

Deutsch

et al. 2023

Cancer Control

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Background This study explored perceptions of barriers and facilitators to healthful dietary behaviors among patients with gastrointestinal (GI) cancer and their caregivers, including caregiver preparedness, patient and caregiver self-efficacy for symptom management, and other environmental, social, and familial factors that may serve as barriers and facilitators to healthful eating. Methods Using a concurrent mixed methods cross-sectional study design, individuals with GI cancer receiving outpatient chemotherapy and their caregivers completed surveys, dietary assessments, and interviews. Caregiving preparedness, self-efficacy for symptom management, and dietary intake were assessed using validated instruments. Dietary quality was measured using the Healthy Eating Index (HEI)-2020. In-depth interviews explored barriers and facilitators to healthful eating, symptom management, and caregiver preparedness. Results Twenty-seven patient-caregiver dyads completed study activities (N = 54). Dietary quality scores ranged from 26 to 81, with a median score of 43 for patients and 42 for caregivers. Thematic analysis identified three barriers to healthful eating: caregiver self-efficacy and preparedness, caregiver needs are neglected, and nutrition as a source of conflict. Overall self-efficacy scores (Mdn, [IQR]) were 69.1 (45.0) for caregivers and 75.6 (34.1) for patients. Caregiver preparedness score was 2.99 ± .87; problem areas were identified, including addressing emotional needs, fluctuating eating habits, advanced disease progression and making care activities pleasant. Despite the challenges, three main facilitators were identified: increased awareness and value of nutrition, influential others, and positive coping. Conclusion Our findings suggest the importance of developing interventions that increase nutrition-related preparedness among caregivers and self-efficacy for managing treatment side effects. Future research should continue to explore the relationship between positive coping and dietary behaviors. While engaging patients and caregivers together during dietary interventions is a promising modality, strategies for maintaining personal nutrition-related goals when facing contrasting priorities between patients and caregivers should be addressed.

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“…Colorectal cancer is a type of malignancy that affects the large intestine and rectum regions. 4 In 2020, the number of death caused by colorectal was 506,449 in Asia, 244,824 in Europe, 63,987 in North America and 69,435 in Latin America and the Caribbean. 1 Colorectal cancer statistics are expected to grow with a morbidity estimation of 1.1 million worldwide by 2030.…”

Section: Colorectal Cancermentioning

confidence: 99%

“…3 CRC is a type of malignancy that affects the large intestine and rectum regions. 4 It is caused by the deactivation of the p53 pathway or adenomatous polyposis coli gene, the accumulation of mutations such as in K-ras, the transforming growth factor-beta pathway and the genesis of small polyps. The American Joint Committee on Cancer divided CRC into five phases with different treatment strategies for each stage.…”

Section: Introductionmentioning

confidence: 99%

Current Advances in Chitosan Nanoparticles Based Oral Drug Delivery for Colorectal Cancer Treatment

Choukaife¹,

Seyam²,

Alallam³

et al. 2022

IJN

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As per the WHO, colorectal cancer (CRC) caused around 935,173 deaths worldwide in 2020 in both sexes and at all ages. The available anticancer therapies including chemotherapy, radiotherapy and anticancer drugs are all associated with limited therapeutic efficacy, adverse effects and low chances. This has urged to emerge several novel therapeutic agents as potential therapies for CRC including synthetic and natural materials. Orally administrable and targeted drug delivery systems are attractive strategies for CRC therapy as they minimize the side effects, enhance the efficacy of anticancer drugs. Nevertheless, oral drug delivery till today faces several challenges like poor drug solubility, stability, and permeability. Various oral nano-based approaches and targeted drug delivery systems have been developed recently, as a result of the ability of nanoparticles to control the release of the encapsulant, drug targeting and reduce the number of dosages administered. The unique physicochemical properties of chitosan polymer assist to overcome oral drug delivery barriers and target the colon tumour cells. Chitosan-based nanocarriers offered additional improvements by enhancing the stability, targeting and bioavailability of several anti-colorectal cancer agents. Modified chitosan derivatives also facilitated CRC targeting through strengthening the protection of encapsulant against acidic and enzyme degradation of gastrointestinal track (GIT). This review aims to provide an overview of CRC pathology, therapy and the barriers against oral drug delivery. It also emphasizes the role of nanotechnology in oral drug targeted delivery system and the growing interest towards chitosan and its derivatives. The present review summarizes the relevant works to date that have studied the potential applications of chitosan-based nanocarrier towards CRC treatment.

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Resilience and related factors in colorectal cancer patients: A systematic review

Cited by 31 publications

References 61 publications

Predictive model for the preparedness level of the family caregiver

Predictive model for the preparedness level of the family caregiver

“Keep Your Chin Up, and Keep Eating”: Perceptions of Barriers and Facilitators to Healthful Dietary Behaviors Among Individuals With Gastrointestinal Cancer and Caregivers

Current Advances in Chitosan Nanoparticles Based Oral Drug Delivery for Colorectal Cancer Treatment

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