Promoting resilience among adult cancer patients: An integrative review of patient education methods.

PURPOSE: To explore the essential elements of patient education methods for promoting resilience among adult cancer patients. METHODS: The PubMed, Scopus, CINAHL and PsycInfo databases were searched fromJanuary 2010 to April 2021. The outcome of interest was resilience. The integrative review applied the PRISMA statement guidelines. RESULTS: Nine studies were identified, which formed three main patient education strategies that fell under categories: 1. Provision of illness-related information 2. Learning self-management skills 3. Provision of emotional support and the adjustment process. The key elements include promotion of positive factors, easing patients' mental burden, highlighting the importance of illness-related information, developing self-management skills, and emotional support. Interventions prepared patients for the future, enhanced their understanding of illness and recovery process, and comfort in physical and mental aspects of life, and improved their resilience. CONCLUSIONS: Resilience among cancer patients is a process that helps them adjust to live with cancer. The provision of psychosocial support and illness-related information, as well as learning self-management skills, are essential elements of patient education interventions that aim to improve resilience among adult cancer patients.

Applying Resilience Promotion Training Among Special Forces Police Officers.

Police Special Forces (a.k.a. special weapons and tactics [SWAT]) officers are tasked with responding to the most critical situations, including incidents that require specialized skills and equipment beyond typical policing activities. In this study, we tested the feasibility of applying Arnetz and colleagues' resilience promotion training that was developed for patrol officers to SWAT team officers (n = 18). The resilience promotion training program included psychoeducation focused on police stress and resilience, and the practice of resilience promotion techniques (controlled breathing and imagery) while listening to audio-recorded critical incident scenarios. The aims of this study were to (a) examine if a resilience training program was relevant and accepted by SWAT team officers and (b) assess participants' physiological stress responses (heart rate, respiration) during the resilience training sessions to note if there were improvements in stress responding over time. Our findings revealed that participants were able to significantly reduce their average heart rate and improve their ability to engage in controlled respiration (i.e., breathing) during simulated critical incidents over the course of the 5-day training. Improvements in stress responding were observed even when the critical incident scenarios became more graphic. Results suggest that an intervention to reduce stress responses of SWAT officers to critical incident scenarios works in a simulated training setting. Translation of these findings to real-world occupational hazards is a recommended next step.

A arte na promoção da resilência: um caminho de intervenção terapêutica ocupacional na atenção oncológica / Art in promoting resilence: a way of intervention occupational therapeutic in attention oncology

A vivência do câncer e dos seus diferentes estágios de tratamento traz repercussões físicas, psicológicas e sociais diversas e exigem dos pacientes formas de adaptação e enfrentamento. Alguns pacientes conseguem apresentar uma capacidade de se adaptar e superar as situações de estresses que permeavam a vida deles durante o tratamento oncológico, enquanto que outros vivenciavam tal período com intenso sofrimento. O termo resiliência é utilizado em psicologia para explicar esse processo dinâmico de adaptação e superação que pode ser promovido e apontado como uma capacidade humana de fazer frente às adversidades, de suportá-las e de recuperar-se para uma vida significativa e produtiva, através da reconstrução de novos significados sobre a experiência vivida. Este estudo teórico é destinado a refletir sobre a temática da resiliência e sua aplicação no contexto da intervenção terapêutica ocupacional em oncologia através de uma proposta interventiva baseada na arteterapia, que considera a resiliência como um poder revitalizador para o enfrentamento do cotidiano do paciente em tratamento do câncer, sendo a arte como instrumento terapêutico para favorecer o contato com a realidade, o despertar da consciência e da capacidade humana de expressar seus sentimentos e conflitos, com vistas a favorecer respostas adequadas frente à adversidades e as demandas do cotidiano.(AU)

The experience of cancer and its different stages of treatment brings physical, psychological and social effects on patients and require different forms of adaptation and coping. Some patients can exhibit a capacity to adapt and overcome situations of stress that permeated their lives during cancer treatment, while others experience this period with intense suffering. The term resilience is used in psychology to explain this dynamic process that can be promoted and appointed as a human capacity to face adversity, to bear them and to recover a meaningful and productive life, through the reconstruction of new meanings about the experience. This theoretical study is designed to reflect about resilience and its application in the context of occupational therapy intervention in oncology through a interventionist proposal based on art therapy that considers resilience as a revitalizing power to face the patient’s on cancer treatment daily life, with art as a therapeutic instrument to facilitate the contact with reality, awakening of consciousness and the human ability of expressing his feelings and conflicts, in order to encourage appropriate answers to the everyday life adversity and demands.(AU)