余璐 孙娅娇 钟灵 余永艳 赵一鸣 陶慧

【摘要】 近年来癌症的发病率和死亡率呈上升趋势。持久的抗癌过程给患者及整个家庭带来了挑战，甚至影响家庭的稳定性。家庭弹性作为家庭应对危机的有利因素，能够影响家庭成员对癌症的调整和适应能力，对其心理健康产生有益影响，因此需准确评估癌症患者的家庭弹性水平，并促进其调适以提高其生活质量。本文综述了癌症患者家庭弹性的概念、相关测评工具、影响因素和干预措施，并针对我国当前对癌症患者家庭弹性研究的不足提出一些展望，旨在提高医护人员对癌症患者家庭弹性的认识，为后续相关研究和制定适合的干预方案提供参考。

【关键词】 癌症 家庭弹性 测评工具

Research Progress and Inspiration of Family Resilience in Cancer Patients/YU Lu， SUN Yajiao， ZHONG Ling， YU Yongyan， ZHAO Yiming， TAO Hui. //Medical Innovation of China， 2022， 19（16）： -188

[Abstract] In recent years， the incidence and mortality of cancer has been increasing worldwide. The long-lasting anticancer process has presented challenges for the patient and the entire family， and even affect the stability of the family. As a favorable factor for the family to cope with the crisis， family resilience can affect the adjustment and adaptation of family members to cancer， which has a beneficial impact on their mental health. Therefore， it is necessary to accurately assess the level of family resilience in families of cancer patients and promote their adjustment to improve their quality of life. This paper reviewed the concept， assessment tools， influencing factors and interventions of family resilience in cancer patients， and puts forward some prospects for the lack of research on family resilience in China， aiming to improve the understanding of medical workers on family resilience in cancer patients and provide reference for follow-up related researches and development of appropriate intervention programs.

[Key words] Cancer Family resilience Assessment tools

First-author’s address： Kunming Medical University， Kunming 650500， China

doi：10.3969/j.issn.1674-4985.2022.16.044

2020年全球癌症统计报告显示，全年共有1 929万新发癌症病例，996万癌症死亡病例，其发病率和死亡率正迅速增长[1]。癌症的诊断不仅影响个体，而且通过复杂的相互关系和强烈的情感联系影响其家庭系统，使家庭陷入危机之中。近年来，为促进癌症的治疗和改善预后，研究者逐渐从患者个体视角转向家庭层面的视角，从积极心理学切入，探索家庭弹性对个体及家庭健康的意义。Faccio等[2]指出，家庭弹性不仅能够影响家庭成员对癌症的调适能力，而且影响癌症患者的预后及整个癌症发展轨迹。作为家庭面对压力和危机的有利因素，家庭弹性能够对癌症患者及家庭照顾者的心理健康方面产生有益影响[3-5]。因此需客观、准确地评估癌症患者家庭的弹性水平，以更好地促进个体和整个家庭的恢复和适应，从而改善其生活质量。……