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Resilience process and its protective factors in long-term survivors after lung cancer surgery: a qualitative study

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Abstract

Background

Resilience was correlated with psychological outcomes and quality of life in lung cancer patients. But the resilience process and its protective factors remained uncertain.

Purpose

To investigate and analyze resilience process and its protective factors in long-term survivors after lung cancer surgery.

Methods

This qualitative study included 19 patients who had survived at least 5 years after lung cancer surgery. Colaizzi’s method of phenomenology was used for data analysis.

Results

Analysis of this study was divided into the resilience process and protective factors. The resilience process was summarized into three stages, including initial stress, adaptation to disease, and personal growth. Five themes were regarded contributing to their own resilience in this process, including excellent psychological qualities, good social support, regular lifestyle and exercise, participating in social activities, and Chinese medicine.

Conclusion

This study showed the dynamic process of resilience and its protective factors in long-term survivors after lung cancer surgery. Future studies could identify average length of time of each stage and how patients transfer between stages during resilience process. Besides, interventions could be carried out to educate patients diagnosed with cancer about normal stages of change in body and resilience through time and strategies on adaptation and adjustment of lung cancer.

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Acknowledgments

We thank all of the researchers and participants in this study. We also thank Audrey Holmes, MA, from Liwen Bianji, Edanz Group China (www.liwenbianji.cn/ac), for editing the English text of a draft of this manuscript.

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Authors and Affiliations

  1. Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China

    Xuting Li, Yingxia Li & Man Ye

  2. Department of Thoracic Surgery, The Second Xiangya Hospital, Central South University, 139 Renmin Middle Road, Changsha, 410011, Hunan, China

    Xuting Li, Yingxia Li & Man Ye

  3. Xiangya Nursing School of Central South University, Changsha, 410013, Hunan, China

    Shihao Chen, Jingping Zhang, Lezhi Li & Man Ye

Authors
  1. Xuting Li
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  2. Shihao Chen
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  3. Jingping Zhang
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  4. Lezhi Li
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  5. Yingxia Li
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  6. Man Ye
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Corresponding author

Correspondence to Man Ye.

Ethics declarations

The ethics committee of the Second Xiangya Hospital, Central South University, approved our study (Approval Number: 2019038). All participants gave informed consent before their inclusion in the study.

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Li, X., Chen, S., Zhang, J. et al. Resilience process and its protective factors in long-term survivors after lung cancer surgery: a qualitative study. Support Care Cancer 29, 1455–1463 (2021). https://doi.org/10.1007/s00520-020-05633-4

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  • DOI: https://doi.org/10.1007/s00520-020-05633-4

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