Pascal Bernier

Objectif : Explorer les connaissances sur les interventions de promotion de la résilience chez les adolescents atteints de cancer en traitement actif. La question ici utilisée pour guider la recherche est : De quelles façons les infirmières peuvent-elles promouvoir la résilience chez les adolescents atteints de cancer en traitement actif? Introduction : L’adolescence est une période de forte turbulence développementale (Young, 2014). Le diagnostic d’une maladie oncologique contribue à la détresse et diminue la qualité de vie (Sodergren et al., 2017). Certains adolescents semblent cependant développer des mécanismes d’adaptation positifs générant une plus grande résilience (Bellizzi et al., 2012; Sodergren et al., 2017). Les infirmières sont amenées à accompagner ces adolescents parfois sur de longues périodes et peuvent donc être des actrices clés dans le soutien à la résilience auprès de cette clientèle. Méthode : Nous avons cherché en anglais et en français dans trois bases de données (CINAHL, PubMed, PsycArticles) en février 2023 en utilisant des limitateurs (2013-2023; adolescents). La sélection des sources potentielles a été réalisée sur la base de l’étude de Pollock et collaborateurs (2021). L’extraction, l’analyse et la présentation des données ont été effectuées en respectant la structure proposée par le JBI Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist (Tricco et al., 2018). Les données extraites ont été classées dans l’un des facteurs (de protection ou de risque) du Resilience in Illness Model (RIM) en utilisant une méthode déductive (Haase et al., 2014, 2017). Nous avons finalement extrapolé de possibles interventions dans lesquelles l’approche infirmière pourrait contribuer à la résilience des adolescents atteints de cancer en traitement actif. Résultats : La méthode utilisée a permis de retracer 86 articles, dont 17 répondaient aux critères de sélection. De ce nombre, 10 étaient de nature quantitative; 3, de nature qualitative; 3, de nature théorique (incluant les revues de littérature et méta-analyse) et 1 de nature éditoriale. La majorité (n = 15) de ces articles proviennent des États-Unis. Depuis 2013, aucune étude ne s’est spécifiquement intéressée au rôle et aux interventions infirmières dans la promotion de la résilience auprès des adolescents atteints de cancer en traitement actif. Conclusions : En fonction des résultats de cette étude et considérant que d’autres études existent sur le rôle de l’infirmière chez les adolescents atteints de maladie chronique non oncologique, nous estimons que l’infirmière œuvrant en oncologie pédiatrique peut être une actrice clé auprès de cette population en ce qui concerne la promotion de la résilience. Les recherches portant sur ce domaine spécifique s’avéreraient prometteuses afin de soutenir efficacement l’adaptation et la résilience chez les adolescents atteints de cancer en traitement actif.

Objective: Explore knowledge on resilience-promoting interventions among adolescents receiving active cancer treatment. The question used to guide the research was: How can nurses promote resilience among adolescents receiving active cancer treatment? Introduction: Adolescence is a very turbulent stage of development (Young, 2014). A cancer diagnosis at this age contributes to emotional distress and reduces quality of life (Sodergren et al., 2017). However, some youth develop positive coping mechanisms that lead to increased resilience (Bellizzi et al., 2012; Sodergren et al., 2017). Because nurses often care for these patients over an extended period of time, they can play an important role in fostering this resilience. Method: Three databases (CINAHL, PubMed and PsycArticles) were consulted in February 2023, using research limiters “2013–2023” and “adolescents” (teenagers) both in French and in English. Potentially relevant sources were selected based on the guidelines identified by Pollock et al., (2021). Data were extracted, analyzed and presented using the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews checklist (Tricco et al., 2018). The results were categorized, using deductive reasoning, as either protective factors or risk factors, in line with the Resilience in Illness Model (RIM; (Haase et al., 2014, 2017). Finally, potential interventions were identified where nurses can foster resilience among adolescents actively undergoing cancer treatment. Results: The method used returned 86 studies, 17 of which met the selection criteria. Of these, 10 were quantitative in nature, three were qualitative, three were theoretical (including literature reviews and meta-analyses) and one was an editorial. The majority (n = 15) were published in the United States. There have been no studies specifically examining the role of nurses in promoting resilience among adolescents undergoing active cancer treatment since 2013. Conclusion: Based on the findings of this paper, considering that information has been published on the role nurses serve in caring for adolescents who have a chronic illness other than cancer, the conclusion is that pediatric oncology nurses can be key players in promoting resilience among patients at this stage of development. Studies focusing specifically on this topic would be useful in determining how to facilitate adaptation and foster resilience effectively among adolescents receiving active cancer treatment.

Background: Acute Lymphoblastic Leukemia (ALL) is the most common pediatric cancer. ALL and its treatment cause altered bone-mineral homeostasis, which can contribute to musculoskeletal late adverse effects (LAEs). With the increasing number of childhood cancer survivors, LAEs are reported often, and are aggravated by inactive lifestyles. A telerehabilitation program is proposed to strengthen the muscle–bone complex and prevent future impairment. Objective: This study aimed to explore and better understand patient and parent experience of a telerehabilitation program after completion of ALL treatment. Methods: ALL survivors (n = 12), 75% girls, 7.9 to 14.7 years old, within six months to five years of treatment, were recruited to participate in the proposed study, along with a parent. The 16-week group program included 40 potential home-based physical activities, with monthly progression, supervised by a kinesiologist, through an online telerehabilitation platform. Patients could be included in the study if they joined during the first month of intervention of their group (minimum 12 weeks of intervention). A semi-structured post-intervention interview was conducted with the patients and their parent during the final assessment, along with a review of the kinesiologist’s clinical notes, to obtain a portrait of the participants’ experience with the telerehabilitation program. Overarching themes were identified by one author and confirmed by two senior authors before extracting the various aspects of each theme. Results: Of the 12 patients recruited, three were excluded from the analysis because they did not complete the minimum 12 weeks of intervention (one = relapse, one = failure to meet technical requirements, and one = abandoned due to parent’s disinterest). The nine patients who completed the program (six girls; 10.93 ± 2.83 years) had a mean adherence of 89%. The overarching themes identified were the program modalities (group approach with patient–parent paired training, supervised by a kinesiologist), the telerehabilitation system, the participants’ perception of the benefits, and recommendations and suggestions from the families. Both patients and parents expressed very high satisfaction with the program and perceived benefits. Conclusion: Participants appreciated the program and reported they would all recommend it to other families in similar situations. The telerehabilitation method of service delivery was perceived by some as decisive in choosing to participate, while the supervision and intra- and inter-family interactions were the motivating factors that were key to program adherence.