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Posttraumatic Growth Among Cancer Patients: A Conceptual Analysis
1School of Nursing, Nanjing University of Chinese Medicine, Nanjing, Jiangsu Province, China.
Abstract:
Posttraumatic growth (PTG) is increasingly recognized as a positive psychological outcome among cancer patients; however, its conceptualization within oncology nursing remains insufficiently clarified. This study aimed to clarify the concept of PTG in cancer care and provide a theoretical foundation for its application in clinical nursing practice and future research. A systematic search of PubMed, Web of Science, CINAHL Complete, ScienceDirect, SpringerLink, and ProQuest identified 39 English-language articles relevant to PTG in cancer patients. Walker and Avant's concept analysis framework was applied to examine the defining attributes, antecedents, consequences, and empirical referents of the concept. The analysis identified five defining attributes of PTG among cancer patients: reconstruction of self-perception, reevaluation of interpersonal relationships, reshaping of philosophical beliefs, reconstruction of positive psychology, and extension of the temporal dimension. These attributes reflect the multidimensional and dynamic nature of PTG throughout the cancer experience. Clarifying the concept of PTG in cancer patients may provide theoretical support for psychosocial interventions and nursing strategies aimed at promoting emotional recovery, resilience, and psychological well-being across the cancer care continuum.
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