BackgroundThe diagnosis and treatment of breast cancer can provoke a series of negative emotional changes in patients, further affecting their quality of life. It has been shown that patients with higher resilience have better quality of life. Social support systems are important protective factors that are necessary for the process of resilience to occur. Hence, this study aimed to investigate the role of social support in the relationship between resilience and quality of life among Chinese patients with breast cancer.Material/MethodsA demographic-disease survey, the Chinese version of the Connor-Davidson Resilience Scale 25, Medical Outcomes Study Social Support Survey, and Functional Assessment of Cancer Therapy Breast Cancer Version 3 were used to interview 98 patients with breast cancer from a teaching hospital in Chongqing, China. Data analysis was performed by descriptive statistics, independent-sample t test, one-way ANOVA, and regression analyses.ResultsThe mean scores of resilience, social support, and quality of life were 54.68, 61.73, and 80.74 respectively, which were in the moderate range. Participants with stronger social support had higher resilience and better quality of life. Social support played a partial mediator role in the relationship between resilience and quality of life. The mediation effect ratio was 28.0%.ConclusionsSocial support is essential for the development of resilience and the improvement of quality of life in Chinese patients with breast cancer. Health professionals should provide appropriate guidelines to help patients seek effective support and enhance their resilience to improve their quality of life after breast cancer.
The results of the systematic review and meta-analysis suggested that exercise did not play a role in preventing falls. Further studies with high quality and larger samples are required to support or counter the results.
Aims
To investigate which type of exercise is the most effective for people with mild cognitive impairment (MCI) or dementia.
Background
Exercise is recommended as a promising intervention for people with cognitive impairment. However, which type of exercise is the most beneficial for people with MCI or dementia seems still unclear. The objective of this article is to assess the relative effectiveness of different types of exercise on cognitive function in people with MCI or dementia using network meta‐analysis.
Design
Systematic review, meta‐analysis, and network meta‐analysis.
Methods
We will systematically search electronic databases including PubMed, Cochrane Central Register of Controlled Trials, EMBASE, Web of Science, SPORTDiscus, and PsycINFO. To avoid missing the eligible literature, we will examine the reference lists of systematic reviews publication since 2017. WHO International Clinical Trials Registry Platform and ClinicalTrials.gov will also be retrieved to identify eligible trials. Two independent researchers will identify the eligible trials according to selection criteria and extract data. The risk of bias for included studies will be assessed by two pairs of reviewers based on the modified Cochrane Risk of Bias Tool. Discrepancies or disagreement will be discussed and resolved. Data will be analysed using pairwise meta‐analysis and network meta‐analysis.
Discussion
This study will compare the relative effectiveness of different types of exercise and identify which type of exercise is the most effective for people with MCI or dementia.
Impact
The results of this review will provide evidence on which domains of cognitive function are more responsive to what type of exercise. It will also help guide nursing clinical practice to optimize exercise therapy in people with MCI or dementia.
PROSPERO registration number: CRD42020160620.
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