Avaliação da Resiliência em Pacientes com Insuficiência Renal Crônica Submetidos à Hemodiálise / Assessment of Resilience in Patients With Chronic Kidney Disease Undergoing Hemodialysis

Abstract

RESUMOObjetivo: Avaliar o nível de resiliência dos portadores de insuficiência renal crônica em tratamento de hemodiálise. Materiais e Métodos: Estudo prospectivo, quantitativo e de abordagem descritiva. A amostra foi constituída por 61 pacientes em tratamento dialítico. Para obtenção dos resultados, foi utilizada a escala de resiliência, desenvolvida por Wagnild e Young (1993) e adaptada por Pesce et al., (2005). Foi aplicado, também, um questionário para caracterização pessoal, familiar, social, econômica e de saúde do grupo. Resultados: Foi constatado que 61% dos pacientes apresentaram tendência à resiliência. O gênero masculino obteve maior pontuação, sugerindo maior tendência à resiliência, bem como os pacientes que são praticantes de uma religião. Conclusão: Os resultados assinalam que os pacientes em tratamento dialítico no hospital apresentam capacidade à resiliência, o que sugere melhor adaptação ao tratamento.Palavras-chave: Avaliação, Resiliência psicológica, Insuficiência renal crônica.ABSTRACTObjective: To evaluate de the level of resilience in patients with chronic renal failure undergoing dialysis. Materials and Methods: Prospective, quantitative and descriptive study. The sample consisted of 61 patients on dialysis. To obtain the results we used Resilience Scale developed by Wagnild and Young (1993) and adapted by Pesce et al., (2005). A questionnaire to characterize personal, familiar, social, economic and health status was applied. Results: It was found that 61% of patients showed trend to resilience. Males had higher scores, suggesting more likelihood to resilience, as well as patients who were practitioners of a religion. Conclusion: The results indicate that the majority of patients on dialysis have capability of resilience, which suggests better adaptation to treatment.Keywords: Evaluation, Psychological resilience, Chronic renal insufficiency.

Associação entre resiliência, religiosidade e adesão terapêutica em pacientes submetidos à hemodiálise

“…Male patients display the greatest tendency to resilience and problem solving, as has already been proven in other studies with similar samplings 26,30,31 . Some authors justify this correlation comparing male gender and resilience, confirming they utilize greater rational inclination in how they deal with a problem, using their resources to rationalize while facing stress generating situations 32 .…”

“…And 18 (30%) of the patients displayed low therapeutic medication adherence (score<6 in MMAS-8), being that this tool showed high internal consistency in this study (α = 0.79). High adherence (n,%) 18 (30) After applying the Spearman correlation test comparing the sociodemographic variables to the scores obtained from the instruments, it was noticed that the overall resilience score was correlated significantly and positively to gender (r=0.281) and the self-perception status (r=0.424), as the first correlation is weak and the second is moderate. Regarding resilience, it displayed a moderate correlation, yet significant; between the "action and value resolution" and gender (r=0.417), as well as the self-perception health status (r=0.446), or as the male gender and patients who showed a more positive perception of their health status display a greater tendency for resolving conflicts.…”

The Effects of a Brief Supportive Psychotherapeutic Intervention Among Hemodialyzed Patients: A Quasi-Experimental Study

“…Some are protective factors and decrease the disease's impact, enabling patients to overcome and re-signify their clinical condition. Studies reinforce that having a religious belief or professing a religion positively impacts resilience levels 26,27 . One study conducted in the university hospital of a medical school located in Itajubá (Brazil) 26 , assessed the level of resilience of patients with CKD undergoing HD.…”

“…Studies reinforce that having a religious belief or professing a religion positively impacts resilience levels 26,27 . One study conducted in the university hospital of a medical school located in Itajubá (Brazil) 26 , assessed the level of resilience of patients with CKD undergoing HD. The results show that 61% of the patients tended to be resilient and religion was one of the biosocial aspects that may have influenced it.…”

“…The literature shows that resilience is a unique skill that enables people to prevent, limit, or overcome the harmful effects of challenging events such as chronic diseases. Higher resilience levels are positively associated with a greater likelihood of response to treatment 9,25 , ensuring patients adapt better to the disease's restrictions 26 .…”