Factors Associated With Resilience During Long-Term Hemodialysis

García-Martínez, Pedro; Ballester‐Arnal, Rafael; Gandhi-Morar, Kavita; Temprado, María Dolores; Collado-Boira, Eladio; Saus-Ortega, Carlos; Castro-Calvo, Jesús

doi:10.1097/nnr.0000000000000627

Cited by 5 publications

(4 citation statements)

References 31 publications

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“…It is essential to point out that African Americans are more likely to underreport depressive symptomology and perceived stress levels (Gary et al, 2018) due to layers of traumatic experiences and social dynamics and stigma that translate to mistrust and the rejection of seeking appropriate care and treatment (Bailey et al, 2019). In addition, our study found that higher perceived resilience significantly predicted self-efficacy, similar to other studies (Chang et al, 2023; García-Martínez et al, 2023). This suggests that individuals who perceive themselves as having higher levels of resilience also demonstrate greater confidence in their ability to engage in effective self-management behaviors, reinforcing findings from previous studies focused on chronic diseases (Schwarzer & Warner, 2013).…”

Section: Discussionsupporting

confidence: 91%

“…The reason for this is varied and complex and depends on the individual's personal situation, beliefs, and resilience precursors. Moreover, research suggests that resilience may buffer the effects of the stressful challenges associated with chronic disease self-management; individuals who report high levels of resilience are more likely to engage in health-promoting behaviors compared with those who report lower levels of resilience (Caceres et al, 2022; Duggal et al, 2016; García-Martínez et al, 2023).…”

Section: Discussionmentioning

confidence: 99%

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Resilience and Self-Management of Hypertension in African American Adults Using a Conceptualized Resilience Framework

Still,

Ruksakulpiwat

2024

Nursing Research

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Background Hypertension rates have increased worldwide, with the most significant increase in morbidity and mortality observed among African Americans. Resilience is a potential factor influencing how individuals manage health-related challenges or self-management tasks for hypertension. Research is scarce related to resilience and self-management frameworks in African Americans with hypertension. Objectives We aimed to describe a conceptualized resilience framework and preliminary findings of the association among resilience precursors, stress response, hypertension self-management behaviors, and health outcomes in African Americans with hypertension. Methods This cross-sectional, descriptive-correlational study included African American adults with hypertension, aged 25 years and older, recruited from an academic university and surrounding urban communities in the Midwest. Participants completed standardized, validated questionnaires to examine the association among resilience precursors, stress response, hypertension self-management behaviors, health-related quality of life (HRQOL), and blood pressure at baseline. Descriptive statistics were used to describe the sample demographic characteristics, whereas Pearson's correlational and multiple regression analyses were conducted to determine the associations among the variables. Results African Americans with hypertension (N = 30) were included in this preliminary study, with a mean age of 59.17 years; 66.7% were female. The mean systolic blood pressure was 136 (SD = 16.8) mmHg; the mean diastolic blood pressure was 78.1 (SD = 13) mmHg. Pearson's correlation analysis revealed significant relationships between resilience precursors, stress response, hypertension self-management behaviors and capability, and health outcome components. Multiple regression analysis showed that poor perceived resilience significantly predicted depression. Low dispositional optimism and low perceived resilience were significant predictors of stress. Higher perceived resilience significantly predicted self-efficacy. Perceived stress was negatively and significantly associated with HRQOL. Finally, higher self-efficacy significantly predicted better HRQOL. Discussion This study underscores the significant association between resilience, stress, self-management behaviors, and health outcomes in African Americans with hypertension. Further research with larger sample sizes and longitudinal designs is warranted to confirm and expand upon these findings.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Resilience and Self-Management of Hypertension in African American Adults Using a Conceptualized Resilience Framework

Still,

Ruksakulpiwat

2024

Nursing Research

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“…Figure 1 shows the morbid condition of our selected cohort. In terms of sociodemographic information, the majority of the study subjects had ages between 36 and 55 years (García-Martínez et al, 2020;Lamping et al, 2000). These results are supported by another study that found non-adherence is related to age in CRF patients, with a mean age of 50.90 ± 10.12 years old(Mohammed Mousa et al, 2020).…”

Section: Resultssupporting

confidence: 56%

Assessment of factors associated with the refusal of recommended thricea weekdialysis in CKD patients: Reality Vs.Recommendations

GULZAR

RAFIQUE

Afzal

et al. 2022

Biol Clin Sci Res J

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In developing countries like Pakistan, it is observed that the patients who are on dialysis do not follow the prescribed frequency of dialysis which has increased the morbidity, mortality, and burden on nephrology emergencies. To identify the most common factors associated with the refusal of recommended thrice-a-week dialysis. This observational study was carried out between June 1 and August 14, 2022, in the Department of Nephrology and Hemodialysis at the Services Hospital Lahore. The WHO calculator (version 1.1) was used to determine the sample size of 137. The patients in this study comprised those on maintenance twice-weekly hemodialysis who were anuric and advised for thrice-weekly dialysis but declined it. The senior faculty of the nephrology unit created a form with demographic information and a questionnaire to evaluate the likely reasons. The reason was categorized into three categories including socioeconomic psychology and healthcare-related factors. Using the program SPSS, the data was examined (V. 25). Mean and median were used to describe quantitative factors, and frequency or percentage were used to convey qualitative data. Based on the inclusion criteria, a total of 137 people were included in this study. 62% of the sample in our study were men. Our cohort's median age was 49.54 ± 9.50 years. 52% of the participants were in the 36 to 55 age range. 68 % of the patients who declined three times weekly dialysis were married. Only 28% of patients had higher education, while only 46% had a high school diploma and 19% had none at all. 71% of the people in our research were employed, yet the majority made less than twenty thousand PKR per month. Among the healthcare-related factors, the most common factor was the unavailability of dialysis centres (66.2%). From the results of the study, we can conclude that the lack of education and support from the organization they work for, increase responsibilities after married, low socioeconomic status and inadequate healthcare facilities are the major hurdle in compliance for advised thrice a week dialysis. These factors along with the nature of disease cause many psychological problems that further worsen the situation.

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“…A previous study showed that lower psychological resilience, lower education and greater cognitive distortions are factors associated with depression and anxiety in patients with CKD 67 . Other recent studies have indicated that patients go through several phases of adaptation, that the resilience potential of patients is related to perceived stress 68 and that perceived stress, general QoL and QoL subcomponents are related to the resilience profile of patients with CKD 69 . Thus, interdisciplinary teams should develop specific interventions to build resilience in patients with CKD, aiming to facilitate their adaptation to treatment and positively impact their lives in general.…”

Section: Discussionmentioning

confidence: 99%

Prospective analysis of the impact of Chronic Kidney Disease on patients and caregivers

Pereira,

Kirchmaier,

Fernandes

et al. 2023

Rev Neurocienc

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Introduction. Chronic kidney disease (CKD) has a high incidence, prevalence and morbidity and mortality among the world population, negatively impacting the biopsychosocial aspects of patients and family caregivers. Objective. To evaluate the association between the mental health of caregivers and CKD patients on dialysis. Method. A prospective cohort study, the sample included patients with CKD on dialysis at the University Hospital of the Federal University of Juiz de Fora (UFJF) and their family caregivers from 2015 to 2019. The instruments used for data collection were a sociodemographic questionnaire, the Perceived Social Support Scale (EPSS), the Hospital Anxiety and Depression Scale (HADS), the Lipp Stress Symptom Inventory (LISS), the SF-36 Quality of Life Questionnaire (SF-36), the Fatigue Pictogram. Results. Most patients were on haemodialysis for more than 4 years and were female, middle-aged, and black. Most caregivers were female, middle-aged and white. The participants in both groups predominantly married people with low levels of education. The general levels of mental health and quality of life (QoL) between patients and caregivers were similar. Conclusion. The mental health of patients and their family caregivers was similarly and negatively affected by CKD; therefore, treatment and interdisciplinary mental health care measures are urgent for this population.

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Factors Associated With Resilience During Long-Term Hemodialysis

Cited by 5 publications

References 31 publications

Resilience and Self-Management of Hypertension in African American Adults Using a Conceptualized Resilience Framework

Resilience and Self-Management of Hypertension in African American Adults Using a Conceptualized Resilience Framework

Assessment of factors associated with the refusal of recommended thricea weekdialysis in CKD patients: Reality Vs.Recommendations

Prospective analysis of the impact of Chronic Kidney Disease on patients and caregivers

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