Abstract
ABSTRACTObjective: to investigate the association between resilience and sociodemographic variables and the health of people with chronic kidney disease and / or type 2 diabetes mellitus. Method: a cross-sectional observational study performed with 603 people with chronic kidney disease and / or type 2 diabetes mellitus. A tool to collect socio-demographic and health data and the Resilience Scale developed by Connor and Davidson were applied. A descriptive and multivariate analysis was performed. Results: the study participants had on average 61 years old (SD= 13.2), with a stable union (52.24%), religion (96.7%), retired (49.09%), with primary education (65%) and income up to three minimum wages. Participants with kidney disease showed less resilience than people with diabetes. Conclusion: the type of chronic illness, disease duration, body mass index and religious beliefs influenced the resilience of the study participants.
Highlights
The changes that chronic disease brings are not always addressed properly, which may cause difficulties in the care and control of this disease, causing stress and bringing suffering to those persons and their families
We emphasize that the variable “individual monthly income of the person” was answered by 368 people, considering the value of the minimum wage in the year of data collection; and the body mass index (BMI) variable was obtained from 577 people, since 26 did not accept and / or had not physical condition to perform this measurement
Disease duration negatively influenced resilience in two periods: those participants presenting six to 10 years of disease, as well as those over 16 years, ie, the model of this study revealed through the adjusted analysis, those people in these disease duration ranges showed lower resilience scores
Summary
The changes that chronic disease brings are not always addressed properly, which may cause difficulties in the care and control of this disease, causing stress and bringing suffering to those persons and their families. It is realized that some of these people manage to overcome these difficulties keeping adherence to treatment and coping with their illness as something to be overcome, even if they often have many other problems in the different areas of their life This may be related to the concept of resilience. There is convergence about its connection to people who can overcome adversity or risk conditions, permeated by the interaction of biological and psychosocial conditions that result in positive adaptation allowing the development of the internal capacities of the person, as well as being considered to be a dynamic process[5] When it comes to illness, resilience appears as a possibility of change, being understood as a person’s ability to cope with illness, accepting the limitations imposed by the condition, with due adherence to treatment, seeking to adapt to the situation and live positively[6]. Resilience can enable some control over the negative impact of the physical, social and economic consequences, and the emotional consequences perceived in the disease [7]
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