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Abstract
Introduction: Patients with advanced chronic kidney disease (CKD) undergo renal function replacement methods such as haemodialysis and renal transplantation. Resilience is a protective factor that facilitates adaptation to adverse events that may arise during change.
Objectives: To compare resilience and its dimensions in two groups of patients with CKD according to their method of renal function replacement and by gender, regardless of the group to which they belong.
Material and Method: The study was a cross-sectional analytical study using the validated 25-item Connor-Davidson resilience scale. The variables were resilience levels and dimensions. Gender and age were also included.
Results: 88 patients from the Arnaldo Milián Castro University Hospital participated, of which 53 (52 %) were male, 44 receiving haemodialysis, and 44 with renal transplant. Haemodialysis patients showed higher mean values for resilience (M=79), persistence, tenacity, self-efficacy (M=26), and adaptability and support networks (M=17). In contrast, transplant patients excelled in control under pressure (M=22), power and purpose (M=15), and spirituality (M=9). By gender, males showed higher mean scores on all variables. The Man-Whitney U test yielded statistically significant differences in one group of variables for both forms of grouping.
Conclusions: This study’s findings reveal significant differences in resilience and the factors that condition it in the haemodialysis and transplant groups and the groups by gender.
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Copyright (c) 2024 Yasmani Martínez López
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References
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- Sánchez MJ, García JM, Valverde M, Pérez M. Enfermedad crónica: satisfacción vital y estilos de personalidad adaptativos. Clínica y Salud [Internet]. 2014 [consultado 7 May 2024];25:85-93. Disponible en: http://dx.doi.org/10.1016/j.clysa.2014.06.007 DOI: https://doi.org/10.1016/j.clysa.2014.06.007
- Ortega Z, Mijares B. Concepto de resiliencia: desde la diferenciación de otros constructos, escuelas y enfoques. Orbis: Revista de ciencias humanas [Internet]. 2018 [consultado 13 Oct 2023];39(13):30-42. Disponible en: www.revistaorbis.org.ve
- Shae‑Leigh CV, Nagesh P. A Theoretical Review of Psychological Resilience: Defining Resilience and Resilience Research over the Decades. Arch Med Health Sci [Internet]. 2019 [consultado 18 Ene 2024];7:233-39.Disponible en: http://journals.lww.com/armh by BhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AWnYQp/IlQrHD3i3D0OdRyi7TvSFl4Cf3VC1y0abggQZXdgGj2MwlZLeI=on 07/01/2023
- González-Flores CJ, García-García G, Lerma A, Pérez-Grovas H, Meda-Lara RM, Guzmán-Saldaña RM, et al. Resilience: A Protective Factor from Depression and Anxiety in Mexican Dialysis Patients. Int J Environ Res Public Health [Internet]. 2021 [consultado 20 Oct 2023]; 18(11957):2-12. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34831713/. DOI: https://doi.org/10.3390/ijerph182211957
- Hernández R, Fernández C, Baptista, MP. Metodología de la investigación [Internet]. 6ta ed. México DF: Mcgraw-hill; 2014. Disponible en: https://www.esup.edu.pe/wp-content/uploads/2020/12/2.%20Hernandez,%20Fernandez%20y%20Baptista-Metodolog%C3%ADa%20Investigacion%20Cientifica%206ta%20ed.pdf
- Rodríguez B, Moleiro O. Validación de instrumentos psicológicos. Criterios Básicos. Santa Clara: Editorial Feijóo; 2012.
- Kukihara H, Yamawaki N, Nishio M, Kimura H, Tamura H. The mediating effect of resilience between family functioning and mental well-being in hemodialysis patients in Japan: a cross sectional design. Health Qual Life Outcomes [Internet]. 2020 [consultado 21 Oct 2023];18(233):1-8. Disponible en: https://hqlo.biomedcentral.com/articles/10.1186/s12955-020-01486-x DOI: https://doi.org/10.1186/s12955-020-01486-x
- Hayati S, Manzour Z, Haj F, Rajab A. The Relationship between Coronavirus Anxiety, Resilience, and Islamic Beliefs in Hemodialysis Patients during the Pandemic: A Survey in Iran. IGCJ [Internet]. 2023 [consultado 21 Oct 2023];6(1):45-58. Disponible en: https://journal.iaimnumetrolampung.ac.id/index.php/igcj/article/view/3166 DOI: https://doi.org/10.25217/igcj.v6i1.3166
- Niebla IM, Montero X, Rivera ME. Síntomas psiquiátricos en pacientes con insuficiencia renal crónica en tratamiento de hemodiálisis en México. Psicología y Salud [Internet]. 2023 [consultado 30 Oct 2023];33(1):31-42. Disponible en: https://psicologiaysalud.uv.mx/index.php/psicysalud/article/view/2770 DOI: https://doi.org/10.25009/pys.v33i1.2770
- Amirkhani M, Shokrpour N, Bazrafcan L, Modreki A, Sheidai S. The Effect of Resilience Training on Stress, Anxiety, Depression, and Quality of Life of Hemodialysis Patients: A Randomized Controlled Clinical Trial. Iran J Psychiatry Behav Sci [Internet]. 2021[consultado 3 Mar 2024];15(2):e104490. Disponible en: https://brieflands.com/articles/ijpbs-104490 DOI: https://doi.org/10.5812/ijpbs.104490
- Nash P, Loiselle M, Stahl L, Conklin L, Rose L, Hutto A et al. Post-Traumatic Stress Disorder and Post-Traumatic Growth following Kidney Transplantation. Kidney 360 [Internet]. 2022 [consultado 3 Mar 2024];3(9):1590-8. Disponible en: https://journals.lww.com/kidney360/fulltext/2022/09000/post_traumatic_stress_disorder_and_post_traumatic.17.aspx DOI: https://doi.org/10.34067/KID.0008152021
- Qiu Y, Huang Y, Wang Y, Ren L, Jiang L, Zhang L, et al. The Role of Socioeconomic Status, Family Resilience, and Social Support in Predicting Psychological Resilience Among Chinese Maintenance Hemodialysis Patients. Front Psychiatry [Internet]. 2021 [consultado 30 Oct 2023];12(723344):1-8. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34658959/. DOI: https://doi.org/10.3389/fpsyt.2021.723344
- García-Martínez P, Ballester-Arnal R, Gandhi-Morar K, Castro-Calvo J, Gea-Caballero V, Juárez-Vela R, et al. Perceived Stress in Relation to Quality of Life and Resilience in Patients with Advanced Chronic Kidney Disease Undergoing Hemodialysis. Int J Environ Res Public Health [Internet]. 2021 [consultado 3 Nov 2023];18(536):1-10. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33440671/. DOI: https://doi.org/10.3390/ijerph18020536
- González-Flores CJ, Ureña-Rodríguez MG, Meda-Lara R. Resiliencia y enfermedad renal crónica: una revisión sistemática. Revista Iberoamericana de Psicología [Internet]. 2018 [consultado 30 Oct 2023];11(2):79-86. Disponible en: https://revistas.iberoamericana.edu.co/index.php/ripsicologia/article/view/1394-4737-1 SM DOI: https://doi.org/10.33881/2027-1786.rip.11209
- Londoño Ramírez AC. Influencia de los patrones psiquiátricos y psicológicos sobre la calidad de vida en el trasplante renal y hepático [Tesis doctoral]. Alicante: Universidad Miguel Hernández; 2017. Disponible en: http://dspace.umh.es/bitstream/11000/4401/1/TD%20Londo%C3%B1o%20Ram%C3%ADrez%2C%20Ana%20Carolina.pdf
References
Iraizoz AM, Brito G, Santos JA, León G, Pérez JE, Jaramillo RM, et al. Detección de factores de riesgo de enfermedad renal crónica en adultos. Rev Cubana Med Gen Integr [Internet]. 2022 [consultado 18 Ene 2024];38(2):e1745. Disponible en: http://scielo.sld.cu/pdf/mgi/v38n2/1561-3038-mgi-38-02-e1745.pdf
Morales A, Martínez LM. Terapia de reemplazo renal, una alternativa para la calidad de vida de los pacientes. REPERT MED CIR [Internet]. 2022 [consultado 18 Ene 2024];31(2):133-39. Disponible en: file:///C:/Users/Yasmani/Downloads/5.+Art.+de+Revisi%C3%B3n+Terapia+de+reemplazo+renal,+una+alternativa+para+la+calidad+de+vida+de+los+pacientes.pdf DOI: https://doi.org/10.31260/RepertMedCir.01217372.1064
Sánchez MJ, García JM, Valverde M, Pérez M. Enfermedad crónica: satisfacción vital y estilos de personalidad adaptativos. Clínica y Salud [Internet]. 2014 [consultado 7 May 2024];25:85-93. Disponible en: http://dx.doi.org/10.1016/j.clysa.2014.06.007 DOI: https://doi.org/10.1016/j.clysa.2014.06.007
Ortega Z, Mijares B. Concepto de resiliencia: desde la diferenciación de otros constructos, escuelas y enfoques. Orbis: Revista de ciencias humanas [Internet]. 2018 [consultado 13 Oct 2023];39(13):30-42. Disponible en: www.revistaorbis.org.ve
Shae‑Leigh CV, Nagesh P. A Theoretical Review of Psychological Resilience: Defining Resilience and Resilience Research over the Decades. Arch Med Health Sci [Internet]. 2019 [consultado 18 Ene 2024];7:233-39.Disponible en: http://journals.lww.com/armh by BhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AWnYQp/IlQrHD3i3D0OdRyi7TvSFl4Cf3VC1y0abggQZXdgGj2MwlZLeI=on 07/01/2023
González-Flores CJ, García-García G, Lerma A, Pérez-Grovas H, Meda-Lara RM, Guzmán-Saldaña RM, et al. Resilience: A Protective Factor from Depression and Anxiety in Mexican Dialysis Patients. Int J Environ Res Public Health [Internet]. 2021 [consultado 20 Oct 2023]; 18(11957):2-12. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34831713/. DOI: https://doi.org/10.3390/ijerph182211957
Hernández R, Fernández C, Baptista, MP. Metodología de la investigación [Internet]. 6ta ed. México DF: Mcgraw-hill; 2014. Disponible en: https://www.esup.edu.pe/wp-content/uploads/2020/12/2.%20Hernandez,%20Fernandez%20y%20Baptista-Metodolog%C3%ADa%20Investigacion%20Cientifica%206ta%20ed.pdf
Rodríguez B, Moleiro O. Validación de instrumentos psicológicos. Criterios Básicos. Santa Clara: Editorial Feijóo; 2012.
Kukihara H, Yamawaki N, Nishio M, Kimura H, Tamura H. The mediating effect of resilience between family functioning and mental well-being in hemodialysis patients in Japan: a cross sectional design. Health Qual Life Outcomes [Internet]. 2020 [consultado 21 Oct 2023];18(233):1-8. Disponible en: https://hqlo.biomedcentral.com/articles/10.1186/s12955-020-01486-x DOI: https://doi.org/10.1186/s12955-020-01486-x
Hayati S, Manzour Z, Haj F, Rajab A. The Relationship between Coronavirus Anxiety, Resilience, and Islamic Beliefs in Hemodialysis Patients during the Pandemic: A Survey in Iran. IGCJ [Internet]. 2023 [consultado 21 Oct 2023];6(1):45-58. Disponible en: https://journal.iaimnumetrolampung.ac.id/index.php/igcj/article/view/3166 DOI: https://doi.org/10.25217/igcj.v6i1.3166
Niebla IM, Montero X, Rivera ME. Síntomas psiquiátricos en pacientes con insuficiencia renal crónica en tratamiento de hemodiálisis en México. Psicología y Salud [Internet]. 2023 [consultado 30 Oct 2023];33(1):31-42. Disponible en: https://psicologiaysalud.uv.mx/index.php/psicysalud/article/view/2770 DOI: https://doi.org/10.25009/pys.v33i1.2770
Amirkhani M, Shokrpour N, Bazrafcan L, Modreki A, Sheidai S. The Effect of Resilience Training on Stress, Anxiety, Depression, and Quality of Life of Hemodialysis Patients: A Randomized Controlled Clinical Trial. Iran J Psychiatry Behav Sci [Internet]. 2021[consultado 3 Mar 2024];15(2):e104490. Disponible en: https://brieflands.com/articles/ijpbs-104490 DOI: https://doi.org/10.5812/ijpbs.104490
Nash P, Loiselle M, Stahl L, Conklin L, Rose L, Hutto A et al. Post-Traumatic Stress Disorder and Post-Traumatic Growth following Kidney Transplantation. Kidney 360 [Internet]. 2022 [consultado 3 Mar 2024];3(9):1590-8. Disponible en: https://journals.lww.com/kidney360/fulltext/2022/09000/post_traumatic_stress_disorder_and_post_traumatic.17.aspx DOI: https://doi.org/10.34067/KID.0008152021
Qiu Y, Huang Y, Wang Y, Ren L, Jiang L, Zhang L, et al. The Role of Socioeconomic Status, Family Resilience, and Social Support in Predicting Psychological Resilience Among Chinese Maintenance Hemodialysis Patients. Front Psychiatry [Internet]. 2021 [consultado 30 Oct 2023];12(723344):1-8. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34658959/. DOI: https://doi.org/10.3389/fpsyt.2021.723344
García-Martínez P, Ballester-Arnal R, Gandhi-Morar K, Castro-Calvo J, Gea-Caballero V, Juárez-Vela R, et al. Perceived Stress in Relation to Quality of Life and Resilience in Patients with Advanced Chronic Kidney Disease Undergoing Hemodialysis. Int J Environ Res Public Health [Internet]. 2021 [consultado 3 Nov 2023];18(536):1-10. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33440671/. DOI: https://doi.org/10.3390/ijerph18020536
González-Flores CJ, Ureña-Rodríguez MG, Meda-Lara R. Resiliencia y enfermedad renal crónica: una revisión sistemática. Revista Iberoamericana de Psicología [Internet]. 2018 [consultado 30 Oct 2023];11(2):79-86. Disponible en: https://revistas.iberoamericana.edu.co/index.php/ripsicologia/article/view/1394-4737-1 SM DOI: https://doi.org/10.33881/2027-1786.rip.11209
Londoño Ramírez AC. Influencia de los patrones psiquiátricos y psicológicos sobre la calidad de vida en el trasplante renal y hepático [Tesis doctoral]. Alicante: Universidad Miguel Hernández; 2017. Disponible en: http://dspace.umh.es/bitstream/11000/4401/1/TD%20Londo%C3%B1o%20Ram%C3%ADrez%2C%20Ana%20Carolina.pdf