Avaliação da resiliência em pacientes transplantados renais

Abstract

This study aims to evaluate the resilience in kidney transplant patients in the renal transplant outpatient clinic. Cross-sectional study, quantitative approach was conducted at the Nephrology Service in a University Hospital in northeastern Brazil, from January 2020 to December 2022. Sample composed of 230 renal transplant patients over 18 years of age, of both genders, in regular outpatient follow-up. A form for sociodemographic and clinical characterization and validated instruments to assess resilience, Wagnild & Young scale, were used. Categorical variables were described by frequencies and percentages and quantitative variables by mean and standard deviation or median and interquartile range. Spearman's correlation coefficient was used for the correlation of variables. Analyzes were performed using Data Analysis and Statistical Software (STATA®) version 14.0. The level of significance was set at 5% (p<0.05). Among the kidney transplant patients interviewed, there was a higher frequency of female patients (51.25%); age between 18 and 72 years (mean of 42.37 (SD=12)); 84.34% of the interviewed patients declared themselves as black and brown-skinned; the majority came from other cities in the state of Maranhão (43.37%); 27.50% have high school education; 67.50% live with a steady partner; 45.00% reported being Catholic; 56.63% received between 1 and 2 minimum wages; 52% received government benefits or were pensioners. The time of CKD diagnosis ranged from 3 years and 2 months to 30 years; the hemodialysis period, from 2 months to 13 years; the time of kidney transplantation; from 6 months to 23 years; 51.25% received an organ from a deceased donor; 44.17% are overweight/obese while 47.50% are of appropriate weight; 46.25% reported regular physical activity. Patients who had a steady partner demonstrated greater resilience, being able to more adequately overcome life's adversities and become flexible in adverse situations; followed by those who have an occupation or are retired, patients who maintain adequate weight also showed to be more resilient, there were no significant differences in resilience levels between male and female genders, age group or education level