Association between resilience, religiosity and therapeutic adherence in patients undergoing hemodialysis
DOI:
https://doi.org/10.11606/issn.1679-9836.v100i2p119-127Keywords:
Association between resilience, Renal dialysis, Resilience psychological, Religion, Treatment adherence and compliance, HemodialysisAbstract
Objective: The objective of this research was to evaluate the level of resilience and religiosity in patients with chronic renal failure, as well as to investigate the influence of these elements on adherence to treatment and pharmacological therapy. Method: It is a descriptive, cross-sectional and correlational research. The study was conducted on 60 hemodialysis patients. Electronic medical record has been used to evidence when the treatment started and to measure absenteeism, and the questionnaires (Wagnild and Young Resilience Scale, Duke Religiousness Scale and eight-item Morisky Medication Adherence Scale) have been used to personal characterization. The data analysis began with descriptive statistics, followed by Spearman’s correlation test (p<0.05) and linear regression. Results: The average age was 59.3 ± 12.5 years and 66.7% of the patients were male. It was found that there was an association between resilience and gender (r=0.281, p=0.030) and self-reported health status (r=0.424, p=0.01), and the category “Independence and determination” correlated with absence (r=0.290, p=0.024). There was also a correlation between pharmacological adherence and non-organizational religiosity (r=0.262, p=0.043) and between intrinsic religiosity and age of patients (r=0.300, p=0.020). The linear regression evidenced the non-organizational religiosity collaboration in the variation of the score obtained in “Independence and determination” (β=0.445, p<0.05). Conclusion: The associations found between the variables suggest that properly explore religiosity in patient care may help to improve the standart of adherence to hemodialysis treatment.
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