Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE12-08-2024

    Initial nipple damages in breastfeeding women: analysis of photographic images and clinical associations

    Revista Brasileira de Enfermagem. 2024;77(1):e20220773

    Abstract

    ORIGINAL ARTICLE

    Initial nipple damages in breastfeeding women: analysis of photographic images and clinical associations

    Revista Brasileira de Enfermagem. 2024;77(1):e20220773

    DOI 10.1590/0034-7167-2022-0773

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    ABSTRACT

    Objective:

    to analyze the initial nipple damage degree by breastfeeding practice and to associate findings with clinical manifestations of breastfeeding women.

    Methods:

    a retrospective, cross-sectional study with primary data and photographic images database from two randomized clinical trials. Photographic images were analyzed by two independent evaluators using the Nipple Trauma Score. For analysis, the chi-square, Mann-Whitney tests and Kappa coefficient were applied.

    Results:

    115 breastfeeding women and their respective 186 photographic images were analyzed. The degree of agreement of evaluators using the Nipple Trauma Score was 93.6%. The nipple pain score during breastfeeding was moderate and compromised more than 25% of the nipple surface area.

    Conclusions:

    assistance to breastfeeding women should prioritize nipple pain intensity instead of the nipple damage size.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Initial nipple damages in breastfeeding women: analysis of photographic images and clinical associations
  • ORIGINAL ARTICLE12-08-2024

    Safe practices for bed bathing in the intensive care unit: validation of a checklist

    Revista Brasileira de Enfermagem. 2024;77(1):e20230135

    Abstract

    ORIGINAL ARTICLE

    Safe practices for bed bathing in the intensive care unit: validation of a checklist

    Revista Brasileira de Enfermagem. 2024;77(1):e20230135

    DOI 10.1590/0034-7167-2023-0135

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    ABSTRACT

    Objective:

    To validate a checklist for safe bathing in critically ill patients.

    Methods:

    This is a methodological and quantitative study. Researchers developed a checklist for safe bathing in critically ill patients consisting of 41 items, which were submitted to the apparent and content validation process, evaluated by eleven judges, and interobserver reliability. For reliability analysis, the instrument was applied in 54 bed bath procedures in the ICU; Kappa and CHF tests were used.

    Results:

    In the apparent and content validation, adjustments were made according to the judges’ suggestions. Kappa values ranged from moderate to almost perfect (0.462 to 0.962), and, in some items, there was 100% agreement; the reliability of the instrument was excellent (ICC = 0.962).

    Conclusion:

    The instrument proved to be dependable and easy to apply. Its use will contribute to safe bed bathing and subsidize interventions aimed at increasing the quality of care.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Safe practices for bed bathing in the intensive care unit: validation of a checklist
  • REVIEW11-29-2024

    Assessment of knowledge in oncology about care for transgender people: a scoping review

    Revista Brasileira de Enfermagem. 2024;77:e20230532

    Abstract

    REVIEW

    Assessment of knowledge in oncology about care for transgender people: a scoping review

    Revista Brasileira de Enfermagem. 2024;77:e20230532

    DOI 10.1590/0034-7167-2023-0532

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    ABSTRACT

    Objective:

    to identify evidence available in the literature on instruments and methodologies used to assess healthcare professionals’ knowledge about cancer care for the transgender population.

    Methods:

    a scoping review was conducted in seven databases, including studies that answered the question: what is the healthcare professionals’ level of knowledge about cancer care for the transgender population?

    Results:

    forty-one articles were selected that dealt specifically with healthcare professionals’knowledge in relation to care for the LGBTQIAPN+ population, especially the transgender population. Eighteen studies assessed patients’ perceptions of professionals’knowledge, whereas other studies used their own assessment tools, considering the global context of LGBTQIAPN+ health.

    Conclusions:

    there is no tested and validated instrument that assesses the knowledge about the transgender population’s oncological health, highlighting the need to construct and validate an instrument focused on this population’s needs.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Assessment of knowledge in oncology about care for transgender people: a scoping review
  • ORIGINAL ARTICLE11-29-2024

    Sleep quality of vulnerable elderly people: associated factors

    Revista Brasileira de Enfermagem. 2024;77:e20230283

    Abstract

    ORIGINAL ARTICLE

    Sleep quality of vulnerable elderly people: associated factors

    Revista Brasileira de Enfermagem. 2024;77:e20230283

    DOI 10.1590/0034-7167-2023-0283

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    ABSTRACT

    Objective:

    To identify factors associated with poor sleep quality in elderly dependent individuals in social vulnerability.

    Method:

    Cross-sectional study with 59 elderly dependent individuals assisted by Family Health Units in São Carlos/SP. The following tools were used: Katz Index, Lawton and Brody Scale, Pittsburgh Sleep Quality Index, Addenbrooke’s Cognitive Examination Revised, Fried’s Frailty Phenotype, Geriatric Depression Scale (15 items), Perceived Stress Scale, Family APGAR, Social Support Scale from the Medical Outcomes Study, and World Health Organization Quality of Life, abbreviated and “old” versions.

    Results:

    The majority of participants were women (52.5%), aged 60-74 years (71.1%), and had poor sleep quality (76.2%). Stress (OR=1.12; 95%CI=1.02-1.22) and polypharmacy (OR=7.39; 95%CI=1.22-44.73) increased the chances of poor sleep quality, while physical activity decreased these chances (OR=0.15; 95%CI=0.02-0.79).

    Conclusion:

    Stress and polypharmacy are associated with poor sleep quality in elderly dependent individuals.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • REVIEW11-22-2024

    Transition to family parenting in the face of the first child: a scoping review

    Revista Brasileira de Enfermagem. 2024;77(5):e20230487

    Abstract

    REVIEW

    Transition to family parenting in the face of the first child: a scoping review

    Revista Brasileira de Enfermagem. 2024;77(5):e20230487

    DOI 10.1590/0034-7167-2023-0487

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    ABSTRACT

    Objectives:

    to identify and summarize the elements that characterize the family transition process in relation to the first child.

    Methods:

    a scoping review was carried out based on JBI methodology, in six databases, following the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews checklist.

    Results:

    ten articles were included with factors characterizing the transition, such as hindering/facilitating conditions that influence the process, important support structures in adaptation and strategies/responses used in the transition process.

    Final Considerations:

    elements characterizing the transition process in relation to the first child were identified. However, no theoretical explanation for this was identified. Further research should be carried out to obtain a deeper understanding of this process.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Transition to family parenting in the face of the first child: a scoping review
  • 11-22-2024

    Social Technology in the Prevention of Adolescent Violence: documentary production

    Revista Brasileira de Enfermagem. 2024;77(5):e20230298

    Abstract

    Social Technology in the Prevention of Adolescent Violence: documentary production

    Revista Brasileira de Enfermagem. 2024;77(5):e20230298

    DOI 10.1590/0034-7167-2023-0298

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    ABSTRACT

    Objective:

    To report the development of a technological innovation in the form of a documentary, aimed at disseminating actions for preventing violence against adolescents within the context of Primary Health Care.

    Methods:

    The documentary was developed through action research and interventions with adolescents in the territory of a Health Unit, conducted between 2020 and 2022, using Social Technology as both an action strategy and a conceptual reference.

    Results:

    The Social Technology proposal, created through workshops and seminars, resulted in a documentary focusing on violence prevention, involving 48 adolescents. The documentary’s script, collectively developed, portrays a soccer match between teams symbolizing peace and violence, with peace ultimately prevailing. The documentary is six minutes long.

    Final Considerations:

    The documentary has proven to be an effective Social Technology tool among adolescents, as it fosters critical thinking, is accessible, has potential for digital dissemination, and appeals to the target audience.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE11-22-2024

    Prevalence of prescription and effectiveness of analgesia for treating vaginal delivery pain

    Revista Brasileira de Enfermagem. 2024;77(5):e20230327

    Abstract

    ORIGINAL ARTICLE

    Prevalence of prescription and effectiveness of analgesia for treating vaginal delivery pain

    Revista Brasileira de Enfermagem. 2024;77(5):e20230327

    DOI 10.1590/0034-7167-2023-0327

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    ABSTRACT

    Objectives:

    to assess pain management during labor.

    Methods:

    a cross-sectional study was carried out by reviewing medical records and conducting postpartum interviews. Prevalence and effectiveness of analgesia were assessed.

    Results:

    the prevalence of non-pharmacological analgesia was 61.86% of 215 women in labor in Obstetric Center and 82.51% of 62 in midwife-led unit. Prevalence of severe pain, on the Visual Analogue Scale, before and after non-pharmacological analgesia, was from 92.16% to 64.04% (p=0.00) in Obstetric Center and from 85.96% to 52.63% (p=0.01) in midwife-led unit. Prevalence of pharmacological analgesia in Obstetric Centers was 15.81%, with no variation in severe pain (p=0.57). Patients’ request for analgesia was associated with education (p=0.00) and pain intensity (p=0.02).

    Conclusions:

    non-pharmacological analgesia improved pain intensity. Prevalence of pharmacological analgesic prescription was lower than that identified in developed countries. Pain management needs to consider the preferences and needs of women in labor.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE11-22-2024

    Perceptions from people with physical disabilities about accessibility and social conditions: interventions for rehabilitation nursing

    Revista Brasileira de Enfermagem. 2024;77(5):e20240005

    Abstract

    ORIGINAL ARTICLE

    Perceptions from people with physical disabilities about accessibility and social conditions: interventions for rehabilitation nursing

    Revista Brasileira de Enfermagem. 2024;77(5):e20240005

    DOI 10.1590/0034-7167-2024-0005

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    ABSTRACT

    Objectives:

    to analyze the experiences of people with acquired physical disabilities regarding accessibility and social conditions; to identify nurse-led rehabilitation interventions for accessibility and social conditions; to determine nursing-sensitive indicators to improve accessibility and social conditions.

    Methods:

    a descriptive-exploratory qualitative study employed semi-structured interviews with people with acquired physical disabilities through purposive snowball sampling to address all objectives. Data analysis followed Bardin’s content analysis principles. Furthermore, objectives 2 and 3 were achieved through a reflective theoretical approach.

    Results:

    the 27 participants reported accessibility challenges, impacting activities of living and social conditions. This influences rehabilitation nursing, leading to three intervention fields: Assess the ability to perform activities of living and influencing factors; Develop and implement training to perform activities of living; Promote mobility, accessibility, and social participation.

    Final Considerations:

    based on participants experiences, we identified nurse-led rehabilitation interventions to promote accessibility and social conditions.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Perceptions from people with physical disabilities about accessibility and social conditions: interventions for rehabilitation nursing

  • EXPERIENCE REPORT02-10-2020

    Overcoming the challenges to offer quality training in psychiatric nursing

    Revista Brasileira de Enfermagem. 2020;73(1):e20180208

    Abstract

    EXPERIENCE REPORT

    Overcoming the challenges to offer quality training in psychiatric nursing

    Revista Brasileira de Enfermagem. 2020;73(1):e20180208

    DOI 10.1590/0034-7167-2018-0208

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    ABSTRACT

    Objective:

    to report the experience of the Psychiatric Nursing professors of the Nursing Undergraduate Course of the Nursing School, Universidade Federal de Minas Gerais (UFMG) and the challenges faced to offer quality training.

    Method:

    This is an experience report about the experience of Psychiatric Nursing professors of the Nursing Undergraduate Course of the Nursing School, UFMG.

    Results:

    After losing the workload of 120 hours in the Psychiatric Nursing Undergraduate Course, the area developed elective disciplines with a total of 330-hour load, in addition to extension and research projects.

    Final considerations:

    the precariousness of the area of Nursing training after curricular restructuring in a higher education institution, whether in relation to hour load or in the allocation of teaching vacancies, is in line with advances of the Brazilian Psychiatric Reform and epidemiological data of psychic illness and drug use.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • REVIEW07-31-2020

    Educational practices for families of children and adolescents using a permanent venous catheter

    Revista Brasileira de Enfermagem. 2020;73:e20190129

    Abstract

    REVIEW

    Educational practices for families of children and adolescents using a permanent venous catheter

    Revista Brasileira de Enfermagem. 2020;73:e20190129

    DOI 10.1590/0034-7167-2019-0129

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    ABSTRACT

    Objectives:

    to identify, in the scientific literature, the educational practices performed by nurses with the families of children and adolescents using long-term venous catheters, concerning home care.

    Methods:

    integrative review in LILACS, PubMed, SCOPUS, Web of Science and CINAHL databases, from August to September 2018.

    Results:

    we analyzed eight articles that met the inclusion criteria. The results showed that all studies are international, mostly North American and with low level of evidence. The educational practices found were home visits, production of printed educational materials, use of mannequins for simulation, creation of an educational video, and combined educational practices.

    Final Considerations:

    the care provided by families at home in the countries studied is more complex than in Brazil, and the conclusion is that Brazilian studies need to advance in publications related to this area.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Educational practices for families of children and adolescents using a permanent venous catheter
  • ORIGINAL ARTICLE02-06-2023

    Teaching entrepreneurship in undergraduate Nursing course: evaluation of an educational proposal

    Revista Brasileira de Enfermagem. 2023;76(2):e20210244

    Abstract

    ORIGINAL ARTICLE

    Teaching entrepreneurship in undergraduate Nursing course: evaluation of an educational proposal

    Revista Brasileira de Enfermagem. 2023;76(2):e20210244

    DOI 10.1590/0034-7167-2021-0244

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    ABSTRACT

    Objective:

    To evaluate a proposal for teaching entrepreneurship in an undergraduate Nursing course that uses active methodologies and activities based on the theory of meaningful learning.

    Methods:

    Interventional, prospective study, with a quantitative perspective, with a total of 102 participating students, carried out from July 2017 to December 2019 at a public university in the state of Sao Paulo. Statistical analysis were performed by non-parametric Chi-square or Fisher’s exact tests, with differences considered statistically significant if p < 0.05.

    Results:

    Improvements were observed in almost all items evaluated, revealing that meaningful learning became more effective with the use of active teaching methodologies. Most students need adaptation and effort to be put into these methods.

    Conclusions:

    The proposal offers pedagogical content adaptation, specifically for nursing students. New research should expand teaching-learning techniques for the development of future nurses, preparing them adequately for the job market.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Teaching entrepreneurship in undergraduate Nursing course: evaluation of an educational proposal
  • ORIGINAL ARTICLE08-16-2021

    Gender debate as a challenge in nursing training

    Revista Brasileira de Enfermagem. 2021;74(5):e20201001

    Abstract

    ORIGINAL ARTICLE

    Gender debate as a challenge in nursing training

    Revista Brasileira de Enfermagem. 2021;74(5):e20201001

    DOI 10.1590/0034-7167-2020-1001

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    ABSTRACT

    Objectives:

    to understand the challenges of introducing gender debate in nursing training from undergraduate students’ perspective.

    Methods:

    a qualitative, exploratory-explanatory study. Data were collected through a semi-structured interview applied to 12 undergraduate nursing students at a public university in São Paulo. For data treatment and analysis, the Discourse of the Collective Subject was used in light of Boaventura de Sousa Santos’ knowledge production paradigm theoretical framework.

    Results:

    nursing education remains centered on the traditional scientific model, neglecting gender and strengthening stereotypes aimed at the feminization of the profession.

    Final Considerations:

    nursing training has a challenge of implementing actions that deepen the gender theme. Therefore, some strategies are suggested, such as improving professor training and appropriating emancipatory pedagogical practices; reviewing pedagogical political projects; curriculum theorization and restructuring; problematizing gender issues for nursing leadership.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE08-30-2021

    Historical aspects in pain management in palliative care in an oncological reference unit

    Revista Brasileira de Enfermagem. 2021;74(5):e20200761

    Abstract

    ORIGINAL ARTICLE

    Historical aspects in pain management in palliative care in an oncological reference unit

    Revista Brasileira de Enfermagem. 2021;74(5):e20200761

    DOI 10.1590/0034-7167-2020-0761

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    ABSTRACT

    Objective:

    Describe the actions implemented for pain management in palliative care oncology and analyze the contribution of Hospital do Câncer IV, as a reference unit at the National Cancer Institute.

    Methods:

    Study of the history of the present time, whose sources were written documents and interviews with five participants. The collection took place from February to June 2018. The analysis of the written sources took place through internal and external criticism of the documents, considering their chronology and theme.

    Results:

    Professionals contributed with actions for pain management in palliative oncology care: in discussions and final drafting of ordinances, as rapporteurs at national and international events, in the elaboration of humanization conducts and systematization of assistance in addressing pain.

    Final considerations:

    These actions favored assistance in palliative oncology care at various levels of health care for patients and families, with greater technical and scientific recognition for all.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • TECHNOLOGICAL INNOVATION06-04-2021

    Development of a nursing website for critical care regarding healthcare-associated infections

    Revista Brasileira de Enfermagem. 2021;74:e20200928

    Abstract

    TECHNOLOGICAL INNOVATION

    Development of a nursing website for critical care regarding healthcare-associated infections

    Revista Brasileira de Enfermagem. 2021;74:e20200928

    DOI 10.1590/0034-7167-2020-0928

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    ABSTRACT

    Objective:

    to describe the development of a website about the main healthcare-associated infections and the respective bundles to prevent these diseases, oriented toward intensive care unit nursing.

    Methods:

    experience report describing the development of technological innovation by nurses, using computational tools and technological production methodological research and following the product development process.

    Results:

    nurses developed an educational website which can be accessed through computers, tablets, and smartphones at the electronic address irastis.com and focuses on healthcare-associated infections.

    Final considerations:

    digital technologies have contributed to fulfill demands in health care, research, and education. The developed website has the potential to support reduction in healthcare-associated infection rates, since it makes preventive measures for these infections available and refers users to publication environments that systematize the implementation of the bundles.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Development of a nursing website for critical care regarding healthcare-associated infections
  • ORIGINAL ARTICLE10-21-2019

    Being an institutionalized elderly person: meaning of experiences based on Heidegger’s phenomenology

    Revista Brasileira de Enfermagem. 2019;72(6):1632-1638

    Abstract

    ORIGINAL ARTICLE

    Being an institutionalized elderly person: meaning of experiences based on Heidegger’s phenomenology

    Revista Brasileira de Enfermagem. 2019;72(6):1632-1638

    DOI 10.1590/0034-7167-2018-0763

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    ABSTRACT

    Objective:

    Analyze the meaning of being an elderly person living in a long-term institution.

    Method:

    Qualitative study based on Martin Heidegger’s thought. Twelve phenomenological interviews were conducted with people aged over 60 years living in a long-term institution for the elderly in the city of Itabuna, Bahia, Brazil.

    Results:

    The units of meaning identified were: experience of progressive loss of autonomy and independence, perception of living in an institution as an inevitable circumstance; and being-with becoming being-alone/being-lonely. After the identification of ontic aspects and hermeneutical understanding, the unit of meaning was constructed: meaning of being an elderly person living in a long-term institution.

    Final considerations:

    The ontological needs referring to being an elderly person remain forgotten. As we are ontic and ontological, limited care to the ontic instance indicates deficiencies in institutionalization. Improvements are required to ensure the right to age with quality of life to this population.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 06-11-2021

    Resilience in elderly people: factors associated with sociodemographic and health conditions

    Revista Brasileira de Enfermagem. 2021;74:e20200171

    Abstract

    Resilience in elderly people: factors associated with sociodemographic and health conditions

    Revista Brasileira de Enfermagem. 2021;74:e20200171

    DOI 10.1590/0034-7167-2020-0171

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    ABSTRACT

    Objective:

    to describe the sociodemographic and health characteristics of elderly people, measure the score of total resilience and by sex and verify the association of sociodemographic and health variables with total resilience and by sex.

    Methods:

    this is a household survey with 808 elderly people, assessed by validated instruments. Student’s t test and multiple linear regression (p<0.05).

    Results:

    most were female, 60|-|79 years old. The total resilience score was 78.06, for men 81.53 and for women, 76.32. Total resilience was associated with males; positive self-perceived health; greater participation in Advanced Activities of Daily Living; fewer morbidities; absence of depressive symptoms. Among men and women, resilience was associated with greater participation in Advanced Activities of Daily Living and absence of depressive symptoms and, specifically, among women, positive self-perceived health.

    Conclusion:

    these results contribute to nursing care, aiming to encourage resilience.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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