Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE08-30-2024

    Meanings attributed to changes experienced by individuals after COVID-19 hospitalization

    Revista Brasileira de Enfermagem. 2024;77:e20230122

    Abstract

    ORIGINAL ARTICLE

    Meanings attributed to changes experienced by individuals after COVID-19 hospitalization

    Revista Brasileira de Enfermagem. 2024;77:e20230122

    DOI 10.1590/0034-7167-2023-0122

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    ABSTRACT

    Objectives:

    to understand the meanings attributed to the experiences of individuals after hospitalization for COVID-19.

    Methods:

    qualitative study, with a theoretical framework based on Symbolic Interactionism and a methodological approach grounded in Grounded Theory. Nineteen participants who had moderate and severe forms of COVID-19 after hospitalization were interviewed. Data collection took place between April and November 2021 through online interviews, and the data were analyzed using initial and focused coding in the MAXQDA software.

    Results:

    the data illustrate new meanings attributed to different aspects of life after hospitalization, including relationships with others, the environment, physical and mental health, finances, identity, and interactions with a new social reality.

    Conclusions:

    the meanings are intrinsically linked to the value of interpersonal relationships, the perception of their impact, and the consequences after hospitalization. This allows professionals to understand the importance of this information to improve care and prepare for future epidemics.

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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.
    Meanings attributed to changes experienced by individuals after COVID-19 hospitalization
  • ORIGINAL ARTICLE08-30-2024

    Patient safety culture in times of the COVID-19 pandemic: a cross-sectional study in a hospital

    Revista Brasileira de Enfermagem. 2024;77:e20230187

    Abstract

    ORIGINAL ARTICLE

    Patient safety culture in times of the COVID-19 pandemic: a cross-sectional study in a hospital

    Revista Brasileira de Enfermagem. 2024;77:e20230187

    DOI 10.1590/0034-7167-2023-0187

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    ABSTRACT

    Objectives:

    to assess patient safety culture during the COVID-19 pandemic and identify the dimensions that need to be improved in hospital settings and which sector, open or closed, direct or indirect care, exhibits a higher level of safety culture.

    Methods:

    a descriptive and cross-sectional study. The validated version for Brazil of the Hospital Survey on Patient Safety Culture instrument was applied to assess patient safety culture. Those dimensions with 75% positive responses were considered strengthened.

    Results:

    all dimensions presented results lower than 75% of positive responses. Closed sectors showed a stronger safety culture compared to open ones. Indirect care sectors had a low general perception of patient safety when compared to direct care sectors.

    Conclusions:

    with the pandemic, points of weakness became even more evident, requiring attention and incisive interventions from the institution’s leaders.

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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.
    Patient safety culture in times of the COVID-19 pandemic: a cross-sectional study in a hospital
  • REVIEW08-30-2024

    Educational actions conducted during the pandemic with primary health care professionals: a scoping review

    Revista Brasileira de Enfermagem. 2024;77:e20230352

    Abstract

    REVIEW

    Educational actions conducted during the pandemic with primary health care professionals: a scoping review

    Revista Brasileira de Enfermagem. 2024;77:e20230352

    DOI 10.1590/0034-7167-2023-0352

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    ABSTRACT

    Objectives:

    to map the educational actions conducted with primary health care professionals during the COVID-19 pandemic.

    Methods:

    a scoping review conducted in August 2023, which covered databases such as CINAHL, Medline, LILACS, IBECS, BDENF, and Web of Science. In total, 32 publications were analyzed through content analysis.

    Results:

    the primary beneficiaries of the educational actions included 69% physicians, 56% nurses, 25% pharmacists, 13% social workers and dentists, 9% psychologists, community health agents, and laboratory professionals, and 6% nursing technicians, nutritionists, and physical educators. The predominant educational interventions were training sessions (mentioned in 19 publications), followed by Continuing Health Education (10 publications) and Continuing Education (three publications).

    Final Considerations:

    the educational interventions demonstrated positive impacts on professional practice, particularly the Continuing Health Education actions, which were notable for stimulating critical problem-solving among professionals.

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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 actions conducted during the pandemic with primary health care professionals: a scoping review
  • ORIGINAL ARTICLE08-30-2024

    Negative affectivity in university students and its relationship with academic performance and professional outlook after COVID-19

    Revista Brasileira de Enfermagem. 2024;77:e20240040

    Abstract

    ORIGINAL ARTICLE

    Negative affectivity in university students and its relationship with academic performance and professional outlook after COVID-19

    Revista Brasileira de Enfermagem. 2024;77:e20240040

    DOI 10.1590/0034-7167-2024-0040

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    ABSTRACT

    Objectives:

    to evaluate the prevalence of negative affectivity in university students in the post-COVID-19 pandemic context and its relationship with academic performance and professional outlook.

    Methods:

    a cross-sectional study was conducted with undergraduate students from a public university in Minas Gerais between September 2022 and September 2023. Data were collected using a sociodemographic and psychosocial characterization questionnaire and the Depression, Anxiety, and Stress Scale 21. The relationships between negative affectivity, academic performance, and professional outlook were verified using the Kruskal-Wallis test, with a significance level of 5%.

    Results:

    a total of 585 students participated in the study. A high prevalence of depression, anxiety, and stress was found among university students in the post-COVID-19 context, with a notable severity of anxiety. A negative association was detected between the investigated negative affectivity, academic performance, and professional outlook.

    Conclusions:

    the results indicate an emotional vulnerability in university students, with a relationship between negative affectivity and a decline in academic performance and professional outlook.

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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.
  • REVIEW08-30-2024

    Impact of financial toxicity on adults with cancer during the COVID-19 pandemic: an integrative review

    Revista Brasileira de Enfermagem. 2024;77:e20240078

    Abstract

    REVIEW

    Impact of financial toxicity on adults with cancer during the COVID-19 pandemic: an integrative review

    Revista Brasileira de Enfermagem. 2024;77:e20240078

    DOI 10.1590/0034-7167-2024-0078

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    ABSTRACT

    Objectives:

    to identify the repercussions of financial toxicity on the lives of adult cancer patients during the COVID-19 pandemic.

    Methods:

    an integrative review was conducted using the PubMed, Web of Science, Scopus, and Embase databases, as well as the Virtual Health Library portal, in March 2023.

    Results:

    out of 62 studies found, 13 were included for analysis. The primary repercussions of financial toxicity included difficulties in covering basic expenses such as food, housing, medication, transportation, and internet access; increased anxiety and concerns related to health and financial situations; reduction or absence of income; challenges in obtaining treatment or accessing healthcare services; rising expenses; and telemedicine as a less burdensome alternative.

    Conclusions:

    the pandemic has exacerbated financial toxicity; therefore, healthcare teams must recognize it as an adverse event of oncological treatment and understand its potential to affect various aspects of patients’ lives.

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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.
    Impact of financial toxicity on adults with cancer during the COVID-19 pandemic: an integrative review
  • ORIGINAL ARTICLE08-30-2024

    Risk of smoking cessation treatment dropout: a cohort to help (re)think care

    Revista Brasileira de Enfermagem. 2024;77:e20230537

    Abstract

    ORIGINAL ARTICLE

    Risk of smoking cessation treatment dropout: a cohort to help (re)think care

    Revista Brasileira de Enfermagem. 2024;77:e20230537

    DOI 10.1590/0034-7167-2023-0537

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    ABSTRACT

    Objectives:

    to evaluate the relative risk of smoking cessation treatment dropout during its intensive phase.

    Methods:

    a retrospective and quantitative cohort study was developed from the electronic medical records of individuals who started smoking cessation treatment between 2015 and 2019 at a specialty clinic in a city in the interior of São Paulo, Brazil. The relative risk of dropping out of treatment was calculated using the Poisson regression model.

    Results:

    it was observed that out of the 396 (100.0%) individuals who started the treatment, 109 (27.5%) abandoned it before the end of the intensive phase. For each one-year increase in age, the risk of dropping out of smoking cessation treatment decreased by an average of 2%.

    Conclusions:

    the risk of dropping out of smoking cessation treatment is higher among younger individuals. It is necessary to rethink the care offered to younger adults to promote the continuity of treatment.

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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.
    Risk of smoking cessation treatment dropout: a cohort to help (re)think care
  • ORIGINAL ARTICLE08-26-2024

    Influence of the leukoreduction moment of blood components on the clinical outcomes of transfused patients in the emergency department

    Revista Brasileira de Enfermagem. 2024;77(5):e20230293

    Abstract

    ORIGINAL ARTICLE

    Influence of the leukoreduction moment of blood components on the clinical outcomes of transfused patients in the emergency department

    Revista Brasileira de Enfermagem. 2024;77(5):e20230293

    DOI 10.1590/0034-7167-2023-0293

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    ABSTRACT

    Objectives:

    to investigate the influence of the leukoreduction moment (preor post-storage) of blood components on the clinical outcomes of patients transfused in the emergency department.

    Methods:

    retrospective cohort study of patients aged 18 years or older who received preor post-storage leukoreduced red blood cell or platelet concentrate in the emergency department and remained in the institution for more than 24 hours. A generalized mixed-effects model was applied in the analyses.

    Results:

    in a sample of 373 patients (63.27% male, mean age 54.83) and 643 transfusions (69.98% red blood cell), it was identified that the leukoreduction moment influenced the length of hospital stay (p<0.009), but was not dependent on the transfused blood component (p=0.124). The leukoreduction moment had no effect (p>0.050) on transfusion reactions, healthcare-associated infections, or mortality.

    Conclusions:

    patients who received pre-storage leukoreduced blood components in the emergency department had a shorter length of hospital stay.

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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.
    Influence of the leukoreduction moment of blood components on the clinical outcomes of transfused patients in the emergency department
  • ORIGINAL ARTICLE08-26-2024

    Driver’s license, head protection devices and severity of motorcyclists’ injuries in traffic accidents

    Revista Brasileira de Enfermagem. 2024;77(5):e20230153

    Abstract

    ORIGINAL ARTICLE

    Driver’s license, head protection devices and severity of motorcyclists’ injuries in traffic accidents

    Revista Brasileira de Enfermagem. 2024;77(5):e20230153

    DOI 10.1590/0034-7167-2023-0153

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    ABSTRACT

    Objectives:

    to describe traffic accidents involving motorcyclists and analyze the association between possession of a motorcycle driver’s license and use of helmets according to the severity of injuries.

    Methods:

    a cross-sectional study was conducted among all patients hospitalized in the traumatology and orthopedics sector of a public reference hospital in northeastern Brazil.

    Results:

    170 patients were surveyed, the majority were male (95.9%). Their ages ranged from 18 to 67 years. Most were black or brown (52.3%), had completed elementary school (58.9%) and had monthly income smaller than two minimum wages (56.5%). An association was found between being licensed to drive a motorcycle and wearing a helmet. Among those who suffered moderate injuries, this association was OR=5.66(1.85-17.23) and among those who suffered severe injuries it was OR=13.57(2.82-65.14).

    Conclusions:

    people who were licensed to drive motorcycles used a helmet as protective equipment more often and, in accidents, suffered fewer injuries.

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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.

  • 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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