Sociodemographic factors and health conditions associated with the resilience of people with chronic diseases: a cross sectional study.
Julia Estela Willrich Böell, Denise Maria Guerreiro Vieira da Silva, Kathleen Mary Hegadoren
PMID 27598377WHAT IT FOUND
People with type 2 diabetes had higher resilience scores than people on hemodialysis.
Religion, BMI and disease duration were also linked to resilience; age, sex, education and income were not.
Key findings
01People with type 2 diabetes had a mean resilience score of 79.8, while people with chronic kidney disease had a mean score of 67.5.
02After adjusted analysis, disease duration, type of chronic disease, religion and BMI were associated with resilience.
03People with six to 10 years of disease and people with over 16 years of disease had the lowest resilience scores.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This was a cross-sectional survey, so it can show associations but cannot prove that religion, BMI or disease duration caused higher resilience. The kidney disease group was made up of people on hemodialysis from four nephrology services, so it may not represent people with earlier kidney disease. The diabetes group was women only, and the two groups were collected in different periods and settings. Income was answered by 368 people and BMI was obtained from 577 people, so some variables were missing. The authors state that differences between the two groups are a limitation, especially because the diabetes study included only women.
The easy way to misread this
Do not read the higher resilience in diabetes or the links with religion, BMI and disease duration as evidence that a strategy to promote resilience works. This was a cross-sectional association study, not a test of treatment.