Resiliência como fator protetor para desfechos negativos em indivíduos transplantados de fígado em um centro de referência de Salvador, Bahia, Brasil

Abstract

RESILIENCE AS A PROTECTIVE FACTOR FOR NEGATIVE OUTCOMES IN TRANSPLANTED LIVER INDIVIDUALS AT A REFERENCE CENTER OF SALVADOR, BAHIA, BRAZIL. Background: Liver transplantation is an important alternative for the treatment of chronic liver diseases. Its outcomes are related to a range of factors, such as psychosocial characteristics and therapeutic adherence. Resilience is an important tool for the prognosis of many health problems. Chronic diseases and other transplants have a high resilience pattern as a good predictor of positive outcomes. Objective: To investigate whether a pattern of higher resilience confers protection to the development of negative outcomes in post-liver transplantation. Methods: A bothspective cohort was performed with all 248 patients on the waiting list for hepatic transplantation, followed at the University Hospital Professor Edgard Santos (Com HUPES) - Federal University of Bahia (UFBA), aged 18 years and Participate in the study, after reading and signing the Written Informed Consent Form (WICF). The data collection was based on the application of a socio-demographic and clinical questionnaire, the Wagnild and Young Resilience Scale and the medical records. Results: The majority of the patients were males, aged between 51 and 60 years and were married. Although 53.3% of the sample had a high resilience pattern, there was no statistically significant association between the resilience pattern and the negative outcomes studied (death, reinfection in cases of viral hepatitis and acute rejection). Conclusions: There was no statistically significant association between the patient's resilience pattern and the negative outcomes studied (death, reinfection in cases of viral hepatitis and acute rejection). New investigations are needed to confirm these findings.