<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2254-2884</journal-id>
<journal-title><![CDATA[Enfermería Nefrológica]]></journal-title>
<abbrev-journal-title><![CDATA[Enferm Nefrol]]></abbrev-journal-title>
<issn>2254-2884</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Enfermería Nefrológica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2254-28842019000200130</article-id>
<article-id pub-id-type="doi">10.4321/s2254-28842019000200004</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Apoyo social y resiliencia: factores protectores en cuidadores principales de pacientes en hemodiálisis]]></article-title>
<article-title xml:lang="en"><![CDATA[Social support and resilience: protective factors in primary caregivers of patients on hemodialysis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Rodríguez]]></surname>
<given-names><![CDATA[Lesnay]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández Castillo]]></surname>
<given-names><![CDATA[Evelyn]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Martínez]]></surname>
<given-names><![CDATA[Elianys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[de la C. Ávila Hernández]]></surname>
<given-names><![CDATA[Yunaisi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lorenzo Carreiro]]></surname>
<given-names><![CDATA[Amanda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez Morales]]></surname>
<given-names><![CDATA[Henry Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Central &#8220;Marta Abreu&#8221; de las Villas  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital &#8220;Arnaldo Milián Castro&#8221;  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Central de las Villas  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>22</volume>
<numero>2</numero>
<fpage>130</fpage>
<lpage>139</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S2254-28842019000200130&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S2254-28842019000200130&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S2254-28842019000200130&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  Garantizar el cuidado del paciente en hemodiálisis se reconoce como una actividad compleja, exigente y estresante a la cual se expone de manera reiterada el cuidador. El apoyo social y la resiliencia constituyen factores protectores que permiten amortiguar el impacto del estrés en la salud mental de los cuidadores.  Objetivo:  Analizar el apoyo social y la resiliencia como factores protectores en los cuidadores de pacientes en hemodiálisis.  Material y Método:  Estudio mixto secuencial con alcance descriptivo. La selección muestral se realizó de forma intencional-no probabilística para una muestra de 67 cuidadores de pacientes en hemodiálisis asistentes al Servicio de tratamiento sustitutivo durante el 2018. Se emplearon como instrumentos un Cuestionario de variables sociodemográficas, el Cuestionario de apoyo social funcional Duke-UNK-11 y la Escala reducida de Resiliencia Connor-Davidson. Se desarrollaron entrevistas grupales para la recogida de información cualitativa.  Resultados:  La percepción de apoyo social así como las dimensiones de apoyo afectivo y confidencial se expresan en niveles medios y bajos, distinguiéndose la familia como la principal red de apoyo para los cuidadores. La resiliencia alcanza niveles medio y alto siendo el optimismo, el sentido del humor y el establecimiento de relaciones sociales los principales mecanismos resilientes para enfrentar la actividad de cuidado.  Conclusiones:  El apoyo social y la resiliencia se comportan como factores protectores en los cuidadores estudiados. Se constituyen como los principales recursos psicológicos amortiguadores del estrés que ofrecen una perspectiva diferente y enriquecedora para enfrentar situaciones adversas de manera efectiva en los cuidadores.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Ensuring the care in hemodialysis patient is a complex, demanding and stressful activity to which the caregiver is repeatedly exposed. Social support and resilience are protective factors that allow to mitigate the impact of stress on the caregiver&#8217;s mental health.  Objective:  Analyze social support and resilience as protective factors in caregivers of patients on hemodialysis.  Material and Method:  A sequential mixed model design with descriptive scope. A non-probability sampling was made for a sample of 67 caregivers of hemodialysis patients attending the Substitute Treatment Service during 2018. A questionnaire of sociodemographic variables, the Duke-UNK-11 Functional Social Support Questionnaire and the Connor-Davidson Reduced Resilience Scale were used as instruments. Group interviews were developed for the collection of qualitative information.  Result:  The perceptions of social support as well as the dimensions of affective and confidential support are expressed in medium and low levels, distinguishing the family as the main support network for caregivers. Resilience reaches medium and high levels, with optimism, a sense of humor and the establishment of social relationships as the main resilient mechanisms to approach the care activity.  Conclusions:  Social support and resilience operate as protective factors in the caregivers studied. Both are considered as the main psychological resources to mitigate stress. Also they offer a different and enriching perspective to face adverse situations effectively in caregivers.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cuidador]]></kwd>
<kwd lng="es"><![CDATA[apoyo social]]></kwd>
<kwd lng="es"><![CDATA[resiliencia]]></kwd>
<kwd lng="es"><![CDATA[hemodiálisis]]></kwd>
<kwd lng="en"><![CDATA[caregiver]]></kwd>
<kwd lng="en"><![CDATA[social support]]></kwd>
<kwd lng="en"><![CDATA[resilience]]></kwd>
<kwd lng="en"><![CDATA[hemodialysis]]></kwd>
</kwd-group>
</article-meta>
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