Objectives: Characterize the pacients with chronic renal failure (CRF) in dialythical program; verify the causes of the CRF; identify the associated diseases to CRF; measure the type of treatment and the actual access of the pacients to them. Methods: This is a epidemiological descriptive research performed in a nephrology unit, and all pacients registered in the Nefro Data program were included. RESUMENObjetivos: Caracterizar a los pacientes con insuficiencia renal crónica (IRC) que participan en un programa dialítico; verificar las causas de la IRC; identificar las enfermedades asociadas a la IRC; levantar el tipo de tratamiento y el acceso actual de esos pacientes. Métodos: Se trata de un estudio descriptivo epidemiológico, realizado en una Unidad de Nefrología en el que fueron incluidos todos los pacientes registrados en el Programa Nefro Data. Resultados: De los 217 pacientes registrados en la Unidad en estudio, observamos que el 68,2% tenían edad superior a 40 años y el 59,4% eran del sexo masculino. En cuanto a la enfermedad de base, el 31,3% de los pacientes presentan Nefroesclerosis Hipertensiva y el 25,3% Diabetes Mellitus (DM), seguido de la Glomerulonefritis con el 24,5%. Respecto a las enfermedades asociadas, el 42,4% de los pacientes poseen Hipertensión Arterial Sistémica (HAS), el 24,9% no poseen comorbidades, el 19,8% HAS y DM. En relación al tipo de acceso vascular el 70,5% poseen fístula arteriovenosa, siendo la utilización del cateter de Tenckhoff exclusivo de la diálisis peritoneal en el 13,3%. Conclusión: los resultados permiten una mejor planificación frente a las necesidades reales de los pacientes.

This sectional study was performed with the objective to verify the association between the forms of coping used by people on chronic hemodialysis and their socio-demographic variables. A semi-structured instrument and the Folkman and Lazarus' Coping Strategies Inventory were used. The sample consisted of 107 adults, mostly male (62.4%), on ambulatory hemodialysis for over six months. The most commonly referred forms of coping were related to the positive reevaluation factor (coping centered on emotions); with the highest mean scores among women for all factors and for people who reported having a partner, living with their families and receiving support in their treatment, and the highest scores were common for the factors control, self-control, and social support. Knowing the forms of coping prepares nurses to reinforce or seek, with patients on hemodialysis, choosing positive forms of coping and propose actions that permit patients to develop adaptive mechanisms.

Objective:to perform the cultural adaptation and validation of the Diabetes Management Self-efficacy Scale for Patients with Type 2 Diabetes Mellitus with a Brazilian population sample. Method:cross-sectional methodological study in which the adaptation and validation process included the stages recommended in the literature. Construct validity and reliability were assessed with 200 adults with type 2 diabetes mellitus. Results:the items indicated by the panel of judges and by the target population were adjusted in the cultural adaptation to improve clarity and understanding. The instrument's four factors remained in the confirmatory factor analysis with factor loadings of items greater than 0.30, except for factor 4; convergent validity, verified by the multitrait-multimethod analysis, presented inter-item correlations from 0.37 to 0.92, while for discriminant validity, 100% of the items presented greater correlation in their own factors. Cronbach's coefficient alpha for the total scale was 0.78, ranging from 0.57 to 0.86 among factors. Conclusion:semantic, cultural, conceptual and idiomatic equivalences were achieved and the instrument's Brazilian version also presented psychometric properties that showed evidence of reliability and validity. Thus, it can be applied both in clinical practice and research. Self-efficacy is useful for planning and assessing educational interventions, as well as predicting behavior modification in self-care.

DEDICATÓRIA Dedico este trabalho aos meus irmãos, Danila e Serginho, pelo companheirismo e apoio em todos os momentos, aos meus pais, Rosalina e Sergio, pela formação que me deram. AGRADECIMENTOS A Deus que tornou possível a realização deste estudo; À Profa. Dra. Ana Emília Pace, por ter aceitado me orientar, seus conhecimentos foram essenciais em todas as etapas deste estudo; À Profa. Dra. Luciana Kusumota, pelas sugestões e ajuda em todo o percurso deste trabalho; À Profa. Dra. Rosana Spadoti Dantas, pelas críticas construtivas durante a elaboração do projeto deste estudo; Ao Prof. Dr. Vanderlei Haas, pela seriedade e precisão durante a realização da análise estatística; À Profa. Rita Helu Ribeiro, pela amizade, apoio e colaboração na minha formação profissional e acadêmica; À Profa. Dra. Claudia Cesarino, pelas sugestões e incentivo na elaboração deste estudo; À diretoria do Instituto de Urologia e Nefrologia, em especial ao Dr. Wilson Yamazaki, Dr. Mário Abud, Dra. Maria Cristina Salgueiro e Maria da Graça Araújo, pelas sugestões e permissão para realizar este estudo nesta instituição; Às enfermeiras da unidade de hemodiálise do IUN, pela colaboração indireta no desenvolvimento deste trabalho; À secretária da unidade de hemodiálise Regiane Dias, pela colaboração durante a coleta dos dados; Às amigas, Daniele Alcalá, Marcela Manetti, Luciana e Taiomara Ramalho, por toda solidariedade e companheirismo; Aos pacientes, por se tornarem sujeitos deste estudo; Muito obrigada! "A vida é uma oportunidade, aproveita-a. A vida é sonho, torna-o realidade. A vida é um desafio, enfrenta-o.A vida é um dever, cumpre-o. A vida é um jogo, joga-o. A vida é preciosa, cuida-a.A vida é riqueza, conserva-a. A vida é um mistério, desvela-o.A vida é promessa, cumpre-a. A vida é tristeza, supera-a. A vida é um hino, canta-o. A vida é um combate, aceita-o. A vida é tragédia, domina-a.A vida é aventura, afronta-a. A vida é felicidade, merece-a.A vida é a VIDA, defende-a." Madre TeresaABSTRACT Bertolin, D.C. Ways of coping of the people with terminal chronic renal failure in hemodialysis treatment. 2007. 141f (Dissertation of mastership)-University of São Paulo at Ribeirão Preto College of Nursing; 2007.Introduction: Terminal Chronic Renal Failure (TCRF) is a non-transmissible chronic disease and one problem of public health, constituting one of the main causes of death and disabilities in the world. The chronic condition of health is a stressful situation and source of new stressors, that are cope in accordance with the meaning that has for the involved ones. The ways of coping can brighten up the effect of the stress it favoring the adaptation. Aims: To analyze the ways of coping of the people with TCRF front the situation of disease and the hemodialysis treatment, according to social, demography, clinical variables and habits of life. Material and method: One is about a descriptive, transversal and population study, that uses quantitative analysis, developed in the Institute of Urology and Nephrology of São Jose do Rio Preto (IUN), wh...