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Patrón de vida y adherencia terapéutica en pacientes en hemodiálisis.

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Title: Patrón de vida y adherencia terapéutica en pacientes en hemodiálisis.
Alternate Title: Lifestyle pattern and therapeutic adherence in patients on hemodialysis.
Authors: Trejo-Mena, Héctor Alan1, Torres-Pedroza, Ariadna Judith2, Solís-González, Andrés Jhojairo2, Llanos-Sosa, Ángel Jesús2, Rojas-Morales, Adolfo2 adolforojas0217@gmail.com, Balcázar-Rueda, Elizabeth2, Mejía-Castellanos, Gisell Hanet3
Source: Revista Medica del IMSS. may/jun2026, Vol. 64 Issue 3, p1-8. 8p.
Subjects: HEMODIALYSIS, PATIENT compliance, EDUCATIONAL intervention, CHRONIC kidney failure, HEALTH behavior, HEALTH self-care
Abstract (English): Background: Chronic kidney disease (CKD) is a common complication of hypertension and diabetes mellitus. Hemodialysis (HD) is a renal replacement therapy that requires self-care and therapeutic adherence (TA), which if not performed increase the risk of associated complications. Therefore, it is essential to adopt self-care practices and implement modifications in lifestyle patterns (LP). Objective: To determine changes in LP and TA in patients with CKD undergoing HD following educational interventions (EIs). Material and methods: Quasi-experimental, longitudinal, non-randomized study. Sociodemographic and clinical-therapeutic variables were analyzed. Evaluation tools were applied to identify changes in LP and TA before and after a 6-month period of EIs. The EIs consisted of 7 individualized sessions provided in the HD unit. Measures of central tendency, chi-square test, and Student’s t test were used for data analysis. Results: The sample included 39 patients, with a mean age of 52.87 years; 53% were male. Initially, 100% of participants were classified as "at risk" in LP, and 0% had "full adherence" in TA. After the EIs, 43.6% of patients achieved a "protective" LP, and 38.5% reached "full adherence" in TA (p = 0.00). Conclusion: Patients who received 7 individualized educational sessions showed significant improvements in self-care practices as measured by LP, as well as notable improvement in TA. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: la enfermedad renal crónica (ERC) es una complicación común de la hipertensión arterial y la diabetes mellitus. La hemodiálisis (HD) es un tratamiento sustitutivo de la función renal que requiere de autocuidado y de adherencia terapéutica (AT), las cuales al no realizarse aumentan el riesgo de complicaciones asociadas. Por lo tanto, es necesaria la toma de prácticas de autocuidado y modificaciones del patrón de vida (PV). Objetivo: determinar los cambios en el PV y AT en pacientes con ERC en HD posterior a intervenciones educativas (IE). Material y métodos: estudio cuasi-experimental, longitudinal, no aleatorizado. Se estudiaron variables sociodemográficas y clínico-terapéuticas. Se aplicaron pruebas de evaluación para identificar los cambios de PV y AT antes y después de 6 meses de IE. Las IE consistieron en 7 sesiones individualizadas en el servicio de HD. Se emplearon medidas de tendencia central, chi cuadrada y t de Student. Resultados: la muestra fue de 39 pacientes, edad media de 52.87 años y el 53% fue del sexo masculino. En cuanto al PV, 100% estaban "en riesgo" y en relación con la AT, 0% estaba en "adherencia total". Después de la IE, el 43.6% resultó en PV "protector" y el 38.5% logró "adherencia total" de AT (p < 0.001). Conclusión: aquellos pacientes que recibieron 7 sesiones individualizadas de IE demostraron mejoras significativas en relación con las prácticas de autocuidado evaluadas mediante el PV y también se demostró una mejora en la AT. [ABSTRACT FROM AUTHOR]
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Database: MedicLatina
Description
Abstract:Background: Chronic kidney disease (CKD) is a common complication of hypertension and diabetes mellitus. Hemodialysis (HD) is a renal replacement therapy that requires self-care and therapeutic adherence (TA), which if not performed increase the risk of associated complications. Therefore, it is essential to adopt self-care practices and implement modifications in lifestyle patterns (LP). Objective: To determine changes in LP and TA in patients with CKD undergoing HD following educational interventions (EIs). Material and methods: Quasi-experimental, longitudinal, non-randomized study. Sociodemographic and clinical-therapeutic variables were analyzed. Evaluation tools were applied to identify changes in LP and TA before and after a 6-month period of EIs. The EIs consisted of 7 individualized sessions provided in the HD unit. Measures of central tendency, chi-square test, and Student’s t test were used for data analysis. Results: The sample included 39 patients, with a mean age of 52.87 years; 53% were male. Initially, 100% of participants were classified as "at risk" in LP, and 0% had "full adherence" in TA. After the EIs, 43.6% of patients achieved a "protective" LP, and 38.5% reached "full adherence" in TA (p = 0.00). Conclusion: Patients who received 7 individualized educational sessions showed significant improvements in self-care practices as measured by LP, as well as notable improvement in TA. [ABSTRACT FROM AUTHOR]
ISSN:04435117
DOI:10.5281/zenodo.18715231