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]
Copyright of Revista Medica del IMSS is the property of Direccion de Prestaciones Medicas - IMSS and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Patr&#243;n de vida y adherencia terap&#233;utica en pacientes en hemodi&#225;lisis.
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  Data: Lifestyle pattern and therapeutic adherence in patients on hemodialysis.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Trejo-Mena%2C+H&#233;ctor+Alan%22&quot;&gt;Trejo-Mena, H&#233;ctor Alan&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Torres-Pedroza%2C+Ariadna+Judith%22&quot;&gt;Torres-Pedroza, Ariadna Judith&lt;/searchLink&gt;&lt;relatesTo&gt;2&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Sol&#237;s-Gonz&#225;lez%2C+Andr&#233;s+Jhojairo%22&quot;&gt;Sol&#237;s-Gonz&#225;lez, Andr&#233;s Jhojairo&lt;/searchLink&gt;&lt;relatesTo&gt;2&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Llanos-Sosa%2C+&#193;ngel+Jes&#250;s%22&quot;&gt;Llanos-Sosa, &#193;ngel Jes&#250;s&lt;/searchLink&gt;&lt;relatesTo&gt;2&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Rojas-Morales%2C+Adolfo%22&quot;&gt;Rojas-Morales, Adolfo&lt;/searchLink&gt;&lt;relatesTo&gt;2&lt;/relatesTo&gt;&lt;i&gt; adolforojas0217@gmail.com&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Balc&#225;zar-Rueda%2C+Elizabeth%22&quot;&gt;Balc&#225;zar-Rueda, Elizabeth&lt;/searchLink&gt;&lt;relatesTo&gt;2&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Mej&#237;a-Castellanos%2C+Gisell+Hanet%22&quot;&gt;Mej&#237;a-Castellanos, Gisell Hanet&lt;/searchLink&gt;&lt;relatesTo&gt;3&lt;/relatesTo&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Revista+Medica+del+IMSS%22&quot;&gt;Revista Medica del IMSS&lt;/searchLink&gt;. may/jun2026, Vol. 64 Issue 3, p1-8. 8p.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22HEMODIALYSIS%22&quot;&gt;HEMODIALYSIS&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22PATIENT+compliance%22&quot;&gt;PATIENT compliance&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22EDUCATIONAL+intervention%22&quot;&gt;EDUCATIONAL intervention&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22CHRONIC+kidney+failure%22&quot;&gt;CHRONIC kidney failure&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22HEALTH+behavior%22&quot;&gt;HEALTH behavior&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22HEALTH+self-care%22&quot;&gt;HEALTH self-care&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: 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 &quot;at risk&quot; in LP, and 0% had &quot;full adherence&quot; in TA. After the EIs, 43.6% of patients achieved a &quot;protective&quot; LP, and 38.5% reached &quot;full adherence&quot; 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]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Introducci&#243;n: la enfermedad renal cr&#243;nica (ERC) es una complicaci&#243;n com&#250;n de la hipertensi&#243;n arterial y la diabetes mellitus. La hemodi&#225;lisis (HD) es un tratamiento sustitutivo de la funci&#243;n renal que requiere de autocuidado y de adherencia terap&#233;utica (AT), las cuales al no realizarse aumentan el riesgo de complicaciones asociadas. Por lo tanto, es necesaria la toma de pr&#225;cticas de autocuidado y modificaciones del patr&#243;n 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 m&#233;todos: estudio cuasi-experimental, longitudinal, no aleatorizado. Se estudiaron variables sociodemogr&#225;ficas y cl&#237;nico-terap&#233;uticas. Se aplicaron pruebas de evaluaci&#243;n para identificar los cambios de PV y AT antes y despu&#233;s 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 a&#241;os y el 53% fue del sexo masculino. En cuanto al PV, 100% estaban &quot;en riesgo&quot; y en relaci&#243;n con la AT, 0% estaba en &quot;adherencia total&quot;. Despu&#233;s de la IE, el 43.6% result&#243; en PV &quot;protector&quot; y el 38.5% logr&#243; &quot;adherencia total&quot; de AT (p &lt; 0.001). Conclusi&#243;n: aquellos pacientes que recibieron 7 sesiones individualizadas de IE demostraron mejoras significativas en relaci&#243;n con las pr&#225;cticas de autocuidado evaluadas mediante el PV y tambi&#233;n se demostr&#243; una mejora en la AT. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Revista Medica del IMSS is the property of Direccion de Prestaciones Medicas - IMSS and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.5281/zenodo.18715231
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        Text: Spanish
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      – SubjectFull: HEMODIALYSIS
        Type: general
      – SubjectFull: PATIENT compliance
        Type: general
      – SubjectFull: EDUCATIONAL intervention
        Type: general
      – SubjectFull: CHRONIC kidney failure
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      – SubjectFull: HEALTH behavior
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      – SubjectFull: HEALTH self-care
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              Text: may/jun2026
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