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[Lifestyle pattern and therapeutic adherence in patients on hemodialysis]

Héctor Alan Trejo-Mena1, Ariadna Judith Torres-Pedroza2, Andrés Jhojairo Solís-González2

  • 1Instituto Mexicano del Seguro Social, Hospital General de Zona con Medicina Familiar No. 1, Servicio de Medicina Familiar. Chetumal, Quintana Roo, México.

Revista Medica Del Instituto Mexicano Del Seguro Social
|May 6, 2026
PubMed

Insights

Educational interventions significantly improved lifestyle patterns and therapeutic adherence in chronic kidney disease patients undergoing hemodialysis. These findings highlight the importance of tailored self-care education for managing this condition.

Area of Science:

  • Nephrology
  • Public Health
  • Patient Education

Background:

  • Chronic kidney disease (CKD) is frequently linked to hypertension and diabetes.
  • Hemodialysis (HD) necessitates patient self-care and therapeutic adherence (TA) to prevent complications.
  • Modifying lifestyle patterns (LP) and ensuring TA are crucial for CKD management.

Purpose of the Study:

  • To assess the impact of educational interventions (EIs) on lifestyle patterns (LP) and therapeutic adherence (TA) in hemodialysis (HD) patients.
  • To quantify changes in self-care practices among CKD patients post-intervention.

Main Methods:

  • A quasi-experimental, longitudinal, non-randomized study design was employed.
  • Individualized EIs comprising 7 sessions were delivered over 6 months.
  • Sociodemographic, clinical-therapeutic data were collected, and LP/TA were evaluated pre- and post-intervention using statistical analyses.

Main Results:

  • Initially, all 39 participants (mean age 52.87 years) were "at risk" for LP, with 0% having "full adherence" in TA.
  • Post-intervention, 43.6% achieved "protective" LP and 38.5% reached "full adherence" in TA (p = 0.00).
  • Significant improvements were observed in both LP and TA.

Conclusions:

  • Individualized educational sessions led to significant improvements in self-care practices, specifically lifestyle patterns (LP).
  • Therapeutic adherence (TA) also showed notable improvement following the educational interventions.
  • Tailored EIs are effective in enhancing self-care and adherence in hemodialysis patients.
Abstract

Keywords:
AutocuidadoCumplimiento y Adherencia al TratamientoDiálisis RenalEducación en SaludEnsayos Clínicos Controlados no Aleatorios como AsuntoHealth EducationNon-Randomized Controlled Trials as TopicRenal DialysisSelf-CareTreatment Adherence and Compliance

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