Main Article Content

Abstract

Introduction: Diabetes is one of the main causes of chronic kidney disease in Chile and in the world. It is essential to prevent the progression of diabetic nephropathy to prevent the evolution of chronic kidney disease. Objective: To determine the characteristics of diabetic patients who started renal replacement therapy with haemodialysis due to diabetic nephropathy. Material and Method: A descriptive quantitative study was carried out, with diabetic patients and on haemodialysis, by applying the Morisky-Green test and a sociodemographic assessment instrument. The subjects were selected by intentional sampling, after their informed consent. Results: The subjects studied were mostly women, with type 2 diabetes (T2D) in adulthood, with a low economic level, basic and intermediate level education, and belonging to the Public Health System. In most of the subjects it was indicated that they had 5 or more years with diabetes disease at the time of starting dialysis. 71.4% of them were not referred to the nephrologist and 57.1% said they had not adhered to the treatment, after starting dialysis. Conclusions: The profile of the diabetic patient who begins on haemodialysis in our study is mostly middle-aged women, with a higher previous diagnosis of T2D over T1D, and with more than 20 years with the diagnosis of DM. Regarding the socioeconomic profile, patients with low economic income and no training or basic studies predominate. Finally, men had better adherence to treatment than women.

Keywords

diabetes; type 2 diabetes mellitus; complications of diabetes; renal dialysis. diabetes type 2 diabetes mellitus complications of diabetes renal dialysis

Article Details

How to Cite
1.
González-Vargas A, Cabezas-Zalazar B, Canto-Núñez A. Characterization of diabetic patients in haemodialysis in the region of Atacama. Chile. Enferm Nefrol [Internet]. 2020 [cited 2025 Apr 30];23(1):[about 8 p.]. Available from: https://www.enfermerianefrologica.com/revista/article/view/3834

References

  1. Almaguer Herrera A, Miguel Soca P, Reynaldo Será C, Mariño Soler A, Oliveros Guerra R. Actualización sobre diabetes mellitus. Correo Científico Médico [Internet] 2012 [Consultado 5 nov 2017];16(2):[aprox. 0 p.]. Disponible en: http://revcocmed.sld.cu/index.php/cocmed/article/view/507.
  2. Ogurtsova K, Fernandes JD, Huang Y, Linnenkamp U, Guariguata L, Cho NH, et al. IDF Diabetes Atlas: Global estimates for the prevalence of diabetes for 2015 and 2040. Diabetes Research and Clinical Practice. [Internet] 2017 [Consultado 14 dic 2017]; 128: [aprox. 40-50 p.]. Disponible en: https://doi.org/10.1016/j.diabres.2017.03.024. DOI: https://doi.org/10.1016/j.diabres.2017.03.024
  3. Deshpande AD, Harris-Hayes M, Schootman M. Epidemiology of diabetes and diabetes-related complications. Phys Ther. 2008;88(11):1254-64. DOI: https://doi.org/10.2522/ptj.20080020
  4. Danaei G, Finucane MM, Y Lu, Singh G.M, Cowan MJ, Paciorek CJ, Et al. National, regional, and global trends in fasting plasma glucose and diabetes prevalence since 1980: systematic analysis of health examination surveys and epidemiological studies with 370 country-years and 2·7 million participants. Lancet 2011;378:31-40. DOI: https://doi.org/10.1016/S0140-6736(11)60679-X
  5. Fabián SMMG, García SFMC, Cobo AC. Prevalencia de síntomas de ansiedad y depresión en pacientes con diabetes mellitus tipo 2 y su asociación con el tipo de tratamiento, complicaciones de la diabetes y comorbilidades. Revista Medicina Interna de Mexico [Internet] 2010 [Consultado 5 nov 2017]; 26 (2) [aprox.100-108 p]. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=25297.
  6. Zúñiga SM C, Müller H, Flores M. Prevalencia de enfermedad renal crónica en centros urbanos de atención primaria. Rev. méd. Chile 2011; 139(9):1176-84]. DOI: https://doi.org/10.4067/S0034-98872011000900010
  7. Gómez- Huelgas R, Martínez Castelao A, Artola S, Górriz J, Menéndez E. Documento de Consenso sobre el tratamiento de la diabetes tipo 2 en el paciente con enfermedad renal crónica. Nefrología 2014; 34(1):34-45. DOI: https://doi.org/10.1016/j.medcli.2013.10.011
  8. Melo A, Mesquita G, Monteiro C. Diagnóstico precoce da doença renal crónica pela estratégica de saúde da família. R Interdiciplinar 2013;6(1):124-8.
  9. Gorostidi M, Santamaría M, Alcázar R, Fernández-Fresnedo G, Galcerán J, Goicoechea M, et al. Documento de la Sociedad Española de Nefrología sobre las guías KDIGO para la evaluación y el tratamiento de la enfermedad renal crónica. Nefrología 2014;3(3):273-424.
  10. Poblete Badal H. XXXVII CUENTA DE HEMODIÁLISIS CRÓNICA (HDC) EN CHILE 2017. Nefro.cl. [Internet] 2018 [Consultado 27 mar 2018]. Disponible en: http://www.nefro.cl/v2/biblio/registro/23.pdf.
  11. Zuñiga C. 30% del presupuesto AUGE es destinado a financiar la Enfermedad Renal Crónica. Sociedad Chilena de Nefrología. 2014 oct. [Consultado 5 jun 2017] Disponible en: https://www.nefro.cl/v2/post.php?id=272.
  12. Schroeder Abreu I, Benedita dos Santos C. Calidad de vida relacionada a la salud de pacientes en hemodiálisis. Rev Enferm UERJ 2013;21(1):95-100.
  13. Cuevas Budhart M, Saucedo García R, Romero Quecho G, García Larumbe J, Hernández Paz y Puente A. Relación entre las complicaciones y la calidad de vida del paciente en hemodiálisis. Enferm Nefrol 2017;20(2):112-9. DOI: https://doi.org/10.4321/S2254-288420170000200003
  14. Patologías garantizadas AUGE. Superintendencia de Salud, Gobierno de Chile. [Consultado 16 abr 2018]. Disponible en: http://www.supersalud.gob.cl/664/w3-propertyname-501.html.
  15. Palma Campos C. Mujeres con diabetes mellitus e hipertensión, la vivencia de su salud, y el autocuidado a partir de la construcción de la identidad femenina. Rev. cienc. adm. financ. segur. soc;9(2):95-107.
  16. Molestina M. Correlación de factores socioeconómicos y metabólicos en la progresión de nefropatía diabética, en pacientes con diabetes mellitus tipo 2, del Hospital Enrique Garcés-Quito, durante los meses de julio a septiembre del año 2014. [Internet]. 2015 [Consultado 27 mar 2018]. Disponible en: http://repositorio.puce.edu.ec/handle/22000/8582.
  17. Piccin C, Girardon-Perlini N, de Carli Coppetti L, Hubner da Cruz T, Beuter M, Burg G. Sociodemographic and clinical profile of chronic kidney patients in hemodialysis. Rev Enferm UFPE 2018;12(12):3212-20. DOI: https://doi.org/10.5205/1981-8963-v12i12a234669p3212-3220-2018
  18. Oliveira Junior HM, Claudino Formiga F, Da Silva Alexandre C. Clinical and epidemiological profile of chronic hemodialysis patients in João Pessoa - PB. J Bras Nefrol. 2014;36(3):367-74. DOI: https://doi.org/10.5935/0101-2800.20140052
  19. Jungers P, Massy ZA, Nguyen-khoa T, Choukrou G, Robino C, Fakhouri F, et al. Longer duration of predialysis nephrological care is associated with improved long-term survival of dialysis patients. Nephrol Dial Transplant 2001;16(12):2357-64. DOI: https://doi.org/10.1093/ndt/16.12.2357
  20. Ministerio de Salud, Gobierno de Chile. Guía Clínica Insuficiencia Renal Crónica Terminal. 1st Ed. Santiago: Minsal; 2005. p. 10-35.

Similar Articles

<< < 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 > >> 

You may also start an advanced similarity search for this article.