Pacientes Renales: aspectos relacionados con el Cumplimiento del Tratamiento Renal / Kidney patients: aspects related to compliance with renal treatment

The Objective of this study was identify the aspects related with the adherence of medical treatment recommended to the patients that received hemodialysis in the tertiary public hospital. A non experimental transectional correlation design was utilized in this study. Fifty-three patients constituted the population study. A structure interview was utilized to gathered the data. Descriptive statistics and Chi-square tests were utilized to analysis. The response rate was 91.0. The 75.0 of patients not compliance with the medical treatment. Significant association between compliance variable and educational level was encountered (p < or = 0.05). This study provides important findings to will develops educative intervention in the Renal Unit, directed to improve the adherence of the patient with medical treatment.

Estrategias para reducir la progresión de la enfermedad renal en pacientes con diabetes mellitus Tipo 2 / Strategies to reduce the progression of renal disease in patients with type II diabetes mellitus

The incidence of diabetes mellitus has increased dramatically in Puerto Rico. On 1996, it accounted for 56.8 of all new cases admitted for dialysis. By 1998 the number increased to 59.9, of which, 88.5 were Type 2 diabetic patients. Strategies for the reduction or prevention of renal insufficiency of Type 2 diabetic patients should include: identification of potential chronic complications, review of risk factors related to diabetic nepropathy, and the evaluation of the arterial blood pressure and renal function. The therapeutic actions which have shown reduction of proteinuria and reduction of the progression to end stage renal disease in patients with type 2 diabetes are: strict control of the arterial pressure, the use of converting enzyme inhibitors, low salt diet and control of the protein intake. It is recommended that type 2 diabetic patients with high arterial pressure, micro or macroalbuminuria and increased serum creatinine should be referred to the nephrologist as early as possible.