<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1817-7433</journal-id>
<journal-title><![CDATA[Revista Científica Ciencia Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cient Cienc Méd]]></abbrev-journal-title>
<issn>1817-7433</issn>
<publisher>
<publisher-name><![CDATA[Facultad de Medicina, Universidad Mayor de San Simón.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1817-74332023000100016</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[ADHERENCIA AL TRATAMIENTO COMO PILAR FUNDAMENTAL EN LA CALIDAD DE VIDA EN HEMODIALIZADOS]]></article-title>
<article-title xml:lang="en"><![CDATA[ADHERENCE TO TREATMENT AS A FUNDAMENTAL PILLAR IN THE QUALITY OF LIFE OF HEMODIALYSIS PATIENTS]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez Avilés]]></surname>
<given-names><![CDATA[Álvaro Edgar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Murillo Paz]]></surname>
<given-names><![CDATA[Teresa Milenka]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Magister Scientiarum  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Militar Central COSSMIL servicio de hemodiálisis ]]></institution>
<addr-line><![CDATA[La Paz ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>26</volume>
<numero>1</numero>
<fpage>16</fpage>
<lpage>23</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_arttext&amp;pid=S1817-74332023000100016&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_abstract&amp;pid=S1817-74332023000100016&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_pdf&amp;pid=S1817-74332023000100016&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La carga farmacológica en pacientes en hemodiálisis supera a otros pacientes crónicos, la no adherencia al tratamiento presenta implicaciones en la calidad de vida, la supervivencia y el coste económico de su tratamiento. El objetivo fue evaluar el puntaje de calidad de vida relacionada con la salud según el tipo de adherencia al tratamiento en pacientes en terapia de hemodiálisis.  Métodos: El estudio es de tipo observacional, prospectivo, transversal y descriptivo, el universo de estudio está compuesto por los pacientes que recibieron hemodiálisis en COSSMIL durante el año 2020, la muestra fue de 27 pacientes, la adherencia al tratamiento se midió a través del Test de Morisky-Green y la calidad de vida relacionada con la salud mediante el Kidney Disease Quality of Life de 36 ítems.  Resultados: Se hallaron un total de 7 pacientes adherentes al tratamiento (25,9%). En la escala del 1 al 100, el 100% de las puntuaciones del componente mental y 96,3 % del componente físico fueron menores del puntaje referencial de 50. La subescala de carga de enfermedad renal obtuvo puntuaciones de 0.  Conclusión: La calidad de vida de estos pacientes se encuentra notablemente afectada, sin diferencias en relación el tipo de adherencia al tratamiento, donde la subescala de carga de enfermedad renal expresa el mayor impacto sobre la calidad de vida, se identifica la necesidad de fortalecer un abordaje integral clínico médico, multidisciplinario y biopsicosocial que incluya estrategias de afrontamiento y apoyo psicosocial para enfrentar los desafíos socioemocionales asociados a la enfermedad renal crónica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: The pharmacological burden in hemodialysis patients exceeds that of other chronic patients, non- adherence to treatment has implications for quality of life, survival and the economic cost of their treatment. The objective was to evaluate the health-related quality of life score according to the type of adherence to treatment in patients on hemodialysis therapy.  Methods: The study is observational, prospective, cross-sectional and descriptive, the study universe is made up of patients who received hemodialysis at COSSMIL during 2020, the sample was 27 patients, adherence to treatment was measured by through the Morisky-Green Test and health-related quality of life using the 36-item Kidney Disease Quality of Life.  Results: A total of 7 patients adherent to the treatment (25.9%) were found. On the scale from 1 to 100, 100% of the scores for the mental component and 96.3% for the physical component were less than the reference score of 50. The subscale of kidney disease burden obtained scores of 0.  Conclusion: The quality of life of these patients is significantly affected, with no differences related to the type of treatment adherence. The subscale of renal disease burden expresses the greatest impact on the quality of life. There is a need to strengthen a comprehensive, multidisciplinary, and biopsychosocial clinical approach that includes coping strategies and psychosocial support to address the socioemotional challenges associated with chronic kidney disease.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Adherencia al Tratamiento]]></kwd>
<kwd lng="es"><![CDATA[Calidad de Vida Relacionada con la Salud]]></kwd>
<kwd lng="es"><![CDATA[Diálisis Renal]]></kwd>
<kwd lng="es"><![CDATA[Enfermedad Renal Crónica]]></kwd>
<kwd lng="en"><![CDATA[Treatment Adherence]]></kwd>
<kwd lng="en"><![CDATA[Health-Related Quality of Life]]></kwd>
<kwd lng="en"><![CDATA[Renal Dialysis]]></kwd>
<kwd lng="en"><![CDATA[Chronic Kidney Disease]]></kwd>
</kwd-group>
</article-meta>
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