Pós-Graduação em Enfermagem, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil.
Hospital Governador Israel Pinheiro, Belo Horizonte, MG, Brasil.
Rev Saude Publica. 2020;54:86. doi: 10.11606/s1518-8787.2020054001708. Epub 2020 Aug 21.
Chronic kidney disease is a pathology with exponential increasing prevalence worldwide. This trend derives mainly from population aging and the growth of chronic conditions, making prevention a priority in public health. Thus, this observation instigates debates on the advances and challenges in public policies aimed at facing the progression of this disease and its risk factors in a contemporary reality that requires changes in the management models of chronic conditions. Brazilian and international experiences show that actions to prevent chronic kidney disease in risk groups remain incipient, especially in low-income countries. This area requires investment, supporting planning individualized, interdisciplinary and shared care with primary health care, as well as the user's responsibility for their care, with proactivity and establishment and monitoring of goals to achieve satisfactory results.
慢性肾脏病是一种在全球范围内患病率呈指数级增长的疾病。这种趋势主要源于人口老龄化和慢性病的增加，因此，预防成为公共卫生的重点。因此，这种观察结果引发了关于旨在应对这种疾病及其在现代现实中风险因素的公共政策的进展和挑战的辩论，现代现实需要改变慢性病的管理模式。巴西和国际经验表明，针对高危人群的慢性肾脏病预防行动仍处于起步阶段，尤其是在低收入国家。这一领域需要投资，支持与初级保健相结合的个体化、多学科和共同护理计划，以及用户对自身护理的责任，采取积极主动的态度并设定和监测目标，以取得令人满意的结果。
