TUÂN THỦ ĐIỀU TRỊ TĂNG HUYẾT ÁP BẰNG THUỐC CỦA BỆNH NHÂN NGOẠI TRÚ TẠI KHOA TIM MẠCH PKĐK HOÀN MỸ SÀI GÒN

Abstract

Introduction: One of the recommendations to increase the treatment effectiveness for hypertension is improving adherence to treatment in order to reduce the complications of the disease. This study aims to record the medication compliance rate of outpatients coming to Hoan My Saigon Clinic for hypertension treatment. Subjects and method: A total of 387 randomized patients were directly interviewed in our study. Clinical information was collected from the hospital’s database using a prepared data collection table. Drug adherence was noted by 2 ways: asking patients directly and indirectly using the MMAS-8 scale. Results: Out of 387 patients, 91.73% reported them-self as taking medication regularly. The average score of MMAS-8 scale in our study was 5.77 (SD: 1.52). The most prominent reasons for not correctly taking the hypertension medication was forgetting (39.28%). Factors which significantly associated with MMAS-8 score included: the patient's age (p <0.01) and achieving of blood-pressure target (p=0.03). In addition, the longer a patient was diagnosed with hypertension, the higher medication adherence. The MMAS-8 score was also correlated with the amount of drug intake, including both antihypertensive drugs and drugs for treating comorbidity (p <0.01). Conclusion: It is necessary to improve knowledge and awareness of patients about hypertension to improve compliance with antihypertensive medication. Themedication adherenceshould be remindedin patients who have not met the blood-pressure target. Young patients, people who were recently diagnosed or who had to take too many drugs were also at risk of poor adherence.