ĐÁNH GIÁ SỰ TUÂN THỦ ĐIỀU TRỊ VÀ MỘT SỐ YẾU TỐ LIÊN QUAN Ở BỆNH NHÂN LAO ĐIỀU TRỊ NGOẠI TRÚ TẠI BỆNH VIỆN LAO VÀ BỆNH PHỔI TỈNH KHÁNH HÒA

Abstract

Background: Treatment adherence is considered an important key factor in TB treatment management. This is a big challenge for the tuberculosis control program (CTCL), especially in the context that the source of tuberculosis drugs is shifting from free provision to payment through Health Insurance. Objectives: Determine the rate of Adherence to treatment tuberculosis and find out some factors related of Adherence to treatment at the Tuberculosis and Lung Disease Hospital of Khanh Hoa province in 2022. Methods: Cross-sectional study design. A total sample of 322 patients was interviewed by a structured questionnaire. Evaluate treatment adherence through assessment of medication adherence, follow-up visit compliance, and periodic testing compliance. Results: The results showed that the treatment compliance prevalence of tuberculosis outpatient was 51.9%. Factors related to treatment adherence include: female gender (OR = 2.08; 95% CI 1.03-4.22); Age group from 45-60 (OR = 3.32; 95% CI 1.59-6.94), age group over 60 years old is likely to have erectile dysfunction (OR = 4.48; 95% CI 1.11-18, 17); Buddhist religion (OR = 4.45; 95% CI 1.15-17.19); The disease responded to treatment (OR = 14.86; 95% CI 1.07-207.37); supervised by health care workers (OR = 2.91; 95% CI 1.51-5.61); supervised by family members (OR = 3.21; 95% CI 1.5-6.87). Conclusion: The treatment compliance rate of TB patients is low. It is nesessery to have solutions to increase treatment adherence thereby improving treatment effectiveness.