NGHIÊN CỨU ĐẶC ĐIỂM, VÀ TÌNH HÌNH TUÂN THỦ CỦA NGƯỜI BỆNH VIÊM LOÉT DẠ DÀY TÁ TRÀNG TẠI BỆNH VIỆN TRUNG ƯƠNG QUÂN ĐỘI 108

Abstract

Objective: Gastric and duodenal ulcers (GDU) are prevalent gastrointestinal disorders known for their recurrence. Effective treatment relies heavily on patient adherence, yet adherence rates and follow-up behaviors are often overlooked. This study aims to investigate the demographic and adherence characteristics of GDU patients at Military Central Hospital 108. Materials and Methods: A cross-sectional descriptive study analyzed 356 GDU patients with clinical symptoms randomly selected based on endoscopy results and outpatient records from August 2023 to May 2024. Patients were considered adherent if their MMAS-8 score was ≥ 6 points and were compliant with follow-up if they attended re-examinations within 12 weeks. General demographics (age, gender), socioeconomic factors (occupation, health insurance), and clinical features (inflammation, ulceration, etiology) were recorded and statistically analyzed. Results: The average age was 51.4 ± 12.8 years, male-to-female ratio was 2:1. In the study group, 69.1% had a history of GDU, 86% had concurrent chronic diseases, and 14.9% lived alone. 53.4% had attained higher education, 40.2% were military or civil servants, and 54.2% resided and worked in Hanoi. Self-payment was provided to 175 out of 356 patients. Common clinical symptoms included dyspepsia (56.7%), abdominal pain (49.4%), and gastrointestinal disorders (34.8%). Most ulcers were found in the stomach (97.8%), primarily caused by alcohol consumption (39.3%) and Helicobacter pylori infection (33.1%). The treatment adherence rate was 87.6%, with a mean MMAS-8 score of 7.67 ± 0.53. Conversely, the follow-up examination rate was 39.9%, mainly delayed due to stabilized health conditions (84.6%). Conclusion: GDU patients demonstrate high medication adherence but low follow-up examination post-treatment due to perceived health stability. Public awareness campaigns highlighting the benefits of post-treatment check-ups are crucial to optimizing treatment effectiveness.