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SELF-MANAGEMENT OF HYPERTENSION AND ASSOCIATED FACTORS AMONG HYPERTENSIVE PATIENTS MANAGED AT SELECTED COMMUNE HEALTH STATIONS IN NINH BÌNH PROVINCE IN 2021
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Abstract
Hypertension (HTN) is a prevalent non-communicable disease in Vietnam. This study examines the self-management (SM) practices of hypertensive patients and associated factors at six commune health stations in Ninh Bình province in 2021. A cross-sectional study was conducted, collecting data through structured interviews with 492 patients. Only 36% of patients demonstrated good HTN self-management, with an average score of 2.41/4. The highest-scoring components were adherence to antihypertensive medication and regular follow-up visits (2.85) and lifestyle modifications (2.67). Conversely, disease monitoring (2.15), self-measured blood pressure (2.29), and interactions with healthcare providers and family members (2.08) remained limited. Multivariable binary logistic regression identified three significant factors associated with good HTN self-management: self-perceived blood pressure control, HTN knowledge, and access to HTN management at healthcare facilities. Interventions should focus on strengthening health education, promoting self-management practices, and improving access to HTN management.
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Keywords
Hypertension, self-management, treatment adherence, commune health station
References
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