TÌNH HÌNH ĐIỀU TRỊ BỆNH TĂNG HUYẾT ÁP VÀ MỘT SỐ YẾU TỐ ẢNH HƯỞNG TẠI TRUNG TÂM Y TẾ HUYỆN TRÀ CÚ, TỈNH TRÀ VINH NĂM 2024

Abstract

Objective: To describe the outpatient management outcomes of hypertension (HTN) and related factors at Tra Cu District Health Center, Tra Vinh Province, in 2024. Subjects and Methods: A cross-sectional study combining quantitative and qualitative approaches. Data were collected from 300 medical records on HTN management and through eight in-depth interviews with leaders, healthcare workers, and patients regarding influencing factors. Results: Among patients, 25.0% were newly diagnosed with HTN, and 75.0% were identified at commune health stations. All patients (100.0%) had medical records for monthly blood pressure monitoring. However, only 76.0% adhered to scheduled follow-ups, and 57.3% achieved target blood pressure levels. The study found that patients aged 60 and above, females, those without complications, and those adhering to follow-ups were more likely to achieve target blood pressure levels. Positive influences: Policies and regulations on HTN management provided a strong legal framework, improving healthcare quality. Investment in healthcare worker training enhanced medical services, while health insurance reduced the financial burden on patients. Advanced medical equipment improved diagnostic and treatment capabilities. Negative influences: Limited funding, medication shortages, and inadequate infrastructure, especially at commune health stations, hindered healthcare quality. Rigid treatment procedures, lack of evaluation tools, and shortages of essential and newly developed medications reduced treatment effectiveness. Conclusion: HTN management at Tra Cu District Health Center showed positive results, but adherence to follow-ups and blood pressure control remains limited. Policies, training, and health insurance support were beneficial, but financial constraints, medication shortages, and infrastructure limitations affected treatment outcomes.