THỰC TRẠNG TUÂN THỦ ĐIỀU TRỊ VÀ CÁC YẾU TỐ LIÊN QUAN CỦA BỆNH NHÂN SAU CAN THIỆP ĐỘNG MẠCH VÀNH QUA DA QUẢN LÝ NGOẠI TRÚ TẠI BỆNH VIỆN HỮU NGHỊ

Abstract

Objective: To describe the pattern of medication adherence and associated factors among outpatients following percutaneous coronary intervention (PCI). Methods: This cross-sectional descriptive study was conducted via telephone interviews with patients who underwent successful PCI at Friendship Hospital between November 2021 and March 2023. Medication adherence was evaluated using the Adherence to Refills and Medications Scale (ARMS), and univariate logistic regression was employed to identify factors associated with non-adherence, with odds ratios (OR) and 95% confidence intervals. Results: Among the 151 patients (80% male, mean age 77 years), the average ARMS score was 15.0 ± 7.4, with an overall adherence rate of 74.2%. Adherence rates for specific medication classes were 88.6% for antiplatelet agents, 87.8% for statins, and 79.3% for anti-anginal agents. Two primary factors influencing adherence were identified: the prescribing department and the occurrence of adverse drug events (ADEs). Conclusion: A proportion of post-PCI patients do not fully adhere to their prescribed medication regimens. Standardized consultation protocols, enhanced patient education regarding their condition and treatment, and regular post-discharge assessments are recommended to improve adherence.