ĐÁNH GIÁ SỰ TUÂN THỦ SỬ DỤNG THUỐC LEVOTHYROXINE Ở BỆNH NHÂN SUY GIÁP TIÊN PHÁT CAO TUỔI TẠI BỆNH VIỆN HỮU NGHỊ

Abstract

Objective: To determine the rate of adherence to using Levothyroxine (L-T4) and related factors in elderly patients with primary hypothyroidism at the Endocrinology clinic, Huu Nghi hospital. Subjects and methods: a cross-sectional descriptive study on 82 primary hypothyroidism patients, aged 60 to 87 years, who attended the medical examination at the Endocrine Clinic, Huu Nghi Hospital from August 2020 to August 2021. Tests were conducted including TSH, FT4. Results and discussion: 85.4% of patients adhered to drug treatment. Level of information communication: high 69.5%; average 15.9%; as low as 14.6%. There were 78.1% reaching the treatment target (Euthyroid), 21.9% not reaching the treatment goal. The factors related to the L-T4 adherence rate were education level (OR = 11.8; 95% CI: 2.6-54.3) and treatment goals (OR = 4.8). , 95% CI: 1.3-17.6). Conclusion: The rate of adherence to using L-T4 in elderly primary hypothyroidism patients is about 85.4%. Factors related to adherence to L-T4 drug use: Education level and treatment goals. Recommendations: instruct patients to refer to documents, books, magazines, the internet and the guidance of medical staff about hypothyroidism.