PHÂN TÍCH THỰC TRẠNG TUÂN THỦ ĐIỀU TRỊ TRÊN BỆNH NHÂN TĂNG HUYẾT ÁP ĐIỀU TRỊ NGOẠI TRÚ TẠI BỆNH VIỆN TIM HÀ NỘI

Abstract

Background: Hypertension is a chronic disease that requires long-term treatment, and compliance can be a challenge for outpatients. According to the World Health Organization, the worldwide treatment adherence rate reached only 20 – 30%. The Hanoi Heart Hospital treats 201,123 outpatients each year. Objectives: To describe the level of treatment adherence among hypertensive outpatients at Hanoi Heart Hospital and to identify the factors that influence adherence. Study population and methods: A cross-sectional study was conducted through the examination of medical prescriptions and direct interviews with 132 outpatients. Data were analyzed using statistical descriptive and multivariate regression methods. Results: The majority of outpatients (54.5%) demonstrated low adherence to lifestyle modifications, while the rate of high adherence was only 22%. Patients over 80 years old and those who did not attend school had a 0% adherence rate. Inadequate therapeutic compliance was reported in 30.4% cases, moderate compliance in 31.8%, and good compliance in 37.8%. Statistically significant factors that influenced treatment adherence were educational level has a significant impact, understanding the effects of medication, and treatment duration. Conclusion: The overall adherence rate for outpatient treatment of hypertension at the Hanoi Heart Hospital is high, but low specifically in terms of lifestyle modifications and therapeutic adherence. Factors that influence treatment adherence in outpatients include their level of education, understanding of medication effects and treatment duration.