KHẢO SÁT THỰC TRẠNG VÀ MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN TUÂN THỦ ĐIỀU TRỊ Ở NGƯỜI CAO TUỔI BỊ TĂNG HUYẾT ÁP ĐIỀU TRỊ NGOẠI TRÚ TẠI HUYỆN CHÂU THÀNH A, TỈNH HẬU GIANG NĂM 2023

Abstract

Objective: (1) Determination of treatment adherence rate in elderly hypertensive patients receiving outpatient treatment at health stations in Chau Thanh A district in 2023. (2) Determinant factors related to the treatment adherence of elderly hypertensive patients. Methods: A cross-sectional with analysis on patients aged 60 years and older who were diagnosed with hypertension and treated as outpatients at medical stations in Chau Thanh A district from April 2023 to September 2023. Result: The group of patients found it difficult to follow the treatment plan for hypertension (11.5%). Difficulty remembering to use medication (29.5%), occasional forgetting to take medication (37%). Know about complications of hypertension on the heart (14.5%), on the blood vessels (5.5%). The group of drugs most used by patients was amlodipine 5 mg with the rate of 71% and losartan 50 mg with the rate of 27.5%. Daily blood pressure monitoring (12.5%), monitoring when symptoms (52%). Forgetting to take medication (27%), due to lack of support (7%). The degree of

adherence to treatment for Khmer ethnic group is 13.5 times higher than that of Kinh ethnic group (P<0.001). There was a difference in the degree of adherence between the group living with a spouse (0.19) and the group living with children (0.22) and the group living alone (P=0.02 and P=0, 01). The duration of treatment in the group of subjects under 1 year (1) was better than the group of over 3 years (0.57), 1-2 years lower (2.56) and 2-3 years (1.78) (P<0.001). The level of treatment adherence of the blood pressure monitoring group when visiting the doctor was 4.88 times higher than that of the group with daily blood pressure monitoring (P=0.04). The group of patients who adhered to treatment had a rate of blood pressure control 2.26 times higher than that of non-adherent (P<0.05). Conclusion: The proportion of patients with good treatment adherence accounted for 11.5%, while poor adherence consisted of 88.5%. There is a relationship among treatment adherence with living with family members, blood pressure monitoring, treatment time and ethnicity. This difference is statistically significant (P<0.05).