TUÂN THỦ ĐIỀU TRỊ CỦA NGƯỜI BỆNH TĂNG HUYẾT ÁP TÁI NHẬP VIỆN VÀ MỘT SỐ YẾU TỐ LIÊN QUAN TẠI BỆNH VIỆN QUÂN Y 354 NĂM 2023

Abstract

Objectives: To assess the adherence to hypertension treatment among patients and identify influencing factors. Methodology: A cross-sectional descriptive study was conducted on 380 hypertensive patients readmitted from April 2023 to September 2023 at Military Hospital 354. The Morisky-8 scale was used to evaluate treatment adherence among the study subjects. Results: The levels of treatment adherence were low, moderate, and high, accounting for 16.8%, 21.4%, and 61.8%, respectively. Within the last two weeks, 41.6% of individuals forgot to take their medication, and 35.5% forgot to bring their medication when traveling. Statistically significant factors associated with decreased treatment adherence included lower educational attainment (OR=1.4, p<0.05), economic status, divorced/single family status (OR=2.6, p<0.001), lack of health insurance (OR=3.1, p<0.05), and failure to achieve preventive and therapeutic practices for hypertension (OR=52.7, p<0.05). Conclusions: The majority of hypertensive patients demonstrated moderate treatment adherence (61.8%), with a high rate of medication forgetting in the past two weeks (41.6%). The primary reason for irregular medication intake was forgetting to bring medication when traveling (35.5%). Factors associated with better treatment adherence included higher educational attainment, relatively good economic status, living with a spouse or family member, having health insurance, and achieving preventive and therapeutic practices for hypertension.