SỰ TUÂN THỦ ĐIỀU TRỊ BỆNH LUPUS BAN ĐỎ HỆ THỐNG Ở TRẺ EM TẠI BỆNH VIỆN NHI TRUNG ƯƠNG VÀ CÁC YẾU TỐ LIÊN QUAN

Abstract

Objective: To assess the adherence to treatment for lupus erythematosus in children at the Vietnam National Children's Hospital and some related factors. Subjects and research methods: A cross-sectional study on 107 patients who came for examination and treatment at the National Children's Hospital from June 2018 to June 2019. Result: Prevalence of treatment adherence was 57%. Boys had poorer adherence to treatment than girls (OR=3.11, 95%; CI: 0.87-12.4; p<0.05). Patients who are near the hospital had poorer adherence to treatment than those far from the hospital (OR= 10.1; 95% CI: 1.27-49.31; p<0.05). Patients whose caregivers with good knowledge on the disease had better adherence than those having caregivers with poor knowledge (OR = 3.5; 95%; CI: 1.4-9.04 and p). <0.05). There is no relationship between family economy and treatment adherence (p>0.05). There was no relationship between disease duration and disease progression with the patient's adherence (p>0.05). Conclusion: the adherence prevalence was 57%. Girls was more compliant with treatment than boys. The prelavance of adherence was higher in the group of children whose caregivers had good knowledge of the disease. It is necessary to propagate and educate caregivers and patients about the importance of disease adherence.