Abstract
Background: Hypertension has been an important issue in public health in Vietnam. The prevalence of uncontrolled hypertension was nearly 50% among the hypertensive population in Vietnam. The objective of this study was to investigate the prevalence of medication adherence and its associated factors among patients with hypertension in the commune health centers in Thua Thien Hue Province.
Methods: The study was a cross - sectional survey in which sociodemographic characteristics, hypertension risk factors, the eight - item Morisky Medication Adherence Scale (MMAS - 8), the hypertension knowledge - level scale (HK - LS), the
brief Illness Perception of hypertension, and the beliefs about hypertension medication were measured and explored in terms of their relationship with medication adherence. A structured questionnaire was used as a data collection tool. The data were then
analyzed with the help of SPSS version 20.0.
Results: A total of 279 patients participated in the survey; 24,0% (30,3% in men and 19,4% in women) were adherent to their hypertension medication. The factors significantly associated with better medication adherence were gender, educational status, family background, comorbidity, knowledge about hypertension, illness perception of hypertension, and beliefs about hypertension medication.
Conclusion: The rate of treatment adherence of hypertensive patients at some health stations in Thua Thien Hue province is still low, of which men are higher than women. Patients with a greater mean score of knowledge, and awareness of hypertension, will have better adherence to treatment
References
Organization WH, Cause of Death 2008, Geneva. 2008, World Health Organization.
Phạm Gia Khải, Nguyễn Lân Việt, Trương Việt Dũng và cộng sự,. Dịch tễ học tăng huyết áp và các yếu tố nguy cơ các tỉnh phía bắc 2002. Tạp chí Tim mạch học Việt Nam. 2002; 33: 09-34.
Son PT, Quang NN, Việt NL et al,. Prevalence, awareness, treatment, and control of hypertension in Vietnam: Results from a national survey. Journal of Human Hypertension. 2009; 26(4): 268-80.
Minh HV, Huy TV, Long DPH, & Tien HA. Highlights of the 2022 Vietnamese Society of Hypertension guidelines for the diagnosis and treatment of arterial hypertension. J Clin Hypertens. 2022; 24: 1121-38.
Morisky DE, Ang A, Krousel - Wood M. Predictive validity of a medication adherence measure in an outpatient setting. J Clin Hypertens (Greenwich). 2008; 10(5): 348-54.
Erkoc SB, Isikli B, Metintas S, & Kalyoncu C. Hypertension Knowledge - Level Scale (HK - LS): A study on development, validity and reliability. Int J Environ Res Public Health. 2012; 9(3): 1018-29.
Broadbent E, Petrie KJ, Main J, & Weinman J. The brief illness perception questionnaire. J Psychosom Res. 2006; 60(6): 631-7.
Organization WH, WHO STEPS Surveillance Manual: The WHO STEPwise Approach to Chronic Disease Risk Factor Surveillance, World Health Organization: Noncommunicable diseases and mental health. Geneva. 2005, WHO.
Trần Thị Mỹ Hạnh. Đánh giá kết quả can thiệp nâng cao thực hành theo dõi huyết áp và tuân thủ điều trị ở người tăng huyết áp trên 50 tuổi tại huyện Tiền Hải, tỉnh Thái Bình. Luận án Tiến sĩ Y tế Công cộng, Hà Nội. 2017.
Thạch Thị Mỹ. Tỷ lệ tuân thủ điều trị và một số yếu tố liên quan ở bệnh nhân tăng huyết áp người dân tộc Khmer tại Bệnh viện Đa khoa khu vực Cầu Ngang, tỉnh Trà Vinh. Nghiên cứu Y học, Y Học TP. Hồ Chí Minh. 2019; 23(2): 224-8.
Phạm Phương Liên, Trần Công Trưởng,. Thực trạng tuân thủ điều trị của bệnh nhân tăng huyết áp đang điều trị ngoại trú tại bệnh viện quận 2, thành phố Hồ Chí Minh năm. Y học cộng đồng. 2018; 4(51): 43-7.
Published | 28-12-2024 | |
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Issue | No. 88 (2023) | |
Section | Original article | |
DOI | 10.38103/jcmhch.88.14 | |
Keywords | Tăng huyết áp, tuân thủ điều tr, kiến thức, nhận thức Hypertension, medication adherence, knowledge, perception |

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