Một số yếu tố liên quan đến tuân thủ điều trị tăng huyết áp ở người bệnh ngoại trú tại Bệnh viện Đa khoa huyện Yên Phong, tỉnh Bắc Ninh năm 2024

Hypertension remains a major global public health challenge, with non-adherence to treatment regimens posing a significant barrier to effective disease management and control. This lack of adherence can lead to serious complications, increased healthcare costs, and diminished quality of life for patients. In Vietnam, particularly in district-level hospitals like Yen Phong District General Hospital in Bac Ninh province, detailed insights into factors influencing treatment adherence among outpatients with hypertension are limited. Understanding these contributing factors is crucial for developing targeted interventions to improve patient outcomes and optimize healthcare resource utilization, thus enhancing the overall effectiveness of hypertension management within the community.

Healthcare professionals, public health practitioners, policymakers, hospital administrators, and researchers focused on chronic disease management and patient adherence in Vietnam.

This study investigated factors associated with hypertension treatment adherence among 308 outpatients at Yen Phong District General Hospital, Bac Ninh, from November 2023 to October 2024. Employing a descriptive cross-sectional design with analytical components, researchers used the Morisky-8 scale through direct interviews to assess adherence levels, with data processed via SPSS 20.0. The findings revealed that treatment adherence was significantly influenced by various demographic and clinical characteristics. Specifically, male patients and those aged 40-59 and 60-79 exhibited lower adherence compared to females and individuals aged 80 and above, respectively. Conversely, patients with retired or homemaker occupations, as well as those with a family history of hypertension, demonstrated higher adherence. Intriguingly, patients taking medication once daily showed lower adherence than those on regimens requiring more frequent doses. These results underscore the complex interplay of individual characteristics and treatment regimen complexity in determining adherence. The study highlights the critical need for strengthened counseling, enhanced psychosocial support, and consistent follow-up strategies to foster better patient adherence, thereby reducing hypertension-related complications and improving public health outcomes in the region.