Nghiên cứu các yếu tố liên quan đến tuân thủ điều trị ở người bệnh đái tháo đường type 2

Type 2 Diabetes Mellitus (T2DM) represents a significant and growing public health challenge globally, particularly in Vietnam, where its prevalence has sharply increased. Effective management of T2DM hinges critically on maintaining optimal glycemic control, which in turn largely depends on robust treatment adherence. Despite established guidelines and therapeutic advancements, suboptimal adherence remains a persistent issue, often leading to poor health outcomes and increased healthcare burdens. This study addresses this gap by investigating the current levels of treatment adherence among outpatients with T2DM and identifying the associated factors that influence their compliance. Understanding these determinants is crucial for developing targeted interventions to enhance adherence and ultimately improve the quality of care and long-term prognosis for these patients.

Healthcare professionals (doctors, nurses, pharmacists), public health policymakers, medical researchers, and educators involved in diabetes care and chronic disease management.

This cross-sectional descriptive study aimed to evaluate treatment adherence levels and identify associated factors among 332 outpatients with Type 2 Diabetes Mellitus in Vietnam, surveyed from March to September 2025. Data were gathered via structured interviews and medical record reviews, with multivariate logistic regression analysis employed to discern significant associations (p < 0.05). The findings revealed an overall treatment adherence rate of 50.6%, with particularly high compliance in medication use (90.1%) and blood glucose monitoring (97.9%), followed by physical activity (88%), and dietary recommendations (59.9%). Key factors significantly influencing better treatment adherence included a higher education level (≥ high school), good fasting blood glucose control, and effective HbA1c control. Conversely, longer disease duration (over 5 years) was associated with reduced adherence, while dyslipidemia also played a role. These results underscore the importance of patient education, personalized counseling, and long-term management programs in fostering better adherence. The study highlights that while medication adherence and blood glucose monitoring are strong, there's room for improvement in dietary compliance. The insights gained are instrumental for healthcare providers to develop tailored strategies, such as strengthening health education and support systems, to improve treatment outcomes and enhance the quality of life for individuals living with Type 2 Diabetes Mellitus, addressing the identified associated factors for improved glycemic control.