Thực trạng tuân thủ điều trị thuốc chống đông kháng vitamin K và một số yếu tố liên quan ở người bệnh thay van tim nhân tạo tại Bệnh viện Việt Đức năm 2019

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Tác giả: Thi Thu Ha Bui, Sau Thi

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học Nghiên cứu Sức khỏe và Phát triển, 2020

Mô tả vật lý: tr.45883

Bộ sưu tập: Metadata

ID: 320745

Thêm vào giỏ Liên kết toàn văn

Mục tiêu: Nghiên cứu mô tả tỷ lệ tuân thủ điều trị thuốc chống đông kháng vitamin K và phân tích một số yếu tố liên quan đến tuân thủ điều trị thuốc ở người bệnh sau mổ thay van tim nhân tạo tại bệnh viện Việt Đức năm 2019. Phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang, chọn mẫu toàn bộ
thông tin được thu thập tại phòng khám Tim mạch và lồng ngực – Bệnh viện Việt Đức Đức từ tháng 4/2019 đến tháng 6/2019. Tổng số 285 người bệnh sau mổ thay van nhân tạo và có thời gian dùng thuốc chống đông kháng vitamin K ngoại trú ≥ 1 tháng. Kết quả: Tỷ lệ tuân thủ điều trị chung là 58,2%. Trong đó tuân thủ dùng thuốc CĐKVK theo thang đo Morisky là 93,3%. Tuân thủ chế độ ăn là 68,8%. Tuân thủ hạn chế rượu/ bia là 85,3%. Yếu tố liên quan đến tuân thủ điều trị được tìm thấy bao gồm giới tính, tình trạng hôn nhân, thời gian thay van tim, rung nhĩ/ loạn nhịp, khoảng cách từ nhà đến viện (p <
0,05). Kết luận: Tỷ lệ tuân thủ điều trị bằng thuốc CĐKVK của người bệnh thấp. Tỷ lệ này có liên quan nhiều yếu tố như giới tính, tình trạng hôn nhân gia đình, thời gian phẫu thuật, khoảng cách từ nhà đến viện. Do đó cần tăng cường tư vấn giải thích hơn nữa cho những người bệnh nam, người bệnh còn độc thân, người bệnh thay van tim trên 1 năm.Objectives: To describe the compliance to vitamin-K resistive anti-coagulant in patents who had artificial heart valves replacement at Vietduc University Hospital in 2019 and analyze associated factors. Research methods: We conducted a cross-sectional study, selected all eligible participants within the time of data collection. Data was collected in the rib-cage and cardiovascular consulting-room of Vietduc University Hospital from April 2019 to June 2019. A total of 285 outpatients who had a replacement with artificial cardiac
prescribed with vitamin-K resistive anti-coagulant for ≥ 1 month participated in the study. Results: The rate of compliance with general treatment was 58.2%. The rate of compliance to vitamin-K resistive anti-coagulant based on the Morisky measurement scale was 93.3%. About 68.8% of patients who complied with diet
85.3% limited their alcohol assumption. Factors associated with the treatment compliance included gender, marital status, cardiac valve replacement time, atrial fibrillation/arrhythmia, and distance from houses to the hospital (p <
0.05). Conclusions: The rate of compliance to vitamin-K resistive anti-coagulant is low and associated with various factors such as gender, marital status, operation time and distance from houses to the hospital. Therefore, further consultancy and explanation to male, unmarried, and patents who had replaced cardiac valves for more than one year were needed.

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