Thực trạng tuân thủ điều trị Methadone và một số yếu tố ảnh hưởng của bệnh nhân điều trị tại Trung tâm kiểm soát bệnh tật tỉnh Đắk Lắk năm 2022

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Tác giả: Thị Hảo Đào, Bảo Châu Lê, Phúc Lê, Thị Châu Tuyến Nguyễn, Mạnh Linh Vũ, Thị Hậu Vũ

Ngôn ngữ: vie

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Thông tin xuất bản: Tạp chí Khoa học Nghiên cứu Sức khỏe và Phát triển, 2022

Mô tả vật lý: tr.135-144

Bộ sưu tập: Metadata

ID: 337113

Thêm vào giỏ Liên kết toàn văn

Mục tiêu: Nghiên cứu thực hiện nhằm tìm hiểu về thực trạng tuân thủ điều trị và một số yếu tố ảnh hưởng của bệnh nhân điều trị Methadone tại cơ sở điều trị thuộc Trung tâm kiểm soát bệnh tật tỉnh Đắk Lắk. Phương pháp nghiên cứu: Đây là nghiên cứu cắt ngang kết hợp phương pháp nghiên cứu định lượng và định tính
trong đó, nghiên cứu định lượng sử dụng theo bộ câu hỏi phỏng vấn và nghiên cứu định tính theo nội dung hướng dẫn được xây dựng sẵn. Nghiên cứu được tiến hành từ tháng 10/2021 đến tháng 12/2022, trong đó thời gian thu thập số liệu từ tháng 6-7/2022 tại Trung tâm kiểm soát bệnh tật tỉnh Đắk Lắk. Kết quả: Tỷ lệ bệnh nhân tuân thủ điều trị Methadone là 82,2%. Lý do chủ yếu của việc không tuân thủ điều trị là bận công việc: 62,1%
quên: 34,5%
không có phương tiện: 17,2%
không ai nhắc nhở: 13,8%, muộn giờ: 6,9%, thay đổi nơi ở: 6,9%, kinh tế khó khăn: 3,5%, có vấn đề về sức khỏe: 3,5%. Các yếu tố ảnh hưởng đến thực trạng tuân thủ điều trị Methadone gồm: Yếu tố cá nhân: Tình trạng không sống cùng vợ/chồng (OR=4,29
95%CI = 1,82 – 10,14)
Yếu tố từ môi trường: Bị kỳ thị/phân biệt đối xử trong 1 tháng qua (OR=5,52
95%CI=2,31 – 13,18)
Yếu tố ảnh hưởng từ dịch Covid-19: Cảm thấy gặp khó khăn khi uống thuốc trong dịch COVID-19 (OR=2,87
95%CI=1,05 – 7,90). Kết luận: Nghiên cứu đưa ra khuyến nghị bao gồm với cơ sở điều trị cần thay đổi quy trình trong điều trị Methadone
Duy trì tập huấn cho CBYT nhằm nâng cao việc hỗ trợ tâm lý, tinh thần thái độ phục vụ, giải quyết nhanh gọn các thủ tục hành chính cho bệnh nhân
Xem xét triển khai uống thuốc vào khung giờ sớm hơn giờ hành chính
Với bệnh nhân: Khi có bất kỳ vấn đề gì khiến việc tuân thủ điều trị Methadone cần liên hệ với cơ sở điều trị, CBYT để được hỗ trợ trong việc điều trị.The study aimed to identify treatment adherence and its influencing factors among patients attending the methadone maintenance treatment (MMT) at the Center for Disease Control in Dak Lak province. The mixed methods research was applied in this study. The quantitative data used the questionnaire to examine the situation of treatment adherence, while the qualitative data was collected by in-depth interview guidelines to explore the influencing factors. The study was conducted from October 2021 to October 2022. The data was collected from June to July in the Center for Disease Control in Dak Lak province. Of the 185 patients, 17.8% had dropped out of MMT, whereas 82.2% had perceived adherence to methadone treatment. The most-cited reasons for dropping out of MMT were: Busy (62.1%), Forgetting (34.5%), Lack of transportation (17.2%), No one reminded (13.8%), Late (6.9%), Change of residence (6.9%), Economic difficulties (3.5%), Health problems (3.5%). The influencing factors related to methadone adherence include: Living without a husband/wife, being experienced discrimination for 30 days, and finding it challenging to reach out on methadone during the Covid-19 pandemic. The quantitative results show that the family factors and methadone treatment services were not associated with methadone adherence
however, the qualitative results highlight that these factors were more likely to influence methadone adherence. Based on this study’s findings, treatment facilities should be improved the process of methadone treatment, such as minimizing the administrative procedures for patients and arranging the earlier time than office hours. In addition, health workers should be trained to provide psychological support for patients.

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