Kiến thức chăm sóc sức khỏe sau nhiễm Covid-19 của bệnh nhân cao tuổi bệnh tăng huyết áp & đái tháo đường (Nghiên cứu tại Tp.HCM năm 2022)

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Tác giả: Bá Phẩm Lê, Thị Hoàng Liễu Lê, Văn Gắt Lê

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y Dược học Phạm Ngọc Thạch, 2023

Mô tả vật lý: tr.210

Bộ sưu tập: Metadata

ID: 339329

Thêm vào giỏ Liên kết toàn văn

Hiện nay bệnh nhân cao tuổi bệnh tăng huyết áp & đái tháo đường là một trong những nhóm bệnh nhân nhiễm Covid-19, có nhiều nguy cơ sức khỏe sau nhiễm Covid-19. Nghiên cứu được thực hiện qua khảo sát bảng hỏi và phỏng vấn sâu 134 bệnh nhân cao tuổi sau nhiễm Covid-19 mắc bệnh nền tăng huyết áp & đái tháo đường khám điều trị ngoại trú tại Bệnh viện huyện Bình Chánh. Kết quả có đến 89% bệnh nhân cao tuổi hiểu, biết chăm sóc sức khỏe sau nhiễm Covid -19 qua dinh dưỡng, vận động, điều trị liên tục. Tuy nhiên, 52% người cao tuổi trong mẫu nghiên cứu không có hành vi thực hiện chế độ dinh dưỡng, vận động, duy trì khám điều trị theo lịch hẹn của cơ sở y tế. Họ tự sử dụng đơn thuốc cũ mua thuốc điều trị. Trong mẫu nghiên cứu có đến 36% người cao tuổi phải nhập viện điều trị nội trú do huyết áp và đường huyết không ổn định kèm với các biểu hiện biến chứng do đái tháo đường và, tăng huyết áp. Ngày điều trị có ý nghĩa thống kê trong điều trị Covid-19, P <
0.05. Bệnh nhân có thời gian điều trị tại khoa Hồi sức tích cực >
7 ngày có sử dụng máy oxy dòng cao HFNC và, sử dụng máy Oxy dòng cao HFNC, và bệnh nhân có thời gian điều trị trên 14 ngày tại Khoa Nhiễm đều, có nhiều biểu hiện của hậu Covid-19. Có mối liên hệ tuổi, giới, thu nhập với hành vi chăm sóc sức khỏe sau nhiễm Covid-19 của bệnh nhân cao tuổi bệnh tăng huyết áp & đái tháo đường. Một số ngưởi cao tuổi không có thu nhập, sống phụ thuộc vào con cái. Họ đã không duy trì thực hiện chế độ dinh dưỡng, vận động, khám, điều trị ngoại trú theo định kỳ tại cơ sở y tế, mặc dù họ có những triệu chứng biểu hiện của hậu Covid-19. Thay vào đó là họ ăn uống phụ thuộc gia đình, theo sở thích, tự mua thuốc theo đơn thuốc cũ, hoặc tự điều trị bằng thực phẩm chức năng, thảo dược.Abstract Elderly patients with hypertension & diabetes are one of the groups of patients infected with Covid-19, having many health risks after being infected with Covid-19 to day. The study was done through a surveystudy and anin - depth interview survey of 134 elderly patients with hypertension and diabetes who were examined for outpatient treatment after Covid-19 infection at Binh Chanh District Hospital. As a result, up to 89% ofof the elderly patients understood and knew about health care after Covid-19 infection through nutrition, exercise, and continuous treatment.However, up to 52% of the elderly people in this study no longer have the behavior ofto following the diet and, exercise, andmaintaining medical examination and treatment according to appointment. They treated themseves by buying treatment drugs with use the old prescriptions to buy treatment drugs themselves. Up to 36% of the patients were hospitalized for inpatient treatment due to blood pressure andunstable blood sugarlevel. Statistically significant in the day treatment of Covid-19, P <
0.05. The patients with >
7 days of intensive care in the ICU, using HFNC high - flow oxygen machines and the patients with a treatment time >
14 days at the Department of Infection, there are had many symptoms of post Covid-19. There is a relationship between age, gender, income and health care behavior after Covid-19 infection of the elderly patients with hypertension & diabetes. Some elderly patients have no income, thus depend on their children. They no longer maintained the nutrition, exercise, and periodic outpatient visits at medical facilities. Instead, their nutrition depends on their families, and theybuying bought their own medicines according towithold prescriptions, orgave self - treatment with functional foods or, herbs. DOI: 10.59715/pntjmp.1.2.25

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