Khảo sát kiến thức về thuốc và sự tuân thủ điều trị của bệnh nhân đái tháo đường tuýp 2 tại huyện Châu Thành, tỉnh Đồng Tháp

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Thị Thu Hương Nguyễn, Văn Pho Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Nghiên cứu khoa học và Phát triển kinh tế, 2023

Mô tả vật lý: tr.275

Bộ sưu tập: Metadata

ID: 341187

Thêm vào giỏ Liên kết toàn văn

Mục tiêu của nghiên cứu là khảo sát kiến thức về thuốc điều trị và đánh giá mức độ tuân thủ điều trị của bệnh nhân đái tháo đường tuýp 2 tại huyện Châu Thành, tỉnh Đồng Tháp. Đây là một thiết kế nghiên cứu cắt ngang mô tả, thu thập dữ liệu qua các phiếu khảo sát trên 200 bệnh nhân điều trị ngoại trú tại 12 trạm y tế xã, thị trấn trực thuộc Trung tâm Y tế huyện Châu Thành, tỉnh Đồng Tháp từ tháng 01/2021 đến tháng 06/2021. Kết quả khảo sát kiến thức về thuốc ghi nhận 63,5% bệnh nhân biết tên loại thuốc đang dùng, 85% bệnh nhân biết tác dụng điều trị và 59% biết cách dùng thuốc. Chỉ 17% bệnh nhân biết về các tác dụng phụ và biết cách xử trí. Về đánh giá mức độ tuân thủ điều trị, 29,5% bệnh nhân tuân thủ tốt, 27,5% tuân thủ trung bình và 43% tuân thủ kém. Có 53,5% bệnh nhân cho biết đã từng quên uống thuốc. Phân tích các yếu tố liên quan tuân thủ điều trị với đặc điểm nhân khẩu học và đặc điểm sinh hóa bệnh đái tháo đường ghi nhận sự khác biệt có ý nghĩa thống kê về tỷ lệ tuân thủ điều trị với việc sống cùng gia đình (p = 0,015), với HbA1c (p = 0,004), với glucose máu lúc đói (p = 0,001) và với mục tiêu điều trị EPG <
7,2 mmol/l và HbAlc <
7 (p <
0,001). Các kết quả đánh giá cho thấy tỷ lệ bệnh nhân tuân thủ điều trị còn thấp, do đó cần có các biện pháp quản lý và tư vấn phù hợp nhằm cải thiện mức độ tuân thủ điều trị của bệnh nhân đái tháo đường tuýp 2.Poor adherence to medication regimens in type-2 diabetic patients is a notable health problem in clinical treatment and accounts for life-threatening complications. This study aims to survey medication knowledge and evaluate medication adherence in type-2 diabetic outpatients in the primary health care system of Chau Thanh district, Dong Thap province. A descriptive cross-sectional study was applied to over 200 information survey forms in diabetic outpatients treated at 12 primary health care units of Chau Thanh district, Dong Thap province from January 2021 to June 2021. The survey of medication knowledge recognized that 63,5% of diabetic patients knew the name of prescribed drugs, 85% got information on therapeutic effects, and 59% remembered the medication guide. However, only 17% of diabetic patients knew how to resolve the side effects of antidiabetic drugs. The evaluation of medication adherence revealed that 29,5% of the patients were in good compliance
27,5% of average compliance and 43% of poor compliance. There were 53,5% of the patients forgot the time to take the prescribed drug. The analysis of factors associated with medication adherence to demographic characteristics or biochemical criteria for diabetes mellitus recognized a statistically significant difference in adherence rate when the patient was living with family (p = 0,015), patient's HbAlc levels (p = 0,004), fasting blood glucose (p= 0,001), as well as treatment goals EPG <
7.2 mmol/l and HbAlc <
7 (p <
0,001). The results showed the rate of medication adherence in diabetic outpatients is quite low. From these results, it is necessary to improve the healthcare system policy and quality of patient counseling in order to improve treatment adherence in type-2 diabetic outpatients.

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