Sự tuân thủ điều trị của bệnh nhân đái tháo đường týp 2

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Văn Mãi Đỗ, Đức Thái Hoàng, Chí Thành Lý

Ngôn ngữ: Vie

Ký hiệu phân loại:

Thông tin xuất bản: Y học cộng đồng 2021

Mô tả vật lý: 46-51

Bộ sưu tập: Metadata

ID: 399782

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Đánh giá sự tuân thủ của bệnh nhân đái tháo đường týp 2 tại Trung tâm Y tế huyện Mỹ Xuyên.Nghiên cứu cắt ngang, mô tả và phân tích trên 385 hồ sơ bệnh án bệnh nhân đái tháo đường tại Trung tâm Y tế huyện Mỹ Xuyên, từ tháng 11/2019 đến tháng 03/2020.Tỷ lệ BN mắc bệnh ĐTĐ týp 2 ở nữ chiếm 64,4%, nam chiếm 35,6%, có độ tuổi trung bình 60,0±10,0, số tuổi lớn nhất là 92 và số tuổi nhỏ nhất là 40. Chủ yếu có thời gian điều trị đái tháo đường týp 2 từ 4-7 năm với tỉ lệ 24,9%, bệnh nhân điều trị từ 1-3 năm và >
11 năm đều chiếm 23,6%. Bệnh nhân điều trị 8-11 năm là 18,4%. Nhóm bệnh nhân có khoảng thời gian điều trị 6 tháng có tỉ lệ thấp nhất chiếm khoảng 9,4%. Có 71,2% bệnh nhân tuân thủ tốt điều trị, còn lại 28,8% bệnh nhân được khảo sát tuân thủ kém. Nguyên nhân dẫn đến không tuân thủ điều trị: 67,6% hay quên việc uống thuốc, 43,2% là quá bận rộn với công việc hay gia đình, 25,2% sợ tác dụng phụ của thuốc như đau bụng, tiêu chảy, nhức đầu, mệt mỏi... Những nguyên nhân khác dẫn đến việc kém tuân thủ là do tiền thuốc quá tốn kém (17,1%), số lượng thuốc quá nhiều (36,0%), phải uống thuốc nhiều lần trong ngày (15,3%). Bệnh nhân tỏ ra không thích uống thuốc điều trị đã được khám và kê đơn (22,5%). Có 22,5% bệnh nhân thừa nhận họ kém tuân thủ là do các nguyên nhân khác.Có 71,2% bệnh nhân tuân thủ tốt điều trị, còn lại 28,8% bệnh nhân được khảo sát tuân thủ kém. Nguyên nhân dẫn đến không tuân thủ điều trị chủ yếu là hay quên việc uống thuốc (67,6%), 43,2% là quá bận rộn với công việc hay gia đình, 25,2% sợ tác dụng phụ của thuốc như đau bụng, tiêu chảy, nhức đầu, mệt mỏi..., Tóm tắt tiếng anh, To assess the treament compliance of patients with type 2 diabetes at My Xuyen District's Medical Center.Study of description and analysis on 385 medical records of diabetes at My Xuyen District's Medical Center, from November 2019 to March 2020.The proportion of patients with type 2 diabetes in women accounted for 64.4%, men accounted for 35.6%, with the average age of 60.0 ± 10.0 years old, the largest age was 92 and the smallest age was 40. Mainly, having 4-7 years of treatment for type 2 diabetes with the rate of 24.9%, patients treated from 1-3 years and >
11 years both accounted for 23.6%. Patients treated for 8-11 years was 18.4%. The group of patients with treatment period 6 months had the lowest rate, accounting for about 9.4%. There were 71.2% of patients complying well with treatment, the remaining 28.8% of patients surveyed poor compliance. Causes of non-compliance: 67.6% of pateints forgot to take medicine, 43.2% of pateints was too busy with work or family, 25.2% with afraid of side effects of drugs such as abdominal pain and diarrhea. flow, headache, fatigue... Other causes of non-compliance were due to high cost of drugs (17.1%), too many drugs (36.0%), many times to take drugs during days (15.3%). Patients who showed no interest in taking medicines that have been prescribed (22.5%). 22.5% of patients admitted that their poor compliance was due to other reasons. There were 71.2% of patients complying well with treatment, the remaining 28.8% of patients were surveyed poor compliance. The main reasons for non-compliance were due to forgetting to take medicine (67.6%), 43.2% ofpateints were too busy with work or family, 25.2% of patients were afraid of the side effects of drugs such as stomachache, diarrhea, headache, fatigue...

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