Thực trạng tuân thủ sử dụng thuốc của người bệnh lao kháng thuốc tại bệnh viện phổi Hà Nội và một số yếu tố liên quan=The current status of drug adherence among drug-resistant tuberculosis of patients at Hanoi Lung Hospital and some related factors

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Tác giả: Hoàng Anh Phạm, Bảng Đại Trần, Thị Lý TrầN

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y học cộng đồng, 2023

Mô tả vật lý: tr.54-62

Bộ sưu tập: Báo, Tạp chí

ID: 477750

Thêm vào giỏ

Outbreaks of tuberculosis and drug-resistant tuberculosis are the main threat to tuberculosis control globally. Drug adherence in patients with drug-resistant tuberculosis needs to be investigated and interventions to improve the effectiveness of treatment for patients. Objectives: Describing the status of drug adherence among drug-resistant TB patients at Hanoi Lung Hospital and some related factors in 2018. Methods: Cross-sectional survey. Results and conslusion: The rate of patient’s adherence to medication use in the attack phase was 51,1%, in the maintenance phase was 54,8% and in overall adherence rate was 53,1%. The factors associated with statistical significance with adherence to drugs for drug-resistant TB include: Factors belonging to the patients (education level, knowledge of drug-resistant TB, comorbidities, risk behavior risks such as drinking beer/alcohol, smoking tobacco/waterpipe and drugs use), family and social factors, health service factors and drugs/treatment regimens (p<
0.05).Sự bùng phát của bệnh lao và lao kháng thuốc (LKT) là mối đe dọa chủ yếu cho công tác phòng chống lao trên toàn cầu. Tuân thủ sử dụng thuốc ở người bệnh lao kháng thuốc cần được khảo sát và có biện pháp can thiệp nhằm nâng cao hiệu quả điều trị cho người bệnh. Mục tiêu: Mô tả thực trạng tuân thủ sử dụng thuốc của người bệnh lao kháng thuốc tại Bệnh viện Phổi Hà Nội và một số yếu tố liên quan, năm 2018. Phương pháp: Nghiên cứu cắt ngang Kết quả và kết luận: Tỷ lệ người bệnh LKT tuân thủ sử dụng thuốc trong giai đoạn tấn công là 51,1%, trong giai đoạn duy trì là 54,8% và tỷ lệ tuân chung là 53,1%. Các yếu tố liên quan có ý nghĩa thống kê với việc tuân thủ sử dụng thuốc bao gồm: Các yếu tố thuộc về NB (trình độ học vấn, kiến thức về LKT, bệnh kèm theo, hành vi nguy cơ như uống bia/rượu, hút thuốc lá/lào và sử dụng ma túy), các yếu tố gia đình, xã hội, các yếu tố về dịch vụ y tế và thuốc/phác đồ điều trị (p<
0,05).

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