Tuân thủ sử dụng thuốc, tự chăm sóc và chất lượng cuộc sống của người bệnh tiểu đường ở một số bệnh viện cộng đồng tại thành phố Hồ Chí Minh=Medication adherence, self-care and quality of life among adult diabetic patients in selected community hospital in Ho Chi Minh City

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Tác giả: Edreck D. Estioko, Bửu Tân Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.24-28

Bộ sưu tập: Báo, Tạp chí

ID: 477941

Thêm vào giỏ

Đánh giá sự tuân thủ sử dụng thuốc (TTSDT), tự chăm sóc (TCS) và chất lượng cuộc sống (CLCS) của người bệnh (NB) tiểu đường. Đồng thời, tìm hiểu sự tương quan giữa các yếu tố này trong việc NB tự quản lý bệnh tiểu đường. Phương pháp: Nghiên cứu tương quan mô tả, trên 308 NB tiểu đường từ 40 - 59 tuổi đang điều trị ngoại trú tại một số bệnh viện cộng đồng ở Thành phố Hồ Chí Minh. Kết quả: Phần lớn NB tiểu đường tuân thủ dùng thuốc, tự chăm sóc và có chất lượng cuộc sống tốt liên quan đến sức khỏe. Có mối tương quan vừa phải giữa TTSDT và TCS (r = 0,556, KTC 95% [0,400 - 0,667], p = 0,000). Có mối tương quan vừa phải giữa TTSDT và CLCS (r = 0,513, KTC 95% [0,318 - 0,665], p = 0,000). Có mối tương quan chặt chẽ giữa việc TCS và CLCS (r = 0,718, KTC 95% [0,592 - 0,816], p = 0,000). Có mối liên quan giữa việc TTSDT, khả năng TCS và CLCS (p = 0,000). TTSDT ảnh hưởng đến CLCS (p = 0,041), việc TCS cũng ảnh hưởng đến CLCS (p = 0,000). Việc TTSDT và TCS ảnh hưởng đến CLCS 52,5% (Bình phương R hiệu chỉnh = 0,525). Kết luận: Để cải thiện CLCS của NB tiểu đường, việc tự quản lý bệnh tiểu đường phải được cải thiện thông qua việc TTSDT và TCS.This study aimed to assess medication adherence, self-care, and quality of life in adult diabetic patients. Method: A descriptivecorrelational research design on 308 adult diabetic patients from 40 - 59 years old, at outpatient department of community hospitals in Ho Chi Minh City. Results: This study found remarkable results. The majority of diabetic patients are medication adherence, self-care, and have a good health-related quality of life. There is moderate correlation between medication adherence and self-care (r = 0.556, 95% CI [0.400 - 0.667], p = 0.000). There is moderate correlation between medication adherence and quality of life (r = 0.513, 95% CI [0.318 - 0.665], p = 0.000). There is strong correlation between self-care and quality of life (r = 0.718, 95% CI [0.592 - 0.816], p = 0.000). There is a significant relationship between the self-assessed medication adherence, self -care and health-related quality of life (p = 0.000). Medication adherence affects quality of life (p = 0.041), self-care also affects quality of life (p = 0.000). Medication adherence and self-care affect 52.5% to quality of life (Adjusted R Square = 0.525). Conclusion: In order to improve the quality of life of diabetic patients, self - management of diabetes must be improved through medication adherence and self -care.

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