| Summary: | 碩士 === 美和科技大學 === 護理系健康照護碩士班 === 106 === Background: Successful treatment of high blood pressure was very important in reducing morbidity and mortality, as well as controlling the related healthcare cost. Adherence to antihypertensive medications could reduce the frequency of complications of disease and significantly increase health related quality of life for patients. In Vietnam, percentage of adherence to antihypertensive drug therapy was still low. Patient who is non-adherence may aggravate health and reduced their health related quality of life.
Objective: The aim of the study was to survey the rate of adherence, patients’ health related quality of life after having antihypertensive medication and to explore the correlations of patients’ adherence behavior and quality of life at Thu Duc hospital.
Methods: Correlation study design was carried out to answer the research phenomena during July 2017 to May 2018. A total of 140 eligible hypertensive patients were convenience chosen and completed interviews with a structured questionnaire at the internal cardiovascular clinic, Thu Duc hospital. The adherence to treatment and the health related quality of life were self-reported using the Morisky, Green & Levine scale and the Short Form 36 Health Survey. Using statistical method: T-test, Anova, Post-hoc test. The level of significance was set as p<0.05.
Results: The patients were mostly female (61.4%), more than half (62.1%) were aged over 54, 51.4% with secondary level, 58.6% were married, 37.9% were old/retired, 22.1% were housewife. The length of having antihypertensive treatment was 1-5 years (43.6%) and 5 -10 years (27.1%). 81.4% with other comorbidities. 73.6% used prescriptions one time a day. As to antihypertensive treatment, 47.1% with high adherence, 33.6% with medium adherence and 19.3% with low adherence. Mean score of the health-related quality of life was 61.75 (above average) with a standard deviation of 18.37. There were significant differences between adherence and occupation, the length of having antihypertensive treatment, other comorbidities. This study has also shown that health related quality of life was significantly influenced by age, gender, occupation, education, marital status, length of having antihypertensive treatment, other comorbidities. The results also noted that patients’ adherence behavior had the correlations with two domains of HRQOL including emotional well-being and social functioning.
Conclusion: To enhance health related quality of life, it is necessary to strengthen the health education for hypertension patients about adherence of having antihypertensive medication. Therefore, based on the findings in this study, hospital will develop appropriate care strategies of improvement of the adherence and quality of life for hypertension patients.
Keywords: Hypertension, adherence, health related quality of life, antihypertensive
|
|---|
