NGHIÊN CỨU TÌNH HÌNH TĂNG HUYẾT ÁP VÀ ĐÁNH GIÁ KẾT QUẢ CAN THIỆP Ở NGƯỜI TĂNG HUYẾT ÁP TỪ 25 TUỔI TRỞ LÊN TẠI HUYỆN THỚI BÌNH, TỈNH CÀ MAU NĂM 2022-2023

Abstract

Background: Hypertension is a common disease in the world as well as in Vietnam, in fact, this disease has not been adequately cared for, controlled and treated. Objectives: (1) To determine the prevalence and identify risk factors associated with hypertension in adults aged 25 years and older, (2) To evaluate the results of treatment intervention and adherence in hypertensive patients. Materials and method: A cross-sectional descriptive study with an analysis of 619 hypertensive patients aged 25 years and older and a non-controlled pre- and post-intervention study on 229 patients in each group. Results: The prevalence of hypertension was 37% (stage 1 hypertension accounted for 27.3%). Multivariate regression analysis showed that factors related to hypertension such as: family history of hypertension, age group, high sodium dietary habits and high consumption of saturated-fatty acids habits. After the intervention, the rate of blood pressure control was 77.7%, the adherence rate according to Morisky increased to 73.4%. The non-drug intervention factors improved such as increasing physical activity by 44.5%, weight loss by 28.7%. Conclusion: It is necessary to strengthen forms of family involvement in reminding, motivating and creating a favorable environment for patients to perform well in treatment adherence.