CURRENT STATUS OF TREATMENT ADHERENCE AMONG OUTPATIENTS WITH TYPE 2 DIABETES MELLITUS AT THE THANH HOA REGIONAL MEDICAL CENTER, TAY NINH PROVINCE IN 2025
Main Article Content
Abstract
Objective: To describe the status of treatment adherence among outpatients with type 2 diabetes mellitus at Thanh Hoa regional Health Center, Tay Ninh province, in 2025, and to identify factors associated with overall treatment adherence.
Subjects and methods: A descriptive cross-sectional study was conducted among 384 patients diagnosed with type 2 diabetes mellitus who were receiving outpatient treatment at Thanh Hoa regional Health Center from October to December 2025. Treatment adherence was assessed and described across four domains: dietary adherence, medication adherence, adherence to physical activity, and adherence to blood glucose monitoring and scheduled follow-up visits.
Results: The overall rate of treatment adherence was 44.79%. Adherence to blood glucose monitoring and scheduled follow-up visits reached 100%, medication adherence was 93.49%, dietary adherence was 74.22%, and adherence to physical activity was 58.85%. Factors significantly associated with overall treatment adherence included age and the presence of complications: patients aged < 60 years demonstrated higher adherence than those aged ≥ 60 years, and patients with diabetes-related complications showed higher adherence compared with those without complications (p < 0.05).
Conclusion: The overall treatment adherence rate among outpatients with type 2 diabetes mellitus receiving care at Thanh Hoa regional Health Center was low, at 44.79%. Targeted and comprehensive interventions are required to improve overall treatment adherence, thereby achieving better glycemic control, reducing the risk of complications, and enhancing patients’ quality of life.
Article Details
Keywords
Treatment adherence, type 2 diabetes mellitus, outpatients.
References
[2] International Diabetes Federation. IDF Diabetes Atlas, 10th ed., 2021.
[3] Phan D.H, Vu T.T, Doan VT et al. Assessment of the risk factors associated with type 2 diabetes and prediabetes mellitus: a national survey in Vietnam. Medicine, 2022, 101 (41): e31149. doi: 10.1097/md.0000000000031149.
[4] American Diabetes Association. Standards of medical care in diabetes 2024 abridged for primary care providers. Clinical Diabetes, 2024, 42 (1), 3-25.
[5] Trung tâm Y tế khu vực Thạnh Hóa. Báo cáo hoạt động năm 2024, 2024.
[6] Đỗ Quang Tuyển. Mô tả kiến thức, thực hành và các yếu tố liên quan đến tuân thủ điều trị ở bệnh nhân đái tháo đường type 2 đang điều trị ngoại trú tại Bệnh viện Lão khoa Trung ương. Luận văn thạc sĩ y tế công cộng, Trường Đại học Y tế Công cộng, 2012.