| Autor: |
Le LTH; Training and Direction of Healthcare Activity Center, Thai Nguyen National Hospital, Thai Nguyen City 241-24, Vietnam.; Biochemistry Department, Thai Nguyen National Hospital, Thai Nguyen City 241-24, Vietnam.; Director Office, Thai Nguyen National Hospital, Thai Nguyen City 241-24, Vietnam., Tran TT; International Ph.D. Program in Medicine, College of Medicine, Taipei Medical University, Taipei 110-31, Taiwan.; Department of Internal Medicine, Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen 241-17, Vietnam., Duong TV; School of Nutrition and Health Sciences, Taipei Medical University, Taipei 110-31, Taiwan., Dang LT; Faculty of Nursing and Midwifery, Hanoi Medical University, Hanoi 115-20, Vietnam.; School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei 112-19, Taiwan., Hoang TA; Hemodialysis Department, Nephro-Urology-Dialysis Center, Bach Mai Hospital, Hanoi 115-19, Vietnam., Nguyen DH; Hemodialysis Department, Nephro-Urology-Dialysis Center, Bach Mai Hospital, Hanoi 115-19, Vietnam., Pham MD; Department of Nutrition, Military Hospital 103, Hanoi 121-08, Vietnam.; Department of Nutrition, Vietnam Military Medical University, Hanoi 121-08, Vietnam., Do BN; Department of Military Science, Vietnam Military Medical University, Hanoi 121-08, Vietnam.; Department of Infectious Diseases, Vietnam Military Medical University, Hanoi 121-08, Vietnam., Nguyen HC; Director Office, Thai Nguyen National Hospital, Thai Nguyen City 241-24, Vietnam.; President Office, Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen City 241-17, Vietnam., Pham LV; Department of Pulmonary & Cardiovascular Diseases, Hai Phong University of Medicine and Pharmacy Hospital, Hai Phong 042-12, Vietnam.; President Office, Hai Phong University of Medicine and Pharmacy, Hai Phong 042-12, Vietnam., Nguyen LTH; Department of Pulmonary & Cardiovascular Diseases, Hai Phong University of Medicine and Pharmacy Hospital, Hai Phong 042-12, Vietnam., Nguyen HT; Director Office, Hai Phong International Hospital, Hai Phong 047-08, Vietnam., Trieu NT; Hemodialysis Division, Hai Phong International Hospital, Hai Phong 047-08, Vietnam., Do TV; Director Office, Bai Chay Hospital, Ha Long 011-21, Vietnam., Trinh MV; Director Office, Quang Ninh General Hospital, Ha Long 011-08, Vietnam., Ha TH; Director Office, General Hospital of Agricultural, Hanoi 125-16, Vietnam., Phan DT; Faculty of Nursing, Hanoi University of Business and Technology, Hanoi 116-22, Vietnam.; Nursing Office, Thien An Obstetrics and Gynecology Hospital, Hanoi 112-06, Vietnam., Nguyen TTP; Institute for Community Health Research, University of Medicine and Pharmacy, Hue University, Hue 491-20, Vietnam., Nguyen KT; Department of Health Promotion, Faculty of Social and Behavioral Sciences, Hanoi University of Public Health, Hanoi 119-10, Vietnam., Yang SH; School of Nutrition and Health Sciences, Taipei Medical University, Taipei 110-31, Taiwan.; Nutrition Research Center, Taipei Medical University Hospital, Taipei 110-31, Taiwan.; Research Center of Geriatric Nutrition, Taipei Medical University, Taipei 110-31, Taiwan. |
| Abstrakt: |
Treatment adherence (TA) is a critical issue and is under-investigated in hemodialysis patients. A multi-center study was conducted from July 2020 to March 2021 on 972 hemodialysis patients in eight hospitals in Vietnam to explore the factors associated with TA during the COVID-19 pandemic. Data were collected, including socio-demographics, an End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ), 12-item short-form health literacy questionnaire (HLS-SF12), 4-item digital healthy diet literacy scale (DDL), 10-item hemodialysis dietary knowledge scale (HDK), 7-item fear of COVID-19 scale (FCoV-19S), and suspected COVID-19 symptoms (S-COVID19-S). Bivariate and multivariate linear regression models were used to explore the associations. Higher DDL scores were associated with higher TA scores (regression coefficient, B, 1.35; 95% confidence interval, 95%CI, 0.59, 2.12; p = 0.001). Higher FCoV-19S scores were associated with lower TA scores (B, -1.78; 95%CI, -3.33, -0.24; p = 0.023). In addition, patients aged 60-85 (B, 24.85; 95%CI, 6.61, 43.11; p = 0.008) with "very or fairly easy" medication payment ability (B, 27.92; 95%CI, 5.89, 44.95; p = 0.013) had higher TA scores. Patients who underwent hemodialysis for ≥5 years had a lower TA score than those who received <5 years of hemodialysis (B, -52.87; 95%CI, -70.46, -35.28; p < 0.001). These findings suggested that DDL and FCoV-19S, among other factors, should be considered in future interventions to improve TA in hemodialysis patients. |
