Vo Thi Ha, Nguyen Thanh Huyen, Nguyen Huy Chuong, Nguyen Thanh Hiep
Faculty of Pharmacy, Pham Ngoc Thach University of Medicine, Ho Chi Minh, V-70000, Vietnam.
Department of Pharmacy, Nguyen Tri Phuong Hospital, Ho Chi Minh, V-70000, Vietnam.
Chronic Illn. 2024 Dec;20(4):618-630. doi: 10.1177/17423953231188755. Epub 2023 Jul 13.
We assess the impact of the COVID-19 pandemic on health, treatment adherence and expectations of patients with chronic diseases in Vietnam.
We conducted a national cross-sectional study using a questionnaire survey, distributed through social networks and presented on Google Forms. The survey was performed during two months of the most stringent social distancing in Vietnam (between 21 July and 21 September 2021).
Most of the participants said that the COVID-19 epidemic had affected their daily activities (91.9%), health (53.6%), sleep behavior (52.3%), and mental health (79.8%). During social distancing in Vietnam, three-quarter could not go to hospitals for periodic health examination; nearly half of respondents did not do daily physical activity; a quarter of respondents did not adhere to recommended diet plan. Factors associated with the effect of the COVID-19 epidemic on patient's health included those living in Ho Chi Minh City (= 0.015), lived alone (= 0.027), uncontrolled chronic conditions (< 0.001), treatment dissatisfaction or experienced anxiety/stress (< 0.001). Factors associated with medication adherence included the elderly (= 0.015), having periodic health examination (= 0.012), direct consultation (= 0.003), and telemedicine (= 0.007).
This study highlights the urgent need for better chronic management strategies for the new post-COVID era in the future.
我们评估了新冠疫情对越南慢性病患者的健康、治疗依从性和期望的影响。
我们通过在社交网络上分发并在谷歌表单上展示的问卷调查进行了一项全国性横断面研究。该调查在越南实施最严格社交距离措施的两个月期间(2021年7月21日至9月21日)进行。
大多数参与者表示,新冠疫情影响了他们的日常活动(91.9%)、健康(53.6%)、睡眠行为(52.3%)和心理健康(79.8%)。在越南实施社交距离措施期间,四分之三的人无法前往医院进行定期健康检查;近一半的受访者没有进行日常体育活动;四分之一的受访者没有遵守推荐的饮食计划。与新冠疫情对患者健康影响相关的因素包括居住在胡志明市(=0.015)、独居(=0.027)、慢性病未得到控制(<0.001)、对治疗不满意或经历焦虑/压力(<0.001)。与药物依从性相关的因素包括老年人(=0.015)、进行定期健康检查(=0.012)、直接咨询(=0.003)和远程医疗(=0.007)。
本研究凸显了未来为新冠后新时代制定更好的慢性病管理策略的迫切需求。