Medication adherence in hypertension: A cross-sectional study from a Vietnamese general hospital

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Nguyen, T. T., & Dam, T. M. H. (2025). Medication adherence in hypertension: A cross-sectional study from a Vietnamese general hospital. Tạp Chí Khoa học Điều dưỡng, 9(01), 6–16. https://doi.org/10.54436/jns.2026.01.1156

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Objective: Hypertension is a prevalent chronic condition in Vietnam that can lead to severe complications if not well controlled. Medication adherence plays a crucial role in effective blood pressure management. This study aimed to assess medication adherence and its associated factors among hypertensive patients in a private hospital setting.

Methods: A cross-sectional study was conducted at Tam Tri Quang Nam General Hospital in 2025 among adults aged ≥18 years with hypertension diagnosed for at least six months. Data were collected using a structured questionnaire, and medication adherence was assessed using the 8-item Morisky Medication Adherence Scale (MMAS-8). Descriptive statistics were used to summarize participant characteristics and levels of medication adherence. Non-parametric tests (Mann–Whitney U and Kruskal–Wallis tests) were applied to examine associations between medication adherence and related factors in univariate analyses. Variables identified were then entered into a multivariable linear regression model to determine independent predictors of medication adherence.

Results: More than half of patients had low medication adherence (52.9%), while only 8.0% showed high adherence. In univariate analyses, several factors were associated with adherence (p < 0.05). In multivariable linear regression, gender and the number of daily medications remained independently associated with adherence, with the number of daily medications being the strongest predictor.

Conclusion: Medication adherence among patients with hypertension was suboptimal. The number of daily medications was the strongest predictor of poor adherence, indicating the need to simplify treatment regimens and prioritize patients receiving multiple medications.

https://doi.org/10.54436/jns.2026.01.1156

Từ khóa

Hypertension, Medication adherence, Associated factors, Vietnam Hypertension, Medication adherence, Associated factors, Vietnam
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Tài liệu tham khảo

World Health Organization. Caring for people with noncommunicable diseases in Viet Nam: the nearest health care is often the best health care [Internet]. 2024 [cited 2026 Jan 3]. Available from: https://www.who.int/westernpacific/newsroom/feature-stories/item/caring-for-people-with-noncommunicable-diseases-in-viet-nam-the-nearest-health-care-is-often-the-best-health-care.

The World and Vietnam Report. About 12 million people with hypertension in Vietnam [Internet]. [cited 2026 Jan 3]. Available from: https://en.baoquocte.vn/about-12-million-people-with-hypertension-in-vietnam-272358.html.

World Health Organization. World Hypertension Day 2024: Measure Your Blood Pressure Accurately, Control It, Live Longer. [Internet]. [cited 2026 Jan 3]. Available from: https://www.who.int/srilanka/news/detail/17-05-2024-world-hypertension-day-2024--measure-your-blood-pressure-accurately--control-it--live-longer

Dang Thi Ngoc Yen, Pham Thanh Suol, Tran Yen Hao. View of study on the adherence to antihypertensive medications among patients treated at the Outpatient Department of Can Tho General Hospital in 2020. Can Tho J Pharm Sci. 2021;37:158–65. DOI: 10.22144/ctujos.2024.360.

Mebrahtu G, Moleki MM, Achila OO, Seyoum Y, Adnoy ET, Ovberedjo M. Antihypertensive Medication Adherence and Associated Factors: A Cross-Sectional Analysis of Patients Attending a National Referral Hospital in Asmara, Eritrea. Patient Prefer Adherence. 2021 Nov 23;15:2619–32. doi: 10.2147/PPA.S319987.

Tuyen T, Thoan H, Vo Q. Treatment adherence among patients with hypertension in Chau Thanh district, Soc Trang province in 2023 and associated factors. J Malar Prev Parasit Dis. 2024 Nov 30;139(1):58–65.

Dang Thi Ngoc Yen, Ta Thanh Hong, Nguyen Thi Huyen Tran, Le Thi Thuy, Do Thanh Tuyen, Vo Quang Lo Duyen. Medication adherence and associated factors among outpatients at the Can Tho City General Hospital in 2024. Can Tho University Journal of Science. 2024;394–401.

Adherence Blog. ADHERENCE. [cited 2026 Jan 3]. Adherence. Available from: https://www.moriskyscale.com/

Akbayan Markabayeva, Aiman Kerimkulova, Riza Nurpeissova, Gyulnar Zhussupova, Ayagyoz Umbetzhanova, Dinara Zhunussova, et al. Adherence to Antihypertensive Therapy: A Cross-Sectional Study Among Patients in the Republic of Kazakhstan. Int J Environ Res Public Health 2025. 2025 Sept 25;22(10):1483. doi: 10.3390/ijerph22101483.

Pal B, Dutta A, Chaudhary V, Kumari S, Meenakshi S, Murti K. Prevalence of antihypertensive medication adherence and associated factors in India: A systematic review and meta-analysis. Hipertens Riesgo Vasc. 2025 July 1;42(3):156–64. doi: 10.1016/j.hipert.2024.11.005.

Rowa’ Al-Ramahi. Adherence to medications and associated factors: A cross-sectional study among Palestinian hypertensive patients. J Epidemiol Glob Health. 2015 Jun;5(2):125-32. doi: 10.1016/j.jegh.2014.05.005.

Mekonnen HS, Gebrie MH, Eyasu KH, Gelagay AA. Drug adherence for antihypertensive medications and its determinants among adult hypertensive patients attending in chronic clinics of referral hospitals in Northwest Ethiopia. BMC Pharmacol Toxicol. 2017 Apr 5;18(1):27. doi: 10.1186/s40360-017-0134-9.

Ainiyah N, Zuhriyah N, Zahroh C, Damawiyah S, Kusumawati DR, Afiyah RK, et al. Influence of Self-Motivation and Health Locus of Control on Adherence to Medication Among Hypertension Patients. J Keperawatan Indones. 2023 Mar 31;26(1):11–9. DOI:10.7454/jki.v26i1.2526.

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