Tạp chí Khoa học Điều dưỡng

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

Thi Thuy Nguyen, Thi Minh Huong Dam — Mon, 29 Dec 2025 00:00:00 +0000

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.

Relationship between learning attitude, self-efficacy, and caring behavior among nursing students in selected universities in Vietnam

Hong Thiep Nguyen, D. Estioko Edreck — Tue, 06 Jan 2026 00:00:00 +0000

Objectives: This study aims to examine the relationship between learning attitude, self-efficacy, and caring behavior among undergraduate nursing students in three selected public universities in Vietnam.

Methods: A descriptive-correlational design was used with 428 nursing students from three public universities in southern Vietnam from December 2024 to February 2025. Standardized instruments were applied, including the R-SPQ-2F for learning attitudes, the Self-Efficacy for Learning and Performance Scale, and the Caring Behaviors Inventory (CBI-24). All tools were translated and culturally adapted for Vietnamese participants. Data analysis employed descriptive statistics, Pearson’s correlation, and regression modeling.

Results: Results showed moderate surface (M = 2.71, SD = 0.831 ) and deep (M = 3.32, SD = 0.7) learning approaches. Self-efficacy was rated as good in both self-learning (M = 2.63, SD = 0.48) and self-performance (M = 2.98, SD = 0.396). Caring behavior was consistently high across all domains, including being with (M = 4.85, SD = 0.746), doing with competence (M = 4.88, SD = 0.81), responding to needs (M = 5.01, SD = 0.81), and providing effective care (M = 4.89, SD = 0.942). Deep learning attitude was positively correlated with self-efficacy (r = 0.195–0.204, p < 0.001) and all caring behavior dimensions (r = 0.183–0.204, p < 0.001). Self-efficacy also correlated positively with caring behavior in both learning (r = 0.135–0.156) and performance domains (r = 0.135–0.165). Regression analysis confirmed a significant direct effect of self-efficacy on caring behavior (β = 0.3152, p < 0.001) and a smaller indirect effect mediated by learning attitude (estimate = 0.0378, p = 0.041), indicating partial mediation.

Conclusion: The findings highlight the importance of strengthening self-efficacy and fostering deep learning approaches to enhance compassionate and competent nursing care. Future research should design interventions that integrate these elements into nursing curricula.

Evaluation of the validity and reliability of the Vietnamese version of the perceived stress scale-10 among nursing students

Minh Sinh Do, Thi Hoa Do, Thi Hai Oanh Vu, Son Tung Nguyen — Tue, 20 Jan 2026 00:00:00 +0000

Objective: This study evaluated the psychometric properties of the Vietnamese version of the Perceived Stress Scale (VN-PSS-10) among nursing students.

Methods: A cross-sectional study was conducted with 350 nursing students from a university in Vietnam. Psychometric evaluation followed COSMIN guidelines, assessing content validity, structural validity, and reliability. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed, with internal consistency measured by Cronbach’s alpha and test-retest reliability assessed via intraclass correlation coefficients (ICC).

Results: The VN-PSS-10 demonstrated strong content validity (I-CVI: 0.80–1.00). EFA and CFA confirmed a two-factor structure (Perceived Helplessness and Perceived Self-Efficacy), explaining 54.2% of variance. The scale showed high internal consistency (Cronbach’s alpha = 0.84) and excellent test-retest reliability (ICC = 0.87). Stress levels varied significantly across academic years, with advanced students reporting higher perceived stress.

Conclusions: The Vietnamese Perceived Stress Scale (VN-PSS-10) is a valid and reliable tool for measuring perceived stress in Vietnamese nursing students. Its robust psychometric properties support its use in both research and educational settings. Future research should assess its responsiveness to stress-reduction interventions and its applicability to other student populations.