Abstract

Objective: To describe the curent adherence to vitamin K antagonist treatment among patients with atrial fibrillation at Quang Ninh General Hospital and to identify factors related to treatment adherence.

Method: A cross-sectional descriptive study was conducted in 211 patients with atrial fibrillation who were prescribed vitamin K antagonists, at Cardiological Ward of Quang Ninh General Hospital from October 1, 2019 to March 31, 2020.

Results: The percentages of patients had knowledge of the atrial fibrillation and anticoagulant therapy at average and good levels were 44,6% và 46,4%, respectively. The general status of adherence to treatment is 38,4%. In which, compliance with anticoagulant treatment is 72,5%, adherence to diet is 51,2% and compliance with alcohol restriction regime is 91,5%. Several factors are associated with anticoagulant treatment adherence: Ethnicity, INR group. Knowledge of disease and treatment. Guide the medication regimen, monitor complications. Guide periodic medical regimen. Explain the compliance reminder and explain the disease and risk factors.

Conclusion: The fact of patient adherence to treatment is quite low at 38,4%. Some factors related to patient compliance are knowledge, ethnicity, the INR, as well as the instructions of the health care provider. Therefore, it is advisable to increase counseling and guidance on compliance for patients, thereby improving knowledge and compliance practices of patients.