My SciELO
Services on Demand
Article
Indicators
- Cited by SciELO
Related links
- Similars in SciELO
Share
Revista Cubana de Medicina
On-line version ISSN 1561-302X
Abstract
RODRIGUEZ REYES, Jorge Alexis; FONSECA GONZALEZ, Katia; SALAZAR RODRIGUEZ, Jorge Félix and MARRERO MARTINEZ, Dialexzy. Therapeutic adherence in hypertensive patients with morning hypertension. Rev cubana med [online]. 2020, vol.59, n.3 Epub Nov 12, 2020. ISSN 1561-302X.
Introduction:
The morning hypertension detected by ambulatory monitoring is associated with target organ damage and a higher incidence of cardiovascular events.
Objective:
To determine the therapeutic adherence in hypertensive patients with a morning hypertension.
Methods:
A cross-sectional study was carried out in 195 hypertensive patients admitted to the internal medicine service at Calixto García University Hospital in 2018. They showed a morning increase of blood pressure and therapeutic adherence was assessed using the self-reported compliance test by Morisky-Green-Levine. The variables identified as relevant predictors of non-adherence were entered in a multivariate logistic regression model.
Results:
63.6% of the patients with morning hypertension were non-adherent. Male patients predominated. 71.6%. 84.0% (p = 0.00) of the non-adherents had 3 to 4 antihypertensive drugs, 90.2% (p = 0.00) took 3 or more doses. 50.5% of the patients were diagnosed for more than 5 years.
Conclusions:
Patients with morning hypertension were described as non-adherent to antihypertensive therapy.
Keywords : morning increase in blood pressure; therapeutic adherence; arterial hypertension.