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Revista Cubana de Medicina
versão impressa ISSN 0034-7523versão On-line ISSN 1561-302X
Resumo
RODRIGUEZ REYES, Jorge Alexis; FONSECA GONZALEZ, Katia; SALAZAR RODRIGUEZ, Jorge Félix e MARRERO MARTINEZ, Dialexzy. Therapeutic adherence in hypertensive patients with morning hypertension. Rev cubana med [online]. 2020, vol.59, n.3, e1368. Epub 12-Nov-2020. ISSN 0034-7523.
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.
Palavras-chave : morning increase in blood pressure; therapeutic adherence; arterial hypertension.