Home blood pressure monitoring was independently associated with a reduced likelihood of uncontrolled hypertension (OR 0.48), alongside higher disease awareness and better medication adherence.
Cross-Sectional (n=280)
No
Are disease awareness, medication adherence, and home blood pressure monitoring associated with blood pressure control in hypertensive patients?
Disease awareness, medication adherence, and home blood pressure monitoring are independent predictors of blood pressure control in hypertensive patients, highlighting the importance of patient-centered management strategies.
Odds Ratio: 0.48 (95% CI 0.29–0.78)
p-value: p=0.003
Aims: Hypertension (HT) remains a major global health problem, and achieving optimal blood pressure (BP) control continues to be challenging in clinical practice. Patient-related factors such as disease awareness, medication adherence, and home blood pressure monitoring (HBPM) behaviors play a crucial role in HT management. This study aimed to evaluate the relationship between these factors and BP control.Methods: This prospective, single-center, cross-sectional study included 280 adult patients with HT. Disease awareness was assessed using the Hypertension Knowledge-Level Scale (HK-LS), and medication adherence was evaluated using the Adherence to Refills and Medications Scale (ARMS). HBPM habits were assessed using a structured questionnaire. Multivariable logistic regression analysis was performed to identify independent predictors of uncontrolled HT. Model performance was evaluated using receiver operating characteristic analysis, calibration plots, and decision curve analysis.Results: A total of 280 patients were analyzed, of whom 132 (47.1%) had uncontrolled HT. Patients with uncontrolled HT had significantly lower HK-LS scores and higher ARMS scores (p
Murat Karamanlıoğlu (Mon,) conducted a cross-sectional in Hypertension (n=280). Home blood pressure monitoring (HBPM) vs. No home blood pressure monitoring was evaluated on Uncontrolled hypertension (OR 0.48, 95% CI 0.29-0.78, p=0.003). Home blood pressure monitoring was independently associated with a reduced likelihood of uncontrolled hypertension (OR 0.48), alongside higher disease awareness and better medication adherence.