Abstract

Introduction: Can religious beliefs associated with the prior knowledge about the disease and treatment promote therapy adherence in hypertensive patients? Objective: To identify association between the religiosity index (DUREL), level of education and performance on the knowledge test and blood pressure control. Method: Cross-sectional study of a quantitative approach, were eligible 63 hypertensive patients for which knowledge tests were used, Morisky Green, and the Religion Index (DUREL). The research was approved by the Ethics and Research Committee. The surveys were applied on the occasion of the nursing consultation and measurement of blood pressure (BP) of Office and by Ambulatory Blood Pressure Monitoring (ABPM) Results: Regarding the socio demographic characteristic predominated in this study: female 55.6%, the average age of 53.48±10 years, high school complete 31.7%, Catholic religion 79.4%, ethnicity 52.4% white, marital status married 66.7%, average BMI 30.14±5 kg/m 2 . In BP Office showed average systolic blood pressure (SBP) 153.58±27 mm/Hg) and the diastolic blood pressure (DBP) 91.38 ± 15 mm/Hg. The mean values of SBP obtained with ABPM was 148.93±19 mm/Hg and 91.78±15 mm/Hg to DBP at day time, and 135.78 ±18 mm/Hg to SBP and 79.33 ±15 mm/Hg to DBP sleep time. In relation to the test of Morisky-Green to correlate with the values of the BP Office showed statistical significance (p = 0.004), for patients with therapy adherence in relation to the SBP; identified 20 adherent patients (score=4) vs non-adherent patients 43 (score ≤ 3). In relation to the blood pressure values of ABPM showed statistical significance also for SBP in the sleep time (p=0.000), and DBP (p= 0,017) the Morisky test. In relation the analysis of the performance test of prior knowledge and the blood pressure values, there was no statistical significance. Concerning the association of the Religiosity index with the values of the BP Office and ABPM there was no statistical significance. Conclusion: The Index of Religiosity (DUREL) and the performance of prior knowledge about the disease and treatment were not sensitive to identify patients with better blood pressure control, unlike the Morisky Gren test, which was sensitive in identify patients with therapy adherence.

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