Olorunfemi Olaolorunpo, Ojewole Foluso
School of Nursing University of Benin Teaching Hospital Benin Edo State Nigeria.
Department of Nursing Babcock University Ilisha Remo Ogun State Nigeria.
Nurs Open. 2018 Sep 14;6(1):197-202. doi: 10.1002/nop2.199. eCollection 2019 Jan.
The study aim was to determine the level of medication adherence, patient medication belief and to determine the correlation between medication belief and medication adherence among patients with diabetes. This is to find out whether medication belief of patient could enhance medication adherence which in turn would promote effective management of diabetic mellitus in Nigeria.
The World Health Organization (WHO, 2015) estimated that over 366 million people are affected. The government and other non-governmental organizations such as Diabetic Association of Nigeria (DAN) put several programmes in place to reduce the incidence of the disease, but minimal progress has been recorded, and the factors responsible for that is a big dilemma in the heart of researchers in the field. Empirical findings showed that, there is increased rate of re-admission among DM patients and this is associated with poor medication adherence. There is a need to examine the factors responsible for poor medication adherence among patients with diabetes. In the review of the literature, medication belief is one of the major implicated factors, but there is no substantial evidence-based research to validate this presumption in Nigeria. Therefore, this study is to find out the relationship between medication belief and medication adherence among patients with diabetes.
A correlational research design was adopted, to enable the researcher in determining the association between the medication belief and medication adherence among patients with diabetes mellitus.
A total enumeration was adopted for the study, where all the registered adult patients were invited to join the study voluntarily and informed verbal consent was obtained, after explaining the importance of the study. A total of 180 patients with diabetes participated in the study. The Beliefs about Medicines Questionnaires (BMQ) and Morisky Medication Adherence Scale were used. This is a standardized scale and well validated with a reliability coefficient of 0.86, using split-half model. A simple frequency distribution table and Spearman's rho correlational statistic were used to test the hypothesis at 0.05 level of significance.
The data analysis shows that the clients had a negative perception about medication and believed that medication had the tendency of causing harm or poison to their system. The correlation between medication belief and medication adherence showed = 0.005 which means that there is a statistical relationship between the two variables.
本研究旨在确定糖尿病患者的药物依从性水平、患者的用药信念，并确定用药信念与药物依从性之间的相关性。这是为了弄清楚患者的用药信念是否能提高药物依从性，进而促进尼日利亚糖尿病的有效管理。
世界卫生组织（2015年）估计，超过3.66亿人受到影响。政府和其他非政府组织，如尼日利亚糖尿病协会（DAN）实施了多项计划以降低该疾病的发病率，但进展甚微，而造成这种情况的因素是该领域研究人员心中的一大难题。实证研究结果表明，糖尿病患者再次入院率有所上升，这与药物依从性差有关。有必要研究导致糖尿病患者药物依从性差的因素。在文献综述中，用药信念是主要的相关因素之一，但在尼日利亚，尚无充分的循证研究来证实这一假设。因此，本研究旨在找出糖尿病患者用药信念与药物依从性之间的关系。
采用相关性研究设计，以便研究人员确定糖尿病患者用药信念与药物依从性之间的关联。
本研究采用全面普查，在向所有登记的成年患者解释研究的重要性后，邀请他们自愿参与研究并获得口头知情同意。共有180名糖尿病患者参与了研究。使用了药物信念问卷（BMQ）和莫里isky药物依从性量表。这是一个标准化量表，采用折半模型，信度系数为0.86，经过充分验证。使用简单频率分布表和斯皮尔曼等级相关统计量在0.05的显著性水平下检验假设。
数据分析表明，患者对药物有负面看法，认为药物有对其身体造成伤害或中毒的倾向。用药信念与药物依从性之间的相关性显示为 = 0.005，这意味着这两个变量之间存在统计关系。
