Adeniran A O, Olofin A A, Irabor A E, Adetunji A A, Ayodapo A O, Olorunsola A
Department of Family Medicine, University College Hospital, Ibadan, Oyo State, Nigeria.
Ann Ib Postgrad Med. 2025 Mar 31;23(1):7-14.
Adherence to medications in chronic medical conditions such as systemic hypertension has been a major challenge globally. A number of factors responsible for this have been documented, but there are only few researches that explore the role spirituality can play in medication adherence.
To determine the relationship between spirituality and medication adherence in patients with hypertension.
This was a hospital-based cross-sectional study. Data collection was done using interviewer-administered questionnaires. Patients' spirituality levels and medication adherence were assessed using validated questionnaires. The relationship between participants' medication adherence and related variables was obtained while logistic regression was used to determine the independent predictors of poor medication adherence of respondents.
A total of 376 patients were interviewed with 62.8% being female. Two-thirds of the participants (65.7%) had low medication adherence while the remaining one-third (34.3%) had high medication adherence. More than half of the participants (61.2%) had low levels of spirituality, 123 of them (32.7%) had moderate levels of spirituality while just 6.1% had high spirituality levels. The higher the level of spirituality, the lower the medication adherence (p=0.001).
There is both poor medication adherence and low level of spirituality among the respondents. Spirituality was found to have an inverse relationship with medication adherence.
在诸如系统性高血压等慢性疾病中，坚持服药一直是全球面临的一项重大挑战。造成这一现象的诸多因素已被记录在案，但仅有少数研究探讨了精神信仰在服药依从性方面可能发挥的作用。
确定高血压患者的精神信仰与服药依从性之间的关系。
这是一项基于医院的横断面研究。通过访谈员发放问卷来收集数据。使用经过验证的问卷评估患者的精神信仰水平和服药依从性。获取参与者服药依从性与相关变量之间的关系，同时使用逻辑回归来确定受访者服药依从性差的独立预测因素。
共访谈了376名患者，其中62.8%为女性。三分之二的参与者（65.7%）服药依从性低，而其余三分之一（34.3%）服药依从性高。超过一半的参与者（61.2%）精神信仰水平低，其中123人（32.7%）精神信仰水平中等，只有6.1%精神信仰水平高。精神信仰水平越高，服药依从性越低（p = 0.001）。
受访者中服药依从性差且精神信仰水平低。研究发现精神信仰与服药依从性呈负相关。
