Volume 34, Issue 133 (December 2021)                   IJN 2021, 34(133): 54-65 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Amiri R, Mardani-Hamooleh M, Ashghali Farahani M, Ghaljeh M, Haghani S. The Relationship Between Spiritual Wellbeing With Medication Adherence in Hypertensive Patients Referred to Selected Heart Clinics of Iran University of Medical Sciences, Iran, 2020. IJN 2021; 34 (133) :54-65
URL: http://ijn.iums.ac.ir/article-1-3260-en.html
1- Department of Medical Surgical Nursing, Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Psychiatric Nursing, Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. , mardanihamoole.m@iums.ac.ir
3- Community Nursing Research Center, Department of Nursing Management, Zahedan University of Medical Sciences, Zahedan, Iran.
4- Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran.
Full-Text [PDF 5571 kb]   (545 Downloads)     |   Abstract (HTML)  (1210 Views)
Full-Text:   (687 Views)
1. Introduction
Epidemiological changes have made chronic diseases increasingly important. Hypertension is also known as a chronic disease. The high prevalence of hypertension worldwide has made the disease a significant health problem in communities. Spiritual health has been proposed as one of the health indicators and predictors of self-care in chronic diseases. The spiritual aspect of health is related to physical, mental, and social health in several ways. For example, in the field of health behaviors, religious commitment and spirituality activate a person's responsibility in health behaviors, such as nutritional and wellbeing behaviors that add physical and psychological effects. Even performing spiritual rituals increase social support, the latter component of which has been recognized as one of the social determinants of health and reduction of stress. Spirituality enhances social interactions and promotes social support as a source of health promotion, facilitation of recovery, reduction of risk factors and stress. Spiritual health plays a major role in the general health of individuals. Unfortunately, researchers pay little attention to spiritual health. This study aimed to determine the relationship between spiritual health and adherence to the treatment regimen in patients with hypertension.
2. Materials and Methods
In this descriptive correlational study, 121 patients with hypertension were selected by continuous sampling method from cardiac clinics affiliated with Iran University of Medical Sciences, Iran, in 2020. The study data were collected through demographic information form and validated Ellison and Paloutzian spiritual health and Hil-Bone diet adherence questionnaires. For data analysis, we performed the statistical tests of the Spearman, independent t test, Chi-square, and analysis of variance using SPSS software version 16. To observe ethical considerations, first, permission was obtained from the Research Ethics Committee of Iran University of Medical Sciences (Code: IR.IUMS.REC.1399.199). Then, a letter of introduction from the mentioned university was received, and the necessary coordination was made with the management of the studied centers. The research samples were then given the necessary information about the research process. They were reminded that participation in the study was optional and free to do so. The samples were also assured of information confidentiality.
3. Results
This study shows a significant and negative relationship between spiritual health and adherence to the treatment regimen in patients with hypertension (P=0.001, r=-0.05). Other results showed a statistically significant relationship between marital status and education and spiritual health, and there was a statistically significant relationship between the duration of illness and spiritual health. So, married people and children had a higher level of spiritual health, and with increasing the level of education, spiritual health increased significantly. Finally, there was a significant positive relationship between age and spiritual health. Another finding of this study was a significant relationship between individual variables (duration of illness, education, marital status, and age) with adherence to the treatment regimen. In addition, the results showed a statistically significant relationship between occupational status and adherence to the treatment regimen. The results showed a significant direct relationship between education levels with adherence to the treatment regimen. In this study, married people and children had followed the treatment regimen better.
4. Conclusion
Achieving a high level of spiritual health in the present study is not far from the culture of the Iranians, which is religious and inclined to spiritual values. The current study results also show that people in detrimental situations show strengths in their spiritual connections and try to establish mental peace. Achieving spirituality as an aspect of spiritual health seems to affect individuals' physiological and social health positively. As spiritual health increases, adherence to the treatment regimen in patients with hypertension decreases. Having spiritual health for this group of patients leads to less adherence to the treatment regimen. Considering the relationship between following the treatment regimen and reducing the complications caused by the disease and the speed of recovery of the disease, it is necessary that in treating people with hypertension, medical staff pay more attention to improving the patients' adherence to the treatment regimen. To promote the spiritual health of people, their adherence to the treatment regimen must be increased. In nursing education, nursing educators can use the findings of this study to design and implement their training programs so that nursing staff and students be involved with people with hypertension with the concept and importance of following a treatment regimen. 

Ethical Considerations
Compliance with ethical guidelines

This syudy was approved by the ethical committee of the Iran University of Medical Sciences (Code: IR.IUMS.REC.1399.199). All ethical principles are considered in this article. The participants were informed about the purpose of the research and its implementation stages. They were also assured about the confidentiality of their information. They were free to leave the study whenever they wished, and if desired, the research results would be available to them.

Funding
This study is extracted from the MA. thesis of the firast author at the Department of Medical Surgical Nursing, Nursing Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran.

Authors' contributions
Conceptualization: Reza Amiri, Marjan Mardani Hamouleh; Research: Mansoureh Ashghali Farahani, Reza Amiri, Analysis: Shima Haghani; Project Management: Marjan Mardani Hamoleh, Mahnaz Qaljeh; Editing and finalization: Marjan Mardani Hamouleh.

Conflict of interest
The authors declared no conflict of interest.

Acknowledgments
We want to thank the Vice-Chancellor for Research, Iran University of Medical Sciences for their help.


References
  1. Taher M, Safavi Bayat Z, Niromand Zandi K, Ghasemi E, Abredari H, Karimy M, et al. Correlation between compliance regimens with health locus of control in patients with hypertension. Med J Islam Repub Iran. 2015; 29:194. [PMID]
  2. Ramazani T, Dashti Z, Hozoori M, Mohebi S. [The relationship of nutritional awareness with hypertension with anthropometric indices in menopausal women (Persian)]. Journal of Health and Care. 2016; 18(2):139-49. http://hcjournal.arums.ac.ir/article-1-548-en.html
  3. Algabbani FM, Algabbani AM. Treatment adherence among patients with hypertension: Findings from a cross-sectional study. Clin Hypertens. 2020; 26:18. [DOI:10.1186/s40885-020-00151-1] [PMID] [PMCID]
  4. Nayeri ND, Dehghan M, Iranmanesh S. Being as an iceberg: Hypertensive treatment adherence experiences in southeast of Iran. Glob Health Action. 2015; 8:28814. [DOI:10.3402/gha.v8.28814] [PMID] [PMCID]
  5. Mukora-Mutseyekwa FN, Chadambuka EM. Drug adherence behavior among hypertensive out-patients at a tertiary health institution in Manicaland province, Zimbabwe, 2011. Patient Prefer Adherence. 2013; 7:65-70. [DOI:10.2147/PPA.S40295] [PMID] [PMCID]
  6. Sharifi S, Moeini M. [The effect of an Islamic spiritual program on life satisfaction of elderly patients with hypertension (Persian)]. J Clin Nurs Midwifery. 2016; 4(4):93-103. http://jcnm.skums.ac.ir/article-1-233-fa.html
  7. Oliveira-Filho AD, Barreto-Filho JA, Neves SJ, Lyra Junior DP. Association between the 8-item Morisky Medication Adherence Scale (MMAS-8) and blood pressure control. Arq Bras Cardiol. 2012; 99(1):649-58. [DOI:10.1590/S0066-782X2012005000053] [PMID]
  8. Bai M, Lazenby M, Jeon S, Dixon J, McCorkle R. Exploring the relationship between spiritual well-being and quality of life among patients newly diagnosed with advanced cancer. Palliat Support Care. 2015; 13(4):927-35. [DOI:10.1017/S1478951514000820]
  9. Tiew LH, Creedy DK, Chan MF. Student nurses’ perspectives of spirituality and spiritual care. Nurse Educ Today. 2013; 33(6):574-9. [DOI:10.1016/j.nedt.2012.06.007] [PMID]
  10. Kretchy I, Owusu-Daaku F, Danquah S. Spiritual and religious beliefs: Do they matter in the medication adherence behaviour of hypertensive patients? Biopsychosoc Med. 2013; 7(1):15. [DOI:10.1186/1751-0759-7-15] [PMID] [PMCID]
  11. Mondesir FL, Levitan EB, Malla G, Mukerji R, Carson AP, Safford MM, et al. Patient perspectives on factors influencing medication adherence among people with Coronary Heart Disease (CHD) and CHD risk factors. Patient Prefer Adherence. 2019; 13:2017-27. [DOI:10.2147/PPA.S222176] [PMID] [PMCID]
  12. Abel WM, Greer DB. Spiritual/religious beliefs & medication adherence in black women with hypertension. J Christ Nurs. 2017; 34(3):164-9. [DOI:10.1097/CNJ.0000000000000333] [PMID]
  13. Paloutzian RF, Ellison CW. Loneliness, spiritual well-being and the quality of life. In: Peplau LA, Perlman D. Loneliness: A sourcebook of current theory, research and therapy. New York: John Wiley & Sons; 1982. p. 224-237. https://www.google.com/books/edition/Loneliness/z0p9AAAAMAAJ?hl=en
  14. Kim MT, Hill MN, Bone LR, Levine DM. Development and testing of the hill-bone compliance to high blood pressure therapy scale. Prog Cardiovasc Nurs. 2000; 15(3):90-6.[DOI:10.1111/j.1751-7117.2000.tb00211.x] [PMID]
  15. Aghaeipour Amshal E, Rejeh N, Heravi-Karimooi M, Tadsisi D. [Relationship between spiritual wellbeing with anxiety in elderly patients with chronic heart failure who referred to allocated hospitals in Tehran city (Persian)]. Iranian J Nurs Res. 2016; 10(4):145-54. http://ijnr.ir/article-1-1637-en.html
  16. Ezeala-Adikaibe BA, Mbadiwe N, Okudo G, Nwosu N, Nwobodo N, Onyebueke G, et al. Factors associated with medication adherence among hypertensive patients in a tertiary health center: A cross-sectional study. Arch Community Med Public Health. 2017; 3(1):024-31. [DOI:10.17352/2455-5479.000021]
  17. Tilea I, Petra D, Voidazan S, Ardeleanu E, Varga A. Treatment adherence among adult hypertensive patients: A cross-sectional retrospective study in primary care in Romania. Patient Prefer Adherence. 2018; 12:625-35. [DOI:10.2147/PPA.S162965] [PMID] [PMCID]
  18. Safavi Bayat Z, Taher M. [Correlation between self care and compliance regimens with health locus of control in patients with hypertension (Persian)]. Caspian J Health Aging. 2017; 1(1):42-8. http://cjhaa.mubabol.ac.ir/article-1-26-en.html
  19. Mansoorian M, Qorbani M, Shafieyan N, Asayesh H, Rahimzadeh Barzaki H, Shafieyan Z, et al . [Association between life style and hypertension in rural population of Gorgan (Persian)]. J Health Promot Manag. 2012; 1(2):23-8. http://jhpm.ir/article-1-60-en.html
  20. Masror Roudsari D, Dabiri Golchin M, Parsa yekta Z, Haghani H. [Relationship between Adherence to Therapeutic Regimen and Health Related Quality of Life in Hypertensive Patients (Persian)]. Iran J Nurs. 2013; 26(85):44-54. http://ijn.iums.ac.ir/article-1-1684-en.html
  21. Khorashadizadeh F, Heydari A, Heshmati Nabavi F, Mazlom S, Ebrahimi M. [Concept analysis of spiritual health based on islamic teachings (Persian)]. Iran J Nurs. 2015; 28(97):42-55. http://ijn.iums.ac.ir/article-1-2235-en.html
 
Type of Study: Research | Subject: nursing
Received: 2020/06/3 | Accepted: 2021/11/1 | Published: 2022/01/1

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2015 All Rights Reserved | Iran Journal of Nursing

Designed & Developed by : Yektaweb