Analysis of action plans and coping plans for reducing salt consumption among women with hypertension

Agondi, Rúbia de Freitas; Gallani, Maria Cecília Bueno Jayme; Cornélio, Marília Estêvam; Rodrigues, Roberta Cunha Matheus

doi:10.1590/s0104-11692012000300009

Cited by 9 publications

(16 citation statements)

References 16 publications

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“…Thus, the socio-demographic and clinical characterization of the subjects studied points to a significant vulnerability to cardiovascular events, which The data indicates the relevancy of the behavior of adding salt in food preparation in the nurse's planning of educational interventions, with a view to helping the patients reduce salt consumption (22) .…”

Section: Resultsmentioning

confidence: 82%

Characterization of salt consumption among hypertensives according to socio-demographic and clinical factors

Perin

Cornélio

Rodrigues

et al. 2013

Rev. Latino-Am. Enfermagem

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Objective: to evaluate the relationship between the behaviors of salt consumption and sociodemographic and clinical variables. Method: sodium consumption was evaluated using the methods: self-reporting (considering 3 different behaviors related to salt consumption), 24-hr dietary recall, discretionary salt, food frequency questionnaire, estimation of total sodium intake and 24-hr urinary excretion of sodium (n=108). Results: elevated salt intake according to the different measurements of consumption of the nutrient was associated with the variables: male sex, low level of schooling and monthly income, being Caucasian, and being professionally inactive; and with the clinical variables: elevated Body Mass Index, tensional levels, ventricular hypertrophy and the number of medications used. Conclusion: the data obtained shows a heterogenous association between the different behaviors related to salt consumption and the socio-demographic and clinical variables. This data can be used to optimize the directing of educational activities with a view to reducing salt consumption among hypertensives. (1) . Among the factors related to the development and progression of hypertension, the elevated consumption of salt has been directly associated with the increase in blood pressure levels and the occurrence of cardiovascular complications (2)(3)(4)(5)(6)(7) . Although there are international and Brazilian recommendations for the limiting of sodium consumption both for the population in general and for hypertensive individuals of 5g and 4g respectively (8)(9) , studies with different populations show a consumption of sodium which is higher than the recommended (9)(10)(11)(12)(13)(14) , with an average of up to 4600mg of sodium (11.5g of salt)/day (7) . An important study in the area, the INTERSALT

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Section: Resultsmentioning

confidence: 82%

Characterization of salt consumption among hypertensives according to socio-demographic and clinical factors

Perin

Cornélio

Rodrigues

et al. 2013

Rev. Latino-Am. Enfermagem

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“…One of the studies, characterized as Motivational Intervention, aimed to reinforce the motivation to limit salt intake while preparing food and focused on perceived self-efficacy and on reducing the automatism (habit) of this nutritional behavior (22)(23) . The other study, characterized as Planning Intervention, focused on the activation of intention, that is, on increasing the realization of positive intention (24) . Both studies composed the Programa SALdável [Salthealth Program], which is intended to reduce salt intake among hypertensive patients.…”

Section: The Conceptual Structure and Methodological Designsmentioning

confidence: 99%

“…The individual develops at least three plans of how, where, and with whom to implement the planned behavior. Then the individual is asked to anticipate three likely obstacles that may hinder the achievement of such a goal and establish a plan to overcome these obstacles (24)(25) .…”

Section: The Conceptual Structure and Methodological Designsmentioning

confidence: 99%

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Conceptual framework for research and clinical practice concerning cardiovascular health-related behaviors

Gallani

Cornélio²,

Agondi³

et al. 2013

Rev. Latino-Am. Enfermagem

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Objective: To present a conceptual framework based on the PRECEDE model conceived to guide research and the clinical practice of nurses in the clinical follow-up of patients with cardiovascular diseases. Method: The conceptual bases as well as the study designs used in the framework are discussed. The contextualization of the proposed structure is presented in the clinical follow-up of hypertensive patients. Examples of the intervention planning steps according to the intervention mapping protocol are provided. Results: This conceptual framework coherently and rationally guided the diagnostic steps related to excessive salt intake among hypertensive individuals, as well as the development and assessment of specific interventions designed to change this eating behavior. Conclusion: The use of this conceptual framework enables a greater understanding of health-related behaviors implied in the development and progression of cardiovascular risk factors and is useful in proposing nursing interventions with a greater chance of success. This model is a feasible strategy to improve the cardiovascular health of patients cared for by the Brazilian Unified Health System. Estrutura conceitual para pesquisa e prática clínica na mudança de comportamentos em saúde cardiovascular Objetivo: apresentar a estrutura conceitual baseada no modelo PRECEDE, para guiar a pesquisa e a prática clínica do enfermeiro, na abordagem do paciente cardiopata ao longo de seu seguimento clínico. Método: as bases conceituais, assim como os desenhos metodológicos de pesquisa, implicados na estrutura conceitual, são abordados. A seguir, a contextualização da estrutura proposta é ilustrada no seguimento clínico de pacientes hipertensos, com incorporação das etapas de planejamento de intervenções, segundo o protocolo intervention mapping.Resultados: constata-se que a utilização dessa estrutura conceitual permitiu guiar, de modo coerente e racional, as etapas diagnósticas relacionadas ao consumo excessivo de sal entre os hipertensos, bem como norteou o desenvolvimento e avaliação de intervenções específicas para mudança desse comportamento alimentar. Conclusão: a utilização da estrutura conceitual proposta permite compreensão mais ampla dos comportamentos em saúde, implicados no desenvolvimento e progressão dos fatores de risco cardiovascular, assim como revela-se um caminho interessante para a proposição de intervenções de enfermagem, com maior chance de sucesso. O emprego dessa estrutura, de modo ampliado, pode constituir um meio factível para melhorar a saúde cardiovascular dos pacientes atendidos pelo Sistema Único de Saúde.Descritores: Comportamento; Planejamento em Saúde; Educação em Saúde; Enfermagem. Modelo conceptual para la investigación y la práctica clínica en los cambios de comportamiento en salud cardiovascularObjetivo: presentar el marco conceptual basado en el modelo PRECEDE, concebido para orientar la investigación y la práctica clínica de las enfermeras para el seguimiento clínico de pacientes cardíacos. Método: La base conceptual, así...

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“…While guidelines for the treatment of hypertension have recommended a daily salt intake of approximately 3.7 g/day (1500 mg of sodium) [11, 12], salt intake remains high worldwide (9 to 12 g/day) [13–17]. Past studies conducted in Brazil [15, 16] pointed to high salt intake among hypertensive patients, ranging from 12.5 to 15.3 g/salt/day estimated by self-reporting methods and from 12.2 to 13.5 g/salt/day estimated by 24-hour urinary-sodium excretion.…”

Section: Introductionmentioning

confidence: 99%

Implementation Intentions on the Effect of Salt Intake among Hypertensive Women: A Pilot Study

Agondi

Cornélio

Rodrigues

et al. 2014

Nursing Research and Practice

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This experimental study was aimed at assessing the potential effect of a theory-driven intervention—implementation intentions—on reducing salt intake among hypertensive Brazilian women. Ninety-eight participants were randomly assigned to participate in an implementation intentions intervention aimed at promoting lower salt intake through decreased addition of salt and salty spices to meals (intervention group, n = 49; group, n = 49). Endpoints were assessed at baseline and at the 2-month follow-up. Primary endpoints were a self-reporting measure of salt intake given by salt addition to meals (discretionary salt + salty spices = total added salt) and the 24 h urinary-sodium excretion. Secondary endpoints included intention, self-efficacy, and habit related to adding salt to meals. Patients in the intervention group showed a significant reduction in salt intake as assessed by 24 h urinary-sodium excretion. A significant reduction in the measure of habit was observed for both groups. No differences were observed for intention and self-efficacy. The results of this pilot study suggest the efficacy of planning strategies to help hypertensive women reduce their salt intake.

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Analysis of action plans and coping plans for reducing salt consumption among women with hypertension

Cited by 9 publications

References 16 publications

Characterization of salt consumption among hypertensives according to socio-demographic and clinical factors

Characterization of salt consumption among hypertensives according to socio-demographic and clinical factors

Conceptual framework for research and clinical practice concerning cardiovascular health-related behaviors

Implementation Intentions on the Effect of Salt Intake among Hypertensive Women: A Pilot Study

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