Factors Related to Nonadherence to Low Sodium Diet Recommendations in Heart Failure Patients

Bentley, Brooke; Jong, Marla J. De; Moser, Debra K.; Peden, Ann R.

doi:10.1016/j.ejcnurse.2005.04.009

Cited by 98 publications

(121 citation statements)

References 21 publications

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“…It has long been known that the palatability of low-sodium foods is one of the main factors that prevent adherence. [29] Dietary choices are also influenced by satisfaction and pleasure, which leads to a preference for certain foods over others. [30] In addition, compared to healthy individuals, patients with HF have a strong predilection for salt-rich foods.…”

Section: Published By Sciedu Pressmentioning

confidence: 99%

Knowledge, barriers and attitudes toward dietary sodium in patients with decompensated heart failure

Barilli

d’Almeida²,

Trojahn³

et al. 2017

JNEP

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Background and objective: Nonadherence to sodium restriction is one of the main precipitating factors of heart failure (HF) decompensation. The three-subscale Dietary Sodium Restriction Questionnaire (DSRQ) enables evaluation of factors that can interfere with adherence. The objective of this study was to assess knowledge, barriers, and attitudes of patients with decompensated HF toward dietary sodium, by comparing those hospitalized for decompensation due to dietary nonadherence (alone or with medication nonadherence) versus those admitted for decompensation due to other causes. Methods: Cross-sectional study carried out at the emergency departments of two public hospitals in Southern Brazil between 2013 and 2014. The sample included patients admitted for decompensated HF. Patients were divided into two groups: decompensation due to nonadherence to diet (alone or with medication nonadherence) and other causes. Results: A total of 225 patients were included (mean age 66 ± 12 years). Patients exhibited a high degree of knowledge about sodium restriction (up to 50% achieved 40 of 45 points). The opinions of family and health professionals influenced adherence. The main barriers to adherence concerned palatability and dietary preferences. When compared to patients admitted for other causes, those decompensated due to nonadherence had lower ejection fraction (p = .004) and higher Perceived Behavioral Control subscale scores (p = .009). Conclusions: Patients have a high level of knowledge about sodium restriction. The opinion of significant others affects adherence. Nonadherent patients appeared to be more severely ill and endorsed a greater number of barriers that prevent adequate behavior. Some factors-particularly the taste of foods and patients' dietary preferences -may justify the high prevalence of nonadherence.

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Section: Published By Sciedu Pressmentioning

confidence: 99%

Knowledge, barriers and attitudes toward dietary sodium in patients with decompensated heart failure

Barilli

d’Almeida²,

Trojahn³

et al. 2017

JNEP

View full text Add to dashboard Cite

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“…30 Healthcare providers have not been adept at clarifying or simplifying instructions for multiple diet requirements, with the result that dietary confusion is very common among patients with HF, and adherence to this aspect of self-care is generally poor. 122 Comorbidities make symptom monitoring difficult for many HF patients. Persons with comorbid lung disease find it difficult to distinguish between dyspnea caused by HF and that caused by their lung condition.…”

Section: Comorbid Conditionsmentioning

confidence: 99%

State of the Science

Riegel¹,

Moser²,

Anker³

et al. 2009

Circulation

Self Cite

741

366

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“…There were no significant gender differences regarding quality of life. Self-care behaviour did not change significantly from baseline (31, [23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39]) to 12 month (29 [22,). There were no gender differences in self-care behaviour measured by the EHFScBS between baseline and 12 months.…”

Section: Study Patientsmentioning

confidence: 99%

Telephone Follow-Up of Self-Care Behaviour after a Single Session Education of Patients with Heart Failure in Primary Health Care

Holst

Willenheimer

Mårtensson

et al. 2007

European Journal of Cardiovascular Nursing

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Background: Improved self-care behaviour is a goal in educational programmes for patients with heart failure, especially in regard to daily self-weighing and salt and fluid restriction. Aims: The objectives of the present study were to: (1) describe self-care with special regard to daily self-weighing and salt and fluid restriction in patients with heart failure in primary health care, during one year of monthly telephone follow-up after a single session education, (2) to describe gender differences in regard to self-care and (3) to investigate if self-care was associated with health-related quality of life. Methods: The present analysis is a subgroup analysis of a larger randomised trial. After one intensive educational session, a primary health care nurse evaluated 60 patients (mean age 79 years, 52% males, 60% in New York Heart Association class III–IV) by monthly telephone follow-up during 12 months. Results: The intervention had no effect on quality of life measured by EuroQol 5D and no significant associations were found between quality of life and self-care behaviour. Self-care behaviour measured by The European Self-care Behaviour Scale remained unchanged throughout the study period. No significant gender differences were shown but women had a tendency to improve adherence to daily weight control between 3- and 12 months. Conclusion: The self-care behaviour and quality of life in patients with heart failure did not change during one year of monthly telephone follow-up after a single session education and this indicates a need for more extensive interventions to obtain improved self-care behaviour in these patients.

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Factors Related to Nonadherence to Low Sodium Diet Recommendations in Heart Failure Patients

Abstract: Researchers and clinicians need to consider patients' perceptions as they generate and evaluate interventions to increase adherence to a low sodium diet.

Cited by 98 publications

References 21 publications

Knowledge, barriers and attitudes toward dietary sodium in patients with decompensated heart failure

Knowledge, barriers and attitudes toward dietary sodium in patients with decompensated heart failure

State of the Science

Telephone Follow-Up of Self-Care Behaviour after a Single Session Education of Patients with Heart Failure in Primary Health Care

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