Health Beliefs Related to Salt-Restricted Diet in Patients on Hemodialysis

Abstract

Nurses are recommended to make tailored interventions by taking the benefits and barriers that the patients perceive toward low-salt dietary adherence into account.

Health Beliefs Related to Salt-Restricted Diet and Associated Factors in Turkish Patients on Hemodialysis

“…In this study, two of the most frequently identified barriers were "food does not taste good on a low-salt diet" and "following a low-salt diet is hard to do when I go out to eat." Our findings are congruent with previous studies (Agondi et al, 2011;Kara, 2014;Walsh & Lehane, 2011;Welch et al, 2006), reporting that tailored interventions are necessary to change these two beliefs. It should therefore be emphasized to the patients that "a low-salt diet does not mean tasteless food" (Charra & Chazot, 2003, p. 345), and it takes some time to adapt to a low-salt diet (World Health Organization, 2016).…”

“…The mean perceived benefits score of our sample was 28.03 (item M = 4.00, SD = 0.76), which was similar to that of patients on HD in the United States (27.20 ± 2.66;Welch et al, 2006), in Brazil (4.0 ± 0.6;Agondi et al, 2011) and in another study in Turkey (28.0 ± 4.0; Kara, 2014). The mean perceived barriers score was 11.43 (item M = 2.29, SD = 2.20), which was lower than that reported by Welch et al (2006;13.10 ± 2.99), Agondi et al (2011; 3.0 ± 0.5) and Kara (2014; 12.9 ± 3.6). Our findings suggest that the item mean perceived benefit score was higher than the item mean perceived barrier score.…”

“…The excessive intake of salt is also a major concern in patients on HD because it can lead to large interdialytic weight gain (IWG) and high blood pressure which are regarded as pivotal factors contributing to increased cardiovascular risk (Clark-Cutaia, Sommers, Anderson, & Townsend, 2016;Kara, 2014). Interestingly, an increased salt 691577T CNXXX10.1177/1043659617691577Journal of Transcultural NursingKara research-article2017 1 Yüksek İhtisas University, Ankara, Turkey intake induces a small rise in plasma sodium concentration in healthy people, which results from increased water intake and increased urinary sodium excretion within 0.5 to 1 hour.…”

“…The midpoints for the perceived benefits and barriers are 21 and 15, respectively. The BDCS has good construct, concurrent and known-group validity, and also shows acceptable internal consistency (Cronbach's alpha coefficients: perceived benefits = .91; perceived barriers = .66) and test-retest reliability with a 2-week interval (intraclass correlation coefficients: perceived benefits = .93; perceived barriers = .79; Kara, 2014). The Cronbach alpha coefficient in the current study was .86 for the perceived benefits, and .67 for the perceived barriers.…”

“…Within this context, rigorous adherence to a salt-restricted diet is crucial to promote health and well-being in this population. Patients’ health beliefs are one of the factors affecting their adherence to diet (Kara, 2014; Walsh & Lehane, 2011). We therefore examined health beliefs related to salt-restricted diet in Turkish patients on HD in this study.…”