Factors related to nonadherence to low sodium diet recommendations in heart failure patients.
Factors related to nonadherence to low sodium diet recommendations in heart failure patients.
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DOI：
10.1016/j.ejcnurse.2005.04.009
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发表时间：
2005-12-01
影响因子：
2.9
通讯作者：
Peden, Ann R
中科院分区：
文献类型：
--
作者：
Bentley, Brooke;De Jong, Marla J;Peden, Ann R
背景：低钠饮食是心力衰竭患者非药物治疗的基石。虽然不坚持饮食是很常见的，但对于心力衰竭患者未能坚持这种饮食的原因知之甚少。AIMS：这项研究的目的是探索心力衰竭患者遵循低钠饮食的经验。方法和结果：我们进行了一项定性描述性研究，随机抽样20名参与者。针对主题进行了访谈和分析。这些数据反映了不坚持低钠饮食的三个主要主题：缺乏知识，干扰社交，缺乏食物选择。与会者表示需要详细了解低钠食物的选择、食物准备以及饮食的基本原理。缺乏知识还表现为参与者的饮食混乱，他们需要额外的饮食限制。对社会化的干扰表现为患者在家庭成员吃高钠食物时发生家庭冲突和外出就餐困难的经历。缺乏低钠食物选择的主题反映在对食物选择有限和可口性缺乏的评论中。结论：研究人员和临床医生在产生和评估干预措施以提高对低钠饮食的依从性时，需要考虑患者的感知。
BACKGROUND: A low sodium diet is a cornerstone of nonpharmacologic therapy for heart failure patients. Although nonadherence is common, little is known about why heart failure patients fail to adhere to this diet.AIMS: The purpose of this study was to explore the experience of heart failure patients in following a low sodium diet.METHODS AND RESULTS: We conducted a qualitative descriptive study with a convenience sample of 20 participants. Interviews were conducted and analyzed for themes. The data reflected three primary themes about nonadherence to the low sodium diet: lack of knowledge, interference with socialization, and lack of food selections. Participants expressed a need for details about low sodium food selection, food preparation, and rationale for the diet. Lack of knowledge also was manifested as diet confusion for participants who required additional dietary restrictions. Interference with socialization was manifested by patients' experiences with family conflict when family members ate high-sodium foods and difficulty eating out. The theme of lack of low sodium food selections was reflected by comments about limited food choices, and lack of palatability.CONCLUSION: Researchers and clinicians need to consider patients' perceptions as they generate and evaluate interventions to increase adherence to a low sodium diet.