Heart Failure Patients’ Knowledge and Barriers of Low Sodium Diet Adherence in Erbil City
DOI:
https://doi.org/10.15218/ejnm.2020.06Keywords:
Heart Failure, Knowledge, Perceived barriers, Low sodium dietAbstract
Background and objective: A low sodium diet is a cornerstone of non-pharmacologic therapy for heart failure patients. The objective of the study was to assess knowledge and perceived barriers of low sodium diet adherence of heart failure patients in Erbil City.
Methods: A descriptive, cross-sectional study design was conducted among a sample of 50 patients diagnosed heart failure in Medical Wards and Cardiac Care Units at both Rizgary and Hawler Teaching Hospitals in Erbil City from Feb 2018 to Oct 2019. Patients who met the inclusion criteria were selected for participation of the study, interviews based on a questionnaire patient’s sociodemographic, clinical characteristics and the Dietary Sodium Restriction Questionnaire (DSRQ). Frequency, percentage, and the chi-square test were used for analyzing data.
Results: The results show that majority of heart failure patients were low knowledge (80%) and high perceived barriers (66%) to low sodium diet adherence. There were significant associations between knowledge and barrier with age group (p-value=0.01; p-value=0.04), gender, (p-value=0.00; p=0.05), level of education (p-value=0.00; p-value=0.02) and economic status (p-value= < 0.001; p-value= <0.001).
Conclusion: Results of the study show that heart failure patients had low knowledge and perceived more barriers to adherence of low sodium diet.
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References
[2] Ko DT, Alter DA, Austin PC, You JJ, Lee DS, Qiu F, Stukel TA. Life expectancy after an index hospitalization for patients with heart failure: a population-based study. American Heart Journal. 2008; 155(2):324-31. doi: 10.1016
[3] Dickstein K, Cohen-Solal A, Filippatos G, McMurray JJ, Ponikowski P, Poole-Wilson PA. ESC guidelines for the diagnosis and treatment of acute and chronic heart failure, the Task Force for the diagnosis and treatment of acute and chronic heart fail-ure of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association of the ESC (HFA) and endorsed by the European Society of Intensive Care Medicine (ESICM). European Journal Heart Failure. 2008;10(10);933–89.
[4] Bentley B, Lennie TA, Biddle M, Chung ML, and Moser DK, . Demonstration of psychometric soundness of the Dietary Sodium Restriction Questionnaire in patients with heart failure. Heart Lung Journal. 2009;38(2):121-8. doi: 10.1016.
[5] Arcand, J, Ivanov J, Sasson A, Floras V, Al-Hesayen A, Azevedo ER, Mak S, Allard JP, and Newton GE etal. A high-sodium diet is associated with acute decompensated heart failure in ambulatory heart failure patients: a prospective follow-up study. The American journal of clinical nutrition. 2002 143(1):29-33. pubmed/11773909
[6] Neily J B, Toto K H, Gardner E B, Rame J.E , Yancy CW. Sheffield MA., et al. (2002). Potential contributing factors to noncompliance with dietary sodium restriction in patients with heart failure. American Heart Journal.2002;143(1):29–33.
[7] Lennie TA, Carter LW, Hammash M, Forren JO, Roser LP, Smith CS, et al. Relationship of Heart Failure Patients’ Knowledge, Barriers Regarding Low- Sodium Diet Recommendations to Adherence. Progress in cardiovascular nursing. 2008;23(1):6-11.
[8] Paterna S, Parrinello G, Cannizzaro S, Fasullo S, Torres D, Sarullo FM, et al. Medium-term effects of different dosage of diuretic, sodium, and fluid administration on neurohormonal and clinical outcome in patients with recently compensated heart failure. American journal of cardiology 2009; 103(1):93–102.
[9] Araoye MO Research Methodology with Statistical for Health and Social science.Nathadex publisher Iorin, 2003; P.1-9.
[01] Dickson VV, Lee, CS. and Riegel B. How Do Cognitive Function and Knowledge Affect Heart Failure Self-Care? Journal of Mixed Methods Research. 2011; 5(2) 167–189
[00] Lennie TA, Chung ML, Moser DK. What Should We Tell Patients with Heart Failure about Sodium Restriction and How Should We Counsel Them? Current Heart Failure Reports Journal. 2013; 10(3): 219–226.
[12] Bennett SJ, Cordes DK, Westmoreland G, Castro R, Donnelly E. Self-care strategies for symptom management in patients with chronic heart failure. Nursing research Jour-nal. 2000;49(3):139–145.
[13] Chung ML, Moser DK, Lennie TA, Worrall-Carter L, Bentley B, Trupp R, et al. Gender differences in adherence to the sodium-restricted diet in patients with heart failure. Journal of Cardiac Failure. 2006 Oct; 12(8): 628. doi: 10.1016/j.cardfail.2006.07.007
[14] Welsh D, Lennie TA, Marcinek R, Biddle MJ, Abshire D, Bentley B, , et al. Low-sodium diet self-management intervention in heart failure: pilot study results. Europe-an Journal Cardiovascular Nursing. 2013; 12(1): 87-95. PMid:22492785
[15] Chung ML, Lennie TA, Mudd-Martin G, Moser DK. Adherence to a low sodium diet in patients with heart failure is best when family members also follow the diet: a multicenter observational study. The Journal of Cardiovascular Nursing. 2015; 30(1): 44-50. PMid:24165698
[16] Chung ML, Moser DK, Lennie TA, Worrall-Carter Li, Bentley B and Trupp R, et al Gen-der differences in adherence to the sodium-restricted diet in patients with heart failure. Journal Cardiac Failure. 2006; 2(8): 628. doi:10.1016/j.cardfail. 07.007.
[17] Evangelista LS, Berg J, Dracup K. Relationship between psychosocial variables and compliance in patients with heart failure. Heart & lung: the journal of critical care. 2001; 30(4):294–301. [PubMed: 11449216]
[18] Maguire LK, Hughes CM, McElnay JC. Explor-ing the impact of depressive symptoms and medication beliefs on medication adherence in hypertension-A primary care study. Patient Education and Counseling. 2008;73(2):371-6. doi: 10.1016/j.pec.2008.06.016.
[19] Wu JR, Moser DK, Lennie TA, and Burkhart PV. Medication adherence in patients who have heart failure: a review of the literature. The Nursing clinics of North America 2008;43(1):133-53; vii-viii. doi: 10.1016/j.cnur.2007.10.006.
[20] Chapman RH, Benner JS, Petrilla AA, Tierce JC, Collins SR, Battleman DS, et al. Predictors of adherence with antihypertensive and lipid-lowering therapy. Archives of Internal Medicine,2005;165,1147-1152.PubMed: v116n4,Oct. 1965-v172n22, Dec. 2012.
[21] Bane C, Hughes CM, and McElnay JC. The impact of depressive symptoms and psychosocial factors on medication adherence in cardiovascular disease. Patient Education and Counseling, 2006; 60(2), 187-193.
[22] Khanderia U, Townsend KA, Erickson SR, Vlasnik J, Prager RL, and Eagle KA. Medication adherence following coronary artery bypass graft surgery: Assessment of beliefs and attitudes. The Annals of Pharmacotherapy, 2008 ;42(2):192-9. doi: 10.1345/aph.1K497. Epub 2008 Jan 15.
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