TY - JOUR
T1 - Long-term adherence to low-sodium diet in patients with heart failure
AU - Chung, Misook L.
AU - Park, Linda
AU - Frazier, Susan K.
AU - Lennie, Terry A.
N1 - Publisher Copyright:
© The Author(s) 2016.
PY - 2017/4
Y1 - 2017/4
N2 - Although following a low-sodium diet (LSD) for heart failure (HF) has been recommended for decades, little is known about factors related to longterm patient adherence. The purposes of this study were to (a) compare sodium intake and factors affecting adherence in a long-term adherent group and in a non-adherent group and (b) examine predictors of membership in the long-term adherent group. Patients with HF (N = 74) collected 24-hr urine samples and completed the Dietary Sodium Restriction Questionnaire and the Patient Health Questionnaire-9. Long-term adherence was determined using the Stage of Dietary Behavior Change Scale. The longterm adherent group had lower sodium intake (3,086 mg vs. 4,135 mg, p =.01) and perceived more benefits from LSD than the non-adherent group. Only positive attitudes toward LSD predicted membership in the long-term adherence group (odds ratio [OR] = 1.18, p =.005). Interventions focused on enhancing positive perceptions of the benefits of an LSD may improve long-term dietary adherence in patients with HF.
AB - Although following a low-sodium diet (LSD) for heart failure (HF) has been recommended for decades, little is known about factors related to longterm patient adherence. The purposes of this study were to (a) compare sodium intake and factors affecting adherence in a long-term adherent group and in a non-adherent group and (b) examine predictors of membership in the long-term adherent group. Patients with HF (N = 74) collected 24-hr urine samples and completed the Dietary Sodium Restriction Questionnaire and the Patient Health Questionnaire-9. Long-term adherence was determined using the Stage of Dietary Behavior Change Scale. The longterm adherent group had lower sodium intake (3,086 mg vs. 4,135 mg, p =.01) and perceived more benefits from LSD than the non-adherent group. Only positive attitudes toward LSD predicted membership in the long-term adherence group (odds ratio [OR] = 1.18, p =.005). Interventions focused on enhancing positive perceptions of the benefits of an LSD may improve long-term dietary adherence in patients with HF.
KW - Adherence
KW - Heart failure
KW - Low-sodium diet
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U2 - 10.1177/0193945916681003
DO - 10.1177/0193945916681003
M3 - Article
C2 - 27903829
AN - SCOPUS:85018279996
SN - 0193-9459
VL - 39
SP - 553
EP - 567
JO - Western Journal of Nursing Research
JF - Western Journal of Nursing Research
IS - 4
ER -