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The body of knowledge on compliance in heart failure patients: we are not there yet.
J Cardiovasc Nurs. 2011 Jan-Feb; 26(1):21-8.JC

Abstract

BACKGROUND

Noncompliance with diet and fluid restriction is a problem in patients with heart failure (HF). In recent studies, a relationship between compliance with sodium and fluid restriction and knowledge and beliefs regarding compliance was found. In these studies, however, compliance was primarily measured by interview or questionnaire.

OBJECTIVES

To examine the relationship between compliance with sodium and fluid restriction measured with a nutrition diary and knowledge, beliefs, and other relevant variables in HF patients.

METHODS

Eighty-four HF patients completed a nutrition diary for 3 days. Patients also completed questionnaires on knowledge, beliefs regarding compliance, and depressive symptoms. Differences in relevant variables between compliant and noncompliant patients were assessed.

RESULTS

Compliance with sodium and fluid restriction was 79% and 72%. Although not statistically significant, a higher percentage of patients were compliant with the less stringent restrictions compared with the more stringent restrictions, and in addition, more noncompliant patients perceived difficulty following the regimen compared with their compliant counterparts. In contrast with other studies, no significant differences in knowledge, beliefs, and relevant demographic and clinical variables were found between compliant and noncompliant patients.

CONCLUSION

Perceived difficulty and the amount of the prescribed restriction seem to be relevant concepts that play a role in compliance with sodium and fluid restriction in HF and need to be explored in future research.

Authors+Show Affiliations

Department of Cardiology, University Medical Centre Groningen, University of Groningen, the Netherlands. m.m.w.nieuwenhuis@thorax.umcg.nlNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21127428

Citation

Nieuwenhuis, Maurice M W., et al. "The Body of Knowledge On Compliance in Heart Failure Patients: We Are Not There Yet." The Journal of Cardiovascular Nursing, vol. 26, no. 1, 2011, pp. 21-8.
Nieuwenhuis MM, van der Wal MH, Jaarsma T. The body of knowledge on compliance in heart failure patients: we are not there yet. J Cardiovasc Nurs. 2011;26(1):21-8.
Nieuwenhuis, M. M., van der Wal, M. H., & Jaarsma, T. (2011). The body of knowledge on compliance in heart failure patients: we are not there yet. The Journal of Cardiovascular Nursing, 26(1), 21-8. https://doi.org/10.1097/JCN.0b013e3181e27a2d
Nieuwenhuis MM, van der Wal MH, Jaarsma T. The Body of Knowledge On Compliance in Heart Failure Patients: We Are Not There Yet. J Cardiovasc Nurs. 2011 Jan-Feb;26(1):21-8. PubMed PMID: 21127428.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The body of knowledge on compliance in heart failure patients: we are not there yet. AU - Nieuwenhuis,Maurice M W, AU - van der Wal,Martje H L, AU - Jaarsma,Tiny, PY - 2010/12/4/entrez PY - 2010/12/4/pubmed PY - 2012/5/11/medline SP - 21 EP - 8 JF - The Journal of cardiovascular nursing JO - J Cardiovasc Nurs VL - 26 IS - 1 N2 - BACKGROUND: Noncompliance with diet and fluid restriction is a problem in patients with heart failure (HF). In recent studies, a relationship between compliance with sodium and fluid restriction and knowledge and beliefs regarding compliance was found. In these studies, however, compliance was primarily measured by interview or questionnaire. OBJECTIVES: To examine the relationship between compliance with sodium and fluid restriction measured with a nutrition diary and knowledge, beliefs, and other relevant variables in HF patients. METHODS: Eighty-four HF patients completed a nutrition diary for 3 days. Patients also completed questionnaires on knowledge, beliefs regarding compliance, and depressive symptoms. Differences in relevant variables between compliant and noncompliant patients were assessed. RESULTS: Compliance with sodium and fluid restriction was 79% and 72%. Although not statistically significant, a higher percentage of patients were compliant with the less stringent restrictions compared with the more stringent restrictions, and in addition, more noncompliant patients perceived difficulty following the regimen compared with their compliant counterparts. In contrast with other studies, no significant differences in knowledge, beliefs, and relevant demographic and clinical variables were found between compliant and noncompliant patients. CONCLUSION: Perceived difficulty and the amount of the prescribed restriction seem to be relevant concepts that play a role in compliance with sodium and fluid restriction in HF and need to be explored in future research. SN - 1550-5049 UR - https://www.unboundmedicine.com/medline/citation/21127428/The_body_of_knowledge_on_compliance_in_heart_failure_patients:_we_are_not_there_yet_ L2 - https://doi.org/10.1097/JCN.0b013e3181e27a2d DB - PRIME DP - Unbound Medicine ER -