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An exploration of the relationship between adherence with dietary sodium restrictions and health beliefs regarding these restrictions in Irish patients receiving haemodialysis for end-stage renal disease.
J Clin Nurs. 2011 Feb; 20(3-4):331-40.JC

Abstract

AIMS

To measure adherence levels with dietary restrictions in Irish patients with end-stage renal disease receiving haemodialysis and to explore the relationships between adherence with dietary sodium restrictions and health beliefs in relation to following these restrictions in this group.

BACKGROUND

Non-adherence to medical regimes is an important healthcare issue and an ever-present problem, particularly in patients with a chronic illness. The literature revealed a lack of studies measuring adherence with the sodium component of the renal dietary restrictions and associated factors; despite the fact that adherence with sodium restrictions is essential to the optimal management of end-stage renal disease. Furthermore, despite increased emphasis on 'the patients' view' in healthcare no study to date has contextualised health beliefs and adherence in end-stage renal disease from an Irish perspective.

DESIGN

A quantitative, descriptive, correlational design was employed using the Health Belief Model as a theoretical framework.

METHODS

A convenience sample (n = 79) was recruited from the haemodialysis units of a large hospital. Data were collected using self-report questionnaires. Data were analysed using descriptive and correlational statistics.

RESULTS

Non-adherence with dietary restrictions was a problem among a proportion of the sample. Greater adherence levels with dietary sodium restrictions were associated with greater 'perceived benefits' and fewer 'perceived barriers.'

CONCLUSION

For the Irish patient, beliefs in relation to following a low sodium diet significantly affected adherence levels with this diet. This is an important finding as delineating key beliefs, particularly key barriers, facilitates an increased understanding of non-adherence for nurses.

RELEVANCE FOR CLINICAL PRACTICE

These findings have implications for the care of patients with end-stage renal disease in that they can provide guidance in terms of developing interventions designed to improve adherence.

Authors+Show Affiliations

Catherine McAuley School of Nursing and Midwifery, University College Cork, Cork, Ireland. ella.walsh@ucc.ieNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21219516

Citation

Walsh, Ella, and Elaine Lehane. "An Exploration of the Relationship Between Adherence With Dietary Sodium Restrictions and Health Beliefs Regarding These Restrictions in Irish Patients Receiving Haemodialysis for End-stage Renal Disease." Journal of Clinical Nursing, vol. 20, no. 3-4, 2011, pp. 331-40.
Walsh E, Lehane E. An exploration of the relationship between adherence with dietary sodium restrictions and health beliefs regarding these restrictions in Irish patients receiving haemodialysis for end-stage renal disease. J Clin Nurs. 2011;20(3-4):331-40.
Walsh, E., & Lehane, E. (2011). An exploration of the relationship between adherence with dietary sodium restrictions and health beliefs regarding these restrictions in Irish patients receiving haemodialysis for end-stage renal disease. Journal of Clinical Nursing, 20(3-4), 331-40. https://doi.org/10.1111/j.1365-2702.2010.03348.x
Walsh E, Lehane E. An Exploration of the Relationship Between Adherence With Dietary Sodium Restrictions and Health Beliefs Regarding These Restrictions in Irish Patients Receiving Haemodialysis for End-stage Renal Disease. J Clin Nurs. 2011;20(3-4):331-40. PubMed PMID: 21219516.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - An exploration of the relationship between adherence with dietary sodium restrictions and health beliefs regarding these restrictions in Irish patients receiving haemodialysis for end-stage renal disease. AU - Walsh,Ella, AU - Lehane,Elaine, PY - 2011/1/12/entrez PY - 2011/1/12/pubmed PY - 2011/6/3/medline SP - 331 EP - 40 JF - Journal of clinical nursing JO - J Clin Nurs VL - 20 IS - 3-4 N2 - AIMS: To measure adherence levels with dietary restrictions in Irish patients with end-stage renal disease receiving haemodialysis and to explore the relationships between adherence with dietary sodium restrictions and health beliefs in relation to following these restrictions in this group. BACKGROUND: Non-adherence to medical regimes is an important healthcare issue and an ever-present problem, particularly in patients with a chronic illness. The literature revealed a lack of studies measuring adherence with the sodium component of the renal dietary restrictions and associated factors; despite the fact that adherence with sodium restrictions is essential to the optimal management of end-stage renal disease. Furthermore, despite increased emphasis on 'the patients' view' in healthcare no study to date has contextualised health beliefs and adherence in end-stage renal disease from an Irish perspective. DESIGN: A quantitative, descriptive, correlational design was employed using the Health Belief Model as a theoretical framework. METHODS: A convenience sample (n = 79) was recruited from the haemodialysis units of a large hospital. Data were collected using self-report questionnaires. Data were analysed using descriptive and correlational statistics. RESULTS: Non-adherence with dietary restrictions was a problem among a proportion of the sample. Greater adherence levels with dietary sodium restrictions were associated with greater 'perceived benefits' and fewer 'perceived barriers.' CONCLUSION: For the Irish patient, beliefs in relation to following a low sodium diet significantly affected adherence levels with this diet. This is an important finding as delineating key beliefs, particularly key barriers, facilitates an increased understanding of non-adherence for nurses. RELEVANCE FOR CLINICAL PRACTICE: These findings have implications for the care of patients with end-stage renal disease in that they can provide guidance in terms of developing interventions designed to improve adherence. SN - 1365-2702 UR - https://www.unboundmedicine.com/medline/citation/21219516/An_exploration_of_the_relationship_between_adherence_with_dietary_sodium_restrictions_and_health_beliefs_regarding_these_restrictions_in_Irish_patients_receiving_haemodialysis_for_end_stage_renal_disease_ L2 - https://doi.org/10.1111/j.1365-2702.2010.03348.x DB - PRIME DP - Unbound Medicine ER -