Indiana University School of Nursing, 1111 Middle Drive, NU426, Indianapolis, IN 46202-5107, USA.
Eur J Cardiovasc Nurs. 2009 Dec;8(5):323-8. doi: 10.1016/j.ejcnurse.2009.05.005. Epub 2009 Jul 8.
The purpose of this study was to explore patients' perception about how the foods they eat impact heart failure (HF) symptoms, their understanding of dietary recommendations received, and factors affecting their adherence to dietary recommendations that include recommendations to follow a low sodium diet and a low-fat diet.
Qualitative data were obtained from 20 patients using semi-structured interviews.
The majority of patients believed that food intake could impact their health, but less than half thought sodium could affect HF symptoms. Eighty-five percent of patients received recommendations for a specific diet, but only 60% reported following them. Factors identified as affecting adherence included: a) knowledge, b) social pressure and encouragement from others, c) social situations, and d) food as a source of pleasure and enjoyment.
Ability to follow dietary recommendations remains a problem for many patients. Patients identified several key factors that affected ability to follow dietary recommendations. Strategies that target these factors may promote patients' decision to follow dietary recommendations and enhance their ability to do so.
本研究旨在探讨患者对饮食如何影响心力衰竭（HF）症状的看法、他们对所接受饮食建议的理解，以及影响他们遵守饮食建议（包括遵循低盐和低脂肪饮食的建议）的因素。
采用半结构式访谈法从 20 名患者中获取定性数据。
大多数患者认为饮食摄入会影响健康，但不到一半的患者认为钠会影响 HF 症状。85%的患者收到了特定饮食的建议，但只有 60%的患者报告遵守了这些建议。影响遵守的因素包括：a）知识、b）来自他人的社会压力和鼓励、c）社交场合，以及 d）食物作为快乐和享受的来源。
许多患者仍然难以遵守饮食建议。患者确定了影响遵守饮食建议能力的几个关键因素。针对这些因素的策略可能会促进患者决定遵守饮食建议，并增强他们遵守的能力。
