Dunbar Sandra B, Clark Patricia C, Stamp Kelly D, Reilly Carolyn M, Gary Rebecca A, Higgins Melinda, Kaslow Nadine
Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA.
Georgia State University, Byrdine F. Lewis School of Nursing, Atlanta, GA, USA.
Heart Lung. 2016 Jul-Aug;45(4):311-8. doi: 10.1016/j.hrtlng.2016.04.001. Epub 2016 May 9.
Determine if family functioning influences response to family-focused interventions aimed at reducing dietary sodium by heart failure (HF) patients.
Lowering dietary sodium by HF patients often occurs within the home and family context.
Secondary analysis of 117 dyads randomized to patient and family education (PFE), family partnership intervention (FPI) or usual care (UC). Dietary sodium measures were obtained from 3-day food record and 24-h urine samples.
In the poor family functioning groups, FPI and PFE had lower mean urine sodium than UC (p < .05) at 4 months, and FPI remained lower than UC at 8 months (p < .05). For good family functioning groups, FPI and PFE had lower mean sodium levels by 3-day food record at 4 and 8 months compared to the UC group.
Optimizing family-focused interventions into HF clinical care maybe indicated.
确定家庭功能是否会影响心力衰竭（HF）患者针对减少饮食中钠摄入的家庭聚焦干预措施的反应。
HF患者减少饮食中钠的摄入通常是在家庭环境中进行的。
对117对随机分组接受患者及家庭教育（PFE）、家庭伙伴关系干预（FPI）或常规护理（UC）的对象进行二次分析。饮食中钠的测量数据来自3天的食物记录和24小时尿液样本。
在家庭功能较差的组中，FPI和PFE在4个月时的平均尿钠水平低于UC组（p <.05），并且FPI在8个月时仍低于UC组（p <.05）。对于家庭功能良好的组，与UC组相比，FPI和PFE在4个月和8个月时通过3天食物记录得出的平均钠水平较低。
可能需要将优化的家庭聚焦干预措施纳入HF临床护理中。
