Iranian Red Crescent Medical Journal

Published by: Kowsar

The Effect of the Education Program on the Adherence Intention to the Dietary Sodium Restriction and the Amount of Sodium Intake in Patients With Chronic Heart Failure

Kazem Akhondzadeh 1 , Tahereh Najafi Ghezeljeh 2 , * and Hamid Haghani 3
Authors Information
1 M.Sc., Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, IR Iran
2 PhD, Associate Professor, Department of Critical Care Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, IR Iran
3 M.Sc., Senior Lecturer, Statistic and Mathematics Department, School of Health, Iran University of Medical Sciences, Tehran, IR Iran
Article information
  • Iranian Red Crescent Medical Journal: December 2018, 20 (S1); e12925
  • Published Online: February 26, 2018
  • Article Type: Research Article
  • Received: May 9, 2017
  • Revised: August 4, 2017
  • Accepted: October 21, 2017
  • DOI: 10.5812/ircmj.12925

To Cite: Akhondzadeh K, Najafi Ghezeljeh T, Haghani H. The Effect of the Education Program on the Adherence Intention to the Dietary Sodium Restriction and the Amount of Sodium Intake in Patients With Chronic Heart Failure, Iran Red Crescent Med J. 2018 ; 20(S1):e12925. doi: 10.5812/ircmj.12925.

Copyright © 2018, Iranian Red Crescent Medical Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited
1. Background
2. Objectives
3. Methods
4. Results
5. Discussion
  • 1. Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet London England. 2012;380(9859):2095-128.
  • 2. Ford ES, Capewell S. Proportion of the decline in cardiovascular mortality disease due to prevention versus treatment: public health versus clinical care. Annu Rev Public Health. 2011;32:5-22. doi: 10.1146/annurev-publhealth-031210-101211. [PubMed: 21417752].
  • 3. Lloyd-Jones D, Adams RJ, Brown TM, Carnethon M, Dai S, De Simone G, et al. Heart disease and stroke statistics--2010 update: a report from the American Heart Association. Circulation. 2010;121(7):e46-e215. doi: 10.1161/CIRCULATIONAHA.109.192667. [PubMed: 20019324].
  • 4. Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, et al. Heart Disease and Stroke Statistics-2016 Update: A Report From the American Heart Association. Circulation. 2016;133(4):e38-360. doi: 10.1161/CIR.0000000000000350. [PubMed: 26673558].
  • 5. Kohi F, Salehinia H, Mohammadian-Hafshejani A. Trends in mortality from cardiovascular disease in Iran from 2006-2010. J Sabzevar Univ Med Sci. 2015;22(4):630-8.
  • 6. Smeltzer S, Bare B, Hinkle J, Cheever K. Brunner and Suddarth's textbook of medical surgical nursing. 13th ed ed. Philadelphia: Wolters Kluwer health/ Lippincott Williams and Wilkins; 2014.
  • 7. Cowie MR, Anker SD, Cleland JGF, Felker GM, Filippatos G, Jaarsma T, et al. Improving care for patients with acute heart failure: before, during and after hospitalization. ESC Heart Fail. 2014;1(2):110-45. doi: 10.1002/ehf2.12021. [PubMed: 28834628].
  • 8. Ditewig JB, Blok H, Havers J, van Veenendaal H. Effectiveness of self-management interventions on mortality, hospital readmissions, chronic heart failure hospitalization rate and quality of life in patients with chronic heart failure: a systematic review. Patient Educ Couns. 2010;78(3):297-315. doi: 10.1016/j.pec.2010.01.016. [PubMed: 20202778].
  • 9. Rajabi M, Ramezani M. The study of electrocardiography, cardiac enzymes, blood sugar and serum electrolytes in hospitalized patients with decompensate heart failure. Daneshvar. 2008;16(79):39-44.
  • 10. Whelton PK, Appel LJ, Sacco RL, Anderson CA, Antman EM, Campbell N, et al. Sodium, blood pressure, and cardiovascular disease: further evidence supporting the American Heart Association sodium reduction recommendations. Circulation. 2012;126(24):2880-9. doi: 10.1161/CIR.0b013e318279acbf. [PubMed: 23124030].
  • 11. Appel LJ, Frohlich ED, Hall JE, Pearson TA, Sacco RL, Seals DR, et al. The importance of population-wide sodium reduction as a means to prevent cardiovascular disease and stroke: a call to action from the American Heart Association. Circulation. 2011;123(10):1138-43. doi: 10.1161/CIR.0b013e31820d0793. [PubMed: 21233236].
  • 12. van der Wal MH, van Veldhuisen DJ, Veeger NJ, Rutten FH, Jaarsma T. Compliance with non-pharmacological recommendations and outcome in heart failure patients. Eur Heart J. 2010;31(12):1486-93. doi: 10.1093/eurheartj/ehq091. [PubMed: 20436049].
  • 13. Barati M, Allahverdipour H, Moeini B, Farhadi Nasab A, Mahjub H, Jalilian F. Assertiveness skills training efficiency on college students' persuasive subjective norms against substance abuse. Scientific J Hamadan Univ Med Sci. 2011;18(3):40-9.
  • 14. Artinian NT, Fletcher GF, Mozaffarian D, Kris-Etherton P, Van Horn L, Lichtenstein AH, et al. Interventions to promote physical activity and dietary lifestyle changes for cardiovascular risk factor reduction in adults: a scientific statement from the American Heart Association. Circulation. 2010;122(4):406-41. doi: 10.1161/CIR.0b013e3181e8edf1. [PubMed: 20625115].
  • 15. Shahriari M, Ahmadi M, Babaee S, Mehrabi T, Sadeghi M. Effects of a family support program on self-care behaviors in patients with congestive heart failure. Iran J Nurs Midwifery Res. 2013;18(2):152-7. [PubMed: 23983746].
  • 16. Ponikowski P, Anker SD, AlHabib KF, Cowie MR, Force TL, Hu S, et al. Heart failure: preventing disease and death worldwide. ESC Heart Fail. 2014;1(1):4-25. doi: 10.1002/ehf2.12005. [PubMed: 28834669].
  • 17. Ortega RM, Lopez-Sobaler AM, Ballesteros JM, Perez-Farinos N, Rodriguez-Rodriguez E, Aparicio A, et al. Estimation of salt intake by 24 h urinary sodium excretion in a representative sample of Spanish adults. Br J Nutr. 2011;105(5):787-94. doi: 10.1017/S000711451000423X. [PubMed: 20969815].
  • 18. Smith-Spangler CM, Juusola JL, Enns EA, Owens DK, Garber AM. Population strategies to decrease sodium intake and the burden of cardiovascular disease: a cost-effectiveness analysis. Ann Intern Med. 2010;152(8):481-7. W170-3. doi: 10.7326/0003-4819-152-8-201004200-00212. [PubMed: 20194225].
  • 19. Dickstein K, Cohen-Solal A, Filippatos G, McMurray JJ, Ponikowski P, Poole-Wilson PA, et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: the Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2008 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association of the ESC (HFA) and endorsed by the European Society of Intensive Care Medicine (ESICM). Eur Heart J. 2008;29(19):2388-442. doi: 10.1093/eurheartj/ehn309. [PubMed: 18799522].
  • 20. Ajzen I, Fishbein M. Understanding attitudes and predicting social behavior. Englewood, New Jersey: Prentice Hall; 1980.
  • 21. Glanz K, Rimer BK, Lewis FM. Health behavior and health education: Theory, research and practice. 4th ed ed. San Francisco, calif: Jossey- Bass; 2008.
  • 22. McDermott MS, Oliver M, Simnadis T, Beck EJ, Coltman T, Iverson D, et al. The Theory of Planned Behaviour and dietary patterns: A systematic review and meta-analysis. Prev Med. 2015;81:150-6. doi: 10.1016/j.ypmed.2015.08.020. [PubMed: 26348455].
  • 23. Lino S, Marshak HH, Herring RP, Belliard JC, Hilliard C, Campbell D, et al. Using the theory of planned behavior to explore attitudes and beliefs about dietary supplements among HIV-positive Black women. Complement Ther Med. 2014;22(2):400-8. doi: 10.1016/j.ctim.2014.03.002. [PubMed: 24731912].
  • 24. Bentley B, Lennie TA, Biddle M, Chung ML, Moser DK. Demonstration of psychometric soundness of the Dietary Sodium Restriction Questionnaire in patients with heart failure. Heart Lung. 2009;38(2):121-8. doi: 10.1016/j.hrtlng.2008.05.006. [PubMed: 19254630].
  • 25. Wu JR, Corley DJ, Lennie TA, Moser DK. Effect of a medication-taking behavior feedback theory-based intervention on outcomes in patients with heart failure. J Card Fail. 2012;18(1):1-9. doi: 10.1016/j.cardfail.2011.09.006. [PubMed: 22196835].
  • 26. Villarruel ML. The Effect of Heart Failure Education on Reducing Readmissions. 2013.
  • 27. Welsh D, Marcinek R, Abshire D, Lennie TA, Biddle M, Bentley B, et al. Theory-based low-sodium diet education for heart failure patients. Home Healthc Nurse. 2010;28(7):432-41. quiz 441-3. doi: 10.1097/NHH.0b013e3181e324e0. [PubMed: 20592543].
  • 28. Navidian A, Yaghoubinia F, Ganjali A, Khoshsimaee S. The Effect of Self-Care Education on the Awareness, Attitude, and Adherence to Self-Care Behaviors in Hospitalized Patients Due to Heart Failure with and without Depression. PLoS One. 2015;10(6). e0130973. doi: 10.1371/journal.pone.0130973. [PubMed: 26091101].
  • 29. Welsh D, Lennie TA, Marcinek R, Biddle MJ, Abshire D, Bentley B, et al. Low-sodium diet self-management intervention in heart failure: pilot study results. Eur J Cardiovasc Nurs. 2013;12(1):87-95. doi: 10.1177/1474515111435604. [PubMed: 22492785].
  • 30. Chung ML, Lennie TA, Mudd-Martin G, Moser DK. Adherence to a low-sodium diet in patients with heart failure is best when family members also follow the diet: a multicenter observational study. J Cardiovasc Nurs. 2015;30(1):44-50. doi: 10.1097/JCN.0000000000000089. [PubMed: 24165698].
  • 31. Dunbar SB, Clark PC, Reilly CM, Gary RA, Smith A, McCarty F, et al. A trial of family partnership and education interventions in heart failure. J Card Fail. 2013;19(12):829-41. doi: 10.1016/j.cardfail.2013.10.007. [PubMed: 24331203].
  • 32. Heo S, Lennie TA, Moser DK, Okoli C. Heart failure patients' perceptions on nutrition and dietary adherence. Eur J Cardiovasc Nurs. 2009;8(5):323-8. doi: 10.1016/j.ejcnurse.2009.05.005. [PubMed: 19589729].
  • 33. Majowicz SE, Meyer SB, Kirkpatrick SI, Graham JL, Shaikh A, Elliott SJ, et al. Food, health, and complexity: towards a conceptual understanding to guide collaborative public health action. BMC Public Health. 2016;16:487. doi: 10.1186/s12889-016-3142-6. [PubMed: 27277001].
  • 34. Motlagh Z, Mazloomy S, Mozaffari Khosravi H, Morovatisharifabadi M, Askarshahi M. Salt intake among women refer to medical health centers, Yazd, Iran. J Shaheed Sadoughi Univ Med Sci. 2011;19(4):550-60.
  • 35. Son YJ, Lee Y, Song EK. Adherence to a sodium-restricted diet is associated with lower symptom burden and longer cardiac event-free survival in patients with heart failure. J Clin Nurs. 2011;20(21-22):3029-38. doi: 10.1111/j.1365-2702.2011.03755.x. [PubMed: 21707808].
  • 36. Basuray A, Dolansky M, Josephson R, Sattar A, Grady EM, Vehovec A, et al. Dietary sodium adherence is poor in chronic heart failure patients. J Card Fail. 2015;21(4):323-9. doi: 10.1016/j.cardfail.2014.12.016. [PubMed: 25576680].
  • 37. Frediani JK, Reilly CM, Higgins M, Clark PC, Gary RA, Dunbar SB. Quality and adequacy of dietary intake in a southern urban heart failure population. J Cardiovasc Nurs. 2013;28(2):119-28. doi: 10.1097/JCN.0b013e318242279e. [PubMed: 22343212].
  • 38. Colin Ramirez E, Castillo Martinez L, Orea Tejeda A, Rebollar Gonzalez V, Narvaez David R, Asensio Lafuente E. Effects of a nutritional intervention on body composition, clinical status, and quality of life in patients with heart failure. Nutrition. 2004;20(10):890-5. doi: 10.1016/j.nut.2004.06.010. [PubMed: 15474877].
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