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Low-salt diet adherence in African Americans with hypertension.
- Source :
-
Journal of clinical nursing [J Clin Nurs] 2018 Oct; Vol. 27 (19-20), pp. 3750-3757. Date of Electronic Publication: 2018 Jul 23. - Publication Year :
- 2018
-
Abstract
- Aims and Objectives: To identify health and physiological measures, depressive symptoms and locus of control (LOC) in adherence to a low salt (1,500 mg sodium), diet in African American (AA) adults with hypertension (HTN).<br />Background: Adherence determinants to self-management behaviours among AA adults with HTN is essential in prevention of outcomes such as stroke. A low-salt diet is one key factor in the successful management of HTN.<br />Design: A cross-sectional correlational design.<br />Methods: Systolic blood pressure, co-morbidities, serum creatinine, potassium, education, depression, LOC and social support were examined in relationship to self-reported adherence to a low-salt diet in a sample of AA adults (N = 77) aged 55-84. Demographic and physiologic data were collected in addition to diet adherence on a 100 mm visual analog scale. Standardised tools included Multidimensional Health LOC scale and the Patient Health Question-9 Depression Instrument.<br />Results: Lower adherence to a low-salt diet was more prevalent in females (n = 27; 73%). A moderate negative correlation (r = -0.294; p < 0.01) was found with low-salt diet adherence in the PHQ-9 (r = -0.294; p < 0.01). Both multiple regression, models significantly influenced adherence to low salt diet, with both models explaining 24% of the variance; internal LOC (F = 2.599 [8, 68]; p = 0.02) and external LOC (F = 2.667 [8, 68]; p = 0.013).<br />Conclusion: Increasing awareness of factors affecting adherence to a low-salt diet is important for clinicians for effective management of HTN in AA adults.<br />Relevance to Clinical Practice: Nurses are encouraged to adopt a comprehensive assessment of those with HTN to identify psychosocial needs, in particular depressive symptoms, as a potential secondary prevention measure.<br /> (© 2018 John Wiley & Sons Ltd.)
- Subjects :
- Adult
Aged
Aged, 80 and over
Blood Pressure
Comorbidity
Cross-Sectional Studies
Depression epidemiology
Female
Humans
Hypertension epidemiology
Male
Middle Aged
Multivariate Analysis
Prevalence
Self Report
Social Support
Stroke prevention & control
Black or African American statistics & numerical data
Depression prevention & control
Diet, Sodium-Restricted statistics & numerical data
Hypertension prevention & control
Subjects
Details
- Language :
- English
- ISSN :
- 1365-2702
- Volume :
- 27
- Issue :
- 19-20
- Database :
- MEDLINE
- Journal :
- Journal of clinical nursing
- Publication Type :
- Academic Journal
- Accession number :
- 29893467
- Full Text :
- https://doi.org/10.1111/jocn.14551