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An integrative review: adherence barriers to a low-salt diet in culturally diverse heart failure adults

Chan, A ORCID: 0000-0003-2614-0178, Kinsman, L ORCID: 0000-0002-0790-5887, Elmer, S ORCID: 0000-0001-9757-9976 and Khanam, M ORCID: 0000-0002-2103-6462 2018 , 'An integrative review: adherence barriers to a low-salt diet in culturally diverse heart failure adults' , The Australian Journal of Advanced Nursing, vol. 36, no. 1 , pp. 37-47 .

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Objective:A sodium restricted diet (SRD) is generally included in chronic heart failure (HF) management. The objective of thisreview is to explore and synthesise the research findings of the adherence barriers to a SRD in adults from culturallyand linguistically diverse (CALD) backgrounds with HF.Setting:The principle research question addressed in this review is:what are the adherence barriers to a SRD for chronic heart failure management in adults from CALD backgrounds?Primary argument:Patient education plays an important role in health decision-making but it is only one of the many factors in dietarysodium restriction adherence. In order to promote the adherence behaviours among the adults with HF, nursesshould develop a tailored approach to overcome individuals’ perceived barriers and circumstances especially adultsfrom CALD backgrounds.Results:The literature search was undertaken in PubMed, CINAHL and MEDLINE. After eliminating duplicates and applyingthe selection criteria, eleven titles were included in the review.Conclusion:This review found three major perceived barriers for adults living with HF to adhere to a SRD from CALDbackgrounds: 1) lack of sufficient, appropriate provision of patient education; 2) the levels of interference withsocial and family life; and 3) the availability and affordability of healthier food alternatives. These barriers are criticalto the design of nursing interventions for promoting adherence behaviours. Lack of published research in adultsfrom CALD ethnic minority groups living with HF in Western countries limited the ability to explore all of the barriersidentified in this review.

Item Type: Article
Authors/Creators:Chan, A and Kinsman, L and Elmer, S and Khanam, M
Keywords: heart-failure, salt, diet, CALD, health behaviour
Journal or Publication Title: The Australian Journal of Advanced Nursing
Publisher: Australian Nursing & Midwifery Federation
ISSN: 1447-4328
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