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The Adherence of pregnant women with hypertension to the salt-restricted diet: perceived benefits and barriers

Year 2018, Volume: 3 Issue: 2, 87 - 100, 30.06.2018
https://doi.org/10.26453/otjhs.390557

Abstract

The purpose of this study is to examine the
perceived benefits and barriers, which are effective in adherence of pregnant
women with hypertension to salt-restricted diet. The population of the study
consisted of 100 pregnant women followed up due to hypertension in the
gynecology outpatient clinic. The data were collected using the questionnaire
inquiring the sociodemographic and obstetric information of the pregnant women;
five questions assessing their attitudes and behaviors towards salt
consumption; and the Dietary Compliance Scale. In evaluating of the data were
used to mean, standard deviation, median, percentages and spearman correlation
analysis. The pregnant women, whose average age was 31.16, 91% of the pregnant
women developed hypertension during their pregnancy. When the status of
adherence to the salt restricted diet in pregnant women was examined, it was
determined that while total score of the Benefit subscale was 28.73, total
score of the Barrier subscale was 12.65.It was determined that the majority of
the eating a low-salt diet reported positive effects on health and heart as a
perceived benefit, and as a perceived barriers to causing limitations in taste
and social life. attitudes and behaviors related to salt restricted diet were
found to positively affect the perceived benefits. It was seen that the
perceptions of benefits and barriers of pregnancies were at a good level.
Midwives benefits of salt intake and regular follow-up of pregnant women in
perceptions of barriers should evaluate their attitudes and behaviors.

References

  • 31. Erdem Y, Arici M, Altun B, et al. The relationship between hypertension and salt intake in Turkish population: SALTURK study. Blood Pressure. 2010;19(5):313-318.
  • 16. De Keyzer W, Tilleman K, Ampe J, De Henauw S, Huybrechts I. Effect of sodium restriction on blood pressure of unstable or uncontrolled hypertensive patients in primary care. Nutrition research and practice. 2015;9(2):180-185.
  • 32. Bennett SJ, Milgrom LB, Champion V, Huster GA. Beliefs about medication and dietary compliance in people with heart failure: an instrument development study. Heart Lung. 1997;26(4):273-279.
  • 33. Kurt Y EE, Kaya C ve ark. . Hemodiyaliz hastalarına verilen eğitimin kan basıncı ve kilo alımına etkisi. Turk Nephrol Dial Transplant. 2012;21(1):39-44.
  • 27. Sodium intake for adults and children. Geneva, Switzerland: World Health Organization; 2012.
  • 35. Holgado B, de Irala-Estevez J, Martinez-Gonzalez MA, Gibney M, Kearney J, Martinez JA. Barriers and benefits of a healthy diet in spain: comparison with other European member states. Eur J Clin Nutr. 2000;54(6):453-459.
  • 36. Çenesiz E, Atak N. Türkiye’de sağlık inanç modeli ile yapılmış araştırmaların değerlendirilmesi. TSK Koruyucu Hekimlik Bülteni. 2007;6(6):427-434.
  • 11. Ohta Y, Ohta K, Ishizuka A, et al. Awareness of salt restriction and actual salt intake in hypertensive patients at a hypertension clinic and general clinic. Clin Exp Hypertens. 2015;37(2):172-175.
  • 3. Lo JO, Mission JF, Caughey AB. Hypertensive disease of pregnancy and maternal mortality. Current opinion in obstetrics & gynecology. 2013;25(2):124-132.
  • 4. Ersoy H, Sari O, Aydogan U, et al. Hypertensıon prevalance in pregnant women refered to the gynecology and obstetrics clinic of a faculty of medicine. Turkish Nephrology Dialysis Transplantation. 2011;20(02):187-
  • 24. Welch JL, Astroth KS, Perkins SM, et al. Using a mobile application to self-monitor diet and fluid intake among adults receiving hemodialysis. Research in nursing & health. 2013;36(3):284-298.
  • 5. Çulha G, Ocaktan ME, Çöl M. Ankara Üniversitesi Tıp Fakültesi kadın hastalıkları ve doğum polikliniğine başvuran gebelerde hipertansiyon araştırması. Turkiye Klinikleri Journal of Medical Sciences. 2010;30(2):639-649.
  • 6. Townsend R, O'Brien P, Khalil A. Current best practice in the management of hypertensive disorders in pregnancy. Integr Blood Press Control. 2016;9:79-94.
  • 34. Elmas A, Saral E, Tuğrul A, Şengül E, Bülbül F. Hemodializ hastalarında beslenme bilgi düzeyi ile klinik ve laboratuar bulguları arasındaki İlişki. Kocaeli Tıp Dergisi. 2012;3:23-26.
  • 8.Özkayar N. Gebelikte Hipertansiyon ve Tedavisi. Turkiye Klinikleri Journal of Nephrology Special Topics. 2017;10(1):63-68.
  • 9. Moussa HN, Arian SE, Sibai BM. Management of hypertensive disorders in pregnancy. Women’s Health. 2014;10(4):385-404.
  • 1. Global Health Observatory (GHO) Data. Maternal and Reproductive Health. 2018; http://www.who.int/gho/maternal_health/en/. Accessed 03-02-2018, 2018.
  • 12. Ohta Y, Kimura Y, Kitaoka C, Sakata T, Abe I, Kawano Y. Blood pressure control status and relationship between salt intake and lifestyle including diet in hypertensive outpatients treated at a general hospital. Clin Exp Hypertens. 2017;39(1):29-33.
  • 13. Bentley B, De Jong MJ, Moser DK, Peden AR. Factors related to nonadherence to low sodium diet recommendations in heart failure patients. Eur J Cardiovasc Nurs. 2005;4(4):331-336.
  • 14. Sheahan SL, Fields B. Sodium dietary restriction, knowledge, beliefs, and decision-making behavior of older females. Journal of the American Academy of Nurse Practitioners. 2008;20(4):217-224.
  • 15. Kim MJ, Ahn YH, Chon C, Bowen P, Khan S. Health disparities in lifestyle choices among hypertensive Korean Americans, non-Hispanic Whites, and Blacks. Biological research for nursing. 2005;7(1):67-74.
  • 7.Berhan Y, Endeshaw G. Maternal mortality predictors in women with hypertensive disorders of pregnancy: a retrospective cohort study. Ethiopian journal of health sciences. 2015;25(1):89-98.
  • 17. Young L, Barnason S. Uptake of dietary sodium restriction by overweight and obese patients after cardiac revascularization. Rehabilitation Nursing. 2015.
  • 18. Kollipara UK, Jaffer O, Amin A, et al. Relation of lack of knowledge about dietary sodium to hospital readmission in patients with heart failure. The American journal of cardiology. 2008;102(9):1212-1215.
  • 10. Özkan G. Hangi Hastaya Ne Kadar Tuz Kısıtlaması Yapılmalı? Hipertansiyon Haber Bülteni 2016;3(5).
  • 20. Walsh E, Lehane E. An exploration of the relationship between adherence with dietary sodium restrictions and health beliefs regarding these restrictions in Irish patients receiving haemodialysis for end-stage renal disease. Journal of clinical nursing. 2011;20(3-4):331-340.
  • 21. McMahon EJ, Campbell KL, Mudge DW, Bauer JD. Achieving salt restriction in chronic kidney disease. International journal of nephrology. 2012;2012:720429.
  • 22. Park KA, Choi-Kwon S, Sim YM, Kim SB. Comparison of dietary compliance and dietary knowledge between older and younger Korean hemodialysis patients. J Ren Nutr. 2008;18(5):415-423.
  • 23. Kastarinen MJ, Puska PM, Korhonen MH, et al. Non-pharmacological treatment of hypertension in primary health care: a 2-year open randomized controlled trial of lifestyle intervention against hypertension in eastern Finland. Journal of Hypertension. 2002;20(12):2505-2512.
  • 25. Türkiye Aşırı Tuz Tüketiminin Azaltılması Programı 2017-2021. 2. Basım ed. Ankara: Sağlık Bakanlığı,Türkiye Halk Sağlığı Kurumu Obezite, Diyabet ve Metabolik Hastalıklar Daire Başkanlığı 2016.
  • 26. Erdem Y, Arici M, Altun B, et al. The relationship between hypertension and salt intake in Turkish population: SALTURK study. Blood Pressure. 2010;19(5):313-318.
  • 19. Krespi Boothby MR, Salmon P. Öz-yeterlilik ve hemodiyaliz tedavisi: Nitel ve nicel bir yaklaşım. Türk Psikiyatri Dergisi 2013;24(2):84-93.
  • 28. Bennett SJ, Lane KA, Welch J, Perkins SM, Brater DC, Murray MD. Medication and dietary compliance beliefs in heart failure. West J Nurs Res. 2005;27(8):977-993.
  • 29. Welch JL, Bennett SJ, Delp RL, Agarwal R. Benefits of and barriers to dietary sodium adherence. West J Nurs Res. 2006;28(2):162-180.
  • 2. Kuklina EV, Ayala C, Callaghan WM. Hypertensive disorders and severe obstetric morbidity in the United States. Obstetrics and gynecology. 2009;113(6):1299-1306.
  • 30. Oğuz S, Enç N, Yiğit Z. Kronik kalp yetersizliği olan hastalar için inanç ve uyum ölçeklerinin Türkçeye uyarlanması. Türk Kardiyol Dern Arş. 2010;38:480-485.

Hipertansiyonlu gebelerde tuzdan kısıtlı diyete uyum: yarar ve engel algısı

Year 2018, Volume: 3 Issue: 2, 87 - 100, 30.06.2018
https://doi.org/10.26453/otjhs.390557

Abstract

Bu çalışma hipertansif gebelerin tuzdan
kısıtlı diyete uyumda yarar ve engel algısını incelemek amacı ile yapıldı.
Çalışmanın evrenini hipertansiyon nedeni ile gebe polikliniğine başvuran ve
izlenen gebeler, örneklemini ise bu evrenden basit rastlantısal yöntemle
seçilen 100 hipertansif gebe kadın oluşturdu. Veriler, gebelerin
sosyodemografik ve obstetrik bilgilerini sorgulayan anket formu, tuz tüketimine
yönelik tutum ve davranışları değerlendiren beş soru ve Diyete Uyum Ölçeği ile
toplandı. Verilerin değerlendirilmesinde ortalama, standart sapma, median,
frekans dağılımları, spearman korelasyon analizinden yararlanıldı ve anlamlılık
0,05 olarak kabul edildi. Yaş ortalamaları 31,16 olan gebelerin %91’inde
hipertansiyonun gebelikte ortaya çıktığı saptandı. Gebelerin tuzdan kısıtlı
diyete uyum durumları incelendiğinde Yarar Alt Boyut ortalama toplam puanı
28.73, Engel Alt Boyut ortalama toplam puan 12.65 olarak saptandı. Büyük
çoğunluğu tuzdan kısıtlı beslenmenin sağlık ve kalp üzerine olumlu etkilerini
yarar algısı olarak, lezzet ve sosyal yaşamda kısıtlılıkları yol açmasının
engel algısı olarak bildirdiği görüldü. Yarar algısının tuzdan kısıtlı beslenme
ile ilgili tutum ve davranışları olumlu etkilediği saptandı. Gebelerin yarar ve
engel algılarının iyi düzeyde olduğu görüldü. Ebeler düzenli izlemlerde
gebelerin tuz tüketimi hakkındaki yarar ve engel algılarını, tutum ve
davranışlarını değerlendirmelidir. 

References

  • 31. Erdem Y, Arici M, Altun B, et al. The relationship between hypertension and salt intake in Turkish population: SALTURK study. Blood Pressure. 2010;19(5):313-318.
  • 16. De Keyzer W, Tilleman K, Ampe J, De Henauw S, Huybrechts I. Effect of sodium restriction on blood pressure of unstable or uncontrolled hypertensive patients in primary care. Nutrition research and practice. 2015;9(2):180-185.
  • 32. Bennett SJ, Milgrom LB, Champion V, Huster GA. Beliefs about medication and dietary compliance in people with heart failure: an instrument development study. Heart Lung. 1997;26(4):273-279.
  • 33. Kurt Y EE, Kaya C ve ark. . Hemodiyaliz hastalarına verilen eğitimin kan basıncı ve kilo alımına etkisi. Turk Nephrol Dial Transplant. 2012;21(1):39-44.
  • 27. Sodium intake for adults and children. Geneva, Switzerland: World Health Organization; 2012.
  • 35. Holgado B, de Irala-Estevez J, Martinez-Gonzalez MA, Gibney M, Kearney J, Martinez JA. Barriers and benefits of a healthy diet in spain: comparison with other European member states. Eur J Clin Nutr. 2000;54(6):453-459.
  • 36. Çenesiz E, Atak N. Türkiye’de sağlık inanç modeli ile yapılmış araştırmaların değerlendirilmesi. TSK Koruyucu Hekimlik Bülteni. 2007;6(6):427-434.
  • 11. Ohta Y, Ohta K, Ishizuka A, et al. Awareness of salt restriction and actual salt intake in hypertensive patients at a hypertension clinic and general clinic. Clin Exp Hypertens. 2015;37(2):172-175.
  • 3. Lo JO, Mission JF, Caughey AB. Hypertensive disease of pregnancy and maternal mortality. Current opinion in obstetrics & gynecology. 2013;25(2):124-132.
  • 4. Ersoy H, Sari O, Aydogan U, et al. Hypertensıon prevalance in pregnant women refered to the gynecology and obstetrics clinic of a faculty of medicine. Turkish Nephrology Dialysis Transplantation. 2011;20(02):187-
  • 24. Welch JL, Astroth KS, Perkins SM, et al. Using a mobile application to self-monitor diet and fluid intake among adults receiving hemodialysis. Research in nursing & health. 2013;36(3):284-298.
  • 5. Çulha G, Ocaktan ME, Çöl M. Ankara Üniversitesi Tıp Fakültesi kadın hastalıkları ve doğum polikliniğine başvuran gebelerde hipertansiyon araştırması. Turkiye Klinikleri Journal of Medical Sciences. 2010;30(2):639-649.
  • 6. Townsend R, O'Brien P, Khalil A. Current best practice in the management of hypertensive disorders in pregnancy. Integr Blood Press Control. 2016;9:79-94.
  • 34. Elmas A, Saral E, Tuğrul A, Şengül E, Bülbül F. Hemodializ hastalarında beslenme bilgi düzeyi ile klinik ve laboratuar bulguları arasındaki İlişki. Kocaeli Tıp Dergisi. 2012;3:23-26.
  • 8.Özkayar N. Gebelikte Hipertansiyon ve Tedavisi. Turkiye Klinikleri Journal of Nephrology Special Topics. 2017;10(1):63-68.
  • 9. Moussa HN, Arian SE, Sibai BM. Management of hypertensive disorders in pregnancy. Women’s Health. 2014;10(4):385-404.
  • 1. Global Health Observatory (GHO) Data. Maternal and Reproductive Health. 2018; http://www.who.int/gho/maternal_health/en/. Accessed 03-02-2018, 2018.
  • 12. Ohta Y, Kimura Y, Kitaoka C, Sakata T, Abe I, Kawano Y. Blood pressure control status and relationship between salt intake and lifestyle including diet in hypertensive outpatients treated at a general hospital. Clin Exp Hypertens. 2017;39(1):29-33.
  • 13. Bentley B, De Jong MJ, Moser DK, Peden AR. Factors related to nonadherence to low sodium diet recommendations in heart failure patients. Eur J Cardiovasc Nurs. 2005;4(4):331-336.
  • 14. Sheahan SL, Fields B. Sodium dietary restriction, knowledge, beliefs, and decision-making behavior of older females. Journal of the American Academy of Nurse Practitioners. 2008;20(4):217-224.
  • 15. Kim MJ, Ahn YH, Chon C, Bowen P, Khan S. Health disparities in lifestyle choices among hypertensive Korean Americans, non-Hispanic Whites, and Blacks. Biological research for nursing. 2005;7(1):67-74.
  • 7.Berhan Y, Endeshaw G. Maternal mortality predictors in women with hypertensive disorders of pregnancy: a retrospective cohort study. Ethiopian journal of health sciences. 2015;25(1):89-98.
  • 17. Young L, Barnason S. Uptake of dietary sodium restriction by overweight and obese patients after cardiac revascularization. Rehabilitation Nursing. 2015.
  • 18. Kollipara UK, Jaffer O, Amin A, et al. Relation of lack of knowledge about dietary sodium to hospital readmission in patients with heart failure. The American journal of cardiology. 2008;102(9):1212-1215.
  • 10. Özkan G. Hangi Hastaya Ne Kadar Tuz Kısıtlaması Yapılmalı? Hipertansiyon Haber Bülteni 2016;3(5).
  • 20. Walsh E, Lehane E. An exploration of the relationship between adherence with dietary sodium restrictions and health beliefs regarding these restrictions in Irish patients receiving haemodialysis for end-stage renal disease. Journal of clinical nursing. 2011;20(3-4):331-340.
  • 21. McMahon EJ, Campbell KL, Mudge DW, Bauer JD. Achieving salt restriction in chronic kidney disease. International journal of nephrology. 2012;2012:720429.
  • 22. Park KA, Choi-Kwon S, Sim YM, Kim SB. Comparison of dietary compliance and dietary knowledge between older and younger Korean hemodialysis patients. J Ren Nutr. 2008;18(5):415-423.
  • 23. Kastarinen MJ, Puska PM, Korhonen MH, et al. Non-pharmacological treatment of hypertension in primary health care: a 2-year open randomized controlled trial of lifestyle intervention against hypertension in eastern Finland. Journal of Hypertension. 2002;20(12):2505-2512.
  • 25. Türkiye Aşırı Tuz Tüketiminin Azaltılması Programı 2017-2021. 2. Basım ed. Ankara: Sağlık Bakanlığı,Türkiye Halk Sağlığı Kurumu Obezite, Diyabet ve Metabolik Hastalıklar Daire Başkanlığı 2016.
  • 26. Erdem Y, Arici M, Altun B, et al. The relationship between hypertension and salt intake in Turkish population: SALTURK study. Blood Pressure. 2010;19(5):313-318.
  • 19. Krespi Boothby MR, Salmon P. Öz-yeterlilik ve hemodiyaliz tedavisi: Nitel ve nicel bir yaklaşım. Türk Psikiyatri Dergisi 2013;24(2):84-93.
  • 28. Bennett SJ, Lane KA, Welch J, Perkins SM, Brater DC, Murray MD. Medication and dietary compliance beliefs in heart failure. West J Nurs Res. 2005;27(8):977-993.
  • 29. Welch JL, Bennett SJ, Delp RL, Agarwal R. Benefits of and barriers to dietary sodium adherence. West J Nurs Res. 2006;28(2):162-180.
  • 2. Kuklina EV, Ayala C, Callaghan WM. Hypertensive disorders and severe obstetric morbidity in the United States. Obstetrics and gynecology. 2009;113(6):1299-1306.
  • 30. Oğuz S, Enç N, Yiğit Z. Kronik kalp yetersizliği olan hastalar için inanç ve uyum ölçeklerinin Türkçeye uyarlanması. Türk Kardiyol Dern Arş. 2010;38:480-485.
There are 36 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Research article
Authors

Pınar Akyüz This is me 0000-0001-8066-4568

Neriman Zengin 0000-0002-1045-7288

Publication Date June 30, 2018
Submission Date February 6, 2018
Acceptance Date May 25, 2018
Published in Issue Year 2018 Volume: 3 Issue: 2

Cite

AMA Akyüz P, Zengin N. Hipertansiyonlu gebelerde tuzdan kısıtlı diyete uyum: yarar ve engel algısı. OTJHS. June 2018;3(2):87-100. doi:10.26453/otjhs.390557

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