ArticleHeart & lung : the journal of critical care
Patterns of adherence to diuretics, dietary sodium and fluid intake recommendations in adults with heart failure.
Article in Heart & lung : the journal of critical care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Evaluation of Heart Failure Apps to Promote Self-Care: Systematic App Search.JMIR mHealth and uHealth · 2019Pooled it
- Diuretic adherence in patients with pre-capillary pulmonary hypertension: insights from the PHARE study.ERJ open research · 2025Article
- Patient experience of treatment burden in chronic heart failure self-care interventions: a qualitative systematic review protocol.BMJ open · 2025Article
- Correlation between family function and self-management abilities in patients with metabolic dysfunction-associated steatotic liver disease.Journal of health, population, and nutrition · 2025Article
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- Contribution of informal caregivers to self-care in individuals with heart failure.Revista brasileira de enfermagem · 2024Article
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- Self-care practices among heart failure patients: A cross-sectional study in Saudi population.Saudi medical journal · 2023Article
- Development and acceptance of a new adherence monitoring package to identify non-adherent patients with polypharmacy in primary care: a feasibility study.BMJ open quality · 2023Article
- Review the factors associated with dietary sodium adherence in patients with heart failure from selected research-based literatures.BMC nutrition · 2022Article
- Do the Current Guidelines for Heart Failure Diagnosis and Treatment Fit with Clinical Complexity?Journal of clinical medicine · 2022Review
- Chagas heart disease: An overview of diagnosis, manifestations, treatment, and care.World journal of cardiology · 2021Review
- Sodium Intake and Heart Failure.International journal of molecular sciences · 2020Review
- Impact of lockdown on patients with congestive heart failure during the coronavirus disease 2019 pandemic.ESC heart failure · 2020Article
- A qualitative study of living with the burden from heart failure treatment: Exploring the patient capacity for self-care.Nursing open · 2020Article
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Authors and funding
7 authors.
Funding
Abstract
backgroundThree behaviors advocated to minimize fluid-related hospitalizations in patients with heart failure (HF) are restricted sodium and fluid intake and consistent oral diuretic use. Adherence to behaviors intended to decrease risk of hospitalization is believed to vary over time, but surprisingly little research has addressed patterns of adherence in HF patients.
objectiveTo describe patterns over time of 3 recommended self-care behaviors (i.e., diet, fluid intake, and diuretic dosing) in adults with HF and to determine how time and behavior influenced adherence rates.
methodsWe enrolled 24 adults hospitalized for a HF exacerbation and discharged on a loop diuretic into a descriptive, longitudinal pilot study. Over 3-months, diuretic use was measured using electronic event monitoring, and participants were telephoned regularly to assess sodium and fluid intake. Data were summarized for each 2-week intervals.
resultsThe overall adherence rates were 42.4% for low sodium diet, 96.4% for fluid restriction, and 84.7% for the diuretic regimen. Early after hospital discharge, medication adherence was the highest, and dietary adherence was the lowest, but adherence to diet and diuretic use decreased significantly over time.
conclusionAlthough participants were just discharged from the hospital after an acute exacerbation of HF, all three behavioral patterns decreased markedly over the 3-month follow-up period.
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