Aims and objectivesTo explore the cultural factors related to dietary and fluid restriction behaviours among older Chinese patients.
BackgroundExcess dietary sodium and fluid intake are risk factors contributing to the worsening and rehospitalisation for heart failure in older patients. Managing the complex fluid and diet requirements of heart failure patients is challenging and is made more complicated by cultural variations in self-management behaviours in response to a health threat.
DesignQualitative study using semi-structured in interviews and framework analysis.
MethodsThe design of this study is qualitative descriptive. Semi-structured in-depth interviews were conducted with 15 heart failure patients. Data were analysed through content analysis.
ResultsSeven cultural themes emerged from the qualitative data: the values placed on health and illness, customary way of life, preference for folk care and the Chinese healthcare system, and factors related to kinship and social ties, religion, economics and education.
ConclusionsDietary change and management in response to illness, including heart failure, is closely related to individuals' cultural background. Healthcare providers should have a good understanding of cultural aspects that can influence patients' conformity to medical recommendations.
Relevance to clinical practiceHeart failure patients need support that considers their cultural needs. Healthcare providers must have a good understanding of the experiences of people from diverse cultural backgrounds.
[1]Shanghai Univ Tradit Chinese Med, Shuguang Hosp, Dept Nursing, Shanghai, Peoples R China.
[2]Tongji Univ, Sch Med, Shanghai East Hosp, Nursing,Dept Nursing, Shanghai 200120, Peoples R China.
[3]Tongji Univ, Sch Med, Shanghai East Hosp, Dept Nursing, Shanghai, Peoples R China.
(8.0+极速模式)