(3.238.174.50) 您好!臺灣時間:2021/04/11 12:28
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果

詳目顯示:::

我願授權國圖
: 
twitterline
研究生:李以文
研究生(外文):Yi-Wen Lee
論文名稱:心衰竭住院患者鈉攝取量與體液滯留嚴重度的相關性
論文名稱(外文):The relationship between sodium dietary intake and fluid retention in inpatients with heart failure
指導教授:黃璉華黃璉華引用關係
口試委員:羅美芳樓迎統柯毓賢張玉坤
口試日期:2016-06-03
學位類別:博士
校院名稱:國立臺灣大學
系所名稱:護理學研究所
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2016
畢業學年度:104
語文別:中文
論文頁數:87
中文關鍵詞:鈉飲食心衰竭體液滯留非實驗性研究設計護理指導
外文關鍵詞:dietary sodiumheart failurefluid retentionnon-experimental researchnursing instructions.
相關次數:
  • 被引用被引用:0
  • 點閱點閱:301
  • 評分評分:系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔系統版面圖檔
  • 下載下載:0
  • 收藏至我的研究室書目清單書目收藏:0
背景:心衰竭是一個致死率高的症候群。患者常因體液容積過量症狀而再住院。有研究以鈉攝取量為介入措施,探討低鈉飲食對心衰竭體液滯留的效果,但少有文獻報告患者的鈉攝取量。目前也尚未蒐集到國內患者的這方面資料。
目的:本研究擬探討心衰竭住院患者鈉攝取量、體液滯留嚴重度;鈉攝取量和體液滯留嚴重度的相關性;患者分別在不同飲食來源、不同病情嚴重度下,鈉攝取量的差異性。
設計:本研究採非實驗性研究設計。
方法:本研究在北部某醫學中心,以便利取樣方式選取患者。收案條件為意識清;能以國、台語溝通;最近一星期內血清肌酐酸值:男性患者 ≦ 2.54 mg/dL,女性患者 ≦ 2.06 mg/dL。排除條件為醫師診斷有失智症、肝臟疾病、週邊血管疾病、呼吸道疾病、發燒、腹瀉;無法配合收集小便;目前正接受以下治療:呼吸器、需定期洗腎、輸血、靜脈滴注食鹽水或禁食。最後共邀請116位患者參加研究,其中有5位在參加研究期間出院,11位拒絕邀請,故最後100位患者進入資料分析。主要研究工具為體液滯留嚴重度量表和生化分析儀。以SPSS 17.0進行統計分析。描述性資料採全距、平均值、標準差、百分比分析;推論性資料採Pearson correlation, Spearman rho, t-test和單因子變異分析。
結果:患者平均年齡為73 ± 14歲,以男性(63%)、教育程度在小學或以下(66%)、有偶(86%)、NYHA 功能等級Ⅲ(36%)居多。資料顯示:1. 患者平均鈉攝取量2.97 ± 2.56克/天。2. 不同病情嚴重度患者的鈉攝取量,無顯著差異(p = .31)。3. 患者的體液滯留嚴重度,得分範圍0~18分,平均得分為6.62 ± 4.97分(滿分28分)。4. 不同病情嚴重程度患者的體液滯留嚴重程度,有顯著差異(p = .00)。5. 鈉攝取量與體液滯留嚴重度,無顯著相關(p = .70)。6. 不同飲食來源的鈉攝取量,無顯著差異(p = .54)。7. 患者的鈉攝取量超過護理指導的建議(p = .03)。
結論與建議:本研究結果顯示住院患者平均鈉攝取量為2.97克/天。雖然鈉攝取量與體液滯留嚴重度沒有顯著相關,但患者平均鈉攝取量,仍高於護理指導的建議。表示鈉攝取量在心衰竭照護,仍是值得重視的議題。本研究結果同時發展出體液滯留嚴重度量表,不僅驗證其信效度,同時顯示其量測值與病情嚴重度有顯著相關。此量表為特定性量表,運用於測量心衰竭的體液滯留症狀,方便未來運用於臨床護理心衰竭患者之自我監測體液滯留情形,或研究類似議題上的工具選擇。


Background: Heart failure is a syndrome with high mortality. Patients’ re-hospitalizations were often due to fluid overload symptoms. Although there were some research using dietary sodium as an intervention to export low dietary sodium effect on fluid overload in heart failure, few reports about amount of daily dietary sodium in patients with heart failure. In Taiwan, data of amount of daily dietary sodium in patients with heart failure were not yet collected.
Aims: Inpatients with heart failure were invited to participate in this study. The purposes of this study were 1) to investigate dietary sodium intake and severity of fluid overload symptoms, 2) to explore the relationship between dietary sodium intake and severity of fluid overload symptoms, 3) to compare amount of dietary sodium intake and severity of fluid overload symptom under variance of dietary source and disease severity.
Designs: This study design was a non-experimental research.
Methods: Patients were recruited using convenience sampling from a medical center in northern Taiwan. The inclusion criteria were as follows: alert and had clear thinking, with ability to speak Chinese or Taiwanese, serum creatinine ≦ 2.54 mg/dL (male) or ≦2.06 mg/dL (female) in the latest week. The exclusion criteria were as follows: dementia, hepatic disease, renal disease, peripheral vascular disease, or respiratory disease, fever and diarrhea based on medical record; not available for urine collection, under ventilator, hemodialysis, blood transfusion, intravenous saline infusion and fasting treatment. A total of 116 patients were invited to join this study. Five out of 116 patients discharged during study. Eleven out of 116 rejected the study. Finally, a total of 100 patients entered the study. Fluid Overload Symptoms Scale and biochemical analyzes (Hitachi 7600 series automation system clinical analyzer) were major instruments for data collection. All analyses were conducted with SPSS version 17. The descriptive statistics used in the study includes range, mean ± standard deviation, frequency and percentage. The inferential statistics includes Pearson correlation, Spearman rho, t-test, and one-way ANOVA.
Result: It was found that the patients had a mean age of 73 ± 14 years; 63% were males; 66% had an education level the equivalent of or less than junior high school; 86% were married; 36% were New York Heart Association functional classⅢ. This result showed that: 1) mean dietary sodium intakes was 2.97 ± .57 gm/day; 2) different disease severity was not significant in the amount of daily dietary sodium intake (p = .31); 3) mean fluid overload symptom score was 6.62 ± 4.97 points (range: 0~18 points); 4) levels of disease severity were significant in fluid overload symptom score (p = .00); 5) there was no significant correlation between the amount of daily dietary sodium intake and the severity level of fluid overload (p = .70); 6) different dietary source was not significant in the amount of daily dietary sodium intake (p = .54); 7) heart failure patients’ dietary sodium intake amount was more than what was recommended from nursing instructions.
Conclusions and Suggestions: The result of the study shows that patients’ average dietary sodium intake was 2.97 gm/day, and that sodium intake and severity of fluid overload was not significantly correlated. In addition, the results of this study also show that average patients’ sodium intake is higher than that recommended in nursing instructions; hence, the amount of dietary sodium intake is still an important issue in heart failure care. In this study, a Fluid Overload Symptom Scale was developed and exhibited reliability with construct and criterion validity in the measurement of severity of fluid overload symptoms, exhibiting the validity of the scale. Being a specific measurement tool for fluid overload symptoms in heart failure, the scale is certainly convenient for patients to use in self-monitoring.


目錄
頁數
口試委員會審定書…………………………………………………i
致謝…………………………………………………………………ii
中文摘要……………………………………………………………iii
英文摘要……………………………………………………………viii

目錄…………………………………………………………………viii
圖目錄…………………………………………………………… viii

表目錄………………………………………………………………xi

第ㄧ章 緒論…………………………………………………………1
第一節 研究動機與重要性………………………………….1
第二節 研究目的…………………………………………… 2
第三節 研究問題…………………………………………… 3
第二章 文獻查證………………………………………………… 4
第ㄧ節 體液重要成分與體液容積調節…………………….4
第二節 簡介心衰竭………………………………………… 7
第三節 心衰竭患者的鈉攝取量…………………………… 12
第四節 心衰竭的體液滯留症狀…………………………… 21
第五節 心衰竭患者的鈉攝取量與體液滯留嚴重度……… 23
第三章 研究方法………………………………………………… 27
第一節 研究設計…………………………………………… 27
第二節 研究架構…………………………………………… 28
第三節 研究假設…………………………………………… 29
第四節 名詞定義…………………………………………… 30
第五節 研究場所…………………………………………… 32
第六節 研究對象…………………………………………… 33
第七節 研究工具…………………………………………… 35
第八節 研究工具之信、效度和儀器正確性、精確度測定 40
第九節 資料收集過程……………………………………… 42
第十節 資料分析…………………………………………… 44
第十一節 研究倫理………………………………………… 45
第四章 研究結果………………………………………………… 46
第一節 基本資料………………………………………………… 46
第二節 不同病情嚴重度的鈉攝取量…………………………… 48
第三節 不同病情嚴重度的體液滯留嚴重度…………………… 49
第四節 鈉攝取量與體液滯留嚴重度的相關性………………… 50
第五節 不同飲食來源的鈉攝取量……………………………… 51
第六節 護理指導後患者的鈉攝取量…………………………… 52
第五章 討論……………………………………………………… 53
第一節 不同病情嚴重度的鈉攝取量……………………… 53
第二節 不同病情嚴重度的體液滯留嚴重度……………… 57
第三節 鈉攝取量與體液滯留嚴重度的相關性…………… 59
第四節 不同飲食來源的鈉攝取量………………………… 63
第五節 護理指導後患者的鈉攝取量…………………… 64
第六章 結論與建議……………………………………………… 65
第一節 結論………………………………………………… 65
第二節 研究貢獻…………………………………………… 67
第三節 研究限制與建議…………………………………… 68
參考文獻…………………………………………………………… 70
中文部分……………………………………………………… 70
英文部分……………………………………………………… 71
附錄………………………………………………………………… 85
附錄一 基本資料…………………………………………… 85
附錄二 NYHA功能分級……………………………………… 86
附錄三 體液滯留嚴重度量表……………………………… 87


圖目錄
頁數
圖1 研究架構圖 ……………………………………………… 28
圖2 研究資料收集流程圖……………………………………… 43


表目錄
頁數
表1 Forrester心衰竭嚴重度的分級方式………………………… 10
表2 各專業組織對不同病情嚴重度患者的每日鈉攝取建議量 … 13
表3 患者基本資料………………………………………………… 47
表4 患者在不同病情嚴重程度的鈉攝取情形…………………… 48
表5 比較患者在不同病情嚴重程度下鈉攝取量的差異………… 48
表6 患者在各病情嚴重度之體液滯留嚴重程度分數…………… 49
表7 比較患者在不同病情嚴重度的體液滯留嚴重度分數差異… 49
表8 患者之鈉攝取量和體液滯留嚴重度的相關情形……………… 50
表9 比較患者在不同飲食來源下鈉攝取量的差異………………… 51
表10 比較護理指導建議患者的鈉攝取量與實際鈉攝取量的差異 52
表11 各研究對象、病情嚴重度、鈉攝取量與鈉攝取量的推估方式 55


中文部份
王蔚芸(2009).體液容積過量之原理背景及護理.臺灣醫學,20(3),334-342。
江碩儒、柯景塘(2007).心臟衰竭治療的新進展.北市醫學雜誌,4(9),38-48。
行政院衛生福利部(2009).衛生福利部建議低鹽飲食建康九九衛生教育網站.檢自http://www.health99.gov.twmediapulicpdf11758.pdf 行政院衛生福利部(2015).衛生福利部統計處網站.檢自http://www.mohw.gov.tw/cht/DOS/Statistic.aspx?f _list_no=312&fod_list_no=5488
周嘉裕(2010).急性心衰竭的診斷與治療-準則應用與建議.重症醫學雜誌,11(3),161-187。
施評意(1997).充血性心衰竭病人的鹽份和水份限制.護理雜誌,44(3),52-55。
張依涵(2005).台灣地區老人鈣、鎂、鈉、鉀營養狀況與高血壓、結石之相關研究 (未發表碩士論文),私立靜宜大學食品營養學研究所,臺北市。
蔡榮基(1984).心臟機能與心臟衰竭.臨床心臟內科學(出版,271-302頁).臺北:合記。
賴文源、顏兆雄 (2011).老人之心衰竭.當代醫學,38(3),175-184。
Polit, D. F., & Hungler, B. P. (1999)‧護理研究法(上)(史麗珠、李絳桃、徐亞瑛、高淑芬、徐麗華、陳美伶)‧臺北:桂冠。(原著出版於1995)
Vander, A. J., Sherman, J. H., & Luciano, D. S. (2005)。人體生理學(Human physiology)(潘震澤、楊志剛、高毓儒、黃娟娟、謝坤叡、袁宗凡、蔡新茂、林春月、梁淑鈴譯)。臺北:合記(原著出版於1998)

英文部份
Arcand, J. A. L., Brazel, S., Joliffe, C., Choleva, M., Berkoff, F., Allard, J. P., & Newton, G. E. (2005). Education by a dietitian in patients with heart failure results in improved adherence with a sodium-restricted diet: A randomized trial. American Heart Journal, 150 (4), 716-716.
Arcand, J., Ivanov, J., Sasson, A., Floras, V., Al-Hesayen, A., Azevedo, E. R.,…Newton, G. E. (2011). A high-sodium diet is associated with acute decompensated heart failure in ambulatory heart failure patients: A prospective follow-up study. American Journal of Clinical Nutrition, 93(2), 332-337.
Artinian, N. T., Magnan, M., Sloan, M., & Lange, M. P. (2002). Self-care behaviors among patients with heart failure. The Journal of Acute and Critical Care, 31(3), 161-172.
Aliti, G. B., Rabelo, E. R., Clausell, N., Rohde, L. E., Biolo, A., & Beck-da-Silva, L. (2013). Aggressive fluid and sodium restriction in acute decompensated heart failure: A randomized clinical trial. Journal of the American Medical Association Internal Medicine, 173, 1058-1064.
Alvelos, M., Ferreira, A., Bettencourt, P., Serrao, P., Pestana, M., Cerqueira-Gomes, M., & Soares-Da-Silva, P. (2004). The effect of dietary sodium restriction on neurohumoral activity and renal dopaminergic response in patients with heart failure. European Journal of Heart Failure, 6(5), 593-599.
American Heart Association. (2015). Heart disease and stroke statistics 2015 update. Circulation,131, e29-e322.
American Heart Association. (1994). Classification of functional capacity and objective assessment. Retrieved from http://my.americanheart.org/professional/ Statements Guidelines/ByPublicationDate/PreviousYears/Classification-of-Functional-Capacity-and-Objective-Assessment_UCM_423811_Article.jsp#.Vnpwr08cTMM
Anand, I. S., & Chugh, S. S. (1997). Mechanisms and management of renal dysfunction in heart failure. Current Opinion in Cardiology, 12(3), 251-258.
Bekelman, D. B., Havranek, E. P., Becker, D. M., Kutner, J. S., Peterson, P. N., Wittstein, I. S., & Dy, S. M. (2007). Symptoms, depression, and quality of life in patients with heart failure. Journal of Cardiac Failure, 13(8), 643-648.
Bennett, J. A., Riegel, B., Bittner, V., & Nichols, J. (2002). Validity and reliability of the NYHA classes for measuring research outcomes in patients with cardiac disease. The Journal of Acute and Critical Care, 31(4), 262-270.
Bennett, S. J., Huster, G. A., Baker, S. L., Milgrom, L. B., Kirchgassner, A., Birt, J., & Pressler, M. L. (1998). Characterization of the precipitants of hospitalization for heart failure decompensation. American Journal of Critical Care, 7(3), 168-174.
Charlton, K., Yeatman, H., Houweling, F., & Guenon, S. (2010). Urinary sodium excretion, dietary sources of sodium intake and knowledge and practices around salt use in a group of healthy Australian women. Journal of Public Health, 34(4), 356-363.
Chriss, P. M., Sheposh, J., Carlson, B., & Riegel, B. (2004). Predictors of successful heart failure self-care maintenance in the first three months after hospitalization. The Journal of Acute and Critical Care, 33(6), 345-353.
Clark, A. M., Duncan, A. S., Trevoy, J. E., Heath, S., & Chan, M. (2011). Healthy diet in Canadians of low socioeconomic status with coronary heart disease: Not just a matter of knowledge and choice. The Journal of Acute and Critical Care, 40(2), 156-163.
Colin-Ramirez, E., Martínez, L. C., Tejeda, A. O., González, V. R., David, R. N., & Lafuente, E. A. (2004). Effects of a nutritional intervention on body composition, clinical status, and quality of life in patients with heart failure. Nutrition, 20(10), 890-895.
Corotto, P. S., McCarey, M. M., Adams, S., Khazanie, P., & Whellan, D. J. (2013). Heart failure patient adherence: Epidemiology, cause, and treatment. Heart Failure Clinics, 9, 49-58.
Cotter, G., Metra, M., Milo-Cotter, O., Dittrich, H. C., & Gheorghiade, M. (2008). Fluid overload in acute heart failure redistribution and other mechanisms beyond fluid accumulation. European Journal of Heart Failure, 10,165-169.
Dahl, L. K. (1972). Salt and hypertension. American Journal of Clinical Nutrition, 25(2), 231-244.
Dengel, D. R., Brown, M. D., Reynolds, T. H., Kuskowski, M. A., & Supiano, M. A. (2006). Effect of aerobic exercise training on blood pressure sensitivity to dietary sodium in older hypertensives. Journal of Human Hypertension, 20(5), 372-378.
Donner, A. F., Correa, S., G., Brunetto, S., Schweigert-Perry, I. D., & Biolo, A. (2012). Nutritional orientation, knowledge and quality of diet in heart failure: Randomized clinical trial. Nutricion Hospitalaria, 27(2), 441-448.
Dunbar, S. B., Clark, P. C., Quinn, C., Gary, R. A., & Kaslow, N. J. (2008). Family influences on heart failure self-care and outcomes. Journal of Cardiovascular Nursing, 23, 258-265.
Dunbar, S. B., Clark, P. C., Reilly, C. M., Gary, R. A., Smith, A., McCarty, F.,…Ryan, R. (2013). A trial of family partnership and education interventions in heart failure. Journal of Cardiac Failure,19 (12), 829-841.
Engstrom, J. L. (1988). Assessment of the reliability of physical measures. Research in Nursing & Health, 11(6), 383-389.
Espeland, M. A., Kumanyika, S., Wilson, A. C., Reboussin, D. M., Easter, L., Self, M., …McFarlane, M. (2001). Statistical issues in analyzing 24-hour dietary recall and 24-hour urine collection data for sodium and potassium intakes. American Journal of Epidemiology, 153(10), 996-1006.
Feinstein, A. R., Fisher, M. B., & Pigeon, J. G. (1989). Changes in dyspnea-fatigue ratings as indicators of quality of life in the treatment of congestive heart failure. The American Journal of Cardiology, 64(1), 50-55.
Ferreira, A., Bettencourt, P., Pimenta, J., Frioes, F., Pestana, M., Soares-da-Silva, P., & Cerqueira-Gomes, M. (2002). The renal dopaminergic system, neurohumoral activation, and sodium handling in heart failure. American Heart Journal, 143(3), 391-397.
Forrester, J. S., Diamond, G. A., & Swan, H. J. C. (1977). Correlative classification of clinical and hemodynamic function after acute myocardial infarction.The American Journal of Cardiology, 39(2), 137-145.
Family Practice Notebook (2016). Framingham heart failure diagnostic criteria. Retrieved from http://www.fpnotebook.com/cv/exam/FrmnghmHrtFlrDgnstcCrtr.
htm
Freberg, K. (2013). Using the theory of planned behavior to predict intention to comply with a food recall message. Health Communication, 28, 359-365.
Friedman, M. M., & Quinn, J. R. (2008). Heart failure patients'' time, symptoms, and actions before a hospital admission. Journal of Cardiovascular Nursing, 23(6), 506-512.
Frediani, J. K., Reilly, C. M., Higgins, M., Clark, P. C., Gary, R. A., & Dunbar, S. B. (2013). Quality and adequacy of dietary intake in a southern urban heart failure population. The Journal of Cardiovascular Nursing, 28(2), 119-128.
Geerling, J. C, & Loewy, A. D. (2008). Central regulation of sodium appetite. Experimental Physiology, 93(2), 177-209.
Gerber, L. M., & Mann, S. J. (2012). Inaccuracy of self-reported low sodium diet. American Journal of Human Biology, 24(2), 189-191.
Goldman, L., Hashimoto, B., Cook, E. F., & Loscalzo, A. (1981). Comparative reproducibility and validity of systems for assessing cardiovascular functional class: Advantages of a new specific activity scale. Circulation, 64(6), 1227-1234.
Gorelik, O., Almoznino-Sarafian, D., Feder, I., Wachsman, O., Alon, I., Litvinjuk, V.,… Cohen, N. (2003). Dietary intake of various nutrients in older patients with congestive heart failure. Cardiology, 99(4), 177-181.
Green, C. P., Porter, C. B., Bresnahan, D. R., & Spertus, J. A. (2000). Development and evaluation of the Kansas City Cardiomyopathy Questionnaire: A new health status measure for heart failure. Journal of the American College of Cardiology, 35(5), 1245-1255.
Guyton, C., & Hall, J. E. (2000). Textbook of medical physiology (10th ed.). Philadelphia, PA: Saunders.
Harris, S. A., Purdham, J. T., Corey, P. N., & Sass-Kortsak, A. M. (2000). An evaluation of 24-hour urinary creatinine excretion for use in identification of incomplete urine collections and adjustment of absorbed dose of pesticides. American Industrial Hygiene Association, 61(5), 649-657.
Hair, J. F., Jr., Black, W. C., Babin, B. J., & Anderson R. E. (2009). Multivariate data analysis (7th ed.). Upper Saddle River, NJ: Prentice Hall.
Haydock, P., M., & Cowie, M. R. (2010). Heart failure: Classification and pathophysiology. Medicine, 38(9), 467-472.
Heer, M., Baisch, F., Kropp, J., Gerzer, R., & Drummer, C. (2000). High dietary sodium chloride consumption may not induce body fluid retention in humans. American Journal of Physiology - Renal Physiology, 278(4), 585-595.
Heer, M., Drummer, C., Baisch, F., & Gerzer, R. (1993). Long-term elevations of dietary sodium produce parallel increases in the renal excretion of urodilatin and sodium. European Journal of Physiology, 425(5-6), 390-394.
Hertzog, M. A., Pozehl, B., & Duncan, K. (2010). Cluster analysis of symptom occurrence to identify subgroups of heart failure patients: A pilot study. Journal of Cardiovascular Nursing, 25(4), 273-283.
Huang, T. Y., Moser, D. K., Hwang, S. L., Lennie, T. A., Chung, M., & Heo, S. (2010). Comparison of health-related quality of life between American and Taiwanese heart failure patients. Journal of Transcultural Nursing, 21(3), 212-219.
Jalowiec, J. E. (1974). Sodium appetite elicited by furosemide: Effects of differential dietary maintenance. Behavioral Biology, 10 (3), 313-327.
Jessup, M., & Brozena, S. (2003). Heart failure. The New England Journal of Medicine, 348(20), 2007-2018.
Jurgens, C. Y., Moser, D. K., Armola, R., Carlson, B., Sethares, K., & Riegel, B. (2009). Symptom clusters of heart failure. Research in Nursing & Health, 32(5), 551-560.
Killip, T., & Kimball, J. T. (1967). Treatment of myocardial infarction in a coronary care unit: A two year experience with 250 patients. American Journal of Cardiology, 20(4), 457-464.
Kimira, M., Kudo, Y., Takachi, R., Haba, R., & Watanabe, S. (2004). Associations between dietary intake and urinary excretion of sodium, potassium, phosphorus, magnesium, and calcium. Japanese Journal of Hygiene, 59(1), 23-30.
Kollipara, U. K., Mo, V., Toto, K. H., Nelson, L. L., Schneider, R. A., Neily, J. B., & Drazner, M. H. (2006). High-sodium food choices by southern, urban African Americans with heart failure. Journal of Cardiac Failure, 12(2), 144-148.
Leclercq, C., & Ferro-Luzzi, A. (1991). Total and domestic consumption of salt and their determinants in three regions of Italy. European Journal of Clinical Nutrition, 45(3), 151-159.
Lee, K. S., Song, E. K., Lennie, T. A., Frazier, S. K., Chung, M. L., Heo, S.,…Moser, D. K. (2010). Symptom clusters in men and women with heart failure and their impact on cardiac event-free survival. Journal of Cardiovascular Nursing, 25(4), 263-272.
Lee, Y. W., Jeng, Y. J., & Huang, L. H. (2015). Development and testing of a scale to assess fluid overload symptoms. Applied Nursing Research, 28(2), 206-209.
Lemon, S. C., Olendzki, B., Magner, R., Li, W., Culver, A. L., Ockene, I., & Goldberg, R. J. (2010). The dietary quality of persons with heart failure in NHANES 1999-2006. Journal of General Internal Medicine, 25(2), 135-140.
Leiba, A., Vald, A., Peleg, E., Shamiss, A., & Grossman, E. (2005). Does dietary recall adequately assess sodium, potassium, and calcium intake in hypertensive patients. Nutrition, 21(4), 462-466.
Licata, G., Pasquale, P. D., Parrinello, G., Cardinale, A., Scandurr, A., Follone, G.,… Paterna, S. (2003). Effects of high-dose furosemide and small-volume hypertonic saline solution infusion in comparison with a high dose of furosemide as bolus in refractory congestive heart failure: Long-term effects. American Heart Journal, 145, 459-466.
Lindenfeld, J., Albert, N. M., Boehmer, J. P., Collins, S, P., Ezekowitz, J. A., Givertz, M. M.,… Walsh, M. N. (2010). HFSA 2010 Comprehensive Heart Failure Practice Guideline. Journal of Cardiac Failure, 16, e1-e194.
Lloyd-Williams, F., Mair, F., Shiels, C., Hanratty, B., Goldstein, P., Beaton, S.,... Connelly, D. (2003). Why are patients in clinical trials of heart failure not like those we see in everyday practice. Journal of Clinical Epidemiology, 56(12), 1157-1162.
Luft, F. C., Rankin, L. I., Bloch, R., Willis, L. R., Fineberg, N. S., & Weinberger, M. H. (1983). The effects of rapid saline infusion on sodium excretion, renal function, and blood pressure at different sodium intakes in man. American Journal of Kidney Diseases, 2(4), 464-470.
Lymperopoulos, A., Rengo, G., & Koch, W. J. (2013). Adrenergic nervous system in heart failure: Pathophysiology and therapy. Circulation Research, 113(6), 739-753.
McMurray J. J, Anker, S. D., Auricchio, A., Bo, M., Dickstein, K., Falk, V., & Sussex, B. (2012). ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: The task force for the diagnosis and treatment of acute and chronic heart failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC. European Heart Journal, 33, 1787-1847.
Maestre, A., Gil, V., Gallego, J., Aznar, J., Mora, A., & Martín-Hidalgo, A. (2009). Diagnostic accuracy of clinical criteria for identifying systolic and diastolic heart failure: Cross-sectional study. Journal of Evaluation in Clinical Practice, 15(1), 55-61.
Milne, F. J., Gear, J. S., Laidley, L., Ritchie, M., & Schultz, E. (1980). Spot urinary electrolyte concentrations and 24 hour excretion. Lancet, 2(8204), 1135.
Nakasato, M., Strunk, C. M. C., Guimaraes, G., Rezende, M. V. C., & Bocchi, E. A. (2010). Is the low-sodium diet actually indicated for all patients with stable heart failure. Arquivos Brasileiros de Cardiologia, 94(1), 92-101.
Neily, J. B., Toto, K. H., Gardner, E. B., Rame, J. E., Yancy, C. W., Sheffield, M. A., . . . Drazner, M. H. (2002). Potential contributing factors to noncompliance with dietary sodium restriction in patients with heart failure. American Heart Journal, 143, 29-33.
Nieveen, J. L., Zimmerman, L. M., Barnason, S. A., & Yates, B. C. (2008). Development and content validity testing of the cardiac symptom survey in patients after coronary artery bypass grafting. The Journal of Acute and Critical Care, 37(1), 17-27.
Pan, W. H., Chen, J. Y., Chen, Y. C., & Tsai, W. Y. (1994). Diurnal electrolyte excretion pattern affects estimates of electrolyte status based on 24-hour, half-day, and overnight urine. Chinese Journal of Physiology, 37(1), 49-53.
Parrinello, G., Parrinello, G., Di Pasquale, P., Licata, G., Torres, D., Giammanco, M.,…Paterna, S. (2009). Long -term effects of dietary sodium intake on cytokines and neurohormonal activation in patients with recently compensated congestive heart failure. Journal of Cardiac Failure, 15, 864-873.
Paterna, S., Di Pasquale, P., Parrinello, G., Amato, P., Cardinale, A., Follone, G.,…Licata, G. (2000). Effects of high-dose furosemide and small-volume hypertonic saline solution infusion in comparison with a high dose of furosemide as a bolus, in refractory congestive heart failure. European Journal of Heart Failure, 2(3), 305-313.
Paterna, S., Di Pasquale, P., Parrinello, G., Fornaciari, E., Di Gaudio, F., Fasullo, S., & Licata, G. (2005). Changes in brain natriuretic peptide levels and bioelectrical impedance measurements after treatment with high-dose furosemide and hypertonic saline solution versus high-dose furosemide alone in refractory congestive heart failure: A double-blind study. Journal of the American College of Cardiology, 45(12), 1997-2003.
Paterna, S., Fasullo, S., Parrinello, G., Cannizzaro, S., Basile, I., Vitrano, G.,…Di Pasquale, P. (2011). Short-term effects of hypertonic saline solution in acute heart failure and long-term effects of a moderate sodium restriction in patients with compensated heart failure with New York Heart Association class III (Class C) (SMAC-HF Study). American Journal of the Medical Sciences, 342, 27-37.
Paterna, S., Gaspare, P., Fasullo, S., Sarullo, F. M., & Di Pasquale, P. (2008). Normal-sodium diet compared with low-sodium diet in compensated congestive heart failure: is sodium an old enemy or a new friend. Clinical Science, 114(3), 221-230.
Paterna, S., Parrinello, G., Cannizzaro, S., Fasullo, S., Torres, D., Sarullo, F. M., & Di Pasquale, P. (2009). Medium term effects of different dosage of diuretic, sodium, and fluid administration on neurohormonal and clinical outcome in patients with recently compensated heart failure. The American Journal of Cardiology, 103(1), 93-102.
Penz, E. D., Joffres, M. R., & Campbell, N. R. C. (2008). Reducing dietary sodium and decreases in cardiovascular disease in Canada. Canadian Journal of Cardiology, 24(6), 491-497.
Pretorius, S., Sliwa, K., Ruf, V., Walker, K., & Stewart, S. (2012). Feeding the emergence of advanced heart disease in Soweto: A nutritional survey of black African patients with heart failure. Cardiovascular Journal of Africa, 23(5), 245-251.
Price, R. J. G., Witham, M. D., & McMurdo, M. E. T. (2007). Defining the nutritional status and dietary intake of older heart failure patients. European Journal of Cardiovascular Nursing, 6(3), 178-183.
Philipson, H., Ekman, I., Forslund, H. B., Swedberg, K., & Schaufelberger, M. (2013). Salt and fluid restriction is effective in patients with chronic heart failure. European Journal of Heart Failure, 15, 1304-1310.
Philipson, H., Ekman, I., Swedberg, K., & Schaufelberger, M. (2010). A pilot study of salt and water restriction in patients with chronic heart failure. Scandinavian Cardiovascular Journal, 44(4), 209-214.
Rami, K. (2013). Aggressive salt and water restriction in acutely decompensated heart failure: Is it worth its weight in salt. Expert Review of Cardiovascular Therapy, 11, 1125-1128.
Rohrbaugh, M. J., Shoham, V., Cleary, A. A., Berman, J. S., & Ewy, G. A. (2009). Health consequences of partner distress in couples coping with heart failure. The Journal of Acute and Critical Care,, 38(4), 298-305.
Ronco, C., Kaushik, M., Valle, R., Aspromonte, N., Peacock, W., & Frank, T. H. (2012) Diagnosis and management of fluid overload in heart failure and cardio-renal syndrome: The 5B approach. Seminar in Nephrology, 32, 129-141.
Rostagno, C., Galanti, G., Comeglio, M., Boddi, V., Olivo, G., & Serneri G. G. N. (2000). Comparison of different methods of functional evaluation in patients with chronic heart failure. European Journal of Heart Failure, 2(3), 273-280.
Sagnella, G. A., Markandu, N. D., Buckley, M. G., Miller, M. A., Singer, D. R., & MacGregor, G. A. (1990). Plasma atrial natriuretic peptide, aldosterone, and plasma renin activity responses to gradual changes in dietary sodium intake. American Journal of Hypertension, 3(11), 863-865.
Sauer, J., Rabelo, E .R., Castro, R. A., Goldraich, L., Rohde, L. E., Clausell , N., & Beck-da-Silva, L. (2010). Nurses'' performance in classifying heart failure patients based on physical exam: Comparison with cardiologist''s physical exam and levels of N-terminal pro-B-type natriuretic peptide. Journal of Clinic Nursing, 19, 3381-3389.
Shriver, B. J., Roman-Shriver, C. R., & Long, J. D. (2010). Technology-based methods of dietary assessment: Recent developments and considerations for clinical practice. Clinical Nutrition & Metabolic Care, 13(5), 548-551.
Sheahan, S. L., & Fields, B. (2008). Sodium dietary restriction, knowledge, beliefs, and decision-making behavior of older females. Journal of the American Academy of Nurse Practitioners, 20(4), 217-224.
Sica, D. A. (2006). Sodium and water retention in heart failure and diuretic therapy: Basic mechanisms. Clinic Journal of Medicine, 73 Suppl 2, S2-S7.
Son, Y. J., Lee, Y., & Song, E. K. (2011). Adherence to a sodium-restricted diet is associated with lower symptom burden and longer cardiac event-free survival in patients with heart failure. Journal of Clinical Nursing, 20, 3029-3038.
Song, E. K., Moser, D. K., Rayens, M. K., & Lennie, T. A. (2010). Symptom clusters predict event-free survival in patients with heart failure. Journal of Cardiovascular Nursing, 25(4), 284-291.
Swedberg, K., Cleland, J., Dargie, H., Drexler, H., Follath, F., Komajda, M., ... Remme, W. J. (2005). Guidelines for the diagnosis and treatment of chronic heart failure: Executive summary (update 2005): The Task Force for the Diagnosis and Treatment of Chronic Heart Failure of the European Society of Cardiology. European Heart Journal, 26(11), 1115-1140.
Takase, H., Sugiura, T., Kimura, G., Ohte, N., & Dohi, Y. (2015). Dietary sodium consumption predicts future blood pressure and incident hypertension in the Japanese normotensive general population. Journal of the American Heart Association, 4(8), 1-7.
van der Wal, M. H. L., Jaarsma, T., & van Veldhuisen, D. J. (2005). Non-compliance in patients with heart failure: How can we manage it. European Journal of Heart Failure, 7, 5-17.
Van Veldhuisen, D. J., Braunschweig, F., Conraads, V., Ford, I., Cowie, M. R., Jondeau, G.,... Borggrefe, M. (2011). Intrathoracic impedance monitoring, audible patient alerts, and outcome in patients with heart failure. Circulation, 124, 1719-1726.
Velloso, L. G., Alonso, R. R., Ciscato, C. M., Barretto, A. C., Bellotti, G., & Pileggi, F. (1991). Diet with usual quantity of salt in hospital treatment of congestive heart insufficiency. Arquivos Brasileiros de Cardiologia, 57(6), 465-468.
Welsh, D., Lennie, T. A., Marcinek, R., Biddle, M. J., Abshire, D., Bentley, B., & Moser, D. K. (2013). Low-sodium diet self-management intervention in heart failure: Pilot study results. European Journal of Cardiovascular, 12(1), 87-95.
Welsh, D., Marcinek, R., Abshire, D., Lennie, T. A., Biddle, M., Bentley, B., & Moser, D. K. (2010). Theory-based low-sodium diet education for heart failure patients. Home Healthcare Nurse, 28(7), 432–443.
Wesson, L. G., Jr. (1964). Electrolyte excretion in relation to diurnal cycles of renal function. Medicine, 43, 547-592.
Wolf, G. (1982). Refined salt appetite methodology for rats demonstrated by assessing sex differences. Journal of Comparative and Physiological Psychology, 96(6), 1016-1021.
World Health Organization (2006). Sodium intakes around the world: Background document prepared for the forum and technical meeting on reducing salt intake in populations. Retrieved from http://www.who.int/dietPhysical activity/Elliot -brown-2007.pdf
Yancy, C. W., Jessup, M., Bozkurt, B., Butler, J., Casey, D. E., Drazner, M. H.,…Wilkoff, B. L. (2013) ACCF/AHA guideline for the management of heart failure: A report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines. Circulation, 128, e240-e327.
Zambroski, C. H., Moser, D. K., Bhat, G., & Ziegler, C. (2005). Impact of symptom prevalence and symptom burden on quality of life in patients with heart failure. European Journal of Cardiovascular Nursing, 4(3), 198-206.


QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top
系統版面圖檔 系統版面圖檔