title: Cultural factors influencing dietary and fluid restriction behaviour: perceptions of older Chinese patients with heart failure.
abstract: OBJECTIVE
  To explore the cultural factors related to dietary and fluid restriction behaviours among older Chinese patients.
  
  
  BACKGROUND
  Excess 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.
  
  
  METHODS
  Qualitative study using semi-structured in interviews and framework analysis.
  
  
  METHODS
  The 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.
  
  
  RESULTS
  Seven 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.
  
  
  CONCLUSIONS
  Dietary 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.
  
  
  CONCLUSIONS
  Heart 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.
authors.affiliation: Nursing Department, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
authors.forename: Xiaoshan
authors.initials: X
authors.lastname: Rong
authors.affiliation: Department of Nursing, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China.
authors.forename: Youqing
authors.initials: Y
authors.lastname: Peng
authors.affiliation: Nursing Department, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China.
authors.forename: Hai-Ping
authors.initials: HP
authors.lastname: Yu
authors.affiliation: Nursing Department, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China.
authors.forename: Dan
authors.initials: D
authors.lastname: Li
mesh_terms: D000368:Aged; D044466:Asian People / Q000523:psychology*; D001826:Body Fluids / Q000502:physiology*; D031204:Caloric Restriction / Q000523:psychology*; D002681:China; D003466:Cultural Characteristics; D019468:Disease Management; D005260:Female; D015438:Health Behavior; D006333:Heart Failure / Q000178:diet therapy* / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D036301:Qualitative Research; D012307:Risk Factors; D012648:Self Care / Q000523:psychology
keywords: culture; dietary and fluid restriction; heart failure; qualitative research