Effect of Educational Program on Dietary Diversity and Nutritional Status among Heart Failure Patients

El-Shemy, Monera B.; Khalil, Shaimaa A.; El-saied, Shaimaa B.; Ibrahim, Wesam S.

doi:10.21608/tsnj.2024.348546

Effect of Educational Program on Dietary Diversity and Nutritional Status among Heart Failure Patients

Document Type : Original Article

Authors

¹ Assist Prof. Medical-Surgical Nursing, Faculty of Nursing, Tanta University.

² Lectures Medical-Surgical Nursing, Faculty of Nursing, Tanta University.

³ Lecture of Cardiovascular Medicine, Faculty of Medicine, Tanta University Hospitals.

⁴ Professor of Clinical Pathology & Consultant Clinical Nutrition, Faculty of Medicine, Tanta University

10.21608/tsnj.2024.348546

Abstract

Background: Heart failure represents a clinical condition, characterized by cardiac damage,
altered systolic and diastolic function, exercise intolerance as well as fluid retention.
Foodstuffs are classified into several classes based on the variation in nutritional density.
Aim: this work was aimed at identifying the effect of educational program on dietary
diversity and nutritional status among heart failure patients. Subject & Methods: A quasi-
experimental study. A purposive sample was 50 adult HF cases. Data were collected from
cardiology department. Tanta University Hospital. Tools, three tools utilized within our
research; Tool (1) Structured Interview Questionnaire it involved three parts. Part (A): Socio
demographic data. Part (B): Health relevant assessment sheet. (C): Laboratory investigation.
Tool (2) Household Dietary Diversity Score. Tool (3) The Stanford Nutrition Action Program
questionnaire: Part (1): The nutrition knowledge evaluation was determined utilizing a survey
tool. Part (2): The nutrition self-efficacy scale. Results: It was revealed that score of nutrition
related self- efficacy scale (100%) of study group stronger belief immediate and after three
months implementation of program and a highly significant difference was documented in
study group before and after implementation program (P=0.000).Conclusion: Our study
addressed that HF cases exhibited low dietary diversity pre implementing the program and
improved after implementation. Recommendations: The study’s replication on a larger
population. Applying educational dietary diversity program for HF cases rather than the
traditional care, following the guidelines of care as well as illustrated patient education
handout