Dietary Approaches for Heart Failure and Diabetes

Critical Review
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2
2806NRS Research in Nursing
William - Case Study - Assessment 2 Annotated Bibliography
Part A
Butler, T., Georgousopoulou, E. N., & Mellor, D. (2018). Dietary approaches for patients
with heart failure and diabetes. Practical Diabetes, 35(4), 127–130a. https://doi-
org.libraryproxy.griffith.edu.au/10.1002/pdi.2179
Heart failure represents a state of alteration on the occurrence of cardiac and noncardiac
diseases on the functioning of the ventricular function. Dietary management of the patient
overall weight state is fundamental to reduce the risks factors associated with underlying
pathophysiologies. Dietary managemen aimed at regulating patient fluid balance is key. This
review paper suggests that nutrition guideline on fluid and sodium restriction is vital for the
management of peripheral edema. Dietary patterns approach to offer a potential improvement
on the patient overall status of heart failure. The paper reviews various evidential studies
ranging from randomized controlled trials to systematic reviews, where the author has
suggested that offering a range of dietary approaches to HF patients are effective in managing
the overall patient state. This research, however, focused on the interlinkage of HF and
diabetes, the patient has underlying hypertension which is co-morbidly related.
Recommendation for Mediterranean diet for patients with HF is essential. Lowering the
patient overall carbohydrate diet is essential in HF patients. Based on review of other studies,
a lower carbohydrate diet has an overall effect of improving the overall oxygen saturation.
The paper, however, does not conclusively suggest a specific diet for HF patients, it is vital to
note that there is a need for individualized treatment protocol and adherence to meet the
needs of the patient so as to lower emerging complications.
Jiang, Y., Shorey, S., Seah, B., Chan, W. X., Tam, W. W. S., & Wang, W. (2018). The
effectiveness of psychological interventions on self-care, psychological and health
outcomes in patients with chronic heart failure—A systematic review and meta-
analysis. International Journal of Nursing Studies, 78, 16-25.
doi:10.1016/j.ijnurstu.2017.08.006
This study reviewed evidence based on the effects of psychological interventions on
self-care and psychological health outcomes. Enhancing patient self-care approaches and
interventions are beneficial for the patient. Further, focusing on weight management and fluid
retention through nutrition guidelines is key. The study evaluated the effectiveness of

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randomized controlled trials based on psychological methods on self-care, anxiety,
depression and physical function ability of patients. The study searched studies between 2006
and 2016 in various databases. A total of 29 articles, entailing 25 studies with 3837 subjects
were induced in the systematic review. The results of the study showed that despite the
heterogeneity of the results obtained, psychological interventions tend to improve overall
self-care of heart failure. Efforts geared towards promoting the patient self-care process are
the key cornerstone in managing HF disease and its consequential complications. The key
limitation observed by the study entailed the inclusion of moderate to high-level
heterogeneity of the included studies which could significantly affect the reliability of the
produced results.
The role of a nurses play a vital role in ensuring a more holistic aspect of the disease is
offered to the patient. Assessment of cognitive behavior therapy on self-care is essential for
the patient. The patient overall health status is declining due to limited behavioral cognitive
therapy which can be vital on self-care aspects of the patient. Engaging in self-care prospects
with regard to weight management and exercise control will be essential for the patient.
Molloy, G. J., O'Carroll, R. E., Witham, M. D., & McMurdo, M. E. T. (2012). Interventions
to enhance adherence to medications in patients with heart failure: A systematic review.
Circulation Heart Failure, 5, 126-133.
http://dx.doi.org/10.1161/CIRCHEARTFAILURE.111.964569
This study identifies prognosis of heart failure over the recent years marked with
limited understanding despite the development and improvements in its prevention
management. The estimates of median survival after episode attack are 2.3 years for men and
1.8 years for women. The paper focused on none adherence to medication on the
management of heart failure. The study undertook a systematic review of various studies with
a key focus on randomized controlled trials, assessing patients above 18 years and focusing
on medication intervention strategy. Further, it focused on self-administered medications
among patient’s measures as outcomes. The systematic review was undertaken on various
databases and searched for full papers. The review scanned and obtained 15 studies meeting
the inclusion criteria and found out 4 key themes which were crucial for medication
adherence patient education, intensified patient care, complex behavior approaches and
simplification of drug regime on patients. These are key interventions which could improve
the patient state and management of heart failure complications through reduction of
exacerbating risk factors. Despite medication adherence by the patient could have a