Self-care status in patients with heart failure: Systematic review and meta-analysis.
Ali Aghajanloo, Reza Negarandeh, Leila Janani and 2 others
PMID 33619877WHAT IT FOUND
Across 39 studies, heart failure patients' average self-care maintenance, management and confidence scores were below the 70 threshold considered good.
Key findings
01The review included 39 studies of 8,958 patients with heart failure.
02The pooled average self-care maintenance, management and confidence scores were 58.16, 53.11 and 58.66 on a 0 to 100 scale, all below the 70 threshold considered good.
03Self-care management was below 70 in all studies reporting it.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The studies were highly heterogeneous, and meta-regression did not identify a source of heterogeneity. Some included studies were of moderate quality, with a median Newcastle-Ottawa score of 3 out of 8. Only English and Persian articles were included. This may limit generalizability. The review pooled observational studies, so it describes self-care levels and cannot show that any intervention changes them. The Discussion reports pooled averages that differ from the Results section.
Declared interests
The authors declared no competing interests.
The easy way to misread this
Do not read the low self-care scores as proof that a specific education programme will improve heart failure outcomes. This review described self-care status; it did not test interventions.