Department of Cardiology, Shanghai Pudong Hospital, Fudan University, 2800 Gongwei Road, Shanghai, 201399, China.
Department of Cardiology, Shanghai Pudong Hospital, Fudan University, 2800 Gongwei Road, Shanghai, 201399, China.
Diabetes Metab Syndr. 2021 Jul-Aug;15(4):102176. doi: 10.1016/j.dsx.2021.06.013. Epub 2021 Jun 12.
Heart failure (HF) is a severe public health problem all over the World. Self-management is an effective method to progress self-care ability. However, the role of self-management in heart failure has not been thoroughly elucidated.
The research articles related to heart failure were searched by the PubMed, Embase, Cochrane databases, and China National Knowledge Database on articles published through March 2020. The average 95% of confidence intervals (CIs) were used to calculate using random-effects or fixed-effects. Review Manager (version 5.2) was adopted for meta-analysis, sensitivity analysis, and bias analysis.
Eight (8) eligible studies with 1707 patients with HF were included in this analysis. In the Meta-analysis showed significant differences for Self-management (SM) groups in Dutch Heart Failure Knowledge Scale (DHFK) (MD = 1.36, 95%CI [-0.03, 2.75], P = 0.04; I = 83%), in Self-Care of Heart Failure Index (SCHFI) (MD = 5.51, 95%CI [0.62, 10.40], P = 0.03; I = 70%), and in Self-Efficacy for Managing Chronic Disease Scale (SEMCDI) (I = 47%, Z = 5.43, P of over effect < 0.0001) than control groups. One bias is detected as attrition bias, and another one is reporting bias. Sensitivity analysis satisfied the stability of the results.
Self-management was associated with significant outcomes in patients with HF through knowledge, attitude, and practice (KAP).
心力衰竭（HF）是全球范围内严重的公共卫生问题。自我管理是提高自我护理能力的有效方法。然而，自我管理在心力衰竭中的作用尚未得到充分阐明。
通过 PubMed、Embase、Cochrane 数据库和中国国家知识数据库，检索截至 2020 年 3 月发表的与心力衰竭相关的研究文章。使用随机效应或固定效应计算平均 95%置信区间（CI）。采用 Review Manager（版本 5.2）进行荟萃分析、敏感性分析和偏差分析。
纳入了 8 项（8 项）有 1707 例心力衰竭患者的合格研究。荟萃分析显示，在荷兰心力衰竭知识量表（DHFK）（MD=1.36，95%CI [-0.03，2.75]，P=0.04；I=83%）、心力衰竭自我护理指数（SCHFI）（MD=5.51，95%CI [0.62，10.40]，P=0.03；I=70%）和慢性疾病管理自我效能量表（SEMCDI）（I=47%，Z=5.43，P 超过效应 < 0.0001）中，自我管理组与对照组相比存在显著差异。检测到一种偏倚为失访偏倚，另一种为报告偏倚。敏感性分析满足结果的稳定性。
自我管理通过知识、态度和实践（KAP）与心力衰竭患者的显著结果相关。
