Seid Sheka Shemsi, Amendoeira José, Ferreira Maria Regina
School of Nursing, Faculty of Health Sciences, Institute of Health, Jimma University, Jimma, Ethiopia.
School of Nursing, Polytechnic Institute of Santarem, Quality of Life Research Center, Santarem, Portugal.
SAGE Open Nurs. 2023 Aug 9;9:23779608231193719. doi: 10.1177/23779608231193719. eCollection 2023 Jan-Dec.
Although self-care has a therapeutic effect on heart failure (HF), patients experience a marked reduction in physical and executive function, resulting in poor quality of life (QoL). A literature review revealed limited evidence regarding the possible relationship between self-care and QoL in HF patients. Therefore, this scoping review aimed to identify scientific evidence that examines the extent of self-care, QoL, and relationship between self-care and QoL in patients with HF.
Full-text research published from March 23, 2010, to March 23, 2020, written in English, that had content on both self-care and QoL among adult patients with HF was included. A literature search of electronic databases and web searches was conducted for published articles. Four databases were used: MEDLINE, Scopus, Web of Science, and the Cochrane Library. Studies collected from Google and Google Scholar web searches were also included.
Of 1,537 papers identified by the search, 12 were included. The reviewed studies included 3,127 patients. Ten articles used a cross-sectional study design, whereas the remaining articles used a longitudinal and quasi-experimental design. This review found that the extent of self-care practices among patients with HF was inadequate, a significant proportion of patients enrolled in the reviewed studies had a moderate QoL, and higher self-care practices were associated with a better QoL. Self-care behavior and QoL were affected by social support, sex, age, educational level, place of residence, illness knowledge, presence of comorbidities, and functional classification of HF.
Self-care behavior was positively correlated with QoL in patients with HF. Self-care and QoL in these patients have been reported to be affected by several factors. Further research with a rigorous study design is recommended to investigate the influence of self-care practices on QoL in patients with HF.
尽管自我护理对心力衰竭（HF）具有治疗作用，但患者的身体和执行功能会显著下降，导致生活质量（QoL）较差。一项文献综述显示，关于HF患者自我护理与生活质量之间可能关系的证据有限。因此，本范围综述旨在确定科学证据，以研究HF患者的自我护理程度、生活质量以及自我护理与生活质量之间的关系。
纳入2010年3月23日至2020年3月23日发表的、用英文撰写的、包含成年HF患者自我护理和生活质量内容的全文研究。对已发表文章进行电子数据库文献检索和网络搜索。使用了四个数据库：MEDLINE、Scopus、科学引文索引和考克兰图书馆。还纳入了从谷歌和谷歌学术网络搜索中收集的研究。
在搜索确定的1537篇论文中，纳入了12篇。所审查的研究包括3127名患者。十篇文章采用横断面研究设计，其余文章采用纵向和准实验设计。本综述发现，HF患者的自我护理实践程度不足，参与审查研究的相当一部分患者生活质量中等，较高的自我护理实践与更好的生活质量相关。自我护理行为和生活质量受社会支持、性别、年龄、教育水平、居住地点、疾病知识、合并症的存在以及HF的功能分级影响。
HF患者的自我护理行为与生活质量呈正相关。据报道，这些患者的自我护理和生活质量受多种因素影响。建议采用严谨的研究设计进行进一步研究，以调查自我护理实践对HF患者生活质量的影响。
