自我护理行为及其相关因素在埃塞俄比亚心力衰竭患者中的研究：系统评价和荟萃分析。

Self-care behaviour and associated factors among heart failure patients in Ethiopia: a systematic review and meta-analysis.

机构信息

Department of Nursing, Injibara University, Injibara, Ethiopia

Department of Nursing, Debre Markos University, Debre Markos, Ethiopia.

出版信息

BMJ Open. 2023 Dec 10;13(12):e071960. doi: 10.1136/bmjopen-2023-071960.

DOI:10.1136/bmjopen-2023-071960

PMID:38072478

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10729130/

Abstract

OBJECTIVE

This study aimed to estimate the pooled level of self-care behaviour among heart failure patients in Ethiopia.

DESIGN

Systematic review and meta-analysis.

DATA SOURCE

PubMed/MEDLINE, HINARI, Web of Sciences, Scopus, Google Scholar, Science Direct, African journals online and University repositories were searched from 1 January 2000 to 1 November 2023.

ELIGIBILITY CRITERIA

We include studies that examined self-care behaviour among heart failure patients, studies that report factors associated with self-care behaviour and observational studies (cross-sectional, case-control and cohort) with full text available.

DATA EXTRACTION AND SYNTHESIS

The data were extracted with Microsoft Excel and analysed by using STATA V.11 software. The weighted inverse variance random-effects model at 95% CI was used to estimate the pooled level of self-care behaviour and its associated factors among heart failure patients. Tests of heterogeneity, test of publication bias and subgroup analyses were also employed.

RESULTS

Thirteen cross-sectional studies with 4321 study participants were included; and the pooled level of good self-care behaviour among heart failure patients in Ethiopia was found to be 38.3% (95% CI 31.46 to 45.13). Only 68.8% of heart failure patients were knowledgeable about heart failure. Knowledge about heart failure (Adjusted Odds Ratio (AOR)=3.39; 95% CI 2.42 to 4.74) and absence of comorbidity (AOR=2.69; 95% CI 1.35 to 5.37) were significantly associated with good self-care behaviour among heart failure patients in Ethiopia.

CONCLUSION

The majority of heart failure patients in Ethiopia did not adhere to the recommended self-care behaviours. Nearly one-third of heart failure patients were not knowledgeable about heart failure. Knowledge about heart failure and the absence of comorbidities were significantly associated with good self-care behaviour. Therefore, efforts should be devoted to increasing knowledge and preventing comorbidities among heart failure patients.

PROSPERO REGISTRATION NUMBER

CRD42023394373.

摘要

目的

本研究旨在评估埃塞俄比亚心力衰竭患者自我护理行为的总体水平。

设计

系统评价和荟萃分析。

资料来源

从 2000 年 1 月 1 日至 2023 年 11 月 1 日，检索了 PubMed/MEDLINE、HINARI、Web of Sciences、Scopus、Google Scholar、Science Direct、非洲在线期刊和大学资源库。

纳入标准

我们纳入了评估心力衰竭患者自我护理行为的研究、报告与自我护理行为相关因素的研究以及具有全文的观察性研究（横断面、病例对照和队列研究）。

资料提取和综合

使用 Microsoft Excel 提取数据，并使用 STATA V.11 软件进行分析。采用加权逆方差随机效应模型在 95%CI 下估计埃塞俄比亚心力衰竭患者自我护理行为及其相关因素的总体水平。还进行了异质性检验、发表偏倚检验和亚组分析。

结果

共纳入 13 项横断面研究，涉及 4321 名研究参与者；发现埃塞俄比亚心力衰竭患者良好自我护理行为的总体水平为 38.3%（95%CI 31.46 至 45.13）。只有 68.8%的心力衰竭患者了解心力衰竭。对心力衰竭的了解（调整后的优势比（AOR）=3.39；95%CI 2.42 至 4.74）和无合并症（AOR=2.69；95%CI 1.35 至 5.37）与埃塞俄比亚心力衰竭患者的良好自我护理行为显著相关。