Babygeetha Athira, Devineni Dhanalakshmi
Department of Applied Psychology, Pondicherry University, Puducherry, India.
Eur J Psychol. 2024 Feb 29;20(1):63-77. doi: 10.5964/ejop.12131. eCollection 2024 Feb.
Cardiovascular diseases stand out as the foremost cause of mortality on a global scale and encompass conditions that require long term self-care. Coronary heart disease and heart failure are two cardiovascular conditions that require significant lifestyle modifications. Adherence to self-care is a multifaceted phenomenon, and is influenced by various factors that include social, economic, disease-related and healthcare system-related factors. A key factor in adherence to self-care in chronic illnesses is social support. To explore this relationship between social support and adherence to self-care, a systematic review was carried out across Scopus, EBSCO host and ProQuest from October 2022 to February 2023 using predefined search criteria. Studies from inception to February 2023 were considered for the review, ultimately incorporating a total of 11 studies. Six studies had an adult population with coronary heart disease while the remaining five had adults with heart failure. All the studies reported a significant positive correlation between social support and adherence to self-care. Our findings revealed that social support plays a significant role in promoting self-care, emphasizing the need for a holistic understanding of self-care to develop effective interventions. Along with self-report measures, objective measures should be used to assess adherence accurately. There is a need for scales that assess all aspects of self-care, as well as the development of new interventions and teaching strategies to facilitate the individual's self-care journey. In addition, family members and trusted resources should be involved in encouraging self-care, and interventions should target both patients and their family members.
心血管疾病是全球范围内首要的死亡原因，涵盖需要长期自我护理的病症。冠心病和心力衰竭是两种需要对生活方式进行重大调整的心血管疾病。坚持自我护理是一个多方面的现象，受到包括社会、经济、疾病相关和医疗系统相关因素在内的各种因素影响。慢性病自我护理坚持的一个关键因素是社会支持。为了探究社会支持与自我护理坚持之间的这种关系，于2022年10月至2023年2月期间，使用预定义的搜索标准，在Scopus、EBSCO主机和ProQuest数据库中进行了一项系统综述。纳入综述的研究为从起始到2023年2月的研究，最终共纳入11项研究。六项研究的成年人群患有冠心病，其余五项研究的成年人群患有心力衰竭。所有研究均报告社会支持与自我护理坚持之间存在显著正相关。我们的研究结果表明，社会支持在促进自我护理方面发挥着重要作用，强调需要对自我护理有全面的理解，以制定有效的干预措施。除了自我报告措施外，还应使用客观措施来准确评估坚持情况。需要有评估自我护理各个方面的量表，以及开发新的干预措施和教学策略，以促进个人的自我护理进程。此外，家庭成员和可信赖的资源应参与鼓励自我护理，干预措施应针对患者及其家庭成员。
