慢性病患者无效的健康维护行为：病因与风险的系统评价

Ineffective health maintenance behaviors in people with chronic conditions: Systematic review of etiology and risk.

作者信息

Dantas Ana Clara, Coutinho Borges Barbara Ebilizarda, Naiara de Medeiros Araújo Jéssica, Venícios de Oliveira Lopes Marcos, Barbosa da Silva Amanda, Vitor Allyne Fortes

机构信息

Federal University of Rio Grande do Norte, Natal, Brazil.

University of the State of Rio Grande do Norte, Caicó, Brazil.

出版信息

Heliyon. 2025 Jan 27;11(3):e42179. doi: 10.1016/j.heliyon.2025.e42179. eCollection 2025 Feb 15.

DOI:10.1016/j.heliyon.2025.e42179

PMID:39944341

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11815654/

Abstract

BACKGROUND

Ineffective health maintenance behaviors (00292) is an important nursing diagnosis in the context of chronic conditions. However, it is observed that the etiology of this phenomenon is not well defined for this population. For nurses to infer this diagnosis early and, consequently, develop effective care plans, further studies are needed to facilitate the understanding of the factors related to the phenomenon.

OBJECTIVE

To analyze the factors related to the ineffective health maintenance behaviors nursing diagnosis in people with chronic conditions.

METHODS

A systematic review of related factors conducted in Scopus (Elsevier), Web of Science, Science Direct (Elsevier), Medical Literature Analysis and Retrieval System Online (MEDLINE/PubMed), CINAHL with Full Text (EBSCO), EMBASE (Elsevier) and Google Scholar. The last access date in the data sources was August 31, 2023. For the critical assessment of eligible studies, the checklists for quantitative studies from the JBI Manual for Evidence Synthesis were adopted. PROSPERO: CRD42022378870.

RESULTS

A total of 21 studies were included and 18 related factors were retrieved. Regarding study characterization, the majority were published in 2022 (33.3 %), North America was the continent with the highest number of studies (42.8 %) and 85.7 % of studies were cross-sectional. Cardiovascular diseases was the most prevalent chronic condition in the studies at 76.1 %. The five main related factors identified were low self-efficacy, individuals with a low level of education, multimorbidity, economically disadvantaged individuals and inadequate health literacy. Of the 18 related factors identified, 11 are not included in the NANDA-International taxonomy classification.

CONCLUSION

A total of 18 factors related to ineffective health maintenance behaviors in people with chronic conditions were identified in the studies. This study may assist nursing professionals' clinical practice by providing support in relation to the early detection of the phenomenon through the identification of new related factors.

摘要

背景

无效健康维护行为（00292）是慢性病背景下一项重要的护理诊断。然而，据观察，这一现象的病因在该人群中尚未明确界定。为使护士能够早期推断出这一诊断结果，并进而制定有效的护理计划，需要进一步开展研究，以促进对与该现象相关因素的理解。

目的

分析慢性病患者无效健康维护行为护理诊断的相关因素。

方法

在Scopus（爱思唯尔）、科学网、科学Direct（爱思唯尔）、医学文献分析与联机检索系统（MEDLINE/ PubMed）、全文版护理学与健康领域数据库（CINAHL，EBSCO）、EMBASE（爱思唯尔）和谷歌学术上对相关因素进行系统综述。数据来源的最后访问日期为2023年8月31日。对于符合条件的研究进行批判性评估时，采用了循证综合手册JBI中定量研究的核对清单。国际前瞻性系统评价注册库（PROSPERO）登记号：CRD42022378870。

结果

共纳入21项研究，检索到18个相关因素。关于研究特征，大多数研究于2022年发表（33.3%），北美洲开展研究的数量最多（42.8%），85.7%的研究为横断面研究。心血管疾病是研究中最常见的慢性病，占76.1%。确定的五个主要相关因素为自我效能感低、教育程度低的个体、多病共存、经济上处于不利地位的个体和健康素养不足。在确定的18个相关因素中，有11个未纳入北美护理诊断协会国际分类法分类。