Effect of self-management intervention on prognosis of patients with chronic heart failure: A meta-analysis

Nurs Open. 2023 Apr;10(4):2015-2029. doi: 10.1002/nop2.1489. Epub 2022 Nov 20.

Abstract

Aim: The purpose of this study is to explore the influence of self-management intervention on four prognostic indicators of readmission rate, mortality rate, self-management ability and quality of life in patients with chronic heart failure.

Design: A meta-analysis.

Methods: This study was selected from the related studies published from January 1999 to January 2022, and was searched by searching five databases: PubMed, Science of Website, China National Knowledge Infrastructure (CNKI), Wan Fang and Wei Pu (VIP). All standardized randomized controlled trial studies were collected, and the quality evaluation and meta-analysis of the included literature were conducted.

Results: This study included 20 randomized controlled trials involving 3459 patients with chronic heart failure. Meta-analysis results showed that self-management intervention could reduce the readmission rate of patients with chronic heart failure, improved self-management ability of patients, improved quality of life, but there was no statistical significance in mortality.

Keywords: chronic heart failure; meta-analysis; prognosis; self-management.

Publication types

  • Meta-Analysis
  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Chronic Disease
  • Heart Failure*
  • Humans
  • Prognosis
  • Quality of Life
  • Randomized Controlled Trials as Topic
  • Self-Management*