Self-care behaviour and associated factors among heart failure patients in Ethiopia: a systematic review and meta-analysis
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 repos...
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BMJ Publishing Group
2023-12-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/12/e071960.full |
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| author | Addisu Getie Adam Wondmieneh Melaku Bimerew |
| author_facet | Addisu Getie Adam Wondmieneh Melaku Bimerew |
| author_sort | Addisu Getie |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-b48afdcb791348e486b480e9b1aab088 |
| institution | DOAJ |
| issn | 2044-6055 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-b48afdcb791348e486b480e9b1aab0882025-08-20T03:11:57ZengBMJ Publishing GroupBMJ Open2044-60552023-12-01131210.1136/bmjopen-2023-071960Self-care behaviour and associated factors among heart failure patients in Ethiopia: a systematic review and meta-analysisAddisu Getie0Adam Wondmieneh1Melaku Bimerew2Department of Nursing, Debre Markos University, Debre Markos, Ethiopia4 Department of Nursing, Injibara University, Injibara, Ethiopia1 Department of Pediatric and Child Health Nursing, Injibara University, Injibara, EthiopiaObjective 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.https://bmjopen.bmj.com/content/13/12/e071960.full |
| spellingShingle | Addisu Getie Adam Wondmieneh Melaku Bimerew Self-care behaviour and associated factors among heart failure patients in Ethiopia: a systematic review and meta-analysis BMJ Open |
| title | Self-care behaviour and associated factors among heart failure patients in Ethiopia: a systematic review and meta-analysis |
| title_full | Self-care behaviour and associated factors among heart failure patients in Ethiopia: a systematic review and meta-analysis |
| title_fullStr | Self-care behaviour and associated factors among heart failure patients in Ethiopia: a systematic review and meta-analysis |
| title_full_unstemmed | Self-care behaviour and associated factors among heart failure patients in Ethiopia: a systematic review and meta-analysis |
| title_short | Self-care behaviour and associated factors among heart failure patients in Ethiopia: a systematic review and meta-analysis |
| title_sort | self care behaviour and associated factors among heart failure patients in ethiopia a systematic review and meta analysis |
| url | https://bmjopen.bmj.com/content/13/12/e071960.full |
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