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Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients
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Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients

Published on: July 12, 2024

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Self-management on heart failure: A meta-analysis

Xianghong Meng1, Yuping Wang1, Xiaowen Tang1

  • 1Department of Cardiology, Shanghai Pudong Hospital, Fudan University, 2800 Gongwei Road, Shanghai, 201399, China.

Diabetes & Metabolic Syndrome
|June 29, 2021
PubMed

Insights

Self-management interventions significantly improve heart failure (HF) patient outcomes, enhancing knowledge, attitude, and practice. This meta-analysis confirms the benefits of self-management for patients with HF.

Area of Science:

  • Cardiology
  • Public Health
  • Health Sciences

Background:

  • Heart failure (HF) presents a significant global public health challenge.
  • Self-management strategies are recognized for their potential to enhance patient self-care abilities in chronic conditions.
  • The precise impact of self-management on heart failure patient outcomes requires further elucidation.

Purpose of the Study:

  • To systematically evaluate the effectiveness of self-management interventions in patients with heart failure.
  • To synthesize evidence from existing research on the role of self-management in improving heart failure care.

Main Methods:

  • A comprehensive literature search was conducted across PubMed, Embase, Cochrane, and China National Knowledge Database through March 2020.
  • Meta-analysis, sensitivity analysis, and bias analysis were performed using Review Manager (version 5.2).
  • Random-effects or fixed-effects models were employed to calculate average 95% confidence intervals (CIs).

Main Results:

  • Eight studies involving 1707 heart failure patients were included.
  • Meta-analysis revealed significant improvements in Self-management (SM) groups for the Dutch Heart Failure Knowledge Scale (DHFK), Self-Care of Heart Failure Index (SCHFI), and Self-Efficacy for Managing Chronic Disease Scale (SEMCDI) compared to control groups.
  • Attrition bias and reporting bias were identified, but sensitivity analysis confirmed the stability of the findings.

Conclusions:

  • Self-management interventions are associated with significant positive outcomes in heart failure patients.
  • These improvements encompass key areas of knowledge, attitude, and practice (KAP) related to heart failure management.
  • The findings support the integration of self-management programs into routine care for individuals with heart failure.
Abstract

Keywords:
Heart failureKAPMeta-analysisSelf-management

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