Ana Clara Dantas, Barbara Ebilizarda Coutinho Borges, Jéssica Naiara de Medeiros Araújo, Marcos Venícios de Oliveira Lopes, Amanda Barbosa da Silva, Allyne Fortes Vitor
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引用次数: 0
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.
背景：无效健康维持行为（00292）是慢性疾病背景下的一项重要护理诊断。然而，据观察，这一现象的病因尚不清楚。为了让护士早期推断出这种诊断，从而制定有效的护理计划，需要进一步的研究来促进对这一现象相关因素的理解。目的：分析慢性病患者健康维护行为护理诊断无效的相关因素。方法：对Scopus（爱思唯尔）、Web of Science、Science Direct（爱思唯尔）、Medical Literature Analysis and Retrieval System Online （MEDLINE/PubMed）、CINAHL with Full Text （EBSCO）、EMBASE（爱思唯尔）和谷歌Scholar中相关因素进行系统评价。数据源中的最后一次访问日期是2023年8月31日。对于合格研究的关键评估，采用了JBI证据合成手册中的定量研究清单。普洛斯彼罗: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，大多数发表于2022年（33.3%），北美是研究数量最多的大陆（42.8%），85.7%的研究是横断面研究。心血管疾病是研究中最普遍的慢性疾病，占76.1%。确定的五个主要相关因素是自我效能低、个体受教育程度低、多病、经济弱势个体和卫生素养不足。在确定的18个相关因子中，有11个因子未被纳入NANDA-International分类。结论：本研究共确定了18个与慢性疾病患者无效健康维持行为相关的因素。本研究通过发现新的相关因素，为早期发现该现象提供支持，有助于护理专业人员的临床实践。
期刊介绍：
Heliyon is an all-science, open access journal that is part of the Cell Press family. Any paper reporting scientifically accurate and valuable research, which adheres to accepted ethical and scientific publishing standards, will be considered for publication. Our growing team of dedicated section editors, along with our in-house team, handle your paper and manage the publication process end-to-end, giving your research the editorial support it deserves.
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