Ineffective health maintenance behaviors in people with chronic conditions: Systematic review of etiology and risk
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, devel...
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Elsevier
2025-02-01
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author | Ana Clara Dantas Barbara Ebilizarda Coutinho Borges Jéssica Naiara de Medeiros Araújo Marcos Venícios de Oliveira Lopes Amanda Barbosa da Silva Allyne Fortes Vitor |
author_facet | Ana Clara Dantas Barbara Ebilizarda Coutinho Borges Jéssica Naiara de Medeiros Araújo Marcos Venícios de Oliveira Lopes Amanda Barbosa da Silva Allyne Fortes Vitor |
author_sort | Ana Clara Dantas |
collection | DOAJ |
description | 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. |
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institution | Kabale University |
issn | 2405-8440 |
language | English |
publishDate | 2025-02-01 |
publisher | Elsevier |
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series | Heliyon |
spelling | doaj-art-67b9ce5290e84273a7dc3b59b1e379232025-01-30T05:14:38ZengElsevierHeliyon2405-84402025-02-01113e42179Ineffective health maintenance behaviors in people with chronic conditions: Systematic review of etiology and riskAna Clara Dantas0Barbara Ebilizarda Coutinho Borges1Jéssica Naiara de Medeiros Araújo2Marcos Venícios de Oliveira Lopes3Amanda Barbosa da Silva4Allyne Fortes Vitor5Federal University of Rio Grande do Norte, Natal, Brazil; Corresponding author. Department of Nursing, Federal University of Rio Grande do Norte, Natal, Brazil.Federal University of Rio Grande do Norte, Natal, BrazilUniversity of the State of Rio Grande do Norte, Caicó, BrazilFederal University of Ceará, Fortaleza, BrazilFederal University of Rio Grande do Norte, Natal, BrazilFederal University of Rio Grande do Norte, Natal, BrazilBackground: 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.http://www.sciencedirect.com/science/article/pii/S2405844025005596Chronic diseaseCausalityHealth behaviorNursing diagnosisSystematic review |
spellingShingle | Ana Clara Dantas Barbara Ebilizarda Coutinho Borges Jéssica Naiara de Medeiros Araújo Marcos Venícios de Oliveira Lopes Amanda Barbosa da Silva Allyne Fortes Vitor Ineffective health maintenance behaviors in people with chronic conditions: Systematic review of etiology and risk Heliyon Chronic disease Causality Health behavior Nursing diagnosis Systematic review |
title | Ineffective health maintenance behaviors in people with chronic conditions: Systematic review of etiology and risk |
title_full | Ineffective health maintenance behaviors in people with chronic conditions: Systematic review of etiology and risk |
title_fullStr | Ineffective health maintenance behaviors in people with chronic conditions: Systematic review of etiology and risk |
title_full_unstemmed | Ineffective health maintenance behaviors in people with chronic conditions: Systematic review of etiology and risk |
title_short | Ineffective health maintenance behaviors in people with chronic conditions: Systematic review of etiology and risk |
title_sort | ineffective health maintenance behaviors in people with chronic conditions systematic review of etiology and risk |
topic | Chronic disease Causality Health behavior Nursing diagnosis Systematic review |
url | http://www.sciencedirect.com/science/article/pii/S2405844025005596 |
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