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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Main Authors: Ana Clara Dantas, Barbara Ebilizarda Coutinho Borges, Jéssica Naiara de Medeiros Araújo, Marcos Venícios de Oliveira Lopes, Amanda Barbosa da Silva, Allyne Fortes Vitor
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Heliyon
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Online Access:http://www.sciencedirect.com/science/article/pii/S2405844025005596
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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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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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