PMID- 37611019
OWN - NLM
STAT- MEDLINE
DCOM- 20230825
LR  - 20230831
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 18
IP  - 8
DP  - 2023
TI  - Adherence to self-care practices and associated factors among heart failure 
      patients in Ethiopia: A systematic review and meta-analysis.
PG  - e0288824
LID - 10.1371/journal.pone.0288824 [doi]
LID - e0288824
AB  - BACKGROUND: Heart failure is the leading cause of hospital stays, medical 
      expenses, and fatalities, and it is a severe problem for worldwide public health. 
      Successful heart failure therapy requires a high level of self-care as well as 
      devotion to different elements of the treatment plan. Despite the positive 
      effects of heart failure self-care on health outcomes, many heart failure 
      patients engage in insufficient self-care behaviors. Additionally, conflicting 
      information has been found regarding the prevalence and predictors of self-care 
      behaviors in Ethiopia. As a result, this review's objective is to provide an 
      overview of the most recent studies on Ethiopian heart failure patients' 
      self-care practices. METHODS: We have used four databases such as PubMed, Science 
      Direct, Scopus and Google Scholar. Eventually, the final systematic review and 
      meta-analysis contained eleven papers that matched the eligibility requirements. 
      A systematic data extraction check list was used to extract the data, and STATA 
      version 14 was used for the analysis. Heterogeneity was evaluated using the I2 
      tests and the Cochrane Q test statistic. To examine publication bias, a funnel 
      plot, Egger's weighted regression, and Begg's test were utilized. RESULT: The 
      pooled magnitude of adherence to self-care was 35.25% (95%CI: 27.36-43.14). The 
      predictors of good adherence to self-care behavior includes heart failure 
      knowledge (odds ratio = 5.26; 95% CI, 3.20-8.65), absence of depressive symptoms 
      (odds ratio = 3.20;95% CI,1.18-8.70), higher level of education (AOR = 
      3.09;95%CI,1.45-6.61), advanced New York Heart Association (NYHA) class (odds 
      ratio = 2.66; 95% CI, 1.39-5.07), absence of comorbidity(odds ratio = 2.92; 95% 
      CI,1.69-5.06) and duration of heart failure symptoms(odds ratio = 0.37; 95% CI, 
      0.24-0.58). CONCLUSION: The extent of self-care behavior adherence is shown to be 
      low among heart failure patients. This study showed a positive relationship 
      between self-care behavior and factors such as proper understanding of heart 
      failure, the absence of co-morbidity, depression, higher levels of education, a 
      longer duration of heart failure symptoms, and advanced classes of heart failure 
      disease. Therefore, a continuous health education should be given for patients to 
      enhance their understanding of heart failure. Besides, special attention should 
      be given for patients having co-morbidity and depressive symptom.
CI  - Copyright: (c) 2023 Bekele et al. This is an open access article distributed under 
      the terms of the Creative Commons Attribution License, which permits unrestricted 
      use, distribution, and reproduction in any medium, provided the original author 
      and source are credited.
FAU - Bekele, Firomsa
AU  - Bekele F
AUID- ORCID: 0000-0002-7855-9838
AD  - Department of Pharmacy, College of Health Science, Mattu University, Mattu, 
      Ethiopia.
FAU - Tafese, Lalise
AU  - Tafese L
AD  - Department of Health Informatics, College of Health Science, Mattu University, 
      Mattu, Ethiopia.
FAU - Demsash, Addisalem Workie
AU  - Demsash AW
AD  - Department of Health Informatics, College of Health Science, Mattu University, 
      Mattu, Ethiopia.
FAU - Tesfaye, Hana
AU  - Tesfaye H
AD  - Department of Midwifery, College of Health Science, Mattu University, Mattu, 
      Ethiopia.
FAU - Labata, Busha Gamachu
AU  - Labata BG
AUID- ORCID: 0000-0001-8170-7232
AD  - Department of Pharmacy, College of Health Science, Wallaga University, Nekemte, 
      Ethiopia.
FAU - Fekadu, Ginenus
AU  - Fekadu G
AUID- ORCID: 0000-0002-4926-0685
AD  - Department of Pharmacy, College of Health Science, Wallaga University, Nekemte, 
      Ethiopia.
AD  - School of Pharmacy, Faculty of Medicine, The Chinese University of Hong Kong, 
      Shatin, N.T, Hong Kong, China.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Systematic Review
DEP - 20230823
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
RN  - 0 (Anti-Arrhythmia Agents)
RN  - 0 (Cardiotonic Agents)
RN  - 0 (Diuretics)
SB  - IM
MH  - Humans
MH  - Ethiopia/epidemiology
MH  - Self Care
MH  - *Heart Failure/epidemiology/therapy
MH  - *Heart Diseases
MH  - *Occupational Therapy
MH  - Anti-Arrhythmia Agents
MH  - Cardiotonic Agents
MH  - Diuretics
PMC - PMC10446213
COIS- The authors have declared that no competing interests exist.
EDAT- 2023/08/23 18:42
MHDA- 2023/08/25 06:42
PMCR- 2023/08/23
CRDT- 2023/08/23 13:34
PHST- 2023/03/07 00:00 [received]
PHST- 2023/07/04 00:00 [accepted]
PHST- 2023/08/25 06:42 [medline]
PHST- 2023/08/23 18:42 [pubmed]
PHST- 2023/08/23 13:34 [entrez]
PHST- 2023/08/23 00:00 [pmc-release]
AID - PONE-D-23-06552 [pii]
AID - 10.1371/journal.pone.0288824 [doi]
PST - epublish
SO  - PLoS One. 2023 Aug 23;18(8):e0288824. doi: 10.1371/journal.pone.0288824. 
      eCollection 2023.