Ineffective Health Maintenance Behaviors in People with Chronic Conditions: Systematic Review of Related Factors

Abstract

Background: Ineffective health maintenance behaviors (00292) is an important nursing diagnosis in the context of chronic conditions, but new studies are needed to facilitate the understanding of related factors in order to be able to assess the diagnosis early.             

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 26 studies were included and 21 related factors were retrieved. The five main related factors identified were low self-efficacy, individuals with a low level of education, multimorbidity, depressive symptoms and inadequate health literacy. Of the 21 related factors identified, 12 are not included in the NANDA-International taxonomy classification.

Conclusion: A total of 21 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.

Note:
Funding declaration: This work was carried out with the support of the Coordination for the Improvement of Higher Education Personnel – Brazil (CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior) – Financing Code 001.

Conflict of Interests: None.

Keywords: chronic condition, etiology, health behavior, Nursing diagnosis, systematic review.