Evidence map›Paper›PMID 40979345›Full record

ReviewJournal of education and health promotion2025

Factors associated with self-care behavior among heart failure patients in India: A systematic review.

Prima J J D'Souza, Mitchelle S Lewis, Ganesh Paramasivam, Judith A Noronha, P Kusumavathi, Tom Devasia, Linu S George

Abstract readReview
In one paragraph

Review in Journal of education and health promotion, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Prima J J D'SouzaDepartment of Fundamentals of Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Mitchelle S LewisDepartment of Fundamentals of Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Ganesh ParamasivamDepartment of Cardiology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Judith A NoronhaDepartment of Obstetrics and Gynecological Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India.
P KusumavathiDepartment of Fundamentals of Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Tom DevasiaDepartment of Cardiology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Linu S GeorgeDepartment of Fundamentals of Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Self-care is crucial for heart failure management and complements pharmacological treatments; however, various factors hinder effective self-care, adversely affecting clinical outcomes and leading to poor quality of life. This systematic review aimed to identify factors influencing self-care behaviors among heart failure patients in India. The search was conducted in six databases, PubMed, CINAHL, Scopus, ProQuest, Web of Science, and Embase; between January 2012 and September 2024, 676 articles were reviewed. After removing duplicates, seven articles were included for analysis on the basis of the study inclusion criteria. The PRISMA guidelines has been used in this review. We included observational, cross-sectional, experimental, quasiexperimental, and qualitative studies published in English and conducted in India. The included studies were critically appraised using the Joanna Briggs Institute's risk of bias tool. The data were synthesized narratively. The findings revealed various factors that influence self-care behavior, which were divided into favorable and hindering factors. The factors that favored self-care behavior were self-efficacy, disease-related knowledge, situational awareness, adequate family income, financial support, health insurance, supportive family, patient willpower, and confidence in healthcare. However, low education, lack of knowledge about heart failure, difficulty understanding health information, limited time spent by healthcare providers, low health literacy, low self-efficacy, financial difficulties, negative emotions, and lack of structured care plans hindered self-care. These findings underscore the need for health policies that prioritize patient education, accessible care and adequate financial support. Strengthening such policies could improve self-care adherence among heart failure patients, enhancing clinical outcomes and quality of life.

Indexed as

Behaviordeterminantshealth promotionheart failureself-caresystematic review

Identifiers

PMID40979345
PMCPMC12448565

What Socratic holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.