Effectiveness of self care intervention electronic based for improving engagement and health outcomes in patients with Heart Failure : A systematic review and meta-analysis of Randomized Controlled Trials
Ani Widiastuti1, Elly Nurachmah1, Rita Sekarsari2, Indra Budi3

1Fakultas Ilmu Keperawatan, Universitas Indonesia 2Rumah sakit Jantung dan Pembuluh Darah Harapan Kita Jakarta 3Fakultas Ilmu Komputer, Universitas Indonesia

Abstract

Heart failure is a chronic disease with the highest readmission duration both in Indonesia and in other countries. Increased health costs due to heart failure also continues to increase every year. The inability to take care of self care and non-adherence to treatment programs are the causes of high readmissions. This study aims to identify the effectiveness of electronic-based self-care on engagement, adherence, readmission, and quality of life in heart failure patients. The research method is a systematic review and meta-analysis of RCT (randomize control trial) research through systematic searches in 10 English-language databases, which were published from 2019 to 2023. Out of a total of 134 journals identified self-care, quality of life and readmission , There are 114 articles were eliminated because they did not match the title, and of the 20 articles whose abstract results were identified as appropriate, there were 10 research references that met the inclusion and exclusion criteria, where the articles contained self-care methods that were relevant to the variables in this systematic review. Data sources were taken from five data bases, namely PMC, Pubmed, Scopus, Elsevier, Proquest. The results of the analysis show that the self-care intervention model has increased patient engagement by increasing adherence by 0.9 points, and improved the quality of life of patients by 20%, and reduced readmissions by 8.5% in heart failure patients

Keywords: Self Care, engagement, adherence, readmission, quality of life

Topic: Nursing care