Key result
Failing to manage treatment regimens is linked to ~8-fold higher rates of ineffective self-management.
Why the study?
The study was conducted to determine the accuracy of clinical indicators for the nursing diagnosis of ineffective health self-management in adults with cardiometabolic conditions.
Do clinical indicators accurately identify the nursing diagnosis of ineffective health self-management in adults with cardiometabolic conditions?
Meta-Analysis
Do clinical indicators accurately identify the nursing diagnosis of ineffective health self-management in adults with cardiometabolic conditions?
Specific clinical indicators, including inadequate blood pressure control and medication non-adherence, can help identify ineffective health self-management in patients with cardiometabolic conditions.
May identify ineffective self-management via prolonged negative effects in cardiometabolic care; leaves open intervention efficacy pending prospective trials.
ObjectiveDetermine the accuracy of clinical indicators for the nursing diagnosis of ineffective self-management of health in adults with cardiometabolic conditions.MethodA systematic review of diagnostic accuracy was conducted according to the Cochrane methodology. The literature search was performed in March 2025. Studies involving adults with cardiometabolic conditions and the presence of clinical indicators for ineffective health self-management were included. The results were systematically presented, accuracy measures were developed, and a meta-analysis was established.FindingsTwenty-three studies and nineteen clinical indicators were identified. The main indicators for ineffective self-management in cardiometabolic conditions are: inadequate blood pressure control, insufficient management of signs and symptoms, lack of medication adherence, lack of regular blood glucose monitoring, and inadequate nutritional intake. Ineffective self-management was four times higher among individuals with a longer duration of negative effects of the disease and almost eight times higher in those who fail to manage the treatment regimen.ConclusionsThe clinical indicators identified provide important support for identifying ineffective health self-management in cardiometabolic conditions and advance scientific knowledge on the topic of nursing diagnoses by identifying new needs inherent to self-management.
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Neto et al. (2026) conducted a meta-analysis in Cardiometabolic conditions. Clinical indicators for ineffective health self-management was evaluated on Accuracy of clinical indicators for the nursing diagnosis of ineffective self-management of health. Failing to manage the treatment regimen and longer duration of negative disease effects were associated with almost eight times and four times higher rates of ineffective self-management, respectively.
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