A Systematic Review and Meta-Analysis of Clinical Indicators for the Nursing Diagnosis of Ineffective Health Self-Management in Adults With Cardiometabolic Conditions.

Abstract

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.