Effectiveness of health education in the self-care and adherence of patients with heart failure: a meta-analysis

Abstract

OBJECTIVE: to evaluate in the literature the effectiveness of the health education interventions in self-care and adherence to treatment of patients with Chronic Heart Failure. METHOD: a systematic review with meta-analysis. Studies were selected that compared health education interventions with the usual care to assess the outcomes of adherence and self-care. The quality of the methodological evidence was assessed by the Grading of Recommendations, Assessment, Development and Evaluation system. RESULTS: the educational interventions were more effective in relation to the usual care in the outcome of adherence (fixed effect=0-3841; p-value <0.001). There was no statistical difference in the outcome of self-care (fixed effect=0.0063; p-value=0.898). CONCLUSION: the educational interventions improved the outcome of adherence, though not self-care in the patient with Heart Failure.