Correo Electrónico
DNINFOA - SIA
Bibliotecas
Convocatorias
Identidad U.N.
Published
Comportamiento de automanejo en personas con enfermedad coronaria: revisión de alcance
Self-management behavior in people with coronary artery disease: a scoping review
Comportamento de automanejo em pessoas com doença coronariana: revisão de escopo
DOI:
https://doi.org/10.15446/av.enferm.v43n2.121903Keywords:
Automanejo, Enfermedad Coronaria, Enfermedades Cardiovasculares, Enfermería, Revisión de Alcance (es)Self-management, Coronary Disease, Cardiovascular Diseases, Nursing, Scoping Review (en)
Autogestão, Doença das Coronárias, Doenças Cardiovasculares, Enfermagem , Revisão de Escopo (pt)
Downloads
Objetivo: mapear el fenómeno del comportamiento de automanejo en personas con enfermedades coronarias.
Metodología: Scoping Review registrada en INPLASY (202470126), bajo los lineamientos de The Joanna Briggs Institute y PRISMA-ScR. Se emplearon las bases de datos MedLine, PubMed, Science Direct, Lilacs y BVS, con los términos MeSH y DeCS Self management, Nursing, Nursing Care, Coronary disease y Cardic disease, entre los años 2014 y 2024. Se realizó una evaluación de la calidad metodológica según la metodología de los estudios seleccionados.
Resultados: se incluyeron 35 artículos: 7 estudios cualitativos, 21 cuantitativos, 2 mixtos y 5 revisiones de literatura. Estos estudios se clasificaron en categorías temáticas: necesidades, barreras y facilitadores para el automanejo; intervenciones para el automanejo basadas en la interacción enfermera/o-paciente; e intervenciones para el automanejo mediadas por las tecnologías de la información y la comunicación.
Conclusiones: el comportamiento de automanejo en esta población ha sido ampliamente explorado en el mundo, excepto en América Latina, donde resulta necesaria la exploración de este tema y, posteriormente, la adaptación de intervenciones al contexto colombiano.
Objective: To map the phenomenon of self-management behavior in people with coronary diseases.
Methodology: Scoping review registered in INPLASY (202470126), following the guidelines of The Joanna Briggs Institute and PRISMA-ScR. The databases MedLine, PubMed, Science Direct, Lilacs, and BVS were used, employing the MeSH and DeCS terms Self-management, Nursing, Nursing Care, Coronary disease, and Cardiac disease, covering the years 2014 to 2024. Methodological quality was assessed according to the methodology of the selected studies.
Results: Thirty-five articles were included: 7 qualitative studies, 21 quantitative, 2 mixed, and 5 literature reviews. These studies were classified into thematic categories:
needs, barriers, and facilitators for self-management; self-management interventions based on the nurse–patient interaction; and self-management interventions mediated by information and communication technologies.
Conclusions: Self-management behavior in this population has been widely explored worldwide, except in Latin America, where further research and subsequent adaptation
of interventions to the Colombian context are needed.
Objetivo: Mapear o fenômeno do comportamento de automanejo em pessoas com doenças coronarianas.
Metodologia: Revisão de escopo registrada na INPLASY (202470126), conforme as diretrizes do The Joanna Briggs Institute e PRISMA-ScR. Foram utilizadas as bases de dados MedLine, PubMed, Science Direct, Lilacs e BVS, com os termos MeSH e DeCS Self-management, Nursing, Nursing Care, Coronary disease e Cardiac disease, entre os anos de 2014 e 2024. A qualidade metodológica foi avaliada de acordo com a metodologia dos estudos selecionados.
Resultados: Foram incluídos 35 artigos: 7 estudos qualitativos, 21 quantitativos, 2 mistos e 5 revisões de literatura. Esses estudos foram classificados em categorias
temáticas: necessidades, barreiras e facilitadores para o automanejo; intervenções de automanejo baseadas na interação enfermeiro–paciente; e intervenções de automanejo mediadas pelas tecnologias da informação e comunicação.
Conclusões: O comportamento de automanejo nessa população tem sido amplamente explorado no mundo, exceto na América Latina, onde é necessária a investigação
desse tema e, posteriormente, a adaptação de intervenções ao contexto colombiano.
References
1. Nowbar NA; Gitto M; Howard JP; Francis DP; Al-Lamee R. Mortality from ischemic heart disease. Circ Cardiovasc Qual Outcomes. 2019;12(6):e005375. https://doi.org/10.1161/CIRCOUTCOMES.118.005375
2. Organización Panamericana de Salud. La carga de las enfermedades cardiovasculares en la Región de las Américas, 2000-2019. Portal de Datos de NMH. Organización Panamericana de la Salud; 2021. https://www.paho.org/es/enlace/carga-enfermedades-cardiovasculares
3. Gaviria S; Ramírez A; Alzate M; Contreras H; Jaramillo N; Muñoz MC. Epidemiología del síndrome coronario agudo. Medicina UPB. 2020;39(1):49-56. http://doi.org/10.18566/medupb.v39n1.a08
4. República de Colombia. Departamento Administrativo Nacional de Estadística DANE . Principales resultados de Estadísticas Vitales nacimientos y defunciones para el año corrido 2024pr (1 enero al 31 diciembre de 2024). https://www.dane.gov.co/index.php/estadisticaspor-tema/salud/nacimientos-y-defunciones/defunciones-no-fetales/defunciones-no-fetales-2024
5. León-Hernández RC; Peñarrieta-de Córdova MI; Gutiérrez-Gómez T; Banda-González O; Flores-Barrios F; Rivera MC. Predictores del comportamiento de automanejo en personas con enfermedades crónicas de Tamaulipas. Enferm. univ. 2019;16(2):128-137. https://doi.org/10.22201/eneo.23958421e.2019.2.637
6. Bonal Ruiz R; López Vásquez N; Vargas P; Meoño Martín T; Brañas Coelho RW. Apoyo al automanejo de condiciones crónicas: un desafío de los sistemas de salud de América Latina. Rev Finlay. 2017;7(4):268-277. http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S2221-24342017000400006&lng=es
7. McGowan P. Self-management: A background paper. New perspectives. En International Conference on Patient Self-Management - University of Victoria - Center on Aging, Victoria: Telus, 2005, 1-10. https://www.selfmanagementbc.ca/uploads/Support%20for%20Health%20Professionals/Self-Management%20support%20a%20background%20paper%202005.pdf
8. Grady PA; Gough LL. Self-management: A comprehensive approach to management of chronic conditions. Am J Public Health. 2014;104(8):e25-e31. https://doi.org/10.2105/AJPH.2014.302041
9. De las Salas R; Velasco Banquet LI; Villarreal Cantillo E; Palmet Jimenez M. Effects of self-management interventions in adults with acute coronary syndrome: A systematic review and meta-analysis of randomized controlled trials. Rev. salud pública. 2023;25(2):1-11. https://doi.org/10.15446/rsap.v25n2.106585
10. University of Wisconsin-Milwaukee. Self-management Science Center [Internet]. School of Nursing. 2017. https://uwm.edu/nursing/centers-institutes/self-management-science-center/
11. Guo P; Harris R. The effectiveness and experience of self-management following acute coronary syndrome: A review of the literature. Int J Nurs Stud. 2016;61:29-51. https://doi.org/10.1016/j.ijnurstu.2016.05.008
12. Tricco AC; Lillie E; Zarin W; O'Brien KK; Colquhoun H; Levac D et al. PRISMA Extension for Scoping Reviews (PRIS MA-ScR): Checklist and explanation. Ann Intern Med. 2018;169(7):467-473. https://doi.org/10.7326/M18-0850
13. Kasteleyn MJ; Gorter KJ; van Puffelen AL; Heijmans M; Vos RC; Jansen H et al. What follow-up care and self-management support do patients with type 2 diabetes want after their first acute coronary event? A qualitative study. Prim Care Diabetes. 2014;8(3):195-206. https://doi.org/10.1016/j.pcd.2013.12.001
14. Moattari M; Adib F; Kojuri J; Tabatabaee SH. Angina self-management plan and quality of life, anxiety and depression in post coronary angioplasty patients. Iran Red Crescent Med J. 2014;16(11):e16981. https://doi.org/10.5812/ircmj.16981
15. Peterson JC; Link AR; Jobe JB; Winston GJ; Marina Klimasiewfski E; Allegrante JP. Developing self-management education in coronary artery disease. Heart Lung. 2014;43(2):133-139. https://doi.org/10.1016/j.hrtlng.2013.11.006
16. Taebi M; Abedi HA; Abbasszadeh A; Kazemi M. Incentives for selfmanagement after coronary artery bypass graft surgery. Iran J Nurs Midwifery Res. 2014;19(7 Suppl 1):S64-70. https://pubmed.ncbi.nlm.nih.gov/25949254/
17. Huynh-Hohnbaum ALT; Marshall L; Villa VM; Lee G. Self-management of heart disease in older adults. Home Health Care Serv Q. 2015;34(3-4):159-172. https://doi.org/10.1080/01621424.2015.1092909
18. Moore L; Frost J; Britten N. Context and complexity: The meaning of self-management for older adults with heart disease. Sociol Health Illn. 2015;37(8):1254-1269. https://doi.org/10.1111/1467-9566.12316
19. Pfaeffli Dale L; Whittaker R; Jiang Y; Stewart R; Rolleston A; Maddison R. Text message and internet support for coronary heart disease selfmanagement: Results from the Text Heart randomized controlled trial. J Med Internet Res. 2015;17(10):e237. https://doi.org/10.2196/jmir.4944
20. Dawkes S; Smith GD; Elliott L; Raeside R; Donaldson JH. Selfmanagement of coronary heart disease in older patients after elective percutaneous transluminal coronary angioplasty. J Geriatr Cardiol. 2016;13(5):393-400. https://doi.org/10.11909/j.issn.1671-5411.2016.05.010
21. La Sala R; Dicembrino RB; Dall'Argine S; Baiguera M; Gazzotti L; Gubin E et al. Nurse training in self-management of patients with cardiovascular diseases: A multicentre observational study. Acta Biomed. 2017;88(5S):22-30. https://doi.org/10.23750/abm.v88i5-S.6882
22. Li Z; Liu T; Han J; Li T; Zhu Q; Wang A. Confrontation as a mediator between sense of coherence and self-management behaviors among elderly patients with coronary heart disease in North China. Asian Nurs Res. 2017;11(3):201-206. https://doi.org/10.1016/j.anr.2017.08.003
23. Palacios J; Lee GA; Duaso M; Clifton A; Norman IJ; Richards D et al. Internet-delivered self-management support for improving coronary heart disease and self-management-related outcomes: A systematic review. J Cardiovasc Nurs. 2017;32(4):E9-E23. https://doi.org/10.1097/JCN.0000000000000392
24. Sakakibara BM; Ross E; Arthur G; Brown-Ganzert L; Petrin S; Sedlak T et al. Using mobile-health to connect women with cardiovascular disease and improve self-management. Telemed J E Health. 2017;23(3):233-239. https://doi.org/10.1089/tmj.2016.0133
25. Tanash MI; Fitzsimons D; Coates V; Deaton C. An evaluation of the effectiveness of self-management interventions for people with type 2 diabetes after an acute coronary syndrome: A systematic review. J Clin Nurs. 2017;26(11-12):1458-1472. https://doi.org/10.1111/jocn.13487
26. Parry M; Bjørnnes AK; Victor JC; Ayala AP; Lenton E; Clarke H et al. Self-management interventions for women with cardiac pain: A systematic review and meta-analysis. Can J Cardiol. 2018;34(4):458-467. https://doi.org/10.1016/j.cjca.2017.12.011
27. Huntink E; Koetsenruijter J; Wensing M; van Lieshout J. Patient cardiovascular risk self-management: Results from a randomized trial of motivational interviewing delivered by practice nurses. Fam. Pract. 2019;36(4):460-466. https://doi.org/10.1093/fampra/cmy087
28. Liu XL; Willis K; Fulbrook P; Wu CJ; Shi Y; Johnson M. Factors influencing self-management priority setting and decision-making among Chinese patients with acute coronary syndrome and type 2 diabetes mellitus. Eur J Cardiovasc Nurs. 2019;18(8):700-710. https://doi.org/10.1177/1474515119863178
29. Zhang Y; Yan F; Jiang W. Relationship between self-management behaviors and health-related quality of life among Chinese patients with coronary heart disease: A cross-sectional study. Contemp Nurse. 2019;55(6):554-564. https://doi.org/10.1080/10376178.2020.1731316
30. Jiang W; Zhang Y; Yan F; Liu H; Gao R. Effectiveness of a nurse-led multidisciplinary self-management program for patients with coronary heart disease in communities: A randomized controlled trial. Patient Educ Couns. 2020;103(4):854-863. https://doi.org/10.1016/j.pec.2019.11.001
31. Redfern J; Coorey G; Mulley J; Scaria A; Neubeck L; Hafiz N et al. A digital health intervention for cardiovascular disease management in primary care (CONNECT) randomized controlled trial. NPJ Digit. Med. 2020;3:117. https://doi.org/10.1038/s41746-020-00325-z
32. Rocha AL; Lima L; Bastos C. Autogestão na pessoa com doença coronária: Importância da intervenção de enfermagem. Suplemento digital Rev ROL Enferm 2020;43(1):10-17. http://hdl.handle.net/10400.26/31328
33. Sua YS; Jiang Y; Thompson DR; Wang W. Effectiveness of mobile phone-based self-management interventions for medication adherence and change in blood pressure in patients with coronary heart disease: A systematic review and meta-analysis. Eur J Cardiovasc Nurs. 2020;19(3):192-200. https://doi.org/10.1177/1474515119895678
34. Gholami M; Abdoli Talaei A; Tarrahi MJ; Mirzaei Taqi F; Galehdar N; Pirinezhad P. The effect of self-management support program on patient activation and inner strength in patients with cardiovascular disease. Patient Educ Couns. 2021;104(12):2979-2988. https://doi.org/10.1016/j.pec.2021.04.018
35. Hong PC; Chen KJ; Chang YC; Cheng SM; Chiang HH. Effectiveness of theory-based health information technology interventions on coronary artery disease self-management behavior: A clinical randomized waitlistcontrolled trial. J Nurs Scholarsh. 2021;53(4):418-427. https://doi.org/10.1111/jnu.12661
36. Roshandel M; Rakhshan M; Najafi Kalyani M. The effect of using peer on self-care, quality of life, and adherence in elderly people with coronary artery disease. Sci World J. 2021;2021:4770721. https://doi.org/10.1155/2021/4770721
37. Li Y; Gong Y; Zheng B; Fan F; Yi T; Zheng Y et al. Effects on adherence to a mobile app-based self-management digital therapeutics among patients with coronary heart disease: Pilot randomized controlled trial. JMIR Mhealth Uhealth. 2022;10(2):e32251. https://doi.org/10.2196/32251
38. Tighe SA; Ball K; Kayser L; Kensing F; Maddison R. Qualitative study of the views of people living with cardiovascular disease, and healthcare professionals, towards the use of a digital platform to support cardiovascular disease self-management. BMJ Open. 2022;12(11):e056768. https://doi.org/10.1136/bmjopen-2021-056768
39. Zhu H; Chen G; Xue X; Zheng S. Self-management in patients with coronary heart disease after stent implantation at the long-term stage: A cross-sectional study. Ann Palliat Med. 2022;11(7):2265-2274. https://doi.org/10.21037/apm-21-2465
40. Cheung NW; Redfern J; Thiagalingam A; Hng TM; Marschner S; Haider R et al. Effect of mobile phone text messaging self-management support for patients with diabetes or coronary heart disease in a chronic disease management program (SupportMe) on blood pressure: Pragmatic randomized controlled trial. J Med Internet Res. 2023;25:e38275. https://doi.org/10.2196/38275
41. Lizcano-Álvarez Á; Carretero-Julián L; Talavera-Saez A; Cristóbal-Zárate B; Cid-Expósito MG; Alameda-Cuesta A; REccAP Group. Intensive nurse-led follow-up in primary care to improve self-management and compliance behaviour after myocardial infarction. Nurs Open. 2023;10(8):5211-5224. https://doi.org/10.1002/nop2.1758
42. Tuo Ya SR; Lei YY; Bao LX; Cui XS. Effects of nursing intervention based on a positive motivational model on cardiac function, selfmanagement and quality of life in elderly patients with coronary heart disease. Eur Rev Med Pharmacol Sci. 2023;27(17):7977-7987. https://doi.org/10.26355/eurrev_202309_33557
43. Zhu X; Yang Y; Cao M. Effect of a mutual goal-based continuous care program on self-management behaviour and health outcomes in patients after percutaneous coronary intervention: A randomized controlled trial. Nurs. Open. 2023;10(6):3707-3718. https://doi.org/10.1002/nop2.1625
44. Zhang S; Wang Z; Lin X; Li Y; Xue Y; Ban J et al. Kinesiophobia and self-management behaviour related to physical activity in Chinese patients with coronary heart disease: The mediating role of self-efficacy. Nurs Open. 2023;10(1):105-114. https://doi.org/10.1002/nop2.1283
45. Yang J; Pu Y; Jiang X; Yao Q; Luo J; Wang T et al. Association between quality of discharge teaching and self-management in patients after percutaneous coronary intervention: A chain mediation model. J Clin Nurs. 2025;34(4):1312-1324. https://doi.org/10.1111/jocn.17204
46. Maghaminejad F; Varaei S; Dehghan-Nayeri N. The process of inefficient self-management in patients with myocardial infarction in prehospital: A grounded theory. Health Sci. Rep. 2025;8(5):e70720. https://doi.org/10.1002/hsr2.70720
47. Schmaderer M; Miller JN; Mollard E. Experiences of using a selfmanagement mobile app among individuals with heart failure: Qualitative study. JMIR Nurs. 2021;4(3):e28139. https://doi.org/10.2196/28139
48. Wilson AMMM; Almeida GSM; Santos BCF; Nakahara-Melo M; Conceição AP; Cruz DALM. Fatores associados à contribuição dos cuidadores para o autocuidado na insuficiência cardíaca. Rev Latino-Am Enfermagem. 2022;30:e3632. https://doi.org/10.1590/1518-8345.5838.3632
49. Larki A; Tahmasebi R; Reisi M. Factors predicting self-care behaviors among low health literacy hypertensive patients based on health belief model in Bushehr District, South of Iran. Int. J. Hypertens. 2018;2018:9752736. https://doi.org/10.1155/2018/9752736
50. Pilic L; Molkentin K; Herrmann A; Redaèlli M; Kupsch L; Lehmann L et al. GPs' experienced challenges and strategies for supporting patient self-management in disease management programs for type 2 diabetes mellitus and coronary heart disease - a qualitative study. BMC Prim. Care. 2025;26:222. https://doi.org/10.1186/s12875-025-02896-w
51. Toro-Aguirre K; Urzúa A. Factores vinculados al automanejo de la enfermedad crónica: una revisión sistemática. Univ. Psychol. 2024;23:1-14. https://doi.org/10.11144/Javeriana.upsy23.fvae
52. Huang Y; Li S; Lu X; Chen W; Zhang Y. The effect of self-management on patients with chronic diseases: A systematic review and metaanalysis. Healthcare. 2024;12(21):2151. https://doi.org/10.3390/healthcare12212151
53. Casamayou A; Morales González MJ. Personas mayores y tecnologías digitales: desafíos de un binomio. Psicol. Conoc. Soc. 2017;7(2):199-226. https://doi.org/10.26864/pcs.v7.n2.9
54. Rivoir A; Morales MJ; Casamayou A. Usos y percepciones de las tecnologías digitales en personas mayores. Limitaciones y beneficios para su calidad de vida. Rev. austral cienc. soc. 2019;(36):295-313. https://doi.org/10.4206/rev.austral.cienc.soc.2019.n36-15
55. Lucerón-Lucas-Torres MI; Valera-Ortín J. Health technology tools used to increase physical activity and improve cardiovascular parameters in older adults: A review. Enferm. Clin. 2022;32(3):171-183. https://doi.org/10.1016/j.enfcle.2021.05.004
56. Peñarrieta de Córdova MI; Reyes G; Krederdt S; Flores F; Resendiz E; Chávez-Flores E. Automanejo en enfermedades crónicas: diabetes mellitus tipo 2, hipertensión arterial y cáncer. Rev. investig Univ. Norbert Wiener. 2015;(4):43-56. https://bit.ly/352QZOP
57. Irazola V; Prado C; Rosende A; Flood D; Tsuyuki R; Ojeda CN et al. Expanding team-based care for hypertension and cardiovascular risk management with HEARTS in the Americas. Rev Panam Salud Publica. 2025;49:e43. https://doi.org/10.26633/RPSP.2025.43
58. Segura Cortes JC; Moreno Fergusson ME. Automanejo de la diabetes en personas socioeconómicamente vulnerables: estudio de factibilidad. Rev Cuid. 2023;14(3):e3102. https://doi.org/10.15649/cuidarte.3102.
59. Flores-Barrios C; Hernández-León R; Peñarrieta-de Cordova I; Flores-Barrios F; de la Cruz-Palomo A; Díaz-Ramírez AA. Efectividad de un programa de apoyo al automanejo para cuidadores familiares. Cienc. huasteca bol.cient. Esc. Superior Huejutla. 2023;11(21):7-12. https://doi.org/10.29057/esh.v11i21.10021
60. Florentino Hernández NA; Flores Barrios C; de la Cruz Palomo AA; Flores Barrios F; Diaz Ramirez AA. Automanejo en cuidadores familiares de personas con condición crónica. Ciencia Latina. 2025;9(2):8959-8969. https://doi.org/10.37811/cl_rcm.v9i2.17658
How to Cite
VANCOUVER
ACM
ACS
APA
ABNT
Chicago
Harvard
IEEE
MLA
Turabian
Download Citation
License
Copyright (c) 2025 Jennifer Rojas-Reyes, Edith Arredondo Holguín, Jennifer Johana Molina Mejía
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published by Avances en Enfermería are licensed under the Creative Commons Attribution 4.0 International License. Starting 2020, we added the CC-BY-NC recognition to the license, which means anyone is allowed to copy, redistribute, remix, transmit and transform our contents with non-commercial purposes, and although new works must adequately cite the original work and source and also pursue non-commercial purposes, users do not have to license derivative works under the same terms.
