Effectiveness of self care intervention electronic based for improving quality of life and health outcomes in patients with heart failure: a systematic review of randomized controlled trials

Background: Heart failure is a chronic disease with the highest readmission duration. Increased health costs due to heart failure also continues to increase every year. The inability to take care of selfcare 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 and also aims to identify types of self-care intervention and electronic methods or applications used in self-care. Methods: The research method is a systematic review of RCT (randomize control trial) research through systematic searches in 6 English-language databases, which were published from 2019 to 2023. Of the 134 journals identified self-care, engagement, adherence, 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 8 research references that met the inclusion and exclusion criteria, where the articles contained self-care electronic methods that were relevant to the variables in this systematic review. Data sources were taken from six data bases, namely PMC, Pubmed, Scopus, Proquest, ScienceDirect and ResearhGate. Results: The results show that the self-care intervention model electronic based has increased patient engagement (p<0.05), increasing adherence (p < 0.03), improved the quality of life of patients (p<0.05) and reduced readmissions (p<0.03) in heart failure patients. Conclusions: the conclusion is that electronic-based self-care can improve patient engagement, adherence with treatment programs, quality of life and reduce readmissions in heart failure patients.