摘要
目的:系统评价快速康复护理在宫颈癌围术期的应用效果,以探索更有效、科学的护理决策。方法:计算机检索中国知网、万方数据库、维普数据库、中国生物医学文献数据库、PubMed、EMbase、the Cochrane Library和Web of Science等数据库关于快速康复护理在宫颈癌病人围术期护理中应用的随机对照试验(RCT),由2名研究人员独立完成文献筛选、偏倚风险评价及资料提取,采用RevMan 5.3软件进行Meta分析。检索时限从2015年1月1日—2021年7月1日。结果:共纳入22篇RCT。Meta分析结果显示,与常规护理方法相比,快速康复护理能有效降低并发症发生率[RR=0.35,95%CI(0.28,0.43),P<0.000 01],缩短病人术后首次排气时间[SMD=-2.36,95%CI(-2.79,-1.94),P<0.000 01]、下床活动时间[SMD=-3.13,95%CI(-3.77,-2.49),P<0.000 01]、首次排便时间[SMD=-1.83,95%CI(-2.16,-1.50),P<0.000 01]及住院时间[SMD=-1.78,95%CI(-2.09,-1.47),P<0.000 01]。结论:现有证据表明,快速康复护理能有效降低并发症发生率,提高宫颈癌病人围术期生存质量,但由于纳入文献质量不高和Meta分析的自身局限性,研究结果还需更高质量RCT进一步验证。
Objective:To systematically evaluate the application effect of rapid rehabilitation nursing in the perioperative period of cervical cancer in order to explore more effective and scientific nursing decision-making.Methods:Randomized controlled trials(RCT) on rapid rehabilitation nursing in patients with cervical cancer during perioperative period were searched from CNKI,WanFang Data,VIP,CBM,PubMed,EMbase,the Cochrane Library,and Web of Science.Two researchers independently completed literature screening,bias risk assessment and data extraction,and Meta-analysis was carried out by RevMan 5.3 software.The retrieval time was from January 1,2015 to July 1,2021.Results:A total of 22 RCTs were included.Meta-analysis results showed that compared with conventional nursing methods,rapid rehabilitation nursing could effectively reduce the incidence of complications[RR=0.35,95%CI(0.28,0.43),P<0.000 01],and shorten the time of first exhaust[SMD=-2.36,95%CI(-2.79,-1.94),P<0.000 01],time to get out of bed[SMD=-3.13,95%CI(-3.78,-2.49),P<0.000 01],first defecation time[SMD=-1.83,95%CI(-2.16,-1.50),P<0.000 01],and length of hospital stay[SMD=-1.78,95%CI(-2.09,-1.47),P<0.000 01].Conclusion:Current evidence shows that rapid rehabilitation nursing can effectively reduce the incidence of complications and improve the quality of life of perioperative patients with cervical cancer.However,due to the low quality of included literature and the limitations of Meta-analysis,the research results need to be further verified by higher-quality RCTs.
作者
王旭
王芳
WANG Xu;WANG Fang(School of Nursing,Chengdu University of Traditional Chinese Medicine,Sichuan 610072 China)
出处
《循证护理》
2022年第8期1039-1045,共7页
Chinese Evidence-Based Nursing
关键词
快速康复护理
宫颈癌
围术期
效果
META分析
循证护理
rapid rehabilitation nursing
cervical cancer
perioperative period
effect
Meta-analysis
evedence-based nursning
