PDF(Pubmed)
Abstract：
We systematically evaluated the effect of continuous nursing on surgical site wound infections and postoperative complications in colorectal cancer (CRC) patients with stomas. Computerised searches of Embase, PubMed, Cochrane Library, China National Knowledge Infrastructure and Wanfang databases were conducted to collect clinical studies on CRC patients receiving continuous nursing interventions after colorectal stoma surgery; the search period was from the establishment of each database to August 2023. Two researchers independently screened the literature, extracted the data and completed a literature quality assessment. The meta-analysis was performed using Stata 17.0 and included 20 studies with 1759 patients. The meta-analysis showed that continuous nursing significantly lowered the rates of surgical site wound infection (risk ratio [RR] = 0.24, 95% confidence interval [CI]: 0.14-0.43, p < 0.001) and postoperative complications (RR = 0.30, 95% CI: 0.23-0.39, p < 0.001) for CRC stoma patients compared with the control group. Therefore, continuous nursing intervention should be promoted for use in clinical care.
摘要：
系统评价延续性护理对结直肠癌(CRC)造口患者手术部位切口感染及术后并发症的影响。Embase的电脑搜索，PubMed,科克伦图书馆,采用ChinaNationalKnowledgeInfrastructure和Wanfang数据库收集结直肠造口术后接受延续性护理干预的CRC患者的临床研究，检索期为各数据库建立至2023年8月。两名研究人员独立筛选了文献，提取数据并完成文献质量评价。使用Stata17.0进行荟萃分析，包括20项研究，包括1759名患者。Meta分析显示,与对照组相比,延续护理可显著降低CRC造口患者手术部位切口感染率(风险比[RR]=0.24,95%置信区间[CI]:0.14~0.43,p<0.001)和术后并发症发生率(RR=0.30,95%CI:0.23~0.39,p<0.001)。因此,延续性护理干预应在临床护理中推广使用。
