关键词: colorectal surgery non-pharmacological interventions nursing interventions patient outcomes postoperative ileus systematic review

来  源:   DOI:10.1016/j.jopan.2024.03.012

Abstract:
OBJECTIVE: This review evaluates nonpharmacological interventions for postoperative ileus (POI) prevention and treatment.
METHODS: We systematically reviewed articles from various databases between January 2012 and February 2023 on POI prevention in colorectal surgery patients, emphasizing nursing interventions.
METHODS: Inclusion was based on criteria such as language (English or Turkish), date range, and study type. The risk of bias was evaluated using Cochrane\'s RoB2 tool.
RESULTS: Of the 3,497 articles found, 987 unique articles were considered. After title and abstract reviews, 977 articles were excluded, leaving 52 randomized controlled trials for examination. Common interventions included chewing gum, early hydration, acupuncture, and coffee consumption. Compared to control groups, intervention groups had quicker bowel function return, shorter hospital stays, fewer complications, and enhanced quality of life.
CONCLUSIONS: Nondrug nursing interventions post colorectal surgery can effectively mitigate POI, optimize bowel function, and boost patient satisfaction, warranting their incorporation into post-surgery care protocols.
摘要:
目的:这篇综述评估了非药物干预对术后肠梗阻(POI)预防和治疗的作用。
方法:我们系统地回顾了2012年1月至2023年2月之间来自各种数据库的有关结直肠手术患者POI预防的文章,强调护理干预。
方法:纳入标准,如语言(英语或土耳其语),日期范围,和研究类型。使用Cochrane的RoB2工具评估偏倚风险。
结果:在发现的3,497篇文章中,考虑了987篇独特文章。在标题和摘要评论之后,977篇文章被排除在外,剩下52项随机对照试验供检查。常见的干预措施包括口香糖,早期水化,针灸,咖啡消费。与对照组相比,干预组肠功能恢复更快,缩短住院时间,并发症少,提高生活质量。
结论:结直肠术后非药物护理干预能有效缓解POI,优化肠道功能,提高患者满意度,保证将其纳入术后护理方案。
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