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Effect of comprehensive nursing intervention for congenital heart disease in children: A meta-analysis

Xueying Ding1, Jiaxuan Wen1, Xinxin Yue1

  • 1School of Nursing, Weifang Medical University, Weifang , Shandong province, China.

Medicine
|October 18, 2022
PubMed

Insights

Comprehensive nursing interventions significantly improve perioperative outcomes for children with congenital heart disease (CHD). These interventions reduce hospital stays, lower complication risks, and decrease anxiety and pain, enhancing overall care.

Area of Science:

  • Pediatric Nursing
  • Cardiology
  • Healthcare Management

Background:

  • Congenital heart disease (CHD) presents unique challenges for pediatric patients undergoing surgery.
  • Perioperative care for children with CHD requires specialized nursing interventions to optimize outcomes.
  • Existing literature suggests various nursing approaches may impact surgical recovery, but a consolidated analysis is needed.

Purpose of the Study:

  • To systematically evaluate the effectiveness of comprehensive nursing interventions on perioperative outcomes in children with CHD.
  • To assess the impact of interventions such as educational support, empathic interviewing, motor exercise, and therapeutic play.
  • To quantify effects on hospital stay, complication rates, parental satisfaction, anxiety, and pain.

Main Methods:

  • A comprehensive meta-analysis was conducted, searching multiple databases (PubMed, Embase, Web of Science, Scopus, Cochrane, etc.) up to August 2021.
  • The study followed Cochrane Handbook and PRISMA guidelines for systematic reviews and meta-analyses.
  • Data analysis was performed using RevMan 5.4 and Stata 16.0 to synthesize findings.

Main Results:

  • Comprehensive nursing interventions significantly reduced length of hospital stay (WMD = -1.982, P < .001) and the risk of post-operative complications (OR = 0.345, P < .001).
  • Interventions led to increased parental satisfaction (OR = 0.308, P < .001) and notably decreased preoperative anxiety (WMD = -6.721, P < .001) and postoperative pain (WMD = -7.103, P < .001).

Conclusions:

  • This meta-analysis confirms that comprehensive nursing interventions yield significant benefits for children with CHD during the perioperative period.
  • Key improvements include reduced complication rates, shorter hospital stays, and enhanced patient and parental well-being through decreased anxiety and pain.
  • The findings strongly support the integration of comprehensive nursing care strategies to improve clinical outcomes for pediatric CHD patients.
Abstract

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