Nursing Interventions for Management of Patients Undergoing Hernia Surgery: A Meta-Analysis

This review was done to review the effect of nursing intervention for managing patients undergoing hernia.

Meta-Analysis.

Searches were done in Scopus, Google Scholar, Embase, Cochrane trials library, Medline and Chinese databases from 1964 until February 2024. Meta-analysis was performed and pooled standardised mean differences or mean differences (SMD or MD) with 95% confidence intervals (CIs) reported for continuous outcomes, and odds ratios (ORs) for dichotomous outcomes.

Nursing interventions significantly reduced postoperative pain (SMD = -3.088; 95% CI: -4.635 to -1.541) and overall postoperative complications (OR = 0.267; 95% CI: 0.184-0.389). Significant reductions were also observed in infection rates (OR = 0.279; 95% CI: 0.106-0.738), swelling (OR = 0.197; 95% CI: 0.091-0.425), and urinary retention (OR = 0.282; 95% CI: 0.127-0.622). Nursing satisfaction significantly improved across all studies (OR = 5.508; 95% CI: 3.073-9.870). High heterogeneity was noted in some outcomes. Subgroup analyses indicated no significant differences between adults and children or between RCTs and Non-RCTs. Nursing interventions are effective in improving various postoperative outcomes in hernia surgery patients, including pain, complications, infection, swelling, urinary retention and nursing satisfaction. These findings support the integration of structured nursing care protocols into postoperative management to enhance patient recovery and satisfaction.

No Patient or Public Contribution.