基于证据的护理对接受急性尾炎手术的患者手术部位伤口感染的影响:元分析
Feng Liu1, Juan Zhou2, Xue-Lian Wu3
1Department of Emergency, The People's Hospital of Chongqing Liangjiang New Area, Chongqing, China.
International wound journal
|March 20, 2024
概括
基于证据的护理 (EBN) 显著减少了急性尾炎 (AA) 尾切除术后的伤口感染和并发症. 这种护理干预改善了患者的治疗结果,并被推用于临床实践.
科学领域:
- 手术护理 医疗护理
- 基于证据的实践.
- 预防传染病 预防传染病
背景情况:
- 针对急性尾炎 (AA) 的尾切除术带有术后并发症的风险.
- 优化术后护理对于改善患者预后至关重要.
- 基于证据的护理 (EBN) 为标准化,高质量的患者护理提供了一个框架.
研究的目的:
- 评估基于证据的护理 (EBN) 对急性尾炎 (AA) 尾切除术患者的伤口感染和术后并发症的影响.
- 为AA管理中有效的术后护理策略提供理论基础.
主要方法:
- 进行了随机对照试验 (RCT) 的系统审查和元分析.
- 在主要数据库 (PubMed,科学网,科克兰图书馆,Embase等) 进行了搜索. 在2023年10月之前.
- 通过使用Stata软件分析了涉及2848名患者的29个RCT的数据.
主要成果:
- 基于证据的护理 (EBN) 显著降低了手术后伤口感染的发生率 (OR=0.23,95% CI:0.14-0.38).
- 此外,EBN还导致整体术后并发症显著减少 (OR=0.20,95% CI:0.15-0.26).
- 与传统护理相比,接受EBN的患者在术后恢复有所改善.
结论:
- 基于证据的护理 (EBN) 是一种有效的干预措施,以尽量减少 AA 尾切除术后的伤口感染和术后并发症.
- 在临床实践中实施EBN可以提高患者的预后和康复.
- 这些发现支持EBN在AA患者的术后护理中得到广泛采用.
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