Yang Pingyu, Shan Rongfang, Wei Yinli, Ni Juan, Chen Haoyang, Yang Chengying, Yan Hongyan, Shen Biyu
Department of Neurosurgery, Secondary Affiliated Hospital of Nantong University (First People's Hospital), Jiangsu, Nantong 226001, China.
Department of Nursing, Secondary Affiliated Hospital of Nantong University (First People's Hospital), Jiangsu, Nantong 226001, China.
Comput Math Methods Med. 2022 Jan 30;2022:6940715. doi: 10.1155/2022/6940715. eCollection 2022.
To systematically evaluate the effect of collaborative nursing on self-care ability of postcolostomy patients with colorectal cancer (CRC).
PubMed, Web of Science, Embase, China National Knowledge Infrastructure, and Wanfang databases were searched to collect relevant literatures on randomized controlled trials of postcolostomy patients with CRC. The search period was started from 2010 to 2021. Statistical analysis was performed on the data extracted from the comprehensive meta-analysis with STATA 16.0 analysis software.
As a result, it was found that the incidence of adverse reactions in the control group was higher than that in the treatment group. Seven studies included the preintervention self-care concept and preintervention self-care skills. Six studies included preintervention self-care responsibility and preintervention exercise of self-care agency (ESCA) scale. In the comparison among the concept of self-care after intervention, self-care skills, self-care responsibility, and ESCA scale, all of them had higher scores in the treatment group than in the control group ( < 0.05). It fully explains that collaborative nursing can significantly improve the evaluation indicators of patients' self-care ability and reduce patient complications.
The application of collaborative nursing in the nursing work of patients with CRC after colostomy can significantly reduce the incidence of adverse nursing reactions.
系统评价协同护理对结直肠癌(CRC)结肠造口术后患者自我护理能力的影响。
检索PubMed、Web of Science、Embase、中国知网和万方数据库,收集有关CRC结肠造口术后患者随机对照试验的相关文献。检索时间从2010年至2021年。使用STATA 16.0分析软件对从综合荟萃分析中提取的数据进行统计分析。
结果发现,对照组的不良反应发生率高于治疗组。七项研究纳入了干预前自我护理概念和干预前自我护理技能。六项研究纳入了干预前自我护理责任和干预前自我护理代理(ESCA)量表。在干预后自我护理概念、自我护理技能、自我护理责任和ESCA量表的比较中,治疗组的所有得分均高于对照组(<0.05)。这充分说明协同护理可显著改善患者自我护理能力的评估指标,并减少患者并发症。
协同护理应用于CRC结肠造口术后患者的护理工作中,可显著降低不良护理反应的发生率。