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评价个性化康复护理干预对胸外科患者术后呼吸功能恢复的影响:系统评价和荟萃分析方案。

Evaluating the impact of personalized rehabilitation nursing intervention on postoperative recovery of respiratory function among thoracic surgery patients: A protocol for systematic review and meta-analysis.

机构信息

Department of Cardiothoracic Surgery, Wuhan Puren Hospital, Wuhan, Hubei Province, China.

Department of Neurosurgery, Wuhan Puren Hospital, Wuhan, Hubei Province, China.

出版信息

Medicine (Baltimore). 2022 Mar 4;101(9):e28776. doi: 10.1097/MD.0000000000028776.

Abstract

BACKGROUND

Owing to clinical developments and economic strain, perioperative care has undergone considerable changes. Therefore, it is important to review and critique the efficacy of existing practices in a context that is placing increasing emphasis on better efficacy and cost-containment. Considering that the objective involves devising approaches to minimize postoperative complications and reduce medical care, efforts should concentrate on postsurgical pulmonary complications that are common. The present analysis aims to examine how customized rehabilitation nursing intercession impacts the postsurgical restoration of respiratory functions in thoracic surgery patients.

METHODS

Prespecified search strategies will be employed to perform a methodological search of 6 databases namely EMBASE, Cochrane Library, PubMed, Web of Science, WanFang Database, and China National Knowledge Infrastructure. The analysis will comprise original publications that evaluated how personalized rehabilitation nursing intervention impacts postsurgical restoration of respiratory function in those who have undergone thoracic surgery. All considered publications are before December 25, 2021. Different authors will conduct an independent study selection process to evaluate the quality of the publications and extract required data. Based on the standardized mean difference and its 95% confidence interval, we estimate the summary effects for each meta-analyses. Based on heterogeneity in considered articles, the related data will be pooled through either a random- or fixed-effect meta-analysis. Lastly, the overall quality of evidence using appropriate methods will be performed.

RESULTS

The results of this analysis will systematically evaluate how customized rehabilitation nursing interference impact postsurgical healing of respiratory functions in patients who have undergone thoracic surgery by collecting the existing evidence.

ETHICS AND DISSEMINATION

Not required.

OPEN SCIENCE FRAMEWORK REGISTRATION NUMBER

10.17605/OSF.IO/NBVYW.

摘要

背景

由于临床进展和经济压力,围手术期护理发生了重大变化。因此,在更加重视疗效和成本控制的背景下,回顾和评估现有实践的疗效非常重要。考虑到目标是设计方法来最大限度地减少术后并发症和降低医疗成本,应集中精力研究常见的术后肺部并发症。本分析旨在探讨定制康复护理干预如何影响胸外科患者术后呼吸功能的恢复。

方法

将使用预设的搜索策略对 6 个数据库(即 EMBASE、Cochrane 图书馆、PubMed、Web of Science、万方数据库和中国国家知识基础设施)进行方法学搜索。分析将包括评估个性化康复护理干预对接受过胸外科手术的患者术后呼吸功能恢复影响的原始出版物。所有考虑的出版物均在 2021 年 12 月 25 日之前发表。不同的作者将独立进行研究选择过程,以评估出版物的质量并提取所需数据。基于标准化均数差及其 95%置信区间,我们估计每个荟萃分析的汇总效应。基于考虑文章中的异质性,将通过随机或固定效应荟萃分析对相关数据进行汇总。最后,将使用适当的方法对整体证据质量进行评估。

结果

该分析的结果将通过收集现有证据,系统评估定制康复护理干预如何影响接受过胸外科手术的患者术后呼吸功能的恢复。

伦理与传播

不需要。

开放科学框架注册号

10.17605/OSF.IO/NBVYW。

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