Department of General Surgery, the Fourth Medical Center of PLA General Hospital, Beijing, Hebei, China.
Department of Hepatobiliary Pancreatic Splenic Surgery, the Fourth Medical Center of PLA General Hospital, Beijing, Hebei, China.
Int Wound J. 2023 Mar;20(3):861-870. doi: 10.1111/iwj.13926. Epub 2022 Sep 6.
The advance in nursing care for stoma patients is a challenging issue, which will influence the life quality. The quality of life is a major issue in the recovery of stoma patients. The evidence of experimental nursing has not been explored enough. A systematic search and a meta-analysis were performed for the studies of experimental nursing interventions versus routine warming interventions on patients with a stoma. The comparisons between nursing interventions were performed to find which kind of intervention will be superior in improving life quality. After a restricted selection, 10 studies, 460 subjects with experimental nursing intervention, and 478 controls with the routine nursing intervention were enrolled in a variety of causes of the stoma. The focused outcome was the quality of life. The meta-analysis was performed by Review Manager 5.4. Among the stoma patients, the meta-analysis favours the experimental nursing intervention group with higher scores of life quality when compared to the routine nursing intervention group. The meta-analysis results were with positive mean differences, significant tests for overall effect, and significant heterogeneities in the random-effects model. The experimental nursing intervention showed higher positive effects on the quality of life when compared to routine nursing intervention for stoma patients. Experimental nursing intervention might be an option for stoma nursing practitioners to improve stoma care.
造口患者护理的进步是一个具有挑战性的问题,这将影响生活质量。生活质量是造口患者康复的一个主要问题。实验护理的证据还没有得到充分的探索。我们对实验护理干预与常规保暖干预对造口患者的研究进行了系统的搜索和荟萃分析。对护理干预进行了比较,以确定哪种干预更能提高生活质量。经过严格筛选,纳入了 10 项研究,共有 460 例接受实验护理干预的患者和 478 例接受常规护理干预的患者,这些患者的造口原因各不相同。主要结局是生活质量。使用 Review Manager 5.4 进行荟萃分析。在造口患者中,与常规护理干预组相比,实验护理干预组的生活质量评分更高,荟萃分析结果显示,总体效果有积极的差异,且随机效应模型存在显著的异质性。与常规护理干预相比,实验护理干预对造口患者的生活质量有更高的积极影响。实验护理干预可能是造口护理从业者改善造口护理的选择之一。