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院内护理干预对真空密封引流促进伤口愈合效果的影响:一项荟萃分析。

In-hospital nursing care intervention increasing the effect of vacuum sealing drainage on wound healing: A meta-analysis.

机构信息

Hand-Foot Surgery Nursing Platform, The First Hospital of Jilin University, Changchun, 130021, China.

出版信息

Int Wound J. 2023 Oct;20(8):3371-3379. doi: 10.1111/iwj.14169. Epub 2023 Apr 12.

Abstract

Vacuum sealing drainage (VSD) could effectively drain superficial wounds and deep tissues, which is beneficial for wound healing. More incentives in nursing care to improve the therapeutic effect of VSD on wound healing were further investigated. Different databases were retrieved for full-text publications about the comparison between intervention nursing care and regular nursing care. Heterogeneity was detected by I method, and a random-effect model was applied for data pooling if there existed heterogeneity. Publication bias was analysed by a funnel plot. Eight studies with 762 patients were included for final meta-analysis. In the nursing care intervention group, shorter hospital stay duration (pooled SMD = -2.602, 95% confidence interval: -4.052--1.151), shorter wound healing time (pooled SMD = -1.105, 95% confidence interval: -1.857--0.353), lower pain score (pooled SMD = -2.490, 95% confidence interval: -3.521--1.458), lower drainage tube blocked rate (pooled RR = 0.361, 95% confidence interval: 0.268-0.486), and higher nursing satisfaction (pooled RR = 1.164, 95% confidence interval: 1.095-1.237) was confirmed. More active and incentive nursing care could significantly improve the therapeutic effect of VSD on wound healing, in terms of hospitalisation time, wound healing time, painful symptoms, drainage tube blockage, and nursing satisfaction.

摘要

负压封闭引流(VSD)可有效引流表浅创面和深部组织,有利于创面愈合。进一步探讨了更多激励护理措施以提高 VSD 对创面愈合的治疗效果。检索了不同数据库的全文出版物,比较了干预护理与常规护理。采用 I ² 法检测异质性,如果存在异质性,则应用随机效应模型进行数据合并。采用漏斗图分析发表偏倚。最终纳入 8 项研究共 762 例患者进行荟萃分析。在护理干预组中,住院时间更短(合并 SMD =-2.602,95%置信区间:-4.052-1.151),创面愈合时间更短(合并 SMD =-1.105,95%置信区间:-1.8570.353),疼痛评分更低(合并 SMD =-2.490,95%置信区间:-3.521-1.458),引流管堵塞率更低(合并 RR =0.361,95%置信区间:0.2680.486),护理满意度更高(合并 RR =1.164,95%置信区间:1.095~1.237)。更积极、激励性的护理措施可显著提高 VSD 对创面愈合的治疗效果,包括住院时间、创面愈合时间、疼痛症状、引流管堵塞和护理满意度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5f9/10502262/891c8ef5a4c8/IWJ-20-3371-g001.jpg

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