Department of Urology Surgery, Tongji Hospital, Tongji Medical College, Hua Zhong University of Science and Technology, Wuhan, Hubei, China.
Int Wound J. 2024 Apr;21(4):e14781. doi: 10.1111/iwj.14781.
A meta-analysis was executed to comprehensively examine the impacts of enhanced recovery after surgery (ERAS) care interventions on complications and wound infections following bladder cancer (BCa) surgery. Computer searches were carried out in Embase, Google Scholar, Cochrane Library, PubMed, Wanfang and CNKI, from their inception to November 2023, for RCTs regarding perioperative ERAS nursing interventions in patients with BCa. Two independent researchers performed literature screening, extracted data and carried out quality evaluations. Stata 17.0 software was utilized for the analysis of the data. Ultimately, 16 RCTs, involving 1190 patients, were included. The analysis showed that, in comparison with conventional nursing methods, perioperative ERAS nursing application in patients with BCa remarkably decreased the occurrence of wound infections (OR: 0.31, 95% CI: 0.16-0.59) and complications (OR: 0.19, 95% CI: 0.13-0.28). Our study indicates that perioperative care based on the ERAS concept remarkably decreased the occurrence of wound infections and complications following BCa surgery, demonstrating notable nursing efficacy and meriting widespread clinical promotion.
一项荟萃分析全面考察了加速康复外科（ERAS）护理干预对膀胱癌（BCa）手术后并发症和伤口感染的影响。计算机检索 Embase、Google Scholar、Cochrane 图书馆、PubMed、万方和中国知网，检索时间均从建库至 2023 年 11 月，纳入有关围手术期 ERAS 护理干预用于 BCa 患者的 RCT。由 2 位研究者独立筛选文献、提取资料并进行质量评价，采用 Stata 17.0 软件进行数据分析。最终纳入 16 项 RCT，共计 1190 例患者。分析结果显示，与常规护理方法相比，BCa 患者围手术期应用 ERAS 护理显著降低了伤口感染（OR：0.31，95%CI：0.16-0.59）和并发症（OR：0.19，95%CI：0.13-0.28）的发生。本研究表明，基于 ERAS 理念的围手术期护理显著降低了 BCa 手术后伤口感染和并发症的发生，具有显著的护理效果，值得广泛临床推广。
