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宫颈癌术后患者连续性护理的有效性:一项随机对照试验的系统评价与Meta分析

Effectiveness of continuity of care in postoperative patients with cervical cancer: a systematic evaluation and meta-analysis of a randomized controlled trial.

作者信息

Fu Wenfeng, Xu Qiannan, Lu Haizhen, Yang Yuanyuan, Zheng Yanxue

机构信息

Comprehensive Gynecology Ward of Affiliated Hospital of Jining Medical University, Jining, Shandong, China.

出版信息

Front Oncol. 2024 Dec 16;14:1461296. doi: 10.3389/fonc.2024.1461296. eCollection 2024.

Abstract

OBJECTIVE

To analyze the effect of implementing continuity of care for postoperative patients with cervical cancer, to improve the continuity of care model in China, and to provide comprehensive, continuous, and personalized care services for patients.

METHODS

PubMed, Web of Science, Science Direct, China Knowledge Network, Wanfang database, China Biomedical sources Service System, Wipro, Cochrane Library, Embase, and other databases were searched for relevant sources on the effect of continuity of care on postoperative cervical cancer patients. The Cochrane Handbook of Systematic Evaluation and Revman 5.3 software was used to evaluate the quality of the retrieved sources and perform meta-analysis.

RESULTS

Compared with the control group, extended care could improve patients' quality of life [SMD=1.35,95%CI(1.05,1.64), P<0.05], alleviate patients' postoperative anxiety [SMD=-0.92,95%CI(-1.85,0.00), P<0.05] and postoperative depression [SMD=-1.15,95% CI(-1.35,-0.95), P<0.05].

CONCLUSION

The use of continuity of care form has an important role in improving the quality of life of cervical cancer patients and improving negative emotions.

摘要

目的

分析实施宫颈癌术后延续性护理的效果,完善我国延续性护理模式,为患者提供全面、连续、个性化的护理服务。

方法

检索PubMed、Web of Science、Science Direct、中国知网、万方数据库、中国生物医学文献服务系统、维普、Cochrane图书馆、Embase等数据库中关于延续性护理对宫颈癌术后患者效果的相关文献。采用Cochrane系统评价手册及Revman 5.3软件对检索文献进行质量评价并进行Meta分析。

结果

与对照组相比,延续性护理可提高患者生活质量[标准化均数差(SMD)=1.35,95%置信区间(CI)(1.05,1.64),P<0.05],缓解患者术后焦虑[SMD=-0.92,95%CI(-1.85,0.00),P<0.05]及术后抑郁[SMD=-1.15,95%CI(-1.35,-0.95),P<0.05]。

结论

采用延续性护理形式对提高宫颈癌患者生活质量及改善负性情绪具有重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8468/11682958/64072d6af7c1/fonc-14-1461296-g001.jpg

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