Effects of clinical nursing pathways on colorectal cancer patients with colostomy in perioperative period:a Meta-analysis
10.3760/cma.j.issn.1674-2907.2016.26.018
- VernacularTitle:临床护理路径对大肠癌肠造口患者围术期影响的Meta分析
- Author:
Jinghui FAN
1
;
Kaimei ZHU
Author Information
1. 430060 武汉大学人民医院胃肠外Ⅰ科
- Keywords:
Clinical nursing pathways;
Colorectal cancer;
Colostomy;
Meta-analysis
- From:
Chinese Journal of Modern Nursing
2016;22(26):3769-3774
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically review the effects of clinical nursing pathways on colorectal cancer patients with colostomy.Methods Studies on the randomized controlled trials (RCT) of clinical nursing pathways on colorectal cancer patients with colostomy were systematically searched in electronic databases including CNKI, VIP, CBM and WANFANG Data. Meta-analysis was performed using RevMan 5. 3 software. Results A total of 16 studies enrolling 1 159 patients (582 in observation group and 577 in control group) were included. The results of the Meta-analysis indicated that patients′satisfaction [RR=1.24, 95 CI%=(1.17,1.32), P<0.01] and self-care ability of patients [RR=1.58, 95 CI%=(1.38,1.82), P<0.01] were significantly higher in observation group than in control group. Average hospitalization time [ SMD=-1. 65, 95 CI%=(-2. 66,-0.65) , P<0.01] , the medical expenses [ SMD=-3.89, 95 CI%=(-6.90,-0.87) , P<0.01] and postoperative complications [RR=0.39, 95 CI%=(0.27,0.55), P<0.01] in observation group were significantly decreased while comparing to control group. The descriptive analysis showed that the mastering of health knowledge in the clinical nursing pathway group were better than those in control group.Conclusions Application effects of clinical nursing pathways are superior to the traditional nursing methods in colorectal cancer patients with colostomy.
