Meta-analysis of effects of breathing training method and time on postoperative pneumonia in patients with lung cancer
10.3760/cma.j.cn115682-20210531-02348
- VernacularTitle:呼吸训练方式及时间对肺癌患者术后肺炎影响的Meta分析
- Author:
Huiwen LIU
1
;
Meiling WANG
;
Liting PAN
;
Bizhen CHEN
Author Information
1. 福建中医药大学护理学院，福州 350100
- Keywords:
Lung neoplasms;
Breathing training;
Breathing trainer;
Postoperative pneumonia;
Meta-analysis
- From:
Chinese Journal of Modern Nursing
2021;27(31):4263-4269
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effect of breathing training method and time on postoperative pneumonia in patients with lung cancer, so as to provide a reference for postoperative pneumonia prevention and control.Methods:A systematic retrieval of PubMed, Web of Science, Chinese Biomedical Literature Database, CNKI and other databases was conducted to collect RCTS of lung cancer patients undergoing respiratory training combined with respiratory trainers on the basis of routine nursing during perioperative period. The retrieval period was from the establishment of database to April 2021. According to inclusion and exclusion criteria, literature was screened and extracted, and literature quality was evaluated. Meta-analysis was performed using RevMan 5.4 software.Results:Finally, a total of 9 RCT articles were included, including 1 239 cases of lung cancer surgery patients. Among them, there were 624 cases in the control group and 615 cases in the intervention group. Meta-analysis results showed that compared with conventional nursing, combined breathing training with breathing trainer could reduce the incidence of postoperative pneumonia [ RR=0.38, 95% CI (0.26, 0.57) , P<0.000 01]. Combined breathing trainer intervention for 1 week [ RR=0.27, 95% CI (0.14, 0.52) , P<0.000 1], intervention frequency for more than 4 times /d[ RR=0.36, 95% CI (0.23, 0.57) , P<0.000 1], duration of single breathing training for more than or equal to 15 min[ RR=0.34, 95% CI (0.20, 0.58) , P<0.000 1) reduced the incidence of pneumonia in patients. Conclusions:In the perioperative period, respiratory training combined with respiratory trainer on the basis of routine nursing, training frequency for more than 4 times /d, duration of single breathing training for more than or equal to 15 min can improve lung function of patients undergoing lung cancer surgery and reduce the incidence of postoperative pneumonia, which is worthy of clinical application.
