Effects of pre-rehabilitation on postoperative recovery of patients undergoing elective cardiac surgery: a Meta-analysis
10.3760/cma.j.cn115682-20210722-03250
- VernacularTitle:预康复对心外科择期手术患者术后恢复影响的Meta分析
- Author:
Husheng LI
1
;
Jing WU
;
Ruijin LI
;
Jiayu LI
;
Xuan LIAN
Author Information
1. 上海中医药大学护理学院，上海 201203
- Keywords:
Meta-analysis;
Cardiac surgical procedures;
Pre-rehabilitation;
Cardiac rehabilitation;
Postoperative recovery
- From:
Chinese Journal of Modern Nursing
2022;28(6):707-714
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of pre-rehabilitation on postoperative recovery of patients undergoing elective cardiac surgery through Meta-analysis.Methods:Randomized controlled trials of pre-rehabilitation in patients undergoing elective cardiac surgery were retrieved by computer in PubMed, Web of Science, Cochrane Library, Embase, Medline, China National Knowledge Infrastructure (CNKI) , Wanfang Data, VIP and China Biomedical Literature Database. The retrieval time limit was from the establishment of the database to January 1, 2021. Two reviewers independently conducted literature screening, data extraction and literature quality evaluation according to the inclusion and exclusion criteria. Meta-analysis was performed using RevMan 5.4.Results:A total of 13 articles were included, including 1 542 subjects. Meta-analysis results showed that preoperative rehabilitation had positive effects on reducing postoperative complications in patients undergoing elective cardiac surgery [ Z=4.79, RR=0.57, 95% CI (0.45, 0.72) , P<0.01], and increasing the distance of 6-minute walking test [ Z=5.21, SMD=0.51, 95% CI (0.32, 0.70) , P<0.01] and maximum inspiratory pressure [ Z=4.16, SMD=0.76, 95% CI (0.40, 1.12) , P<0.01]. Conclusions:Pre-rehabilitation can effectively reduce the incidence of postoperative complications in patients undergoing elective cardiac surgery, and increase the postoperative 6-minute walking test distance and maximum inspiratory pressure.
