Efficacy of Rapid Rehabilitation Nursing in Postoperative Care in China: A Meta-Analysis.

IF 1.1 4区 医学 Q3 NURSING Rehabilitation Nursing Pub Date : 2023-09-01 Epub Date: 2023-07-20 DOI:10.1097/RNJ.0000000000000427
Yuanling Wang, Qi Shen, Chao Wang
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Abstract

Background: Rapid rehabilitation nursing (RRN) has been increasingly adopted in China to improve patient outcomes following surgery. This systematic review and meta-analysis aimed to assess the impact of RRN on hospital stays, postoperative complications, postoperative pain, patients' quality of life (QOL), and patient satisfaction with nursing care compared to traditional nursing care.

Methods: A systematic search of relevant databases, including PubMed, EMBASE, and Cochrane Library, was conducted to identify eligible studies. The standardized mean difference and 95% confidence intervals were calculated for continuous outcomes (hospital stays, postoperative pain, and QOL). Risk ratios (RRs) and 95% confidence intervals were used for dichotomous outcomes (postoperative complications, patient satisfaction with nursing care). Heterogeneity was assessed using the I2 statistic. Fixed-effects and random-effects models were calculated for each outcome measure.

Results: A total of 10 studies including 1,565 patients were included in the meta-analysis. Rapid rehabilitation nursing significantly reduced hospital stays and postoperative complications compared to traditional nursing care. Patients receiving RRN experienced lower postoperative pain scores and improved QOL, although the latter result was not statistically significant. Patient satisfaction with nursing care was significantly higher in the RRN group compared to traditional nursing care.

Conclusions: Rapid rehabilitation nursing appears to be an effective approach for shortening hospital stays, reducing postoperative complications and postoperative pain, and increasing patient satisfaction with nursing care compared to traditional nursing care. The findings support the integration of RRN into clinical practice to enhance patient outcomes and patients' satisfaction with nursing care. Future research should focus on further investigating the impact of RRN on patients' QOL using larger, well-designed studies.

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快速康复护理在中国术后护理中的疗效:Meta分析。
背景:快速康复护理(RRN)在中国越来越多地被采用,以改善患者手术后的预后。这项系统综述和荟萃分析旨在评估与传统护理相比,RRN对住院时间、术后并发症、术后疼痛、患者生活质量(QOL)和患者对护理的满意度的影响。方法:系统检索相关数据库,包括PubMed、EMBASE和Cochrane Library,以确定符合条件的研究。计算连续结果(住院时间、术后疼痛和生活质量)的标准化平均差和95%置信区间。风险比(RR)和95%置信区间用于二分结果(术后并发症、患者对护理的满意度)。使用I2统计量评估异质性。针对每个结果测量计算固定效应和随机效应模型。结果:共有10项研究纳入荟萃分析,其中包括1565名患者。与传统护理相比,快速康复护理显著减少了住院时间和术后并发症。接受RRN的患者术后疼痛评分较低,生活质量改善,尽管后者的结果没有统计学意义。RRN组患者对护理的满意度明显高于传统护理。结论:与传统护理相比,快速康复护理是缩短住院时间、减少术后并发症和术后疼痛、提高患者护理满意度的有效方法。研究结果支持将RRN纳入临床实践,以提高患者的疗效和患者对护理的满意度。未来的研究应侧重于通过更大规模、精心设计的研究进一步调查RRN对患者生活质量的影响。
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来源期刊
Rehabilitation Nursing
Rehabilitation Nursing 医学-护理
CiteScore
1.90
自引率
7.70%
发文量
68
审稿时长
>12 weeks
期刊介绍: Rehabilitation Nursing is a refereed, award-winning publication and is the official journal of the Association of Rehabilitation Nurses. Its purpose is to provide rehabilitation professionals with high-quality articles with a primary focus on rehabilitation nursing. Topics range from administration and research to education and clinical topics, and nursing perspectives, with continuing education opportunities in every issue. Articles range from administration and research to education and clinical topics; nursing perspectives, resource reviews, and product information; and continuing education opportunities in every issue.
期刊最新文献
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