Effect of comprehensive nursing care for the liver cancer patients undergoing interventional therapy in China: A systematic review and meta-analysis

IF 1.9 4区医学 Q2 NURSING International Journal of Nursing Practice Pub Date : 2024-02-14 DOI:10.1111/ijn.13243

Shimei Zhang MM, Na Li MBBS, Xuying Mao MM, Dongxia Yang MM

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Abstract

Aims

This review aims to assess the effect of comprehensive nursing care on liver cancer patients undergoing interventional therapy in China.

Methods

In accordance with PRISMA guidelines, we reviewed randomized controlled trials and observational studies assessing the effect of comprehensive nursing care against standard care on liver cancer patients undergoing specific interventional therapies in China, including PubMed, Embase, CENTRAL and CINAHL till June 2023. Data synthesis was conducted using a random-effects model and reported as pooled odds ratio (OR) or mean difference (MD) or standardized mean differences (SMD).

Results

Ten Chinese studies with 1682 participants were evaluated. Comprehensive nursing care significantly enhanced patient outcomes in liver cancer treatment. Quality of life improved markedly (OR: 0.16, 95% CI: 0.06–0.41). Notable reductions were observed in anxiety (MD: −8.96, 95% CI: −11.52 to −6.40) and depression (MD: −9.47, 95% CI: −11.79 to −7.14). Patients also experienced increased physical (SMD: 1.70, 95% CI: 1.15–2.25), social (SMD: 1.65, 95% CI: 1.14–2.16) and activity scores (SMD: 1.94, 95% CI: 1.49–2.39), alongside a decrease in post-treatment complications (OR: 0.28, 95% CI: 0.21–0.37), demonstrating the multifaceted benefits of comprehensive care.

Conclusion

Comprehensive nursing care may improve patient outcomes in liver cancer treatment, offering potential benefits in reducing the side effects of interventional therapy.

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中国对接受介入治疗的肝癌患者实施综合护理的效果：系统回顾与荟萃分析。

目的：本综述旨在评估综合护理对中国接受介入治疗的肝癌患者的影响：根据PRISMA指南，我们在PubMed、Embase、CENTRAL和CINAHL上检索了截至2023年6月评估综合护理与标准护理对中国接受特定介入治疗的肝癌患者影响的随机对照试验和观察性研究。数据综合采用随机效应模型，并以汇总的几率比（OR）或平均差（MD）或标准化平均差（SMD）进行报告：结果：共评估了 10 项中国研究，涉及 1682 名参与者。综合护理明显提高了肝癌患者的治疗效果。生活质量明显改善（OR：0.16，95% CI：0.06-0.41）。焦虑（MD：-8.96，95% CI：-11.52 至 -6.40）和抑郁（MD：-9.47，95% CI：-11.79 至 -7.14）明显减轻。患者的体能（SMD：1.70，95% CI：1.15-2.25）、社交（SMD：1.65，95% CI：1.14-2.16）和活动评分（SMD：1.94，95% CI：1.49-2.39）也有所提高，治疗后并发症也有所减少（OR：0.28，95% CI：0.21-0.37），这表明综合护理具有多方面的益处：综合护理可改善肝癌患者的治疗效果，为减少介入治疗的副作用提供潜在益处。

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来源期刊

International Journal of Nursing Practice NURSING-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.