SCI晨读:术前造口部位标记对患者预后的有效性:系统评价和荟萃分析

2021
07/14

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SCI晨读:

术前造口部位标记对患者预后的有效性:系统评价和荟萃分析

 


 



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摘要

宗旨

本研究系统地回顾了有关术前造口部位标记的文献,并讨论了手术对并发症发生率、自我护理缺陷和健康相关生活质量 (HRQOL) 的有效性。

设计

系统评价和荟萃分析。

数据源

按照 PRISMA 指南进行系统评价。检索 PubMed、EMBASE、Cochrane 和 CINAHL 数据库以获得以英文发表的文章。也从韩国数据库中检索最后一次检索在 2019 年 6 月 2 日进行。

复习方法

两名评价员独立选择相关研究,评估其方法学质量并提取数据。纳入实验和观察研究。主要关注并发症发生率、自我护理缺陷和 HRQOL。使用统计软件spss 25.0 和 Stata 13.0进行荟萃分析

结果

在检索的 1,039 篇文章中,纳入20 篇,19 篇用于定量合成。术前造口部位标记降低了并发症发生率(比值比 [OR]:0.47;95% 置信区间 [CI]:0.36-0.62;2:70.6%),降低了自我护理缺陷(OR:0.34;95% CI:0.18) –0.64;2 : 0%),并且 HRQOL 增加(标准化平均差,1.05;95% CI:0.70–1.40;2 : 0%)。个别研究和整体研究的质量评估结果都非常好。发表偏倚的可能性很低。

结论

我们的研究结果表明,术前造口部位标记改善了患者的预后:造口相关并发症发生率和自我护理缺陷减少,HRQOL 上升。出于这个原因,术前造口部位标记应该是临床环境中的强制性程序。这种做法还应得到政策制定者和医疗保健专家协会的支持。

影响

术前造口部位标记可将整体并发症发生率降低 53%,将皮肤问题降低 59%。术前造口部位标记还可以提高自我保健和健康相关的生活质量。我们建议术前造口部位标记应成为临床环境中的强制性程序。

Abstract

Aims

This study systematically reviews the literature regarding preoperative stoma site marking and discusses the effectiveness of the procedure on complication rates, self-care deficits and health-related quality of life (HRQOL).

Design

Systematic review and meta-analysis.

Data source

Our review was conducted following the PRISMA guidelines. PubMed, EMBASE, Cochrane and CINAHL databases were searched to obtain articles published in English. Articles were also retrieved from Korean databases as well. Our last search was conducted on 2 June 2019.

Review methods

Two reviewers independently selected relevant studies, evaluated their methodological quality and extracted data. Experimental and observational studies were included. Our main focus was on complication rates, self-care deficits and HRQOL. We conducted meta-analysis using the statistical software spss 25.0 and Stata 13.0.

Results

Of the 1,039 articles reviewed, 20 were included for review, and 19 were used for quantitative synthesis. Preoperative stoma site marking reduced complication rates (odds ratio [OR]: 0.47; 95% confidence interval [CI]: 0.36–0.62; I2: 70.6%), lowered self-care deficits (OR: 0.34; 95% CI: 0.18–0.64; I2: 0%), and increased HRQOL (standardized mean difference, 1.05; 95% CI: 0.70–1.40; I2: 0%). Quality appraisal results for both the individual studies and the studies overall were excellent. The possibility of publication bias was low.

Conclusions

Our findings indicate that preoperative stoma site marking improves patient outcomes: stoma-related complication rates and self-care deficits decrease and HRQOL rises. For this reason, preoperative stoma site marking should be a mandatory procedure in clinical settings. The practice should also be supported by policymakers and healthcare expert associations.

Impact

Preoperative stoma site marking reduces overall complication rates by 53% and skin problems by 59%. Preoperative stoma site marking also improves self-care and health-related quality of life. We recommend that preoperative stoma site marking should be a mandatory procedure in clinical settings.

THE

END

本文由作者自行上传,并且作者对本文图文涉及知识产权负全部责任。如有侵权请及时联系(邮箱:nanxingjun@hmkx.cn
关键词:
并发症,部位,造口,标记,分析

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