Impact of Quality Control Circle on Patient Outcomes after Hepatocellular Carcinoma Intervention: A Meta-Analysis.

IF 2.9 3区医学 Q2 ONCOLOGY

Expert Review of Anticancer Therapy Pub Date : 2023-07-01 Epub Date: 2023-06-20 DOI:10.1080/14737140.2023.2219899

Yimin Wang, Yuerong Lai, Li Du, Wenzhen Shen

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引用次数: 0

Abstract

Background: Hepatocellular carcinoma (HCC) is one of the most common clinical malignant tumors, and patients undergoing interventional treatment often experience emotional and physical distress in the postoperative period. This meta-analysis aimed to evaluate the effects of quality control circle (QCC) intervention on patient wareness of health education and postoperative complications following hepato-cellular carcinoma (HCC) intervention.

Methods: A systematic search was conducted to identify relevant controlled trials on the impact of QCC on patients' knowledge of health education and complications after HCC intervention. The search was conducted using various online databases from the earliest available date to July 2022. Following inclusion and exclusion criteria, data were analyzed using RevMan 5.3 software, and the heterogeneity of the studies was explored.

Results: A total of 120 articles were retrieved, and 11 controlled trials were included according to the inclusion and exclusion criteria. Meta-analysis showed that QCC reduced postinterventional fever (OR: 0.41, 95% CI: 0.26, 0.65, P = 0.0002), nausea and vomiting (OR: 0.36, 95% CI: 0.22, 0.58, P < 0.0001), abdominal pain (OR: 0.34, 95% CI: 0.20, 0.56, P < 0.0001), loss of appetite (OR: 0.37, 95% CI: 0.21, 0.68, P = 0.001), improved patient knowledge of health education (OR: 4.84, 95% CI: 3.03, 7.74, P < 0.0001), and increased patient satisfaction with nursing care (OR: 6.63, 95% CI: 4.21, 10.45, P < 0.00001). All differences were statistically significant.

Conclusions: QCC after HCC intervention can reduce postoperative fever, nausea and vomiting, abdominal pain, and loss of appetite. It also improves patient knowledge of health education and satisfaction with care.

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质量控制圈对肝癌干预后患者预后的影响：荟萃分析。

背景：肝细胞癌（HCC）是临床上最常见的恶性肿瘤之一，接受介入治疗的患者在术后经常会出现情绪和身体上的痛苦。本荟萃分析旨在评估质量控制圈（QCC）干预对肝细胞癌（HCC）干预后患者健康教育意识和术后并发症的影响。方法：进行系统检索，以确定QCC对HCC干预后患者健康教育知识和并发症影响的相关对照试验。从最早可用日期到2022年7月，使用各种在线数据库进行了搜索。根据纳入和排除标准，使用RevMan 5.3软件对数据进行分析，并探讨研究的异质性。结果：共检索到120篇文章，根据纳入和排除标准纳入11项对照试验。荟萃分析显示，QCC降低了常规治疗后的发烧（OR:0.41，95%CI:0.26，0.65，P=0.0002）、恶心和呕吐（OR:0.36，95%CI:0.22，0.58，P<0.0001）、腹痛（OR:0.34，95%CI:0.20，0.56，P<0.0001，提高患者对护理的满意度（OR:6.63，95%CI:4.21，10.45，P＜0.00001），差异均有统计学意义。结论：肝癌介入治疗后的QCC可减轻术后发热、恶心呕吐、腹痛和食欲不振。它还提高了患者对健康教育的了解和对护理的满意度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Expert Review of Anticancer Therapy 医学-肿瘤学

CiteScore

5.10

自引率

3.00%

发文量

100

审稿时长

4-8 weeks

期刊介绍： Expert Review of Anticancer Therapy (ISSN 1473-7140) provides expert appraisal and commentary on the major trends in cancer care and highlights the performance of new therapeutic and diagnostic approaches. Coverage includes tumor management, novel medicines, anticancer agents and chemotherapy, biological therapy, cancer vaccines, therapeutic indications, biomarkers and diagnostics, and treatment guidelines. All articles are subject to rigorous peer-review, and the journal makes an essential contribution to decision-making in cancer care. Comprehensive coverage in each review is complemented by the unique Expert Review format and includes the following sections: Expert Opinion - a personal view of the data presented in the article, a discussion on the developments that are likely to be important in the future, and the avenues of research likely to become exciting as further studies yield more detailed results Article Highlights – an executive summary of the author’s most critical points.