Non-Pharmacological Interventions Before Cataract Surgery for Preoperative Anxiety: A Systematic Review and Meta-Analysis.

IF 2 4区 医学 Q2 NURSING
Nursing Open Pub Date : 2025-01-01 DOI:10.1002/nop2.70122
Mahsan Nabighadim, Mojgan Mirghafourvand, Mahsa Maghalian
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引用次数: 0

Abstract

Aim: The present study was conducted to determine the effect of non-pharmacological interventions before cataract surgery on preoperative anxiety.

Design: Systematic review and meta-analysis.

Methods: Five databases were systematically searched until 9 June, 2024. The risk of bias was evaluated using the ROBIN-I instrument for non-randomised studies and risk of bias 1 (ROB1) for RCTs. For cases with heterogeneity, random effects, rather than fixed effects, were reported, and subgroup analysis was performed based on the type of intervention. The investigation of publication bias was done in the form of a funnel plot, the Egger regression test and the Trim-and-Fill test. Meta-regression analysis was performed to examine the impact of possible confounding factors on the effect size. Sensitivity analysis evaluated the robustness of our findings by excluding quasi-experimental studies and applying the Knapp-Hartung method to assess their influence on the overall results.

Results: A random-effects meta-analysis of 22 studies and 1998 participants revealed that non-pharmacological interventions (back massage, hand massage, foot massage, music, educational video, patient education, aromatherapy and relaxation techniques) significantly reduced mean preoperative anxiety compared to the control group. The subgroup analysis indicated that all interventions were effective in reducing preoperative anxiety; however, hand and foot massage did not yield significant effects. Meta-regression analysis showed a significant correlation between the percentages of women with effect size. The sensitivity analysis confirmed the robustness of non-pharmacological interventions, while the Knapp-Hartung method maintained the overall effect size but indicated wider confidence intervals. More high-quality research is needed to validate these interventions and establish clearer guidelines.

Patient or public contribution: No Patient or Public Contribution.

白内障术前焦虑的非药物干预:一项系统综述和荟萃分析。
目的:探讨白内障手术前非药物干预对术前焦虑的影响。设计:系统回顾和荟萃分析。方法:系统检索5个数据库至2024年6月9日。使用ROBIN-I工具评估非随机研究的偏倚风险,使用rct的1号偏倚风险(ROB1)评估。对于具有异质性的病例,报告了随机效应,而不是固定效应,并根据干预类型进行亚组分析。发表偏倚调查采用漏斗图、Egger回归检验和Trim-and-Fill检验的形式进行。meta回归分析检验可能的混杂因素对效应量的影响。敏感性分析通过排除准实验研究并应用Knapp-Hartung方法评估其对总体结果的影响来评估我们研究结果的稳健性。结果:一项针对22项研究和1998名参与者的随机效应荟萃分析显示,与对照组相比,非药物干预(背部按摩、手部按摩、足部按摩、音乐、教育视频、患者教育、芳香疗法和放松技术)显著降低了平均术前焦虑。亚组分析表明,所有干预措施均能有效减少术前焦虑;然而,手和脚按摩没有产生显著的效果。meta回归分析显示,女性比例与效应量之间存在显著相关性。敏感性分析证实了非药物干预的稳健性,而Knapp-Hartung方法保持了总体效应大小,但显示了更宽的置信区间。需要更多高质量的研究来验证这些干预措施并制定更明确的指导方针。患者或公众捐赠:无患者或公众捐赠。
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
Nursing Open
Nursing Open Nursing-General Nursing
CiteScore
3.60
自引率
4.30%
发文量
298
审稿时长
17 weeks
期刊介绍: Nursing Open is a peer reviewed open access journal that welcomes articles on all aspects of nursing and midwifery practice, research, education and policy. We aim to publish articles that contribute to the art and science of nursing and which have a positive impact on health either locally, nationally, regionally or globally
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