Effectiveness of Nursing Care Intervention Among Patients With Hepatocellular Carcinoma Undergoing Surgery: A Systematic Review and Meta-Analysis

IF 2 4区 医学 Q2 NURSING
Wei Geng, Danling Wang, Xinwei Feng
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引用次数: 0

Abstract

Aim

This meta-analysis examines the effectiveness of nursing interventions on various outcomes, including mortality, postoperative complications, quality of life (QoL), anxiety, depression and pain in HCC patients undergoing surgery.

Background

Hepatocellular carcinoma (HCC) is a prevalent liver malignancy often requiring surgical intervention. Postoperative outcomes in HCC patients are heavily influenced by perioperative management, with nursing interventions playing a critical role in improving recovery, minimizing complications and enhancing QoL.

Design

Systematic review and meta-analysis.

Review Methods

This review was conducted following PRISMA guidelines, evaluating studies on nursing interventions in surgical HCC patients. Databases were searched for studies reporting clinical and psychological outcomes, with eligible studies pooled using random-effects models. Heterogeneity, sensitivity analyses and publication bias assessments were performed to ensure robustness.

Result

Twenty-seven studies were analysed. Nursing interventions significantly reduced postoperative complications (OR 0.23; 95% CI: 0.17–0.31) and shortened hospital stay (WMD −5.92 days; 95% CI: −7.76 to −4.08). Additionally, significant improvements were observed in QoL (SMD 2.00; 95% CI: 0.74–3.27), anxiety (SMD −3.42; 95% CI: −5.95 to −0.89) and depression (SMD −3.70; 95% CI: −6.52 to −0.88). Pain levels were significantly reduced (WMD −2.02; 95% CI: −3.03 to −1.02), while nursing satisfaction was enhanced (OR 4.80; 95% CI: 2.42–9.51). Mortality did not show significant differences between groups.

Conclusion

Nursing interventions significantly enhance postoperative outcomes in HCC patients by reducing complications, improving QoL and alleviating psychological distress. These findings support integrating comprehensive nursing protocols into postoperative HCC care, emphasizing both physical and mental health.

Abstract Image

护理干预在肝细胞癌手术患者中的效果:系统回顾和荟萃分析。
目的:本荟萃分析探讨了护理干预对肝癌手术患者各种结局的有效性,包括死亡率、术后并发症、生活质量(QoL)、焦虑、抑郁和疼痛。背景:肝细胞癌(HCC)是一种常见的肝脏恶性肿瘤,通常需要手术治疗。肝细胞癌患者术后预后受围手术期管理的影响较大,护理干预在提高患者康复、减少并发症和提高患者生活质量方面起着至关重要的作用。设计:系统回顾和荟萃分析。回顾方法:本综述遵循PRISMA指南进行,评估手术治疗HCC患者的护理干预研究。数据库检索了报告临床和心理结果的研究,并使用随机效应模型汇总了符合条件的研究。进行异质性、敏感性分析和发表偏倚评估以确保稳健性。结果:分析了27项研究。护理干预显著减少了术后并发症(OR 0.23; 95% CI: 0.17-0.31)并缩短了住院时间(WMD -5.92天;95% CI: -7.76至-4.08)。此外,在生活质量(SMD 2.00; 95% CI: 0.74-3.27)、焦虑(SMD -3.42; 95% CI: -5.95至-0.89)和抑郁(SMD -3.70; 95% CI: -6.52至-0.88)方面观察到显著改善。疼痛水平显著降低(WMD -2.02; 95% CI: -3.03至-1.02),同时护理满意度提高(OR 4.80; 95% CI: 2.42-9.51)。死亡率在两组间无显著差异。结论:护理干预可减少并发症,改善生活质量,减轻心理困扰,显著提高HCC患者术后预后。这些发现支持将综合护理方案纳入HCC术后护理,强调身体和心理健康。
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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
85
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.
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