Nursing Interventions for Management of Patients Undergoing Hernia Surgery: A Meta-Analysis.

IF 2.3 4区医学 Q2 NURSING

Nursing Open Pub Date : 2025-10-01 DOI:10.1002/nop2.70311

Xiaohua Zhu

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引用次数: 0

Abstract

Aim: This review was done to review the effect of nursing intervention for managing patients undergoing hernia.

Design: Meta-Analysis.

Methods: Searches were done in Scopus, Google Scholar, Embase, Cochrane trials library, Medline and Chinese databases from 1964 until February 2024. Meta-analysis was performed and pooled standardised mean differences or mean differences (SMD or MD) with 95% confidence intervals (CIs) reported for continuous outcomes, and odds ratios (ORs) for dichotomous outcomes.

Results: Nursing interventions significantly reduced postoperative pain (SMD = -3.088; 95% CI: -4.635 to -1.541) and overall postoperative complications (OR = 0.267; 95% CI: 0.184-0.389). Significant reductions were also observed in infection rates (OR = 0.279; 95% CI: 0.106-0.738), swelling (OR = 0.197; 95% CI: 0.091-0.425), and urinary retention (OR = 0.282; 95% CI: 0.127-0.622). Nursing satisfaction significantly improved across all studies (OR = 5.508; 95% CI: 3.073-9.870). High heterogeneity was noted in some outcomes. Subgroup analyses indicated no significant differences between adults and children or between RCTs and Non-RCTs. Nursing interventions are effective in improving various postoperative outcomes in hernia surgery patients, including pain, complications, infection, swelling, urinary retention and nursing satisfaction. These findings support the integration of structured nursing care protocols into postoperative management to enhance patient recovery and satisfaction.

Patient or public contribution: No Patient or Public Contribution.

查看原文本刊更多论文

护理干预对疝手术患者管理的meta分析。

目的：回顾护理干预在治疗疝病人中的作用。设计:荟萃分析。方法：检索自1964年至2024年2月的Scopus、谷歌Scholar、Embase、Cochrane trials library、Medline和中文数据库。进行荟萃分析，合并标准化平均差异或平均差异（SMD或MD），连续结果报告95%置信区间（ci），二分类结果报告优势比（ORs）。结果：护理干预显著降低了术后疼痛（SMD = -3.088; 95% CI: -4.635 ~ -1.541）和总体术后并发症（OR = 0.267; 95% CI: 0.184 ~ 0.389）。感染率（OR = 0.279; 95% CI: 0.106-0.738）、肿胀（OR = 0.197; 95% CI: 0.091-0.425）和尿潴留（OR = 0.282; 95% CI: 0.127-0.622）也显著降低。所有研究的护理满意度均显著提高（OR = 5.508; 95% CI: 3.073-9.870）。在一些结果中注意到高度异质性。亚组分析显示，成人和儿童、随机对照试验和非随机对照试验之间无显著差异。护理干预对改善疝手术患者术后疼痛、并发症、感染、肿胀、尿潴留及护理满意度等各项预后均有显著效果。这些发现支持将结构化护理方案整合到术后管理中，以提高患者的康复和满意度。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-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