{"title":"从护理角度看胃肠造口和结直肠癌患者伤口护理的最佳实践:荟萃分析。","authors":"Jing Xu, Tianyu Gan","doi":"10.1111/iwj.14908","DOIUrl":null,"url":null,"abstract":"<p>Colorectal cancer, a type of colon or bowel cancer, poses a major challenge in the treatment of colorectal lesions. Colorectal endoscopic mucosal resection (EMR) is a minimally invasive technique, but the risk of wound infections remains a significant concern. These infections can impede the healing process, affecting daily activities and patient satisfaction. To mitigate the risk of wound infections, various prophylactic measures have been explored, including medication, vaccines, lifestyle adjustments and hygiene practices. This study aims to investigate the prevention of wound infections through prophylactic measures in colorectal EMR. A comprehensive literature review was conducted to identify prophylactic measures that can prevent wound infections. A systematic literature search was conducted using both free words and search terms. The data extraction was performed after a comprehensive literature screening. The meta-analysis was performed using the metabin function of the meta library in R to evaluate the infection incidences in intervention and control groups. A total of 599 infection incidences were considered, with 267 in intervention and 332 in the control group. The results of meta analysis demonstrated significant reduction of wound incidences following the prophylactic measures (risk ratio [RR] = 0.77, 95% confidence interval [CI]: 0.6747; 0.9016, <i>I</i><sup>2</sup> = 78.5%, <i>p</i> < 0.01). The wound infection ratio analysis also exhibited an approximate 6.6% less infection rate in the intervention group, demonstrating significantly less wound infection following the implementation of prophylactic measures. 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引用次数: 0
摘要
大肠癌是结肠癌或肠癌的一种,是治疗大肠病变的一大挑战。结肠直肠内窥镜粘膜切除术(EMR)是一种微创技术,但伤口感染的风险仍然是一个重大问题。这些感染会阻碍伤口愈合,影响日常活动和患者满意度。为了降低伤口感染的风险,人们探索了各种预防措施,包括药物、疫苗、生活方式调整和卫生习惯。本研究旨在探讨在结肠直肠电子病历中通过预防措施预防伤口感染。为确定可预防伤口感染的预防措施,我们进行了全面的文献综述。使用自由词和检索词进行了系统的文献检索。经过全面的文献筛选后,进行了数据提取。使用 R 中 meta 库的 metabin 函数进行荟萃分析,以评估干预组和对照组的感染发生率。共考虑了 599 例感染病例,其中干预组 267 例,对照组 332 例。元分析结果表明,采取预防措施后,伤口发病率明显降低(风险比 [RR] = 0.77,95% 置信区间 [CI]:0.6747; 0.9016, I2 = 78.5%, p
Best practices in wound care for gastrointestinal stoma and colorectal cancer patients from a nursing perspective: A meta-analysis
Colorectal cancer, a type of colon or bowel cancer, poses a major challenge in the treatment of colorectal lesions. Colorectal endoscopic mucosal resection (EMR) is a minimally invasive technique, but the risk of wound infections remains a significant concern. These infections can impede the healing process, affecting daily activities and patient satisfaction. To mitigate the risk of wound infections, various prophylactic measures have been explored, including medication, vaccines, lifestyle adjustments and hygiene practices. This study aims to investigate the prevention of wound infections through prophylactic measures in colorectal EMR. A comprehensive literature review was conducted to identify prophylactic measures that can prevent wound infections. A systematic literature search was conducted using both free words and search terms. The data extraction was performed after a comprehensive literature screening. The meta-analysis was performed using the metabin function of the meta library in R to evaluate the infection incidences in intervention and control groups. A total of 599 infection incidences were considered, with 267 in intervention and 332 in the control group. The results of meta analysis demonstrated significant reduction of wound incidences following the prophylactic measures (risk ratio [RR] = 0.77, 95% confidence interval [CI]: 0.6747; 0.9016, I2 = 78.5%, p < 0.01). The wound infection ratio analysis also exhibited an approximate 6.6% less infection rate in the intervention group, demonstrating significantly less wound infection following the implementation of prophylactic measures. This study highlights the crucial significance of prevention of wound infections by prophylactic measures in colorectal EMR.
期刊介绍:
The Editors welcome papers on all aspects of prevention and treatment of wounds and associated conditions in the fields of surgery, dermatology, oncology, nursing, radiotherapy, physical therapy, occupational therapy and podiatry. The Journal accepts papers in the following categories:
- Research papers
- Review articles
- Clinical studies
- Letters
- News and Views: international perspectives, education initiatives, guidelines and different activities of groups and societies.
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The Editors are supported by a board of international experts and a panel of reviewers across a range of disciplines and specialties which ensures only the most current and relevant research is published.