{"title":"前列腺手术患者术后护理管理的效果：meta分析","authors":"Peng Gao, Lei Bao, Xiaonan Liu, Zhongbao Zhou","doi":"10.1111/ijn.70035","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>The efficacy of postoperative nursing management in patients undergoing prostate surgery remains poorly recognized. To address this, we conducted a meta-analysis to evaluate the effectiveness of this approach.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>From January 2000 to February 2024, seven randomized controlled trials were selected, involving a total of 593 patients from PubMed, EMBASE and the Cochrane Library to evaluate the efficacy of postoperative nursing management in patients undergoing prostate surgery. All data were analysed using the Review Manager 5.4 software. Outcomes assessed included nursing satisfaction, psychological scores, hospital stay, urinary frequency, residual urine volume (RUV), incidence of complications, frequency of urinary incontinence (UI), urinary tract infection (UTI), pain scores and incidence of UI.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Postoperative nursing management for prostate surgery significantly increased patients' nursing satisfaction (OR 6.46, 95% CI 3.53–11.83, <i>p</i> < 0.00001), improved psychological scores (MD −4.88, 95% CI −8.67 to −1.09, <i>p</i> = 0.01) and shortened hospital stay (MD −4.19, 95% CI −6.14 to −2.25, <i>p</i> < 0.0001). Regarding urinary symptoms, urinary frequency (MD −4.28, 95% CI −8.00 to −0.55, <i>p</i> = 0.02) was significantly reduced, although no significant difference was observed in RUV. In addition, postoperative nursing management significantly reduced the incidence of complications (OR 0.36, 95% CI 0.21–0.62, <i>p</i> = 0.0003), primarily reflected in a decrease in the frequency of UI (MD −2.72, 95% CI −4.70 to −0.74, <i>p</i> = 0.007). However, no significant differences were found in terms of UTI, pain scores or the incidence of UI.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Collectively, our findings suggest that targeted and systematic postoperative nursing management is essential for optimizing recovery and should be integrated as a standard component of perioperative care for patients undergoing prostate surgery.</p>\n </section>\n \n <section>\n \n <h3> Registration Number</h3>\n \n <p>CRD42024617179.</p>\n </section>\n </div>","PeriodicalId":14223,"journal":{"name":"International Journal of Nursing Practice","volume":"31 4","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Efficacy of Postoperative Nursing Management for Patients Undergoing Prostate Surgery: A Meta-Analysis\",\"authors\":\"Peng Gao, Lei Bao, Xiaonan Liu, Zhongbao Zhou\",\"doi\":\"10.1111/ijn.70035\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>The efficacy of postoperative nursing management in patients undergoing prostate surgery remains poorly recognized. 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引用次数: 0
摘要
目的前列腺手术患者术后护理管理的效果尚不明确。为了解决这个问题，我们进行了一项荟萃分析来评估这种方法的有效性。方法从2000年1月至2024年2月，从PubMed、EMBASE和Cochrane图书馆中选取7项随机对照试验，共593例患者，评价前列腺手术患者术后护理管理的效果。使用Review Manager 5.4软件分析所有数据。结果评估包括护理满意度、心理评分、住院时间、尿频、剩余尿量（RUV）、并发症发生率、尿失禁（UI）频率、尿路感染（UTI）、疼痛评分和尿失禁发生率。结果前列腺手术术后护理管理显著提高患者护理满意度（OR 6.46, 95% CI 3.53 ~ 11.83, p < 0.00001），改善患者心理评分（MD - 4.88, 95% CI - 8.67 ~ - 1.09, p = 0.01），缩短住院时间（MD - 4.19, 95% CI - 6.14 ~ - 2.25, p < 0.0001）。在泌尿系统症状方面，尿频（MD - 4.28, 95% CI - 8.00至- 0.55,p = 0.02）显著降低，但RUV无显著差异。此外，术后护理管理显著降低了并发症的发生率（OR 0.36, 95% CI 0.21-0.62, p = 0.0003），主要体现在尿失禁发生率的降低（MD - 2.72, 95% CI - 4.70 ~ - 0.74, p = 0.007）。然而，在尿路感染、疼痛评分或尿路感染发生率方面没有发现显著差异。总之，我们的研究结果表明，有针对性和系统的术后护理管理对于优化恢复至关重要，应作为前列腺手术患者围手术期护理的标准组成部分。注册号CRD42024617179。
The Efficacy of Postoperative Nursing Management for Patients Undergoing Prostate Surgery: A Meta-Analysis
Objective
The efficacy of postoperative nursing management in patients undergoing prostate surgery remains poorly recognized. To address this, we conducted a meta-analysis to evaluate the effectiveness of this approach.
Methods
From January 2000 to February 2024, seven randomized controlled trials were selected, involving a total of 593 patients from PubMed, EMBASE and the Cochrane Library to evaluate the efficacy of postoperative nursing management in patients undergoing prostate surgery. All data were analysed using the Review Manager 5.4 software. Outcomes assessed included nursing satisfaction, psychological scores, hospital stay, urinary frequency, residual urine volume (RUV), incidence of complications, frequency of urinary incontinence (UI), urinary tract infection (UTI), pain scores and incidence of UI.
Results
Postoperative nursing management for prostate surgery significantly increased patients' nursing satisfaction (OR 6.46, 95% CI 3.53–11.83, p < 0.00001), improved psychological scores (MD −4.88, 95% CI −8.67 to −1.09, p = 0.01) and shortened hospital stay (MD −4.19, 95% CI −6.14 to −2.25, p < 0.0001). Regarding urinary symptoms, urinary frequency (MD −4.28, 95% CI −8.00 to −0.55, p = 0.02) was significantly reduced, although no significant difference was observed in RUV. In addition, postoperative nursing management significantly reduced the incidence of complications (OR 0.36, 95% CI 0.21–0.62, p = 0.0003), primarily reflected in a decrease in the frequency of UI (MD −2.72, 95% CI −4.70 to −0.74, p = 0.007). However, no significant differences were found in terms of UTI, pain scores or the incidence of UI.
Conclusion
Collectively, our findings suggest that targeted and systematic postoperative nursing management is essential for optimizing recovery and should be integrated as a standard component of perioperative care for patients undergoing prostate surgery.
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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