摘要
目的:系统评价基于互联网的院外管理模式对食管癌术后病人的干预效果。方法:系统检索中国知网、维普数据库、万方数据库、中国生物医学文献数据库、EMbase、PubMed、Web of Science、MedLine、the Cochrane Library中有关基于互联网的院外管理模式干预食管癌术后病人的随机对照试验和类试验研究,检索时限为建库至2022年12月1日,由2名研究员完成文献筛选、质量评价、数据提取,采用RevMan 5.3软件进行Meta分析。结果:共纳入9篇文献,涉及720例病人。Meta分析结果显示,基于互联网的院外管理模式可提高病人的生活质量[MD=9.24,95%CI(7.55,10.92),P<0.00001],降低术后吻合口狭窄发生率[RR=0.31,95%CI(0.17,0.59),P=0.0003],提高病人自我护理能力[MD=5.39,95%CI(4.23,6.55),P<0.00001]、护理满意度[RR=1.37,95%CI(1.18,1.59),P<0.0001)]。结论:现有证据表明,基于互联网的院外管理模式能提高病人生活质量,降低吻合口狭窄发生率,增强自我护理能力,提高护理满意度,促进病人康复。
Objective:To systematically evaluate the intervention effect of Internet-based out-of-hospital management model on postoperative patients with esophageal cancer.Method:Randomized controlled trials and quasi trial studies on internet-based out of hospital management model intervention for postoperative esophageal cancer patients were retrieved from CNKI,VIP,WanFang Database,CBM,EMbase,PubMed,Web of Science,MedLine,and the Cochrane Library.The search deadline was from database establishment to December 1,2022.Literature screening,quality evaluation,and data extraction were carried out by two researchers.RevMan 5.3 software was used for Meta-analysis.Result:A total of 9 articles were included,involving 720 patients.The Meta-analysis results showed that the internet-based outpatient management model can improve the quality of life of patients(MD=9.24,95%CI 7.55-10.92,P<0.00001),reduce the incidence of postoperative anastomotic stenosis(RR=0.31,95%CI 0.17-0.59,P=0.0003),and improve patient self-care ability(MD=5.39,95%CI 4.23-6.55,P<0.00001),and nursing satisfaction(RR=1.37,95%CI 1.18-1.59,P<0.0001).Conclusion:Existing evidence suggests that an internet-based outpatient management model can improve patient quality of life,reduce the incidence of anastomotic stenosis,enhance self-care ability,improve nursing satisfaction,and promote patient recovery.
作者
魏佳佳
冉真榕
石奥利
杨光静
杨婵娟
WEI Jiajia;RAN Zhenrong;SHI Aoli;YANG Guangjing;YANG Chanjuan(School of Nursing,Chengdu University of Traditional Chinese Medicine,Sichuan 610075 China)
出处
《循证护理》
2024年第2期232-238,共7页
Chinese Evidence-Based Nursing
关键词
互联网
院外管理模式
食管癌
干预效果
META分析
循证护理
Internet
out-of-hospital management model
esophageal cancer
intervention effect
Meta-analysis
evidence-based nursing
