Lin Ding1, Shuang Ding2, Chunmei He1, Qifa Zhang3, Jingjing An1. 1. Operating Room, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China. 2. Department of Nuclear Medicine, Fuwai Yunnan Cardiovascular Hospital, Kunming, China. 3. Comprehensive Neurological Ward, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China.
Abstract
Background: This study systematically reviewed the effects of continuous nursing intervention on intraoperative pressure ulcers (PUs) and related complications in breast cancer patients. The effectiveness of continuous nursing intervention for intraoperative pressure ulcers related complications in breast cancer patients is highly controversial. Therefore, it is necessary to systematically review and address this issue by means of meta-analysis. Methods: By searching the Cochrane Library, PubMed, Web of Science, Embase, and Chinese Biomedical Literature Database (CBM) were screened. Quality evaluation and data extraction were performed for the included studies, and meta-analysis was performed for the included RCTs using Review Manager 5.2 software. Literature was included in strict compliance with the PICOS principle, and bias risk was analyzed by t-test and funnel plot. Results: A total of 1,431 patients were enrolled in 9 studies, and meta-analysis showed that there was a significant statistical difference between the experimental group and the control group in the incidence of PUs [odds ratio (OR) =0.18, 95% confidence interval (95% CI): 0.13-0.24, P<0.00001], the Braden pressure ulcer risk score after nursing [mean difference (MD) =2.64, 95% CI: 1.47-3.81, P<0.0001], and the quality of life after nursing (MD =9.76, 95% CI: 6.82-12.69, P<0.00001). Discussion: Continuous care can reduce the incidence of PUs in patients with advanced breast cancer, reduce the severity of wounds in the healing process of PUs, and improve the knowledge of PUs in patients with advanced breast cancer risk. 2022 Gland Surgery. All rights reserved.
Background: This study systematically reviewed the effects of continuous nursing intervention on intraoperative pressure ulcers (PUs) and related complications in breast cancer patients. The effectiveness of continuous nursing intervention for intraoperative pressure ulcers related complications in breast cancer patients is highly controversial. Therefore, it is necessary to systematically review and address this issue by means of meta-analysis. Methods: By searching the Cochrane Library, PubMed, Web of Science, Embase, and Chinese Biomedical Literature Database (CBM) were screened. Quality evaluation and data extraction were performed for the included studies, and meta-analysis was performed for the included RCTs using Review Manager 5.2 software. Literature was included in strict compliance with the PICOS principle, and bias risk was analyzed by t-test and funnel plot. Results: A total of 1,431 patients were enrolled in 9 studies, and meta-analysis showed that there was a significant statistical difference between the experimental group and the control group in the incidence of PUs [odds ratio (OR) =0.18, 95% confidence interval (95% CI): 0.13-0.24, P<0.00001], the Braden pressure ulcer risk score after nursing [mean difference (MD) =2.64, 95% CI: 1.47-3.81, P<0.0001], and the quality of life after nursing (MD =9.76, 95% CI: 6.82-12.69, P<0.00001). Discussion: Continuous care can reduce the incidence of PUs in patients with advanced breast cancer, reduce the severity of wounds in the healing process of PUs, and improve the knowledge of PUs in patients with advanced breast cancer risk. 2022 Gland Surgery. All rights reserved.
Entities:
Keywords:
Continuing nursing interventions; breast cancer; pressure ulcer care (PU care); systematic review
Authors: Ayca Gucalp; Tiffany A Traina; Joel R Eisner; Joel S Parker; Sara R Selitsky; Ben H Park; Anthony D Elias; Edwina S Baskin-Bey; Fatima Cardoso Journal: Breast Cancer Res Treat Date: 2018-09-28 Impact factor: 4.872
Authors: E Hahnel; M El Genedy; T Tomova-Simitchieva; A Hauß; A Stroux; A Lechner; C Richter; M Akdeniz; U Blume-Peytavi; N Löber; J Kottner Journal: Br J Dermatol Date: 2019-12-15 Impact factor: 9.302
Authors: Tejaswini P Reddy; Roberto R Rosato; Xiaoxian Li; Stacy Moulder; Helen Piwnica-Worms; Jenny C Chang Journal: Breast Cancer Res Date: 2020-11-04 Impact factor: 6.466