دورية أكاديمية

Effects of bundle‐care interventions on pressure ulcers in patients with stroke: A meta‐analysis.

التفاصيل البيبلوغرافية
العنوان: Effects of bundle‐care interventions on pressure ulcers in patients with stroke: A meta‐analysis.
المؤلفون: Wang, Li‐Ping, Gao, Ming‐Ming, Wang, Xiu‐Qin, Gu, Min‐Min, Qi, Qin‐De
المصدر: International Wound Journal; Feb2024, Vol. 21 Issue 2, p1-10, 10p
مصطلحات موضوعية: WOUND healing, ONLINE information services, MEDICAL databases, META-analysis, MEDICAL information storage & retrieval systems, CONFIDENCE intervals, NURSING, PRESSURE ulcers, SYSTEMATIC reviews, DISEASE incidence, PATIENT satisfaction, TREATMENT effectiveness, STROKE patients, DESCRIPTIVE statistics, MEDLINE, DATA analysis software, ODDS ratio, WOUND care, EVALUATION
مستخلص: We conducted a meta‐analysis to assess the effects of bundle‐care interventions on pressure ulcers in patients with stroke to provide a basis for clinical work. Randomised controlled trials on the effects of bundle‐care interventions in patients with stroke were identified using computerised searches of the PubMed, Embase, Cochrane Library, Chinese National Knowledge Infrastructure, VIP and Wanfang databases, from the time of inception of each database to July 2023, supplemented by manual literature searches. Two researchers independently retrieved and screened the articles, extracted the data and evaluated the quality of the included studies. After reaching consensus, meta‐analysis was performed using RevMan 5.4. Twenty‐four papers were included, involving 3330 patients of whom 1679 were in the intervention group and 1651 were in the control group. The results showed that, compared with standard care, bundle‐care interventions significantly reduced the incidence of pressure ulcers (3.28% vs. 14.84%, odds ratio [OR]: 0.19, 95% confidence interval [CI]: 0.14–0.26, p < 0.001), and aspiration (5.60% vs. 18.84%, OR: 0.25, 95% CI: 0.17–0.39, p < 0.001), and improved patient satisfaction with nursing care (96.59% vs. 84.43%, OR. 5.45, 95% CI: 3.76–7.90, p < 0.001). Current evidence suggests that care bundles are significantly better than conventional nursing measures in preventing pressure ulcers and aspiration, and improving patient satisfaction with nursing care in patients with stroke, and are worthy of clinical promotion and application. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:17424801
DOI:10.1111/iwj.14432