%0 Journal Article
%T 多种护理干预措施对肝胆胰外科疾病患者预后改善效果的Meta分析
Meta-Analysis of the Effect of Multiple Nursing Intervention Measures on the Prognosis Improvement of Patients with Hepatobiliary and Pancreatic Surgical Diseases
%A 张明
%A 肖莉
%J Nursing Science
%P 270-286
%@ 2168-5614
%D 2025
%I Hans Publishing
%R 10.12677/ns.2025.142037
%X 目的：探索多种护理干预措施对肝胆胰外科疾病患者预后的改善效果。方法：检索PubMed、Cochrane library、Embase、CINAHL、Web of Science、CBM、Wan Fang Data和CNKI数据库成立至2024年8月的相关文献。收集关于护理干预措施应用于肝胆胰外科疾病患者的随机对照研究。利用EndNote X9文献管理软件进行文献排重，利用R软件(版本4.4.1)进行Meta分析。结果：纳入24篇文献，共涉及2942例患者。结果显示，在实施更精细化护理干预措施后，肝胆胰外科疾病患者的排气时间缩短[SMD = −3.756, 95% CI (−6.215, −1.297), P = 0.003]、下床时间缩短[SMD = −1.521, 95% CI (−1.960, −1.081), P < 0.001]、住院时间缩短[MD = −2.872, 95% CI (−3.555, −2.190), P < 0.001]、并发症发生率下降[RR = 0.318, 95% CI (0.243, 0.415), P < 0.001]、焦虑水平降低[MD = −11.228, 95% CI (−14.286, −8.170), P < 0.001]、抑郁水平降低[MD = −9.612 (−12.079, −7.145), 95% CI (−14.286, −8.170), P < 0.001]。结论：现有证据表明，与常规护理模式相比，更精细化、更具针对性的护理模式可以明显改善肝胆胰外科疾病患者的预后情况。因为纳入文献数量的限制，尚待更多高质量流行病学研究予以验证上述结论。
Objective: To explore the intervention effect of multiple nursing intervention measures on the prognosis of patients with hepatobiliary and pancreatic surgical diseases. Methods: The relevant literature from the establishment of PubMed, Cochrane Library, Embase, CINAHL, Web of Science, CBM, Wan Fang Data and CNKI databases to August 2024 was retrieved. Randomized controlled studies on the application of nursing intervention measures in patients with hepatobiliary and pancreatic surgical diseases were collected. EndNote X9 literature management software was used for literature deduplication, and R software (version 4.4.1) was used for meta-analysis. Results: Twenty-four literatures involving 2942 patients were included. The results showed that after the implementation of more refined nursing intervention measures, the exhaust time of patients with hepatobiliary and pancreatic surgical diseases was shortened [SMD = −3.756, 95% CI (−6.215, −1.297), P = 0.003], the time of getting out of bed was shortened [SMD = −1.521, 95% CI (−1.960, −1.081), P < 0.001], the length of hospital stay was shortened [MD = −2.872, 95% CI (−3.555, −2.190), P < 0.001], the complication rate decreased [RR = 0.318, 95% CI (0.243, 0.415), P < 0.001], the anxiety level was reduced [MD = −11.228, 95% CI (−14.286, −8.170), P < 0.001], and the depression level was reduced [MD = −9.612 (−12.079, −7.145), 95% CI (−14.286,
%K 护理，
%K 肝胆胰外科，
%K 预后，
%K Meta分析
Nursing
%K Hepatobiliary and Pancreatic Surgery
%K Prognosis
%K Meta-Analysis
%U http://www.hanspub.org/journal/PaperInformation.aspx?PaperID=108007