Effects of evidence-based nursing on surgical site wound infection in patients undergoing acute appendicitis surgery : A meta-analysis

© 2024 The Authors. International Wound Journal published by Medicalhelplines.com Inc and John Wiley & Sons Ltd..

This study aimed to comprehensively evaluate the effects of evidence-based nursing (EBN) intervention on wound infection and postoperative complications in patients after appendectomy for acute appendicitis (AA), with the expectation of providing a theoretical basis for postoperative care in AA. Randomised controlled trials (RCTs) on the postoperative application of EBN in patients with AA were searched in PubMed, Web of Science, Cochrane Library, Embase, China Biomedical Literature Database, Wanfang and China National Knowledge Infrastructure from the inception of databases to October 2023. Two authors screened and evaluated the literature based on the inclusion and exclusion criteria, and data were extracted from the final included literature. Stata software (version 17.0) was employed for data analysis. In total, 29 RCTs involving 2848 patients with AA were included, with 1424 in the EBN group and 1424 in the conventional care group. The analyses revealed that patients with AA who experienced EBN were significantly less likely to develop postoperative wound infections (odds ratio [OR] = 0.23, 95% confidence intervals [CIs]: 0.14-0.38, p < 0.001) and postoperative complications (OR = 0.20, 95% CI: 0.15-0.26, p < 0.001) as opposed to conventional care. Available evidence suggests that EBN can effectively reduce the risk of wound infection and postoperative complications in patients undergoing appendectomy for AA, thereby improving patient prognosis. This finding is worth promoting in the clinical practice.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:21

Enthalten in:

International wound journal - 21(2024), 3 vom: 31. März, Seite e14539

Sprache:

Englisch

Beteiligte Personen:

Liu, Feng [VerfasserIn]
Zhou, Juan [VerfasserIn]
Wu, Xue-Lian [VerfasserIn]

Links:

Volltext

Themen:

Acute appendicitis
Evidence-based nursing
Journal Article
Meta-Analysis
Meta-analysis
Wound infection

Anmerkungen:

Date Completed 21.03.2024

Date Revised 23.03.2024

published: Print

Citation Status MEDLINE

doi:

10.1111/iwj.14539

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369959221