Efficacy of Clinical Nursing Pathway in Patients after Esophageal Cancer Surgery: A Meta-analysis_Chinese Journal of Evidence-Based Medicine

Authors：

 LIShuang ¹ , WANGLi-wei ¹ , HUWen-teng ¹ , LINRui-jiang ¹ , MAMin-jie ² ,  HANBiao ²

1. First Clinical Medical College of Lanzhou University, Lanzhou 730000, China;
2. First Hospital of Lanzhou University, Lanzhou 730000, China;

Corresponding?author：

HANBiao, Email: hanbiao66@msn.com

Keywords：

Clinical nursing pathway; Esophageal cancer; Meta-analysis; Randomized controlled trial

DOI：

10.7507/1672-2531.20150159

Video：

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Objective To systematically review the efficacy of clinical nursing pathway (CNP) in patients with esophageal cancer surgery. Methods Databases including PubMed, EMbase, The Cochrane Library, Web of Science, CBM, WanFang Data and CNKI were electronically searched to collect randomized controlled trials (RCTs) involving the comparison of CNP with routine nursing pathway in patients with esophageal caner surgery. The retrieval time was from inception to October 2014. Two reviewers independently screened literature, extracted data and assessed the risk of bias of included studies. Then data was analyzed by RevMan 5.2 software. Results A total of 16 RCTs involving 1 457 patients were included. The results of meta-analyses showed that:compared with the routine nursing pathway, the CNP could increase patients' nursing satisfaction (OR=8.08, 95%CI 5.12 to 12.74, P<0.000 01), the achievement rate of knowledge (OR=4.13, 95%CI 2.44 to 6.98, P<0.000 01) and decrease the incidence of postoperative complications (OR=0.21, 95%CI 0.13 to 0.33, P<0.000 01), the length of hospitalization (MD=-4.57, 95%CI -5.57 to -3.56, P<0.000 01). Conclusion The clinical nursing pathway can improve patients' nursing satisfaction, the achievement rate of knowledge, it can also reduce the incidence of postoperative complications and the length of hospitalization.

Citation： LIShuang, WANGLi-wei, HUWen-teng, LINRui-jiang, MAMin-jie, HANBiao. Efficacy of Clinical Nursing Pathway in Patients after Esophageal Cancer Surgery: A Meta-analysis. Chinese Journal of Evidence-Based Medicine, 2015, 15(8): 951-956. doi: 10.7507/1672-2531.20150159 Copy

1.	王濤. 臨床護理路徑在食道癌患者圍手術期護理中的應用. 當代護士(下旬刊), 2012, 5(12):152-153.
2.	Low DE, Kunz S, Schembre D, et al. Esophagectomy-it's not just about mortality anymore:Standardized perioperative clinical pathways improve outcomes in patients with esophageal cancer. J Gastrointest Surg, 2007, 11(11):1395-1402.
3.	張琳, 張少茹, 高煬, 等. 臨床路徑在食管癌患者護理中的應用. 齊魯護理雜志, 2014, 20(08):61-62.
4.	Schwarzbach M, Rssner E, Schattenberg T, et al. Effects of a clinical pathway of pulmonary lobectomy and bilobbectomy on quality and cost of care. Langenbecks Arch Surg, 2010, 395(8):1139-1146.
5.	Higgins JP, Green S. Cochrane Handbook for Systematic Reviews of Interventions (Version 5.1.0).[cited 2012 Jan 5]. Available at:http://www.cochrane-handbook.org.
6.	潛雯. 臨床護理路徑對食管癌根治術圍術期并發癥的影響. 中國現代醫生, 2010, 48(27):50-51.
7.	蔡利霞, 孫敏. 臨床護理路徑在食道癌圍手術期病人中的應用. 當代護士(專科版), 2010, 3(08):87-89.
8.	馮曲麗, 林少琴, 劉燕. 單病種健康教育路徑表在食管癌病人圍術期的應用. 全科護理, 2012, 10(1):88-89.
9.	李翠. 臨床護理路徑對食管癌手術患者圍術期并發癥的影響. 中國醫藥指南, 2014, 12(11):32-34.
10.	程應秀, 金玲. 臨床護理路徑對食管癌手術患者健康知識及術后康復的影響. 實用臨床醫藥雜志, 2014, 18(8):35-37.
11.	何菊芳, 薛紅, 蔣紅琳. 臨床護理路徑在食管癌根治術患者中的應用. 西南軍醫, 2009, 11(4):634-636.
12.	李秀芝, 張金英, 朱玉芹. 臨床護理路徑在食管癌手術患者中的應用. 齊魯護理雜志, 2011, 17(20):74-75.
13.	梁惠, 李道霞. 臨床護理路徑在食道癌手術患者中的應用分析. 當代醫學, 2012, 18(8):121.
14.	潘燕. 臨床護理路徑在胸外科食管癌手術病人中的應用及效果評價. 中華全科醫學, 2013, 11(4):656-657.
15.	王菲, 馮燕凌. 臨床護理路徑在胸外科食管癌手術病人中的應用及效果評價. 醫藥前沿, 2014, 2(18):393-394.
16.	徐迎春, 崔同云, 邱萍. 臨床路徑在食道癌手術病人健康教育中的應用. 黑龍江中醫藥, 2009, 38(6):34-35.
17.	鄭雪松, 羅湘玉, 劉煥. 臨床護理路徑在食管癌患者中的應用及效果觀察. 齊魯護理雜志, 2012, 18(34):133-134.
18.	陳玉婷. "臨床護理路徑"在食管癌患者圍手術期健康教育中的應用. 中國醫學創新, 2012, 9(25):63-64.
19.	張艷. 臨床護理路徑在食管癌手術過程中的應用效果評價. 河北醫學, 2014, 20(2):334-337.
20.	Munitiz V, Martinez-de-Haro LF, Ortiz A, et al. Effectiveness of a written clinical pathway for enhanced recovery after transthoracic (Ivor Lewis) oesophagectomy. Br J Surg, 2010, 97(5):714-718.

1. 王濤. 臨床護理路徑在食道癌患者圍手術期護理中的應用. 當代護士(下旬刊), 2012, 5(12):152-153.
2. Low DE, Kunz S, Schembre D, et al. Esophagectomy-it's not just about mortality anymore:Standardized perioperative clinical pathways improve outcomes in patients with esophageal cancer. J Gastrointest Surg, 2007, 11(11):1395-1402.
3. 張琳, 張少茹, 高煬, 等. 臨床路徑在食管癌患者護理中的應用. 齊魯護理雜志, 2014, 20(08):61-62.
4. Schwarzbach M, Rssner E, Schattenberg T, et al. Effects of a clinical pathway of pulmonary lobectomy and bilobbectomy on quality and cost of care. Langenbecks Arch Surg, 2010, 395(8):1139-1146.
5. Higgins JP, Green S. Cochrane Handbook for Systematic Reviews of Interventions (Version 5.1.0).[cited 2012 Jan 5]. Available at:http://www.cochrane-handbook.org.
6. 潛雯. 臨床護理路徑對食管癌根治術圍術期并發癥的影響. 中國現代醫生, 2010, 48(27):50-51.
7. 蔡利霞, 孫敏. 臨床護理路徑在食道癌圍手術期病人中的應用. 當代護士(專科版), 2010, 3(08):87-89.
8. 馮曲麗, 林少琴, 劉燕. 單病種健康教育路徑表在食管癌病人圍術期的應用. 全科護理, 2012, 10(1):88-89.
9. 李翠. 臨床護理路徑對食管癌手術患者圍術期并發癥的影響. 中國醫藥指南, 2014, 12(11):32-34.
10. 程應秀, 金玲. 臨床護理路徑對食管癌手術患者健康知識及術后康復的影響. 實用臨床醫藥雜志, 2014, 18(8):35-37.
11. 何菊芳, 薛紅, 蔣紅琳. 臨床護理路徑在食管癌根治術患者中的應用. 西南軍醫, 2009, 11(4):634-636.
12. 李秀芝, 張金英, 朱玉芹. 臨床護理路徑在食管癌手術患者中的應用. 齊魯護理雜志, 2011, 17(20):74-75.
13. 梁惠, 李道霞. 臨床護理路徑在食道癌手術患者中的應用分析. 當代醫學, 2012, 18(8):121.
14. 潘燕. 臨床護理路徑在胸外科食管癌手術病人中的應用及效果評價. 中華全科醫學, 2013, 11(4):656-657.
15. 王菲, 馮燕凌. 臨床護理路徑在胸外科食管癌手術病人中的應用及效果評價. 醫藥前沿, 2014, 2(18):393-394.
16. 徐迎春, 崔同云, 邱萍. 臨床路徑在食道癌手術病人健康教育中的應用. 黑龍江中醫藥, 2009, 38(6):34-35.
17. 鄭雪松, 羅湘玉, 劉煥. 臨床護理路徑在食管癌患者中的應用及效果觀察. 齊魯護理雜志, 2012, 18(34):133-134.
18. 陳玉婷. "臨床護理路徑"在食管癌患者圍手術期健康教育中的應用. 中國醫學創新, 2012, 9(25):63-64.
19. 張艷. 臨床護理路徑在食管癌手術過程中的應用效果評價. 河北醫學, 2014, 20(2):334-337.
20. Munitiz V, Martinez-de-Haro LF, Ortiz A, et al. Effectiveness of a written clinical pathway for enhanced recovery after transthoracic (Ivor Lewis) oesophagectomy. Br J Surg, 2010, 97(5):714-718.

Chinese Journal of Evidence-Based Medicine

Efficacy of Clinical Nursing Pathway in Patients after Esophageal Cancer Surgery: A Meta-analysis

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