Abstract:
Objective To evaluate the effect of enhanced recovery after surgery (ERAS) of percutaneous nephrolithotomy (PCNL) in nursing care.
Methods Randomized controlled trials of ERAS in nursing care of patients with PCNL were searched. The meta-analysis was performed using RevMan 5.3 software after quality evaluation and data extraction.
Results A total of 11 studies including 1 238 patients were included, and varying degrees of bias was found in all studies. The results showed that the risk of postoperative complications was [OR=0.2, 95% CI (0.14, 0.28)], postoperative hospital stay [MD=-2.73, 95% CI (-3.61, -1.86)], hospitalization Cost [MD=-0.32, 95% CI(-0.36, -0.28)], postoperative anal exhaust time [MD=-16.72, 95% CI(-21.08, -12.36)], postoperative self-care ability [MD=16.26, 95% CI(7.30, 25.22)], the difference in meta-analysis between patient satisfaction [OR=5.58, 95% CI(2.77, 11.24)] was statistically significant.
Conclusion The concept of ERAS in care of PCNL can effectively reduce the complications of patients, shorten the postoperative hospital stay and anal exhaust time, reduce the hospitalization expenses, improve the daily activities of patients and patient satisfaction, and have significant Clinical advantage.
Key words:
Enhanced Recovery after surgery,
Percutaneous Nephrolithoscopy,
Meta-analysis,
Nursing care
Li Lu, Yan Mao. Meta-analysis of the application of enhanced recovery after surgery of percutaneous nephrolithotomy in nursing care[J]. Chinese Journal of Endourology(Electronic Edition), 2020, 14(05): 364-369.