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

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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.	王涛. 临床护理路径在食道癌患者围手术期护理中的应用. 当代护士(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.	张琳, 张少茹, 高炀, 等. 临床路径在食管癌患者护理中的应用. 齐鲁护理杂志, 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.	潜雯. 临床护理路径对食管癌根治术围术期并发症的影响. 中国现代医生, 2010, 48(27):50-51.
7.	蔡利霞, 孙敏. 临床护理路径在食道癌围手术期病人中的应用. 当代护士(专科版), 2010, 3(08):87-89.
8.	冯曲丽, 林少琴, 刘燕. 单病种健康教育路径表在食管癌病人围术期的应用. 全科护理, 2012, 10(1):88-89.
9.	李翠. 临床护理路径对食管癌手术患者围术期并发症的影响. 中国医药指南, 2014, 12(11):32-34.
10.	程应秀, 金玲. 临床护理路径对食管癌手术患者健康知识及术后康复的影响. 实用临床医药杂志, 2014, 18(8):35-37.
11.	何菊芳, 薛红, 蒋红琳. 临床护理路径在食管癌根治术患者中的应用. 西南军医, 2009, 11(4):634-636.
12.	李秀芝, 张金英, 朱玉芹. 临床护理路径在食管癌手术患者中的应用. 齐鲁护理杂志, 2011, 17(20):74-75.
13.	梁惠, 李道霞. 临床护理路径在食道癌手术患者中的应用分析. 当代医学, 2012, 18(8):121.
14.	潘燕. 临床护理路径在胸外科食管癌手术病人中的应用及效果评价. 中华全科医学, 2013, 11(4):656-657.
15.	王菲, 冯燕凌. 临床护理路径在胸外科食管癌手术病人中的应用及效果评价. 医药前沿, 2014, 2(18):393-394.
16.	徐迎春, 崔同云, 邱萍. 临床路径在食道癌手术病人健康教育中的应用. 黑龙江中医药, 2009, 38(6):34-35.
17.	郑雪松, 罗湘玉, 刘焕. 临床护理路径在食管癌患者中的应用及效果观察. 齐鲁护理杂志, 2012, 18(34):133-134.
18.	陈玉婷. "临床护理路径"在食管癌患者围手术期健康教育中的应用. 中国医学创新, 2012, 9(25):63-64.
19.	张艳. 临床护理路径在食管癌手术过程中的应用效果评价. 河北医学, 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. 王涛. 临床护理路径在食道癌患者围手术期护理中的应用. 当代护士(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. 张琳, 张少茹, 高炀, 等. 临床路径在食管癌患者护理中的应用. 齐鲁护理杂志, 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. 潜雯. 临床护理路径对食管癌根治术围术期并发症的影响. 中国现代医生, 2010, 48(27):50-51.
7. 蔡利霞, 孙敏. 临床护理路径在食道癌围手术期病人中的应用. 当代护士(专科版), 2010, 3(08):87-89.
8. 冯曲丽, 林少琴, 刘燕. 单病种健康教育路径表在食管癌病人围术期的应用. 全科护理, 2012, 10(1):88-89.
9. 李翠. 临床护理路径对食管癌手术患者围术期并发症的影响. 中国医药指南, 2014, 12(11):32-34.
10. 程应秀, 金玲. 临床护理路径对食管癌手术患者健康知识及术后康复的影响. 实用临床医药杂志, 2014, 18(8):35-37.
11. 何菊芳, 薛红, 蒋红琳. 临床护理路径在食管癌根治术患者中的应用. 西南军医, 2009, 11(4):634-636.
12. 李秀芝, 张金英, 朱玉芹. 临床护理路径在食管癌手术患者中的应用. 齐鲁护理杂志, 2011, 17(20):74-75.
13. 梁惠, 李道霞. 临床护理路径在食道癌手术患者中的应用分析. 当代医学, 2012, 18(8):121.
14. 潘燕. 临床护理路径在胸外科食管癌手术病人中的应用及效果评价. 中华全科医学, 2013, 11(4):656-657.
15. 王菲, 冯燕凌. 临床护理路径在胸外科食管癌手术病人中的应用及效果评价. 医药前沿, 2014, 2(18):393-394.
16. 徐迎春, 崔同云, 邱萍. 临床路径在食道癌手术病人健康教育中的应用. 黑龙江中医药, 2009, 38(6):34-35.
17. 郑雪松, 罗湘玉, 刘焕. 临床护理路径在食管癌患者中的应用及效果观察. 齐鲁护理杂志, 2012, 18(34):133-134.
18. 陈玉婷. "临床护理路径"在食管癌患者围手术期健康教育中的应用. 中国医学创新, 2012, 9(25):63-64.
19. 张艳. 临床护理路径在食管癌手术过程中的应用效果评价. 河北医学, 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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