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Effects of bundle‐care interventions on pressure ulcers in patients with stroke: A meta‐analysis.
- Source :
- International Wound Journal; Feb2024, Vol. 21 Issue 2, p1-10, 10p
- Publication Year :
- 2024
-
Abstract
- We conducted a meta‐analysis to assess the effects of bundle‐care interventions on pressure ulcers in patients with stroke to provide a basis for clinical work. Randomised controlled trials on the effects of bundle‐care interventions in patients with stroke were identified using computerised searches of the PubMed, Embase, Cochrane Library, Chinese National Knowledge Infrastructure, VIP and Wanfang databases, from the time of inception of each database to July 2023, supplemented by manual literature searches. Two researchers independently retrieved and screened the articles, extracted the data and evaluated the quality of the included studies. After reaching consensus, meta‐analysis was performed using RevMan 5.4. Twenty‐four papers were included, involving 3330 patients of whom 1679 were in the intervention group and 1651 were in the control group. The results showed that, compared with standard care, bundle‐care interventions significantly reduced the incidence of pressure ulcers (3.28% vs. 14.84%, odds ratio [OR]: 0.19, 95% confidence interval [CI]: 0.14–0.26, p < 0.001), and aspiration (5.60% vs. 18.84%, OR: 0.25, 95% CI: 0.17–0.39, p < 0.001), and improved patient satisfaction with nursing care (96.59% vs. 84.43%, OR. 5.45, 95% CI: 3.76–7.90, p < 0.001). Current evidence suggests that care bundles are significantly better than conventional nursing measures in preventing pressure ulcers and aspiration, and improving patient satisfaction with nursing care in patients with stroke, and are worthy of clinical promotion and application. [ABSTRACT FROM AUTHOR]
- Subjects :
- WOUND healing
ONLINE information services
MEDICAL databases
META-analysis
MEDICAL information storage & retrieval systems
CONFIDENCE intervals
NURSING
PRESSURE ulcers
SYSTEMATIC reviews
DISEASE incidence
PATIENT satisfaction
TREATMENT effectiveness
STROKE patients
DESCRIPTIVE statistics
MEDLINE
DATA analysis software
ODDS ratio
WOUND care
EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 17424801
- Volume :
- 21
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- International Wound Journal
- Publication Type :
- Academic Journal
- Accession number :
- 175670009
- Full Text :
- https://doi.org/10.1111/iwj.14432