Impact of rapid rehabilitation surgery on perioperative nursing in patients undergoing cardiac surgery: A meta‐analysis. Issue 12 (30th November 2022)

• Record Type: Journal Article
• Authors: Feng, Wenjuan; Zhou, Jing; Lei, Yu; Chen, Wenmin; Miao, Yongpin; Fu, Xintong; Pi, Jinghong; Zhang, Min; Na, Zhuhui; Lou, Wenrong
• Is Part Of: Journal of cardiac surgery. Volume 37:Issue 12(2022)
• Page Start: 5326
• Page End: 5335
• Publication Date: 2022-11-30
• Subjects: cardiac surgery -- enhanced recovery after surgery -- meta‐analysis -- perioperative period -- randomized controlled trial; Heart -- Surgery -- Periodicals; 617.412005
• DOI: 10.1111/jocs.17226
• Languages: English
• ISSNs: 0886-0440

Abstract

Abstract: Objective: To systematically evaluate the effect of enhanced recovery after surgery (ERAS) on perioperative nursing of patients undergoing cardiac surgery. Methods: A systematic literature search was performed in PubMed, Embase, Web of science, Cochrane, CNKI, Wanfang, and VIP using predefined search strings from inception of database to May 2021. Randomized control trials (RCTs) with sample size >40 on cardiac surgery with either ERAS nursing or routine nursing reporting extubation (trachea) time, length of stay, out of bed activity time, and nursing satisfaction were included in the analysis. Stata SE 12.0 software was used for statistical analysis. Results: A total of 27 RCTs were included. All the included studies were Chinese due to lack of studies in English. The results of meta‐analysis showed that the extubation time standardized mean difference ([SMD] = −3.11; 95% confidence interval [CI]: −3.77, −2.45; p < .001), out of bed activity time (SMD = −2.89; 95% CI: −3.34, −2.44; p < .001), and hospitalization time (SMD = −2.08; 95% CI: −2.37, −1.79; p < .001) of cardiac surgery patients with ERAS nursing was significantly shorter than those with routine nursing. The patient's satisfaction after surgery with ERAS was higher than that of routine nursing relative risk ([RR] = 1.24; 95% CI: 1.18, 1.30; p < .001). Conclusion: ERAS nursing can accelerate perioperative rehabilitation of patients undergoing cardiac surgery and highly accepted by patients.