Effects of predictive nursing interventions on pressure ulcer in older bedridden patients: A meta-analysis.

Autor: Liu ZF; Department of Burn, People's Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China., Meng J; Department of General Medicine, People's Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China., Jing N; Department of Burn, People's Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China., Liu XY; Department of Burn, People's Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China.
Jazyk: angličtina
Zdroj: International wound journal [Int Wound J] 2024 Mar; Vol. 21 (3), pp. e14676.
DOI: 10.1111/iwj.14676
Abstrakt: To evaluate the effect of predictive nursing interventions on pressure ulcers in elderly bedridden patients by meta-analysis. Applied computer searches of PubMed, Embase, Google Scholar, Cochrane Library, China National Knowledge Infrastructure and Wanfang databases for randomised controlled trials (RCTs) on the effect of predictive nursing in preventing pressure ulcers in elderly bedridden patients from the database inception to November 2023. Two researchers independently screened the literature, extracted data and performed quality assessment based on inclusion and exclusion criteria. Stata 17.0 software was utilised for data analysis. Eighteen RCTs involving 6504 patients were finally included. The analysis revealed the implementation of predictive nursing interventions had a significant advantage in reducing the incidence of pressure ulcers in elderly bedridden patients compared with conventional nursing (odds ratio [OR] = 0.20, 95% confidence interval [CI]: 0.15-0.28, p < 0.001), while the patients' satisfaction with nursing care was higher (OR = 3.70, 95% CI: 2.99-4.57, p < 0.001). This study shows that the implementation of a predictive nursing interventions for elderly bedridden patients can effectively reduce the occurrence of pressure ulcers and significantly improve patients' satisfaction with nursing care, which is worthy of clinical promotion and application.
(© 2024 The Authors. International Wound Journal published by Medicalhelplines.com Inc and John Wiley & Sons Ltd.)
Databáze: MEDLINE
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