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2024 ; 16
(7
): 2119-2126
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Effect of rapid rehabilitation nursing on improving clinical outcomes in
postoperative patients with colorectal cancer
#MMPMID39087108
Song JY
; Cao J
; Mao J
; Wang JL
World J Gastrointest Surg
2024[Jul]; 16
(7
): 2119-2126
PMID39087108
show ga
BACKGROUND: Surgical resection is the cornerstone treatment for colorectal
cancer. Rapid rehabilitation care predicated on evidence-based medical theory
aims to improve postoperative nursing care, subsequently reducing the physical
and mental traumatic stress response and helping patients who undergo surgery
recover rapidly. AIM: To assess the effect of rapid rehabilitation care on
clinical outcomes, including overall postoperative complications, anastomotic
leaks, wound infections, and intestinal obstruction in patients with colorectal
cancer. METHODS: We searched the PubMed, Web of Science, Embase, Elsevier Science
Direct, and Springer Link databases from January 1, 2010, to January 1, 2024, to
screen eligible studies on rapid rehabilitation care among patients who underwent
colorectal cancer surgery. Patients were screened based on the inclusion and
exclusion criteria. RevMan 5.4 software was used for statistical analysis of the
data. RESULTS: Twelve studies were enrolled, which included 2420 patients. The
results showed that rapid rehabilitation care decreased the incidence of overall
postoperative complications (OR: 0.44, 95%CI: 0.26-0.74, P = 0.002), anastomotic
leaks (OR: 0.68, 95%CI: 0.41-1.12, P = 0.13), wound infections (OR: 0.45, 95%CI:
0.29-0.72, P = 0.0007), and intestinal obstruction (OR: 0.54, 95%CI: 0.34-0.86, P
= 0.01) compared to conventional care. Further trials and studies are needed to
confirm these results. CONCLUSION: Rapid rehabilitation care decreased the
occurrence of postoperative complications, anastomotic leaks, wound infections,
and intestinal obstruction compared to conventional care in patients who
underwent colorectal surgery. Therefore, promoting the application of rapid
rehabilitation care in clinical practice cannot be overemphasized.
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