Meta-analysis of the effectiveness of the cluster nursing model on myelosuppression in cancer patients
Objective To systematically evaluate the effect of cluster nursing on myelosuppression in cancer patients.Methods We searched Chinese and English databases at home and abroad,included randomized controlled trials(RCT)on the effect of cluster nursing intervention on myelosuppression,and evaluated the quality of the literature.This study used RevMan 5.4 statistical software for data analysis.Results A total of 25 RCT were included,including 23 Chinese and 2 English,with a total of 2,072 patients.The Meta-analysis results showed that in the experimental group(cluster nursing measures),the incidence rate of infection was reduced byRR=0.43,95％CI:0.36～0.50,P＜0.00001;the incidence rate of bleeding was RR=0.33,95％CI:0.24～0.46,P＜0.00001;the incidence rate of fever was RR=0.54,95％CI:0.44～0.67,P＜0.00001;the patient's psychological state,anxiety level,MD=-2.88,95％CI:-3.65～-2.11,P＜0.00001,and depression level,MD=-1.49,95％CI:-12.06～-0.92,P＜0.00001,and improved patient satisfaction RR=1.25,95％CI:1.15～1.35,P＜0.00001,both higher than the control group,and the differences between the groups were statistically significant(P＜0.05).Conclusion Cluster nursing can prevent the occurrence of complications in the myelosuppression phase of cancer patients,while improving the patient's psychological state and improving patient satisfaction.
万方数据
维普
