Epidemiology, quality, and reporting characteristics of systematic reviews and meta-analyses of nursing interventions published in Chinese journals

Objective To evaluate different effects of nursing the patient with fecal incontinence by catheter drainage or traditional methods.Methods A comprehensive,systematic bibliographic search of medical literature from databases of Cochrane Library,PubMed,Embase,ISI Web of Knowledge,CNKI,Wanfang Data and VIP was conducted to identify randomized controlled trials(RCTs) related to nursing the patients with fecal incontinence by catheter drainage or traditional methods.The quality of RCTs was assessed and meta-analyses were conducted by RevMan5.0.The following outcomes were assessed: complication incidence of perianal skin,nursing time and the cost of supplies.Results Seven RCTs involving 457 patients were included.The methodological quality of all studies was lower.The funnel plot showed asymmetry,indicating that there was publication bias.The results of meta-analyses showed that there was a significant difference between catheter drainage and traditional methods to nurse the patient with fecal incontinence.The catheter drainage was much better to reduce the complication of perianal skin[RR=0.22,95% CI(0.15,0.32),P0.01],nursing time [WMD=-5.13,95% CI(-8.02,-2.25),P0.01] and the cost of supplies[WMD=-33.87,95% CI(-47.17,-20.58),P0.01].Conclusion For the patient with fecal incontinence,the catheter drainage is better than traditional methods.But because of the low quality of the included trials,it is necessary to be verified in future by large-scale randomized controlled trials of higher quality.

Zhang Na

Papers

Effect of Catheter Drainage on Fecal Incontinence: A Meta-Analysis