Effect of clinical nursing pathways on transsphenoidal resection of pituitary adenoma：a Meta-analysis

Abstract

Objective To evaluate the application effect of clinical nursing pathways on transsphenoidal resection of pituitary adenoma patients by using the Meta-analysis.Methods Published randomized controlled trials（ RCT） in transsphenoidal resection of pituitary adenoma patients were searched and screened in CNKI , VIP,Wanfang database under present standards .The quality of the included studies which by certain standards was evaluated.The Revman 5.0 software was taken for analysis .Results Totally 5 studies including 258 cases were eligible to the criteria （129 inclinical nursing pathways group and 129 in the traditional group） together. The Meta-analysis showed there were significant difference between the clinical nursing pathway group and the traditional group in hospitalization days （ WMD =-4.03, 95%CI =-4.59 - -3.46, P 〈0.01 ）, hospitalization expenses（WMD=-3 848.35,95%CI=-4 601.94--3 094.76,P〈0.01）, rate of patients’ satisfaction（WMD=1.14,95%CI=1.04-1.25,P〈0.01 ）, rate of mastering knowledge of nursing pathway group（WMD=1.29,95%CI=1.13 -1.48,P〈0.01）.Conclusions Clinical nursing pathway is superior compared with the traditional group for patients undergoing transsphenoidal resection of pituitary adenoma . Key words: Clinical nursing pathway; Transsphenoidal resection of pituitary adenoma; Meta-analysis