Effects of operating room nursing intervention on wound infection in patients undergoing ovarian cysts surgery: A meta-analysis.

ABSTRACT

We conducted this study aimed to explore the effect of operating room nursing intervention on wound infection in patients undergoing ovarian cysts surgery. A computer system was used to search PubMed, Web of Science, EMBASE, Cochrane Library, Wanfang, Chinese Biomedical Literature Database, and China National Knowledge Infrastructure databases, from database inception to October 2023, for randomised controlled trials (RCTs) on the application of operating room nursing intervention to ovarian cyst surgery. Literature that met the requirements was independently screened by two researchers, and data were extracted and assessed for literature quality. RevMan 5.4 software was applied for data analysis. Fifteen RCTs involving 1187 patients were finally included. The analyses revealed that, compared with routine nursing, the implementation of operating room nursing intervention had a significant advantage in reducing the incidence of wound infections (1.17% vs. 5.44%, odds ratio [OR] 0.30, 95% confidence interval [CI] 0.15-0.58, p = 0.0004) and postoperative complications (6.34% vs. 25.17%, OR 0.20, 95%CI 0.13-0.29, p < 0.00001), as well as being able to shorten the operative time (standardised mean difference [SMD] -3.93, 95%CI -5.67 to -2.20, p < 0.00001), hospital length of stay (SMD -2.54, 95%CI -3.19 to -1.89, p < 0.00001) and gastrointestinal recovery time (SMD -1.61, 95%CI -2.24 to -0.98, p < 0.00001) in patients undergoing ovarian cysts surgery. This study confirmed by meta-analysis that the operating room nursing intervention can significantly reduce the incidence of wound infection and complications, shorten the operative time, gastrointestinal recovery time, and hospital length of stay after ovarian cyst surgery.