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This meta-analysis systematically evaluates the impact of the enhanced recovery after surgery (ERAS) concept on surgical site wound infections and postoperative complications in gastric cancer patients. A comprehensive computerized search was conducted in PubMed, Embase, Google Scholar, Cochrane Library, China National Knowledge Infrastructure and Wanfang databases for randomized controlled trials (RCTs), from database inception to November 2023, exploring the application of the ERAS concept in the perioperative period of gastric cancer surgery. Two researchers independently screened the literature, extracted data, and conducted quality assessments based on inclusion and exclusion criteria. Data analysis was performed using Stata 17.0 software. A total of 24 RCTs involving 2050 gastric cancer patients were included. The analysis revealed a significantly lower incidence of wound infections (OR = 0.23, 95% CI: 0.14–0.40, p < 0.001) and postoperative complications (OR = 0.20, 95% CI: 0.15–0.27, p < 0.001) in the ERAS group compared to the standard care group. This study demonstrates that the application of the ERAS concept during the perioperative period in gastric cancer surgery can effectively reduce the occurrence of wound infections and complications, thereby facilitating postoperative recovery.
This meta-analysis systematically evaluates the impact of continuous nursing care interventions on wound infections and ulcerations in patients with diabetic foot. A comprehensive computerized search was conducted, from database inception to November 2023, in PubMed, Embase, Google Scholar, Cochrane Library, China National Knowledge Infrastructure, and Wanfang databases for randomized controlled trials (RCTs) examining the application of continuous nursing care in diabetic foot. Two researchers independently screened the literature, extracted data, and conducted quality assessments based on inclusion and exclusion criteria. Data analysis was performed using Stata 17.0 software. A total of 23 RCTs involving 1813 diabetic foot patients were included. The analysis revealed that, compared to standard care, the implementation of continuous nursing care significantly reduced the incidence of wound infections (OR = 0.22, 95% CI: 0.15–0.32, p < 0.001) and complications (OR = 0.19, 95% CI: 0.14–0.25, p < 0.001), as well as the occurrence of foot ulcers (OR = 0.21, 95% CI: 0.12–0.35, p < 0.001). This study demonstrates that the application of continuous nursing care in diabetic foot patients can effectively reduce the occurrence of wound infections, foot ulcers, and complications, thereby facilitating patient recovery.
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