In-hospital nursing care intervention increasing the effect of vacuum sealing drainage on wound healing: A meta-analysis

Abstract

Vacuum sealing drainage (VSD) could effectively drain superficial wounds and deep tissues, which is beneficial for wound healing. More incentives in nursing care to improve the therapeutic effect of VSD on wound healing were further investigated. Different databases were retrieved for full-text publications about the comparison between intervention nursing care and regular nursing care. Heterogeneity was detected by I2 method, and a random-effect model was applied for data pooling if there existed heterogeneity. Publication bias was analysed by a funnel plot. Eight studies with 762 patients were included for final meta-analysis. In the nursing care intervention group, shorter hospital stay duration (pooled SMD = −2.602, 95% confidence interval: −4.052–−1.151), shorter wound healing time (pooled SMD = −1.105, 95% confidence interval: −1.857–−0.353), lower pain score (pooled SMD = −2.490, 95% confidence interval: −3.521–−1.458), lower drainage tube blocked rate (pooled RR = 0.361, 95% confidence interval: 0.268–0.486), and higher nursing satisfaction (pooled RR = 1.164, 95% confidence interval: 1.095–1.237) was confirmed. More active and incentive nursing care could significantly improve the therapeutic effect of VSD on wound healing, in terms of hospitalisation time, wound healing time, painful symptoms, drainage tube blockage, and nursing satisfaction.