We conducted a meta-analysis to assess the effects of
bundle-care interventions on
pressure ulcers in patients with
stroke to provide a basis for clinical work. Randomised controlled trials on the effects of
bundle-care interventions in patients with
stroke were identified using computerised searches of the PubMed, Embase, Cochrane Library, Chinese National Knowledge Infrastructure, VIP and Wanfang databases, from the time of inception of each database to July 2023, supplemented by manual literature searches. Two researchers independently retrieved and screened the articles, extracted the data and evaluated the quality of the included studies. After reaching consensus, meta-analysis was performed using RevMan 5.4. Twenty-four papers were included, involving 3330 patients of whom 1679 were in the intervention group and 1651 were in the control group. The results showed that, compared with standard
care, bundle-care interventions significantly reduced the incidence of
pressure ulcers (3.28% vs. 14.84%, odds ratio [OR]: 0.19, 95% confidence interval [CI]: 0.14-0.26, p < 0.001), and aspiration (5.60% vs. 18.84%, OR: 0.25, 95% CI: 0.17-0.39, p < 0.001), and improved patient satisfaction with
nursing care (96.59% vs. 84.43%, OR. 5.45, 95% CI: 3.76-7.90, p < 0.001). Current evidence suggests that
care bundles are significantly better than conventional nursing measures in preventing
pressure ulcers and aspiration, and improving patient satisfaction with
nursing care in patients with
stroke, and are worthy of clinical promotion and application.