RESUMO
Objective To assess the effectiveness of special body position comparing with regular nursing on the patients after the surgery for retinal detachment. Methods We searched seven electronic databases including Medline, EMBASE, Cochrane Library, Web of Science, CBM, CNKI and Wanfang. Two independent reviewers identified the eligible studies, extracted the data and evaluated the risk of bias of the included studies. We chose the random or fixed effect model to synthesize the data based on the result of the test of heterogeneity. Results We totally included ten studies with 946 patients. The methodological and reporting quality of the included studies was relatively low. Compared to the regular nursing, the special body position could reduce the re-incidence of retinal detachment again (RR=0.31, 95％CI: 0.16-0.60, P=0.0005), the total rate of postoperative complications (RR = 0.35,95％CI:0.28-0.44,P<0.01) and the specific complications such as corneal edema, palpebral edema, intraocular hypertension and pain of the operative eyes, the uncomfortable and unsatisfactory feeling caused by forcing body position (RR=0.51,95％CI:0.40-0.66,P<0.01;RR=0.15,95％CI:0.05-0.49,P=0.002, respectively), and promote the rehabilitation of vision (RR = 1.18,95％CI:1.01-1.37,P=0.0005). Conclusions The special body position comparing with regular nursing could apparently reduce the re-incidence of retinal detachment and postoperative complications and improve the rehabilitation of vision, comfortable and satisfactory of nursing.