Effect of family meetings on reducing the incidence of PI in patients with end-stage cancer
Objective To develop and evaluate the effects of a personalized skin management model for terminally ill cancer patients at high risk for Pressure Injuries(PI)using family meetings.Methods A total of 120 terminally ill cancer patients at high risk for PI,who met the inclusion criteria in department of oncology of a tertiary hospital from January 2022 to June 2023 were selected as study subjects and randomized into a control group and an experimental group,with 60 patients in each.The control group received routine skin care,while the experi-mental group developed a personalized skin management model through family meetings in addition to routine skin care.The effects of skin management and family satisfaction were compared between the two groups.Re-sults The incidence of PI in the experimental group(1.67%)was lower than that in the control group(13.33%).Scores on the pressure ulcer healing chart were lower in the experimental group,and the usage rates of local pressure-reducing cushions and pressure ulcer prevention mattresses(18.33%and 61.67%,re-spectively)were higher than those in the control group(5.00%and 36.67%,respectively),with statistically significant differences(P<0.05).The use rates of foam dressings were the same in both groups(3.33%),showing no significant difference(P>0.05).The degree of extreme satisfaction among family members of the experimental group(100.00%)was higher than that of the control group(91.67%),showing a statistically significant difference(P<0.05).Conclusion For terminally ill cancer patients at high risk for PI,using family meetings to create a personalized skin management model can reduce the incidence and severity of PI,increase the us-age rates of local pressure-reducing cushions and pressure ulcer prevention mattresses,and enhance family satisfaction.
End stage cancer patientsFamily meetingSkin managementPressure injury
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