Enhancing Quality of Palliative Home Care by Using the Nursing Innovative: A Pilot Study
Keywords:Palliative care, home-based care, nursing innovation, pressure injury
Introduction: Pressure injury is a complication which often occurs among patients in a palliative period. Therefore, to prevent pressure injury, pressure ulcer management is important because it lessen physical and mental suffering of the patients and their families as well as reducing the care-related burden of a family.
Research objectives: To examine the result of caring process by integrating the innovative turning bed. The average score of duration of pressure ulcer occurrence and level of opinions of patients' relatives towards the use of the care model were compared.
Research methodology: This study used a two-group quasi-experimental design. Forty patients receiving palliative care at home were assigned to experimental group (n=20) and control group (n=20). The experimental group received the caring process combined with the use of innovative electric turning bed. The control group received regularly care model. This study was conducted between August 2018 and December 2018. Data collection tool consisted of a general data record form and the pressure ulcer occurrence record form. Data were recorded to report number of ulcers, level of pressure ulcers, and date of pressure ulcer occurrence. The tool used to conduct the study was the palliative care model consisting of: 1) the usage of the innovative electric turning bed; and 2) weekly telephone calls for monitoring the symptom. Data were analyzed using descriptive statistics, and Mann-Whitney U test.
Results: In the experimental group using the care model, there was no pressure ulcer occurrence. This was significantly different from the control group receiving regular care whereby there was pressure ulcer occurrence accounting for 12 patients. Regarding opinions of patients’ relatives towards the use of the care model, they thought that the developed care model together with the innovative electric turning bed was efficient in preventing pressure ulcer occurrence, reducing workload and injuries of caregivers who were patients' relatives.
Conclusions: The result shows that the palliative care model integrated with the innovative electric turning bed was a practical tool to care for patients receiving palliative care at home. This might help to enhance quality of care among patients in this group.
Implications: This is a guideline to enhance caregivers’ capability in palliative care at home. Especially, it is for the prevention of pressure ulcers which will have many impacts on patients, family, and health system.
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