Knowledge on Prevention of Pressure Ulcers Among Caregivers of Patients Receiving Home-based Palliative Care

Antony, Lovely; Thelly, Anu Savio

doi:10.25259/ijpc_84_2021

Cited by 5 publications

(4 citation statements)

References 8 publications

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“…As life expectancy increases, methods used for cancer treatment progress and the prognosis of cancer changes, patients now live longer and require palliative care as the disease progresses and the terminal period becomes longer (Antony et al, 2018; Wang et al, 2018). Palliative care is an approach that aims to prevent suffering and improve quality of life for the patients and their families experiencing problems arising from life-threatening disease through early diagnosis and evaluation of pain and other problems and meeting their physical, psychosocial and spiritual needs (World Health Organization [WHO], 2022).…”

Section: Introductıonmentioning

confidence: 99%

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The Effect of the Meditation Based Mandala Programme on Distress, Anxiety and Depression in the Caregivers of Cancer Patients in Palliative Care Unit

et al. 2023

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Mental health problems were found to be more common than physical health problems in cancer caregivers in palliative care units. This is a quasi-experimental study planned to determine the effect of the meditation based mandala programme on distress, anxiety and depression in caregivers of cancer patients in a palliative care unit. Planned as a single-group pre-test/post-test design, with a total of 11 caregivers. Data were collected with the Caregiver Diagnosis Form, Distress Thermometer, Beck Depression Inventory, and Beck Anxiety Inventory. Caregivers participated in the Meditation Based Mandala Programme once a week, which lasted 2 hours for 5 weeks. The distress, depression and anxiety levels of the patients were measured before the programme started and at the end of the programme. Meditation based mandala programme is effective in reducing the distress, depression and anxiety levels of caregivers of cancer patients in the palliative care unit.

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Section: Introductıonmentioning

confidence: 99%

“…Usually caught unprepared for this task (Guclu et al, 2018; Duran et al, 2019), caregivers neglect their own health and face many problems in the emotional, physical and economic aspects of life (Gultas & Yılmaz, 2017; Antony et al, 2018; Chua et al, 2020; Ramasamy et al, 2021).…”

Section: Introductıonmentioning

confidence: 99%

The Effect of the Meditation Based Mandala Programme on Distress, Anxiety and Depression in the Caregivers of Cancer Patients in Palliative Care Unit

et al. 2023

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“…Therefore, this knowledge is an essential requirement for caregivers 16 . A study in India found that half of the caregivers had poor knowledge of PU prevention 17 ; another study reported in Jordan showed that most caregivers had a relatively low level of knowledge about PU prevention 18 …”

Section: Introductionmentioning

confidence: 99%

A systematic review of caregivers' knowledge and related factors towards pressure ulcer prevention

Farzan

Yarali

Mollaei

et al. 2023

International Wound Journal

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This systematic review aimed to examine the knowledge of caregivers regarding pressure ulcer (PU) prevention. A thorough, methodical search was conducted from the earliest date to February 1, 2023 using keywords extracted from Medical Subject Headings such as “Caregivers”, “Knowledge”, and “Pressure ulcer” in various international electronic databases such as Scopus, PubMed, Web of Science, and Persian electronic databases such as Iranmedex and Scientific Information Database. The quality of the studies included in this systematic review was evaluated using an appraisal tool for cross‐sectional studies (AXIS tool). In total, 927 caregivers participated in the eight studies. The average age of the participants was 40.50 (SD = 12.67). Among the participants, 61.87% were women. The average caregiver's knowledge of PU prevention was 53.70 (SD = 14.09) out of 100, which suggests a moderate level of knowledge. Factors such as level of education, age, occupation, information about PUs, attitude, and practice had a significant positive relationship with caregivers' knowledge related to the prevention of PUs. Knowledge had a significantly negative relationship with age. In addition, marital status, type of relationship, age, gender, occupation, level of education, and inpatient wards had a significant relationship with caregivers' knowledge regarding PUs prevention. Therefore, managers and policymakers in the medical field can help increase caregivers' knowledge by providing an online or in‐person educational platform relevant to PU prevention.

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“…Assessment of knowledge among the caregivers revealed that 50% of them had poor knowledge, 40% had average knowledge, 10% had good knowledge and none had very poor or very good knowledge. [ 7 ] The situational analysis revealed no written guidelines for caregivers of palliative care patients on pressure ulcer prevention in the setting. It enables them to take measures to prevent pressure ulcer development among palliative care patients, thereby improving the quality of life of patients receiving home-based palliative care.…”

Section: Introductionmentioning

confidence: 99%

Evidence-based Clinical Practice Guidelines for Caregivers of Palliative Care Patients on the Prevention of Pressure Ulcer

Antony

Thelly

Mathew

2022

IJPC

Self Cite

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Objectives: Pressure ulcers are the most common condition among palliative care patients at home care facilities and impose a significant burden on patients, their relatives, and caregivers. Caregivers play a vital role in preventing pressure ulcers. When the caregivers are knowledgeable about preventing pressure ulcers, they will be able to avoid lots of discomfort for the patients. It will help the patient to achieve the best quality of life and spend the last days of life peacefully and comfortably with dignity. It is essential to develop evidence-based guidelines for caregivers of palliative care patients on pressure ulcer prevention, which may play a major role in preventing pressure ulcers. The primary objective is to implement evidence-based guidelines for caregivers of palliative care patients on pressure ulcer prevention.The secondary objective is to improve the knowledge and practice of caregivers and enable them to take measures to prevent pressure ulcer development among palliative care patients, thereby improving the quality of life of palliative care patients. Materials and Methods: Following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses), a systematic review was conducted. The search was conducted using electronic databases Pub Med, CINHAL, Cochrane and EMBASE database. The studies selected were in the English language and with free full text. The studies were selected and assessed for quality using the Cochrane risk assessment tool. Clinical practice guidelines, systematic reviews, and randomized controlled trials conducted on pressure ulcer prevention in palliative care patients were selected for the review. Twenty Eight studies were found to be potentially relevant after screening the search results. Twelve studies were not found suitable. 5 RCTs did not meet the inclusion criteria. Finally, four systematic reviews, five RCTs, and two clinical practice guidelines were included in the study, and guidelines were prepared. Results: Based on the best available research evidence, clinical practice guidelines were developed on skin assessment, skin care, repositioning, mobilization, nutrition, and hydration to prevent pressure ulcers to guide caregivers of palliative care patients. Conclusion: The evidence-based nursing practice integrates the best research evidence with clinical expertise and patient values. Evidence-based nursing practice leads to a problem-solving approach which is existing or anticipated. This will contribute to choosing appropriate preventive strategies for maintaining patients’ comfort, thereby improving the quality of life of palliative care patients. The guidelines were prepared through an extensive systematic review, RCT, and other guidelines followed in different settings and modified to suit the current setting.

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Knowledge on Prevention of Pressure Ulcers Among Caregivers of Patients Receiving Home-based Palliative Care

Cited by 5 publications

References 8 publications

The Effect of the Meditation Based Mandala Programme on Distress, Anxiety and Depression in the Caregivers of Cancer Patients in Palliative Care Unit

The Effect of the Meditation Based Mandala Programme on Distress, Anxiety and Depression in the Caregivers of Cancer Patients in Palliative Care Unit

A systematic review of caregivers' knowledge and related factors towards pressure ulcer prevention

Evidence-based Clinical Practice Guidelines for Caregivers of Palliative Care Patients on the Prevention of Pressure Ulcer

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