Conectar
This study sought to evaluate the perceptions of pressure injury (PI) management staff regarding skin failure (SF). Additionally, an analysis of influencing factors based on the collected data was conducted to establish a foundation for targeted SF training. A descriptive, cross-sectional survey was undertaken in October–November 2023, utilising a convenience sampling method involving selected management staff of PI from 16 provinces in China. A total of 501 nursing participants were included, exhibiting an overall perception level that was moderately low. Although the majority were aware of the possibility of SF (n = 417, 83.23%), only 60% reported an understanding of the fundamentals of SF, with the lowest level of comprehension observed in differentiating between SF and PI (n = 212, 42.31%). Overall attitudes were generally positive. Regarding behaviour, active learning was more prevalent (n = 340, 67.86%), but training is less (n = 287, 57.29%). Family education (n = 401, 80.04%) and nursing record monitoring (n = 426, 85.03%) demonstrated better behaviour. Further analysis revealed that training (t = 13.937, p < 0.001) and professional title (F = 4.681, p = 0.010) had a significant effect on participants' perceptions. These findings underscore that there remains a substantial lack of perception about SF amongst participants. Overall, participants exhibited a positive attitude towards SF, highlighting the need for future improvements in SF training.
This meta-analysis study aimed to assess the effectiveness of acupuncture in enhancing wound recovery in patients experiencing leukopenia following chemotherapy for malignant tumours. A comprehensive search was conducted to collect randomized controlled trials and observational studies focusing on leukopenia post-chemotherapy in malignant tumour patients. Data analysis was performed using Revman 5.3 software. Eleven articles were included, encompassing 957 patients. The meta-analysis revealed that, compared with control groups, patients receiving acupuncture showed a significantly higher total effectiveness rate (p < 0.05). Subgroup analysis indicated superior outcomes in groups receiving acupuncture combined with moxibustion (p < 0.05) and acupuncture combined with Western medicine (p < 0.05), with the former outperforming the latter. Notably, acupuncture was found to improve white blood cell (WBC) counts on 3rd, 7th, 14th, 21st and 28th days post-treatment, with significant differences compared with control groups. These improvements were time dependent and more pronounced than in control groups. Acupuncture demonstrated significant, time-dependent capability to enhance wound recovery in leukopenia following chemotherapy for malignant tumours. The combination of acupuncture and moxibustion was found to be more effective than acupuncture combined with Western medicine. This study highlighted the potential of acupuncture as a complementary therapy in managing chemotherapy-induced leukopenia, contributing positively to the wound healing process in cancer patients.
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