Effect of family engagement level after family meeting on planned death in palliative care patients
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Abstract
Background and Objectives: One of the goals in palliative care is ensured patients pass away with their plan. Family Engagement (FE) arises from family meetings, which may influence the patient's end-of-life plan by fostering understanding between the family and team. Therefore, the objective of this study was to compare the proportions of planned death at each level of FE.
Design: Prognostic factor research with prospective observation cohort design
Materials and Methods: 48 pairs of relatives and cancer patients receiving palliative care participated in family meetings. Collected FE was divided into 3 levels (low-moderate-high).The primary outcome was planned death, and secondary was home death. Data were collected for confounder such as age, gender. The data were analyzed using Multivariable logistic regression and Gaussian regression, showing Adjusted Odds Ratios, and 95% Confidence Intervals. The low FE group served as the comparison group.
Results: From this study. The moderate FE group and the high FE group odds ratios of planned death compared to the low FE group were 0.09 (95% CI: 0.00, 1.3) and 0.03 (95% CI: 0.00, 1.01). Home death, the moderate FE group had a 1.12 fold (95% CI: 0.18, 7.18) higher odds of home death compared to the low FE group after adjusting variables.
Conclusion: Although no effect was found between family engagement level on planned death, A trend of relationship was observed with home death. Measuring the level of family engagement remains crucial and should be integrated into the family meeting process. Further studies are needed to explore the ongoing significance of family engagement in the caregiving process.
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