{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T06:15:12Z","timestamp":1783318512915,"version":"3.54.6"},"reference-count":30,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"\n Background<\/jats:title>\n Patients with chronic difficult-to-heal traumatic tumours are prone to comorbid anxiety and depression. The clinical application of the cloud-based family engagement care model for these tumours remains under intensive investigation.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study sought to explore the impacts of the cloud-based family engagement care model on quality of life and mental health outcomes among patients with chronic difficult-to-heal traumatic tumours.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This is a retrospective observational controlled study. Data were collected from 60 patients diagnosed with chronic difficult-to-heal traumatic tumours who were admitted to our institution between January 2023 and December 2024. Participants were stratified into the usual care group (receiving standard clinical care) and the cloud-based family engagement care group (undergoing cloud-facilitated follow-up integrated with family-participated care). After propensity score matching (PSM), 25 patients were included in each group. Primary outcome measures encompassed total scores of the Hospital Anxiety and Depression Scale (HADS) and pain intensity evaluated via the Visual Analog Scale (VAS). Secondary outcomes included the 36-Item Short Form Health Survey (SF-36) scores, wound healing duration, wound contraction rate, exudate severity, odor intensity, and sleep quality.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Following PSM, the baseline characteristics of the two groups were balanced and comparable (all P&gt;0.05). Patients in the cloud-based family engagement care group demonstrated substantially better performance in quality of life-related indicators, and wound contraction rate compared with those in the usual care group (all P&lt;0.05). Additionally, the cloud-based family engagement care group exhibited notably lower HADS anxiety scores, HADS depression scores, VAS pain scores, shorter wound healing time, milder wound exudate, less prominent wound odor, and improved sleep quality relative to the usual care group (all P&lt;0.05).<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Compared with usual care, the cloud-based family engagement care model significantly improves quality of life and mental health in these patients, showing great potential for clinical application and promotion.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1805462","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T05:37:30Z","timestamp":1783316250000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of the effectiveness of the model of family participatory care based on cloud follow-up in enhancing the quality of life and psychological well-being of patients with chronic difficult-to-heal traumatic tumours"],"prefix":"10.3389","volume":"14","author":[{"given":"Dan","family":"Wang","sequence":"first","affiliation":[{"name":"Outpatient Department, The Fifth Affiliated Hospital, Southern Medical University","place":["Guangzhou, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fengge","family":"Wang","sequence":"additional","affiliation":[{"name":"Emergency Medicine Department, The Fifth Affiliated Hospital, Southern Medical University","place":["Guangzhou, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin","family":"Wang","sequence":"additional","affiliation":[{"name":"Guangzhou Conghua District Aotou Town Central Health Center","place":["Guangzhou, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanling","family":"Chen","sequence":"additional","affiliation":[{"name":"Outpatient Department, The Fifth Affiliated Hospital, Southern Medical University","place":["Guangzhou, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saiqiong","family":"Zhong","sequence":"additional","affiliation":[{"name":"Nursing Department, The Fifth Affiliated Hospital, Southern Medical University","place":["Guangzhou, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiurong","family":"Pan","sequence":"additional","affiliation":[{"name":"Outpatient Department, The Fifth Affiliated Hospital, Southern Medical University","place":["Guangzhou, Guangdong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,6]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"101375","DOI":"10.1016\/j.mtbio.2024.101375","article-title":"Emerging advances in drug delivery systems (DDSs) for optimizing cancer 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