Journal of tissue viability最新文献

{"title":"Knowledge, attitudes, and practices (KAP) of nurses towards wound cleansing: design and evaluation of measurement properties of a questionnaire","authors":"Erin M. Rajhathy ,&nbsp;Karin Falk-Brynhildsen ,&nbsp;Kevin Y. Woo ,&nbsp;Dimitri Beeckman","doi":"10.1016/j.jtv.2025.100967","DOIUrl":"10.1016/j.jtv.2025.100967","url":null,"abstract":"<div><h3>Background</h3><div>Wound cleansing is a fundamental component of chronic wound management; yet, high-quality evidence to guide practice is limited. Understanding nurses’ knowledge, attitudes, and practices (KAP) is essential, but no instrument with published evidence of acceptable measurement properties exists.</div></div><div><h3>Objective</h3><div>To develop a KAP questionnaire on wound cleansing for community nurses and evaluate its measurement properties.</div></div><div><h3>Methods</h3><div>A multi-phase study was conducted, including literature/consensus item generation; a two-round international Delphi process; pilot cognitive interviews; and field testing in Canada. Knowledge was assessed for item and construct validity; attitude for internal consistency (Cronbach's α); and all KAP items for stability using test-retest reliability.</div></div><div><h3>Results</h3><div>26 experts supported content relevance; feedback led to targeted revisions. Field testing involved 130 nurses (83.1 % homecare; &gt;80 % with ≥5 years of wound care experience). Several knowledge items were too easy (≥.90); none negatively discriminated. Exploratory principal components analysis of attitudes yielded three components (63 % of variance); internal consistency ranged from α = 0.41 to α = 0.76. In the subsample (n = 30), knowledge κ values ranged from slight/fair to substantial; some items showed ceiling effects (uniform responses, κ undefined). Attitude and practice item-level intraclass correlation coefficients varied (.07–.95), with several ≥.75 and others &lt;.60. Known-groups comparison supported higher knowledge among formally educated nurses.</div></div><div><h3>Conclusion</h3><div>Evidence supports content validity and a clarified attitudes structure; internal consistency and stability were acceptable for some elements but below the threshold for others. Future refinement and confirmatory testing are warranted.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"35 1","pages":"Article 100967"},"PeriodicalIF":2.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145578427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The mechanism by which negative pressure wound therapy promotes wound healing","authors":"Ying Zeng ,&nbsp;Jianjian Tu ,&nbsp;Jichao Qin","doi":"10.1016/j.jtv.2025.100982","DOIUrl":"10.1016/j.jtv.2025.100982","url":null,"abstract":"<div><div>Negative pressure wound therapy (NPWT) has demonstrated substantial advantages in a variety of clinical settings, including the management of acute and chronic wounds, open injuries with exposed bone, nerves, or tendons, and implant-associated infections in orthopedics. Although numerous studies have reported the beneficial effects of NPWT in controlling wound infections and infections related to orthopedic implants, the underlying molecular and cellular mechanisms remain incompletely understood and require further investigation. Given its widespread clinical use, a comprehensive understanding of the biological effects of NPWT is essential to ensuring its rational and optimized application in clinical practice. This review summarizes the potential mechanisms through which NPWT facilitates wound healing and provides insights to inform both clinical use and future research.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"35 1","pages":"Article 100982"},"PeriodicalIF":2.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145794254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic accuracy of artificial intelligence to identify diabetic foot ulcers: A systematic review and meta-analysis","authors":"Zhigang Chen ,&nbsp;Xinliang Liu ,&nbsp;Simeng Li ,&nbsp;Zhenheng Wu ,&nbsp;Haifen Tan ,&nbsp;Fuqian Yu ,&nbsp;Dongmei Wang ,&nbsp;Changhua Zhu ,&nbsp;Pengfei Lin","doi":"10.1016/j.jtv.2025.100975","DOIUrl":"10.1016/j.jtv.2025.100975","url":null,"abstract":"<div><h3>Background</h3><div>The accuracy of artificial intelligence (AI) in diagnosing diabetic foot ulcers (DFUs) in dermatology remains uncertain.</div></div><div><h3>Objective</h3><div>To summarize the diagnostic accuracy of AI for DFUs and to provide specific theoretical basis for clinical diagnosis.</div></div><div><h3>Methods</h3><div>From the inception of the database up to November 3, 2024, we performed an extensive search across several databases, including PubMed, Web of Science (WoS), Embase, Scopus, the Cochrane Library, Wanfang, and the China National Knowledge Infrastructure (CNKI). To assess the overall efficacy of AI in diagnostic testing, we utilized combined metrics of sensitivity, specificity, positive likelihood ratio (PLR), negative likelihood ratio (NLR), diagnostic odds ratio (DOR), and the area under the curve (AUC). Finally, we assessed the presence of publication bias using the Deeks' funnel plot asymmetry test.</div></div><div><h3>Results</h3><div>In this meta-analysis, a total of 16 references were identified. The summary diagnostic performance is as follows: sensitivity, 0.89 (95 % CI, 0.85–0.92); specificity, 0.93 (95 % CI, 0.90–0.95); PLR, 6.31 (95 % CI, 5.67–7.02); NLR, 0.14 (95 % CI, 0.12–0.15); DOR, 58.22 (95 % CI, 50.18–67.55); and AUC, 0.97 (95 % CI, 0.95–0.98). Subgroup analysis showed the best performance observed in studies with 300 to 1000 samples. Furthermore, the Fagan plot indicates an increase in post-test probability from 10 % pre-test to 59 % post-test.</div></div><div><h3>Conclusion</h3><div>In summary, our results suggest that AI has high accuracy in diagnosing DFUs.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"35 1","pages":"Article 100975"},"PeriodicalIF":2.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146053066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prognostic factors of pressure injury: a scoping review","authors":"Yuki Fukui ,&nbsp;Toshiaki Takahashi ,&nbsp;Mao Kunimitsu ,&nbsp;Miyako Muta ,&nbsp;Sotaro Shimada ,&nbsp;Gojiro Nakagami","doi":"10.1016/j.jtv.2026.100984","DOIUrl":"10.1016/j.jtv.2026.100984","url":null,"abstract":"<div><h3>Aim</h3><div>This scoping review aimed to comprehensively map prognostic factors of pressure injuries and to synthesize reported evidence on their predictive performance to identify research gaps.</div></div><div><h3>Materials and methods</h3><div>Studies published between January 2001 and April 2025 were identified from databases using the PRISMA-ScR methodology. Eligible articles investigated the prognostic factors for pressure injuries.</div></div><div><h3>Results</h3><div>A total of 54 studies were included. Outcome definitions varied and included complete healing, time to heal, changes in wound area or depth, and assessment tool scores. Predictive performance was evaluated in 18 studies; however, one reported an area under the curve of ≥0.9. Prognostic factors were categorized according to their acquisition methods: Category A, clinical chart data or questionnaires (age, mobility, and pressure injury depth and size were reported most frequently); Category B, medical imaging (thermographic temperature differences and ultrasonographic findings were reported most frequently); and Category C, biomarkers (biofilm was most frequently reported). One study showed that combining factors obtained through different methods—none individually associated with outcomes—yielded a statistically significant prognostic value. Nineteen studies distinguished between superficial and deep-pressure injuries.</div></div><div><h3>Conclusions</h3><div>This review provides a comprehensive overview of the prognostic factors and predictive performance for pressure injuries, highlighting key research gaps. Prognosis was broadly defined, underscoring the need for standardization, although prognostic factors could still be mapped by acquisition method. Predictive performance was generally limited, highlighting the need for improvement. Stratifying prognostic factors by wound characteristics, such as depth, and integrating those from multiple acquisition methods may help address these gaps.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"35 1","pages":"Article 100984"},"PeriodicalIF":2.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146090693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to Investigating UK packing practices for cavities resulting from the incision and drainage of perianal abscesses, a case for deimplementation? [Journal of Tissue Viability 2025 Nov;34(4):100965, doi: 10.1016/j.jtv.2025.100965]","authors":"J. Dumville ,&nbsp;K. Newton ,&nbsp;J. Mullings ,&nbsp;P. Wilson","doi":"10.1016/j.jtv.2025.100980","DOIUrl":"10.1016/j.jtv.2025.100980","url":null,"abstract":"","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"35 1","pages":"Article 100980"},"PeriodicalIF":2.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145751886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lessons from earth, reimagined for space: Why pressure ulcer science must follow us beyond the atmosphere","authors":"Dr. Pinar Avsar,&nbsp;Dr. Kerem Osman Cubuk,&nbsp;Tom O'Connor (Professor),&nbsp;Dr. Hannah Wilson,&nbsp;Declan Patton (Professor),&nbsp;Zena Moore (Professor)","doi":"10.1016/j.jtv.2025.100978","DOIUrl":"10.1016/j.jtv.2025.100978","url":null,"abstract":"","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"35 1","pages":"Article 100978"},"PeriodicalIF":2.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145800213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Be there or be square: Should we adopt non-rectangular dressing shapes in single-use negative pressure wound therapy?","authors":"Ofek Barzilay ,&nbsp;Amit Gefen","doi":"10.1016/j.jtv.2025.100977","DOIUrl":"10.1016/j.jtv.2025.100977","url":null,"abstract":"<div><h3>Background</h3><div>Single-use negative-pressure wound therapy (suNPWT) dressings for closed surgical incisions are predominantly rectangular, despite long-time evidence from biomechanics that sharp or small-radius corners generate localized stress concentrations in underlying tissues. Optimizing dressing geometry and stiffness distribution may reduce the peri-incisional stress concentrations and improve closure.</div></div><div><h3>Objectives</h3><div>To determine how dressing shape and regional stiffness variations influence the peri-wound skin stresses and stress concentrations and the incision closure biomechanics under a negative pressure level of −125 mmHg.</div></div><div><h3>Methods</h3><div>A validated three-dimensional finite element model of a sutured midline incision was developed. Five homogeneous dressing shapes (rectangular, circular, elliptical, stadium, and dome) of identical contact area and material properties were compared for reduction in peak lateral skin stresses (ΔS). The best-performing dressing shape underwent further testing in eight stiffness configurations (homogeneous, or with stiffer/softer peripheral regions in symmetric or axisymmetric patterns). The lateral displacement of the peri-wound skin was used as a measure for the closure work. A sensitivity analysis was conducted on chosen model variants for broader transferability and for exploring potential covariance between dressing shape and material properties.</div></div><div><h3>Results</h3><div>Among the homogeneous dressing shapes, the circular dressing achieved the greatest stress reduction (ΔS = 2.9 %) versus the rectangular control (0.9 %). In the circular form, incorporating a stiffer peripheral symmetric ring around a softer core improved performance (ΔS = 3.2 %) while maintaining substantial lateral displacement (3.35 mm), achieving an optimal combination of stress relief with closure assistance. A fully stiff homogeneous dressing maximized the ΔS (6.5 %) but provided negligible closure support, whereas a fully soft dressing behaved conversely. The sensitivity analysis did not change these quantitative rankings across the studied model variants.</div></div><div><h3>Conclusions</h3><div>Eliminating sharp or small-radius geometric discontinuities and tuning the regional stiffness can markedly attenuate peri-incisional stresses without compromising the contribution of the dressing to the closure work. Circular suNPWT dressings with a peripheral stiffer ring offer a biomechanically superior, manufacturable alternative to conventional rectangular designs, warranting further pre-clinical and clinical evaluations.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"35 1","pages":"Article 100977"},"PeriodicalIF":2.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145691413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of reducing the humidity of the incubator to improve the skin of premature infants with surgical wound","authors":"Dan Li ,&nbsp;Ruming Ye ,&nbsp;Nanxi Zhu ,&nbsp;Cuimin Su ,&nbsp;Deyi Zhuang ,&nbsp;Xianghui Huang","doi":"10.1016/j.jtv.2025.100953","DOIUrl":"10.1016/j.jtv.2025.100953","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Due to the fragile skin of preterm infants, the risk of postoperative incision infection is higher. Too high humidity in the incubator can affect the postoperative wound healing of premature infants. To explore the effect of reducing the environmental humidity in the incubator on the postoperative wound healing of premature infants, so as to provide more scientific and effective nursing strategies for premature infants.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;From January 2023 to March 2024, premature infants admitted to the SICU of Xiamen Children's Hospital in China after abdominal surgery were selected. According to the random number generated by the computer, all patients were randomly divided into the experimental group and the control group. The humidity of the incubator was set according to the gestational age and weight of the infants in the control group, and the humidity was reduced by 10 % on this basis in the experimental group. The number of colonies on the surface of incubator rubber ring, door handle and mattress were compared between the two groups before operation, 24 h and 7 days after operation. The scores of NSCS on the day before surgery, the 3rd and 8th day after operation, the number of colonies in the tip of nose, neck, umbilical region and perianal region, skin infection, skin healing were also compared. Body weight on the 1st and 2 nd week after operation, and urine volume on the 1st, 3rd and 7th day after operation were compared between the two groups.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;NSCS of the experimental group and the control group on the 8th day after operation were statistically different (&lt;em&gt;P&lt;/em&gt; &lt; 0.05). NSCS in experimental group on the 8th day after operation was smaller than that on the 1st day before operation, and the difference was statistically significant (&lt;em&gt;P&lt;/em&gt; &lt; 0.05). There were 2 cases of incision infection in the experimental group and 4 cases in the control group, all of which were limited to incision infection and did not involve deep tissues. The incision healing time of the experimental group was significantly shorter than that of the control group (&lt;em&gt;P&lt;/em&gt; &lt; 0.001). There was a significant difference in perianal bacterial load between the two groups on the third day after surgery (&lt;em&gt;P&lt;/em&gt; = 0.001). No bacteria were detected in the three parts of the incubator in the experimental group and the control group before operation. The number of bacterial colonies measured in the rubber ring of the experimental group was higher than that of the control group at 24h after operation, but the rest of the total number of bacterial colonies was lower than that of the control group, and the difference between the two groups at three different sites was especially significant at 7d after operation. The weight of children in both groups increased significantly within the first and second postoperative weeks, with statistically significant intra-group differ","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100953"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145206800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Infrared thermography for assessing skin temperature characteristics of postoperative blanching erythema and stage 1 pressure injuries","authors":"Ying Xu ,&nbsp;Min Xu ,&nbsp;Pan Huang ,&nbsp;Qianqian Zhu ,&nbsp;Xiaoqiong Jiang ,&nbsp;Fuman Cai","doi":"10.1016/j.jtv.2025.100963","DOIUrl":"10.1016/j.jtv.2025.100963","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the application of infrared thermography in assessing skin temperature characteristics of postoperative blanching erythema and Stage 1 pressure injuries in patients.</div></div><div><h3>Methods</h3><div>An observational study design was employed. We recruited 323 patients under general anesthesia who had an expected surgical duration exceeding 3 h and who experienced intraoperative sacral pressure. Infrared thermal images of the sacral region were captured, and skin assessments were conducted before entering the operating room, after admission to the post-anesthetic care unit, and daily for 3 days postoperatively.</div></div><div><h3>Results</h3><div>A total of 12 cases of Stage 1 pressure injuries and 81 cases of blanching erythema were identified. When the temperature in the affected area was elevated compared to the surrounding normal skin, Stage 1 pressure injuries demonstrated significantly higher ΔT values than blanching erythema (p = 0.001). When the temperature was reduced, the ΔT differences between Stage 1 pressure injuries and blanching erythema were not significant (p = 0.881). However, a higher proportion of Stage 1 pressure injury areas exhibited hypothermia (50 % vs. 8.6 %).</div></div><div><h3>Conclusion</h3><div>Postoperative blanching erythema and Stage 1 pressure injuries exhibit either warmer or cooler skin temperatures compared to adjacent normal skin. Compared to blanching erythema, Stage 1 pressure injuries are more likely to present with hypothermic areas or demonstrate more pronounced relative temperature increases in the affected regions.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100963"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145481982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving concordance with long-term compression therapy amongst people with venous ulceration: A Delphi study- clinician cohort","authors":"Chloe Jansz ,&nbsp;William McGuiness ,&nbsp;Sonja Cleary","doi":"10.1016/j.jtv.2025.100908","DOIUrl":"10.1016/j.jtv.2025.100908","url":null,"abstract":"<div><div>Research by Nelson and Adderley (2016)reveals that 60–80 % of individuals affected by chronic venous insufficiency (CVI) develop venous leg ulcers (VLU). The gold standard treatment for VLU is the application of compression therapy (CT), which promotes venous return, reduces venous pressure, and minimizes stasis (Bullock &amp; Manias, 2022). Patient concordance to CT is suboptimal, with only 40 % concordance, leading to a higher risk of VLU recurrence (Eri ckson et al., 1995; Fi nlayson et al., 2014; K app et al., 2013). This poses a significant and costly healthcare challenge (Smith &amp; McGuiness, 2010).</div><div>A Delphi study was conducted to ascertain the factors that influence concordance with CT using a clinician cohort. The study asked participants to rank factors that facilitated concordance and those that acted as barrier. Results revealed that clinicians identified 44 factors that facilitated concordance and 46 factors that acted as a barrier in the initial phase. The consensus level, measured by a Kendall W Coefficient, ranged from moderate to strong amongst the participants (Zanotti &amp; Chiffi, 2015).</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100908"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}