Journal of tissue viability最新文献

{"title":"The power of empathy: Enhancing healing outcomes in chronic wound care","authors":"Sebastian Probst ,&nbsp;Hayley Ryan ,&nbsp;Peta Tehan","doi":"10.1016/j.jtv.2025.100911","DOIUrl":"10.1016/j.jtv.2025.100911","url":null,"abstract":"<div><h3>Aim</h3><div>This study explores the impact of healthcare providers’ empathy on patients' healing outcomes and satisfaction in chronic wound care.</div></div><div><h3>Materials and methods</h3><div>A qualitative descriptive approach was used. Ten adults with chronic wounds were recruited through purposive sampling. Semi-structured interviews were conducted in January 2025, lasting an average of 37.1 min. Data were transcribed verbatim and analyzed thematically using Braun and Clarke's six-phase framework. Rigor was ensured through systematic coding, researcher triangulation, and adherence to COREQ guidelines.</div></div><div><h3>Results</h3><div>The analysis identified three central themes: (1) The need for person-centered and consistent care, emphasizing the importance of continuity in healthcare providers to reduce emotional exhaustion and improve adherence; (2) The emotional impact of empathy in wound care, demonstrating that empathetic communication raises trust, decreases pain perception, and enhances psychological resilience; and (3) The role of communication, trust, and cultural awareness, highlighting that clear explanations and cultural competence improve patient satisfaction and engagement. Participants who felt listened to and involved in decision-making reported better motivation and adherence to treatment.</div></div><div><h3>Conclusion</h3><div>Empathy is an important component of effective wound care, influencing healing outcomes, psychological well-being, and treatment adherence. Integrating empathy into clinical practice through continuity of care, shared decision-making, and cultural competence can improve patient satisfaction and overall wound management. Healthcare systems should prioritize training and policies that support empathy-driven, person-centered care.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100911"},"PeriodicalIF":2.4,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143873729","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":"Global perspective on the incidence, severity, and management of diaper dermatitis in neonates, infants, and young children","authors":"Ojisamola Jaiyeoba,&nbsp;Marty O. Visscher","doi":"10.1016/j.jtv.2025.100905","DOIUrl":"10.1016/j.jtv.2025.100905","url":null,"abstract":"<div><h3>Objective</h3><div>We aimed to determine the incidence and severity of diaper dermatitis (DD) among neonates, infants and young children and identify the most effective treatment strategies with a global perspective.</div></div><div><h3>Materials and methods</h3><div>We conducted a narrative review of literatures searches from PubMed, EMBASE, and SCOPUS, found 1996 citations, selected primary source papers on infants and children ≤36 months and critically reviewed reports on incidence, severity, and treatment.</div></div><div><h3>Results</h3><div>The analysis produced information on DD incidence and diaper skin care habits from 7500 subjects in 12 countries including extremely premature infants. Three studies suggested that dark-skinned infants had lower incidence and/or severity versus light-skinned subjects. Treatments were generally effective but varied somewhat in rate and/or extent of DD reduction. Variations in DD assessment methods, study design, and starting severity were limitations for comprehensive treatment comparison.</div></div><div><h3>Conclusions</h3><div>DD incidence is relatively high, ranging from 36 to 75 % in home and hospital settings, with severe cases from 1 to 24 %. The review suggests that treatments with “drying” processes or ingredients are promising strategies for improved outcomes. It highlights skin care practices that may reduce DD and prompts questions for future research to understand and manage conditions for optimum skin function in the diaper environment.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100905"},"PeriodicalIF":2.4,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143854751","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":"Healing beyond the surface: Empathy's role in chronic wound care a qualitative study","authors":"Sebastian Probst ,&nbsp;Shan Maree Bergin ,&nbsp;Peta Tehan","doi":"10.1016/j.jtv.2025.100910","DOIUrl":"10.1016/j.jtv.2025.100910","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to investigate health professionals’ perceptions of the impact of empathy on healing outcomes, patient satisfaction and delivery of wound care.</div></div><div><h3>Materials and methods</h3><div>A descriptive qualitative approach was used, employing semi-structured face-to-face interviews with 10 healthcare professionals specializing in wound care in Australia. Participants were purposively sampled, and interviews lasted between 22 and 47 min. Data collection concluded upon achieving saturation. Interviews were transcribed verbatim using CORV, a secured transcription tool, and analyzed using Braun and Clarke's six-phase thematic framework. Rigor was ensured by employing COREQ guidelines, triangulating data analysis, and including direct quotes for confirmability.</div></div><div><h3>Results</h3><div>Three key themes emerged: (1) Empathy as a Foundation for Trust, Engagement, and Collaboration where participants emphasized that empathy promotes trust, improves patient adherence, and aligns treatment goals. (2) The Dual Role of Empathy in Addressing Emotional and Physical Barriers to Healing where empathetic care alleviated psychological distress, built resilience, and improved adherence to care regimens. (3) Barriers and Facilitators to Empathy in Wound Care where time constraints, emotional fatigue, and cultural differences were identified as barriers, while mentorship, training, and supportive environments facilitated empathetic care.</div></div><div><h3>Conclusion</h3><div>Health professionals considered empathy to be a critical factor in enhancing patient satisfaction and supporting healing outcomes in wound care. By providing trust, addressing emotional barriers, and aligning care with patient needs, empathy plays a meaningful role in the care process. Additionally, addressing systemic barriers and thoughtfully integrating empathy training into clinical practice can contribute to improved outcomes in chronic wound management.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100910"},"PeriodicalIF":2.4,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869356","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":"Study on the correlation between SINBAD system score and wound pH value in diabetic foot sarcopenia","authors":"Wang Hui ,&nbsp;Yang Yaping ,&nbsp;Gong Liqing ,&nbsp;Mao Zhigang ,&nbsp;Peng yinbo ,&nbsp;Wang Jing","doi":"10.1016/j.jtv.2025.100915","DOIUrl":"10.1016/j.jtv.2025.100915","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To investigate the diagnostic value of the SINBAD system score combined with wound pH value in diabetic foot sarcopenia.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;This is a cross-sectional observational clinical study. From June 2023 to June 2024, diabetic foot patients attending the outpatient clinic of Shanghai Yangpu hospital were consecutively enrolled. Data collected included skeletal muscle index, grip strength, 6-m walking speed, SINBAD system classification, and wound pH value. Based on the diagnostic criteria of the European Working Group on Sarcopenia, patients were classified into three groups: Non-sarcopenia group, pre-sarcopenia group, and sarcopenia group. Between-group comparisons were made using one-way ANOVA, Kruskal-Wallis H test, or Chi-square test. Spearman's correlation analysis was used to assess the correlation between the SINBAD system score and sarcopenia-related indicators. Pearson's correlation analysis was employed to evaluate the correlation between wound pH and sarcopenia-related indicators. Binary logistic regression was performed to analyze the factors influencing sarcopenia in diabetic foot patients. The diagnostic value of the SINBAD system score combined with wound pH value in diabetic foot sarcopenia was assessed using receiver operating characteristic (ROC) curves.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;A total of 71 diabetic foot patients were enrolled. Of these, 29 were in the Non-sarcopenia group, 13 in the pre-sarcopenia group, and 29 in the sarcopenia group. Compared with the Non-sarcopenia group and pre-sarcopenia group, the sarcopenia group had significantly longer diabetes duration and diabetic foot disease duration (P &lt; 0.05). The sarcopenia group had lower grip strength compared to both the Non-sarcopenia group and pre-sarcopenia group (P &lt; 0.05). The skeletal muscle index (SMI) of the sarcopenia group was significantly lower than that of the Non-sarcopenia group and pre-sarcopenia group (P &lt; 0.05). Pearson correlation analysis showed that wound pH value was negatively correlated with SMI (r = −0.476, P &lt; 0.001) and grip strength (r = −0.478, P &lt; 0.05). Spearman correlation analysis revealed that the SINBAD system score was negatively correlated with SMI (r = −0.716, P &lt; 0.05) and grip strength (r = −0.666, P &lt; 0.05). Binary logistic regression analysis indicated that an increased wound pH value (OR = 29.126, 95 % CI 1.234–687.583) and higher SINBAD system score (OR = 5.271, 95 % CI 2.144–12.961) were significant factors influencing the presence of sarcopenia in diabetic foot patients. ROC curve analysis showed that the combination of wound pH value and SINBAD system score had a high diagnostic value for sarcopenia in diabetic foot patients, with an area under the curve (AUC) of 0.933.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;The wound pH value and SINBAD system score are associated with the occurrence of sarcopenia in diabetic foot patients and have diagnosti","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100915"},"PeriodicalIF":2.4,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143858990","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":"Unveiling the hidden pain and daily struggles of individuals with a venous leg ulcer: a thematic analysis","authors":"Sebastian Probst ,&nbsp;Elisabeth Schobinger ,&nbsp;Camille Saini ,&nbsp;Philip Larkin ,&nbsp;Paul Bobbink","doi":"10.1016/j.jtv.2025.100906","DOIUrl":"10.1016/j.jtv.2025.100906","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to explore the experiences of pain among individuals living with venous leg ulcers (VLUs), focusing on how pain was described, its impact on daily living, and the coping strategies employed by them.</div></div><div><h3>Materials and methods</h3><div>A secondary qualitative analysis was conducted using data from a previous study on VLU self-management following nurse-led patient education. The original study employed a constructivist grounded theory approach, while this secondary analysis utilized Braun and Clarke's thematic analysis methodology. Semi-structured interviews from 22 participants were analyzed to identify emergent themes related to pain. MAXQDA® software was used to ensure traceability of coding, and rigor was ensured through triangulation and reflexive memos.</div></div><div><h3>Results</h3><div>Three themes emerged: (1) Description of Wound-Related Pain where participants described pain as persistent, multifaceted, and often excruciating, using terms such as “burning” and “stinging.” Pain intensity varied across individuals, with some comparing it to childbirth. (2) Impact on Daily Living where pain considerably affected emotional well-being, mobility, social interactions, and sleep. Many participants experienced emotional exhaustion, frustration, and social isolation due to their condition. (3) Pain Management Strategies where participants used both pharmacological (e.g., paracetamol, tramadol) and non-pharmacological methods (e.g., leg elevation, self-hypnosis) for pain relief. The role of healthcare providers was essential, though some participants felt their pain was inadequately addressed.</div></div><div><h3>Conclusion</h3><div>VLU-associated pain is a prevalent and debilitating aspect of individuals' lives, impacting both physical and psychological health. Comprehensive pain management strategies that integrate both pharmacological and psychosocial approaches should be enhanced to improve patient outcomes.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100906"},"PeriodicalIF":2.4,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844922","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":"Impact on management performance outcomes of standardizing wound care using integrated care bundles – results of a retrospective analysis","authors":"Theresa Hurd ,&nbsp;Sophie Berry ,&nbsp;Julie Murdoch","doi":"10.1016/j.jtv.2025.100914","DOIUrl":"10.1016/j.jtv.2025.100914","url":null,"abstract":"<div><h3>Aim</h3><div>Integrated care bundles (ICBs) are interventions that used together synergistically improve care outcomes through standardized care pathways and can help to optimize healthcare expenditure. For wound care, ICBs may need to incorporate low or non-adherent dressings for patients with fragile and/or sensitive skin to help reduce the risk of damage. This retrospective analysis of real-world data assessed the impact on wound management outcomes of an ICB where a specific non-adhesive foam dressing was selected for patients with fragile skin and appropriate wound types.</div></div><div><h3>Method</h3><div>A comprehensive wound care program using ICBs was implemented and tracked using a real-time electronic database at two large healthcare organizations in Ontario, Canada (December 2015 to March 2018). Anonymized patient data were analyzed retrospectively.</div></div><div><h3>Results</h3><div>4421 patients with chronic wounds received an ICB including a non-adhesive foam dressing; 2242 patients did not receive an ICB. With use of the ICB including a non-adhesive foam dressing versus no ICB: mean Bates-Jensen Wound Assessment Tool (BWAT) Score was lower (27.4 vs 33.2); mean time to healing was shorter (12.7 vs 25.5 weeks) and mean time between dressing changes was longer (3.1 vs 1.9 days). Mean labor costs were lower with use of the ICB including a non-adhesive foam dressing (CAD 1766 vs 6488; p &lt; 0.05). No adverse events related to the non-adhesive foam dressing were reported and the overall safety profile improved with use of the ICB.</div></div><div><h3>Conclusion</h3><div>Implementing ICBs can help to improve wound management outcomes and reduce labor costs compared with non-standardized care without an ICB.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100914"},"PeriodicalIF":2.4,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838515","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":"Evaluating alternating pressure air mattress effectiveness through the measurement of skin redness and blood perfusion","authors":"Sukhveer Singh Sandhu ,&nbsp;Dawn L. Denny ,&nbsp;Rhoda A. Owens ,&nbsp;Kristi L. Jean ,&nbsp;Bo Liang ,&nbsp;MD Hasib Fakir ,&nbsp;Victor Moreno Lozano ,&nbsp;Mina Molani ,&nbsp;Mary Labuhn ,&nbsp;Charisse Vetsch ,&nbsp;Darlene Hanson ,&nbsp;Prakash Parthiban Selvakumar ,&nbsp;Pantea Tavakolian","doi":"10.1016/j.jtv.2025.100904","DOIUrl":"10.1016/j.jtv.2025.100904","url":null,"abstract":"<div><div>This study presents a unique method to evaluate the effectiveness of Alternating Pressure Air Mattresses (APAMs) in preventing Pressure Injuries (PIs). We employed a Laser Speckle Blood Flow and Tissue Oxygenation Imager with color image gathering capabilities by Moor Instruments to quantify skin redness and blood perfusion (flux) in a research study involving 29 healthy participants across three surgical support surfaces: foam, gel, and APAM.</div><div>The methodology combined multimodal imaging with image segmentation and thresholding techniques to correlate visible skin redness with the underlying microcirculatory changes in perfusion (flux).</div><div>The results showed that APAMs exhibited the most significant initial increase in redness compared to baseline but also demonstrated the faster dissipation of concentrated redness and recovery of blood perfusion (flux) after offloading. A strong correlation (r = 0.63, P &lt; 0.001) was observed between concentrated redness and blood flux for APAMs.</div><div>This approach goes beyond traditional incidence-based evaluations, providing insights into the dynamic tissue responses to different support surfaces. Our findings suggest that quantifying redness could be a practical and effective way to monitor individual patient responses to support surfaces, potentially leading to more personalized and effective PI prevention strategies.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100904"},"PeriodicalIF":2.4,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838512","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":"A discharge planning program to prevent infection among patients with diabetic foot ulcers in Taiwan: A randomized controlled trial study","authors":"Yen-Fan Chin ,&nbsp;Jiun-Ting Yeh ,&nbsp;Hsing-Yi Yu ,&nbsp;Brend Ray-Sea Hsu ,&nbsp;Yu-Jr Lin","doi":"10.1016/j.jtv.2025.100901","DOIUrl":"10.1016/j.jtv.2025.100901","url":null,"abstract":"<div><h3>Trial and protocol registration</h3><div>This study is registered with <span><span>ClinicalTrials.gov</span><svg><path></path></svg></span>, No. NCT04467606.</div></div><div><h3>Background</h3><div>Patients hospitalized for foot ulcers have a high readmission rate due to wound infections, and treating these infections is costly.</div></div><div><h3>Aims</h3><div>This study aimed to investigate the effect of a discharge planning program that uses a motivational interviewing strategy (MI) on infection prevention in patients with diabetes-related foot ulcers (DFUs).</div></div><div><h3>Methods</h3><div>A randomized controlled trial was conducted at a hospital in Taiwan from August 2020 to October 2022. A total of 132 hospitalized adult patients with DFUs were recruited and randomized into either MI or control group in a 1:1 ratio by block randomization, with 66 patients in each group. In the MI group, the interview was conducted at least one day before discharge, within three days after discharge, and then weekly for the first month and every one to three months thereafter. The control group received the usual care. The Diabetes Foot Self-Care Behavior Scale (DFSBS) and Diabetes-related Foot Ulcer Self-Management Behavior Scale (DFUSMB) were used to collect foot self-care and DFU self-management behaviors. Infectious status was determined according to the IWGDF/IDSA classification. Cox regression and generalized estimating equation (GEE) were used for data analysis.</div></div><div><h3>Results</h3><div>After adjusting for significant variables, the univariate Cox regression analysis results showed no statistically significant difference in foot infection or readmission rates between the two groups. In the GEE analysis, after adjusting for covariates, the results showed that the foot self-care behaviors of patients in the intervention group after discharge were better than those in the control group, reaching statistical significance. However, behaviors specific to DFU self-management were not statistically significant.</div></div><div><h3>Conclusions</h3><div>Although motivational interviewing has shown to be effective in promoting foot self-care behaviors, more research is needed on how to reduce post-discharge foot infections and hospitalizations.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100901"},"PeriodicalIF":2.4,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143864429","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":"Factors aggravating the stage of pressure injury in dyspneic patients","authors":"Jung Eun Hong ,&nbsp;Mi-Ock Shim ,&nbsp;Heejung Choi ,&nbsp;Yeongju Been ,&nbsp;Seungmi Park","doi":"10.1016/j.jtv.2025.100898","DOIUrl":"10.1016/j.jtv.2025.100898","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to identify the aggravating factors of pressure injuries and provide basic data for prevention and effective nursing interventions for patients with dyspnea.</div></div><div><h3>Materials and methods</h3><div>This secondary analysis using electronic medical records from patients with dyspnea who developed pressure injuries after admission to the general wards of five hospitals in Korea between March 2022 and May 2022. Data were collected using a standardized case report form to gather information on clinical characteristics and pressure injuries.</div></div><div><h3>Results</h3><div>The mean age of the 214 patients was 71.6 ± 10.99 years. Common comorbidities included diabetes mellitus (43.4 %) and cardiovascular diseases (21.5 %). Most patients (94.4 %) required oxygen therapy. At the time of pressure injury occurrence, the Braden scale scores ≤16 was 74.3 % at pressure injury occurrence. Pressure injuries were classified as stage 1 (25.5 %), stage 2 or higher (58.4 %), and unstageable (18.1 %). The multivariate analysis revealed that fecal incontinence (odds ratio [OR]: 0.12, 95 % confidence interval [CI]: 0.04–0.42), albumin ≥3.5 g/dl (OR: 0.57, 95 % CI: 0.34–0.95) and use of restraints (OR: 3.57, 95 % CI: 1.53–8.30) were significant predictive factors for advanced stage pressure injury.</div></div><div><h3>Conclusions</h3><div>This study identified fecal incontinence, albumin level, the use of restrains as a significant predictive factors for advanced stage pressure injury in dyspneic patients. These highlight the need for tailored preventive strategies and monitoring, particularly for patients requiring restraints, to reduce the incidence and severity of pressure injury in this population.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100898"},"PeriodicalIF":2.4,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143826458","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":"Pattern analysis of hospital nurses' knowledge, attitudes, and practices regarding incontinence-associated dermatitis","authors":"Weifang Xu ,&nbsp;Xujing Wu ,&nbsp;Shi Xu ,&nbsp;Yali Yan ,&nbsp;Chao Liu ,&nbsp;Yen-Ching Chuang ,&nbsp;Fuman Cai","doi":"10.1016/j.jtv.2025.100899","DOIUrl":"10.1016/j.jtv.2025.100899","url":null,"abstract":"<div><h3>Purpose</h3><div>To analyze hospital nurses' knowledge, attitudes, and practices regarding incontinence-associated dermatitis (KAP-IAD).</div></div><div><h3>Methods</h3><div>This study utilized responses from hospital nurses to the Knowledge, Attitudes, and Practices of Incontinence-Associated Dermatitis Questionnaire (KAP-IAD-Q). Three clustering methods, Hierarchical Clustering on Principal Components (HCPC), K-means, and Partitioning Around Medoids (PAM), were applied to analyze the correlations of KAP-IAD. A classification method was used to explain the underlying behavioral patterns behind these correlations.</div></div><div><h3>Results</h3><div>Two clusters were found to be most appropriate. Decision attributes (D) were generated for the KAP-IAD data using the three clustering methods: HCPC, K-means, and PAM. Three datasets with categorical labels were generated, and predictive models and decision rules were established for each dataset using the Rough Set (RS) method. The PAM method demonstrated the highest accuracy among the three datasets. After five rounds of stochastic modeling, 57 decision rules were generated. Additionally, patterns or rules with a support threshold of 50 or more, as discussed by domain experts, were considered the primary behaviors or rules.</div></div><div><h3>Conclusions</h3><div>Our study suggests clear decision rules for KAP-IAD nursing practice, which have been absent in previous research. The key variables and rules identified can serve as a guide for KAP-IAD nursing practice, as well as for recognizing the etiology, risk factors, and key influences of dermatitis associated with KAP-IAD in nursing practice. This study provides an important management approach for the prevention and treatment of incontinence-associated dermatitis.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100899"},"PeriodicalIF":2.4,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143826459","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}