Journal of tissue viability最新文献

{"title":"Role understanding of the interprofessional team in promoting movement for pressure ulcer prevention: An ethnographic study","authors":"Johanna Dreier ,&nbsp;Sandra Staudacher-Preite ,&nbsp;Hannah Bosshart ,&nbsp;Sabine Hübsch ,&nbsp;Peter Suter ,&nbsp;Eva-Maria Panfil","doi":"10.1016/j.jtv.2025.100936","DOIUrl":"10.1016/j.jtv.2025.100936","url":null,"abstract":"<div><h3>Background</h3><div>Interprofessional movement promotion is a key measure for preventing pressure ulcers. Although international guidelines emphasize the importance of interprofessional collaboration, it remains unclear what specific roles different professional groups assume in movement promotion and how they collaborate in clinical practice. Therefore, this study aimed to investigate the implementation of interprofessional movement promotion as well as the understanding, roles, and expectations of the involved healthcare professionals.</div></div><div><h3>Methods</h3><div>As part of qualitative rapid ethnography, we observed the clinical practice of pressure ulcer prevention in an acute care hospital by using an observation guide, informal interviews, field notes, and memos. Using purposive sampling, we included patients at risk of pressure ulcers and the health professionals caring for them, including nurses, physiotherapists, and physicians. The data analysis was based on interpretive description.</div></div><div><h3>Results</h3><div>We observed 8 patients at risk of decubitus ulcers with relatives and 52 professionals from nursing, physiotherapy, and the medical profession during 30 observation sequences and a total of 80 h. We found uncertainties in the understanding of roles, responsibility for managing and controlling the process of movement promotion, and the involvement of patients and relatives. The involved professionals are convinced of the importance of interprofessional collaboration, but we did not observe corresponding implementation in practice.</div></div><div><h3>Conclusion</h3><div>The implementation of interprofessional movement promotion for pressure ulcer prevention in acute-care hospitals requires a binding, cross-hospital concept that defines the team composition, roles, and suitable communication channels to promote exchange.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100936"},"PeriodicalIF":2.4,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144656700","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 effect of core exercises on shoulder rotator strength, core endurance and suprasipinatus structure in tennis players with rotator cuff injuries","authors":"Emine Merve Ersever ,&nbsp;Bayram Goktas","doi":"10.1016/j.jtv.2025.100934","DOIUrl":"10.1016/j.jtv.2025.100934","url":null,"abstract":"<div><h3>Objective</h3><div>— Tennis is a demanding sport that requires proper physical conditioning to prevent injuries in players with rotator cuff issues. This study aims to evaluate the effects of an eight-week core exercise training program on pain, core endurance, rotator strength, and muscle architecture in rotator cuff tennis players.</div></div><div><h3>Materials and methods</h3><div>— The study group consisted of 41 subjects (22 women, 19 men) with a mean age of 42.06 ± 8.17. The core exercise group trained with core exercises in addition to routine training 3 times a week for 8 weeks; The control group only performed routine training 3 times a week for the same duration. Assessments of pain, muscle endurance, strength, and architecture were conducted before and after the 8-week intervention.</div></div><div><h3>Results</h3><div>— Data analysis revealed a significant improvement in the experimental group compared to the control group. This indicates a large effect size (p &lt; 0.05) in pain, muscle strength, endurance, and muscle architecture length (excluding pennation angle).</div></div><div><h3>Conclusions</h3><div>—The results of this study demonstrate that core exercise training is an effective method for reducing pain and improving functional outcomes in tennis players with rotator cuff lesions. Furthermore, the findings highlight the importance of targeted and comprehensive core stability training in minimizing the risk of re-injury.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100934"},"PeriodicalIF":2.4,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144581139","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":"Mapping the evidence to determine the influence of stress, anxiety, and depression on wound healing in patients with diabetes-related foot ulcers: A scoping review","authors":"Lujain Alasfour ,&nbsp;Ali Alboloushi ,&nbsp;Ellen Kirwan ,&nbsp;Caroline McIntosh ,&nbsp;Claire MacGilchrist ,&nbsp;Joanne E. Hurst","doi":"10.1016/j.jtv.2025.100935","DOIUrl":"10.1016/j.jtv.2025.100935","url":null,"abstract":"<div><h3>Introduction</h3><div>Diabetes-related foot ulcers (DFUs) are a severe complication of diabetes, affecting an estimated 6.3 % of individuals globally and significantly increasing healthcare burdens. Psychological factors such as stress, anxiety, and depression are common in DFU patients and are believed to impact wound healing through immune system disruptions and decreased self-care.</div></div><div><h3>Objective</h3><div>This scoping review evaluates current evidence on the influence of psychological distress on DFU healing, identifies research gaps, and underscores the importance of integrating mental health support in DFU management.</div></div><div><h3>Methods</h3><div>Following Joanna Briggs Institute guidelines and PRISMA-ScR reporting standards, a comprehensive literature search was conducted in MEDLINE, CINAHL, and PubMed. Studies with adult DFU patients reporting stress, anxiety, or depression and measurable wound outcomes were included.</div></div><div><h3>Results</h3><div>Ten studies were included, consistently demonstrating that psychological distress impairs DFU healing. Chronic stress was found to extend inflammation and weaken immune function, while anxiety and depression were associated with reduced self-care and directly impaired wound healing, further hindering recovery. These findings highlight the significant impact of psychological factors on the DFU healing process.</div></div><div><h3>Conclusion</h3><div>psychological distress, including stress, anxiety, and depression, may impair the healing process of diabetes-related foot ulcers (DFUs). However, the evidence is very low quality, making it difficult to draw definitive conclusions. This highlights the need for further high-quality research to clarify the role of mental health in DFU management.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100935"},"PeriodicalIF":2.4,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556916","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":"Dynamic microcirculation characteristics of plantar skin in response to life-like pressure in diabetes patients","authors":"Zhenming Zhang ,&nbsp;Xiaoyu Tang ,&nbsp;Xiaoming Zhu ,&nbsp;Zhaolin Teng ,&nbsp;Wen-Ming Chen ,&nbsp;Jian Yu ,&nbsp;Xin Sun ,&nbsp;Qiaoli Cui ,&nbsp;Xiang Geng ,&nbsp;Xin Ma","doi":"10.1016/j.jtv.2025.100933","DOIUrl":"10.1016/j.jtv.2025.100933","url":null,"abstract":"<div><div>Diabetic foot ulcer (DFU) is a severe complication of diabetes associated with high mortality. Elevated plantar pressure and impaired microcirculation are considered as primary contributions to DFU. The International Working Group of Diabetic Foot (IWGDF) has recommended an increase in the level of walking‐related weight‐bearing daily activity by an extra 1000 steps/day, but has not provided specific exercise prescription due to limited data on the relationship between pressure and plantar microcirculation. In this study, we aimed to figure out the influence of cyclic life-like pressure on plantar DFU formation from microcirculation perspective. 20 healthy young subjects, 20 healthy middle-aged and elderly subjects, and 20 diabetes patients were recruited. A novel technique was developed to measure real-time skin blood flow (SBF) under cyclic life-like plantar pressure stimulus at plantar 1st metatarsal head. The exerted plantar force was adjusted from 10N (127.3 kPa) to 40N (509.3 kPa), increasing in an increment of 5N (63.7 kPa). Post-load SBF was measured for comparison after each level of pressure. We found all levels of cyclic pressure significantly increased plantar immediate-load and post-load SBF. Furthermore, a pressure threshold emerged at which the increasing magnitude of immediate-load SBF began to diminish. This altered microcirculatory response may serve as a valuable marker for identifying DFU risk and inform precise exercise prescriptions for patients with diabetes.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100933"},"PeriodicalIF":2.4,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144632641","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 effect of topical insulin therapy on diabetic foot ulcers: A systematic review and meta-analysis","authors":"Shibei Hu ,&nbsp;Yan Gong ,&nbsp;Huiqi Zhang ,&nbsp;Xiujing Guo ,&nbsp;Peiyan Li","doi":"10.1016/j.jtv.2025.100932","DOIUrl":"10.1016/j.jtv.2025.100932","url":null,"abstract":"<div><h3>Aims</h3><div>To systematically analyze the effect of topical insulin therapy on diabetic foot ulcers and to offer guidance for clinical practice.</div></div><div><h3>Methods</h3><div>We conducted a quantitative systematic review of the study in 9 representative databases for the effect of topical insulin therapy on diabetic foot ulcers. Meta-analysis was performed with Review-Manager. 5.4. This study has been registered on the official Prospero website, and the registration code is CRD42024581466.</div></div><div><h3>Results</h3><div>Twelve studies involving 731 patients were included. The meta-analysis results showed that compared with conventional treatment, topical insulin therapy can reduce wound healing time (<em>P</em> &lt; 0.001), and wound area (<em>P</em> &lt; 0.001), inflammatory factors (serum interleukin-1, interleukin-6, tumor necrosis factor-α(<em>P</em> &lt; 0.001), advanced glycation end products (<em>P</em> &lt; 0.001). Additionally, it improved the degree of granulation tissue regeneration (<em>P</em> &lt; 0.001), microvascular density (<em>P</em> &lt; 0.001), vascular endothelial growth factor (<em>P</em> &lt; 0.001), and the expression of β-catenin in wound tissue (<em>P</em> &lt; 0.001). However, there was no statistically significant difference in fasting plasma glucose (<em>P</em> &gt; 0.05).</div></div><div><h3>Conclusion</h3><div>Topical insulin therapy is effective in promoting wound healing and reducing inflammation in DFU patients, but its impact on blood glucose control remains uncertain. Further, high-quality RCTs are needed to confirm these findings.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100932"},"PeriodicalIF":2.4,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144298688","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":"Effect of cuff pressure and protective padding material selection on the prevention of skin complications associated with pneumatic tourniquet application in upper extremity surgery: A randomized controlled clinical trial","authors":"Sevgi Vermisli Ciftci ,&nbsp;Zeki Gunsoy ,&nbsp;Fatma Demir Korkmaz","doi":"10.1016/j.jtv.2025.100931","DOIUrl":"10.1016/j.jtv.2025.100931","url":null,"abstract":"<div><h3>Purpose</h3><div>This study investigated the effect of cuff pressure and the selection of protective padding material (PPM) on the prevention of skin complications associated with pneumatic tourniquet (PT) application in upper extremity surgery.</div></div><div><h3>Methods</h3><div>This randomized controlled trial was conducted between October 2022 and September 2023 at the Hand Surgery Clinic of Bursa City Hospital. Standard tourniquet pressure (STP) or limb occlusion pressure (LOP) was applied as PT cuff pressure. Cotton pad (CP) or elastic stockinette (ES) was used for PPM under the cuff. Patients were categorized into four groups; (i) STP with a CP; (ii) STP with an ES; (iii) LOP with a CP; and (iv) LOP with an ES. Total of 200 patients were included in the study, with 50 patients in each group. Skin complications were evaluated postoperatively at 0, 30, and 180 min.</div></div><div><h3>Results</h3><div>Four different skin complications were observed: redness, tourniquet scar, petechiae, and bullae. Redness was higher at 0 min in the group with STP using a CP and at 30 min in the group with LOP using an ES. Tourniquet scar was less in the LOP using an ES at 0 and 30 min. Petechiae was more in the STP group with the CP than in the LOP group at 180 min. Bullae were more in the group with STP using a CP at 0, 30, and 180 min.</div></div><div><h3>Conclusion</h3><div>LOP for the purposes of cuff pressure and the use of an ES as a PPM are recommended to reduce skin complications associated with PT application.</div></div><div><h3>The CTRN</h3><div>2022–12/5(ClinicalTrials.gov).</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100931"},"PeriodicalIF":2.4,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144366938","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 health economic analysis of ‘A novel implementation of best evidence practice for incontinence-associated dermatitis’ (IMBED)","authors":"Michelle Cunich ,&nbsp;Michelle Barakat-Johnson ,&nbsp;Sheena Arora ,&nbsp;Jody Church ,&nbsp;Michelle Lai ,&nbsp;John Stephenson ,&nbsp;Shifa Basjarahil ,&nbsp;Jayne L. Campbell ,&nbsp;Gary Disher ,&nbsp;Samara Geering ,&nbsp;Natalie Ko ,&nbsp;Catherine Leahy ,&nbsp;Thomas Leong ,&nbsp;Eve McClure ,&nbsp;Melissa O'Grady ,&nbsp;Joan Walsh ,&nbsp;Kate White ,&nbsp;Fiona Coyer","doi":"10.1016/j.jtv.2025.100930","DOIUrl":"10.1016/j.jtv.2025.100930","url":null,"abstract":"<div><h3>Aim</h3><div>To assess resource usage and other outcomes of implementing a bundle of evidence-based, clinician-led incontinence-associated dermatitis interventions, ‘IMBED’ intervention.</div></div><div><h3>Methods</h3><div>Patients with incontinence recruited from 6 public hospitals in Australia in pre-intervention (1 February-31 March 2020) and post-intervention periods (1 May-30 June 2021). For the health economic study, nurses/research officers recorded resource usage for a random sample of incontinence care episodes each week.</div></div><div><h3>Results</h3><div>799 patients with incontinence (9645 incontinence care episodes). There were significant differences in the proportion of incontinence care episodes using specific product-types between the pre- and post-intervention groups, with the greatest increase for treatment/prevention products (55.2 % versus 82.8 %; p &lt; 0.001) and decrease for underpads/bed pads (28.5 % versus 12.9 %; p &lt; 0.001). There was a significant decrease in mean total product cost per incontinence care episode between these groups (AU$2.64 versus AU$2.35; p &lt; 0.001). There was a significant increase in mean staff cost per incontinence care episode between these groups (AU$9.65 versus AU$10.09; p = 0.001), driven by increases in the mean number of staff and time spent per episode. There was an increase in mean total cost per incontinence care episode (AU$0.15) between these groups but not significant (p = 0.344).</div></div><div><h3>Conclusion</h3><div>There was a significant decrease in mean total product cost per incontinence care episode in the intervention group. There was no significant change in mean total incontinence care cost per episode associated with the intervention, suggesting hospitals adopted IMBED with minimal extra expenses. There was streamlined resource usage and reductions in products not supported by evidence-based guidelines.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100930"},"PeriodicalIF":2.4,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144322244","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 role of digital health interventions in chronic ulcer management: a systematic review","authors":"Elise Stevenson ,&nbsp;Andrea Coda ,&nbsp;Ginger Chu ,&nbsp;Michael Bourke","doi":"10.1016/j.jtv.2025.100928","DOIUrl":"10.1016/j.jtv.2025.100928","url":null,"abstract":"","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100928"},"PeriodicalIF":2.4,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144146877","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 of systemic sclerosis on foot skin hydration: A case-control study","authors":"Alba Gracia-Sánchez ,&nbsp;Laura Cano-García ,&nbsp;Laura Ramos-Petersen ,&nbsp;Gabriel Gijón-Nogueron ,&nbsp;Sara Zúnica-García ,&nbsp;Esther Chicharro-Luna","doi":"10.1016/j.jtv.2025.100929","DOIUrl":"10.1016/j.jtv.2025.100929","url":null,"abstract":"<div><h3>Introduction</h3><div>Systemic sclerosis (SSc), or scleroderma, is a connective tissue disease characterized by excessive collagen production, leading to microvascular damage, fibrosis, and dysfunction of the skin and internal organs. The skin of the foot, due to its weight-bearing function and exposure to mechanical forces, may undergo alterations, contributing to the development of ulcers and other podiatric complications. However, little is known about foot skin hydration in patients with SSc. This study aims to assess the hydration level of the stratum corneum in the foot skin of patients with SSc.</div></div><div><h3>Materials and methods</h3><div>A case-control study was conducted at the Clinical Rheumatology Unit of the Regional University Hospital of Málaga (Spain). Participants included 47 patients diagnosed with SSc and 52 age- and sex-matched controls. Hydration measurements were performed at ten points on the foot using the Corneometer 825® device. Sociodemographic and clinical data, including smoking habits, were also collected.</div></div><div><h3>Results</h3><div>No significant differences were found in total foot hydration between the SSc and control groups (p = 0.254 for the right foot, p = 0.835 for the left foot), although a trend towards lower hydration was observed in the feet of affected patients. Differences were identified in specific areas of the foot, with lower hydration levels in the arch and the medial and lateral heel regions. In the medial arch of the right foot, the SSc group showed significantly lower hydration (p = 0.006). No significant associations were found with age, body mass index (BMI), physical activity, or water intake, but an association with smoking habits was observed in SSc patients; non-smokers had higher foot hydration levels compared to former and current smokers (p = 0.06).</div></div><div><h3>Conclusion</h3><div>Patients with systemic sclerosis present reduced hydration in specific areas of the foot, particularly in the medial arch. Smoking may negatively influence foot skin hydration. Further research is needed to explore these findings and their implications for podiatric care in patients with SSc.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100929"},"PeriodicalIF":2.4,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144203966","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 “Exploring physiological differences in injury response by skin tone: A scoping Review” [J Tissue Viabil (2025) 100871]","authors":"Pinar Avsar ,&nbsp;Zena Moore ,&nbsp;Declan Patton ,&nbsp;Tom O'Connor ,&nbsp;Lone Skoubo Bertelsen ,&nbsp;Desmond J. Tobin ,&nbsp;Giulio Brunetti ,&nbsp;Keryln Carville ,&nbsp;Vignesh Iyer ,&nbsp;Hannah Wilson","doi":"10.1016/j.jtv.2025.100896","DOIUrl":"10.1016/j.jtv.2025.100896","url":null,"abstract":"","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100896"},"PeriodicalIF":2.4,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005986","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}