Journal of tissue viability最新文献

{"title":"Effectiveness of a standardized skin care protocol in reducing incontinence-associated dermatitis among critical care patients: A clinical investigation","authors":"Shimmaa Mohamed Elsayed ,&nbsp;Mohamed Mahmoud Seweid ,&nbsp;Samah Anwar ,&nbsp;Sameer A. Alkubati ,&nbsp;Sally Mohammed Farghaly Abdelaliem PhD, MSC, BSc, RN, FHEA ,&nbsp;Nermine Mohamed Elcokany","doi":"10.1016/j.jtv.2025.100924","DOIUrl":"10.1016/j.jtv.2025.100924","url":null,"abstract":"<div><h3>Background</h3><div>Incontinence-associated dermatitis (IAD) is a common yet preventable skin condition among critically ill patients. Implementing standardized skin care protocols may help reduce its incidence and severity.</div></div><div><h3>Aim</h3><div>This study aimed to investigate the effectiveness of implementing a standardized skin care protocol in preventing IAD among critically ill patients.</div></div><div><h3>Materials and methods</h3><div>A quasi-experimental research design adhering to the STROBE guidelines was used. The study was conducted in the intensive care units of a Governmental University Hospital, Egypt. A total of 100 adult critically ill patients were enrolled: 50 in the experimental group, who received the standardized skin care protocol, and 50 in the control group, who received routine skin care. Clinical and demographic data were collected. The study group followed the protocol for seven days. Two tools were used for data collection: Tool 1 involved demographic and clinical data, while Tool 2 included the Perineal Assessment Tool, the Incontinence-Associated Dermatitis Severity Instrument, and the Braden Scale for pressure ulcer risk assessment. Both groups were compared regarding the development of pressure ulcers, their locations, and the incidence of IAD.</div></div><div><h3>Results</h3><div>Application of the skin care protocol significantly reduced the incidence and severity of IAD in the study group compared to the control group. Significant predictors of increased risk for IAD included age, body mass index, fluid balance, and mean temperature (p ≤ 0.05). Serum albumin was not a significant predictor (p = 0.341).</div></div><div><h3>Conclusion</h3><div>Implementing a standardized skin care protocol effectively lowered the incidence and severity of IAD in critically ill patients and delayed its development. These findings highlight the importance of evidence-based skin care practices in intensive care settings.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100924"},"PeriodicalIF":2.4,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936069","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 ability of three pressure-ulcer prevention support-surfaces to maintain physiological transcutaneous gas tensions in the seated patient","authors":"Maegan Spiteri ,&nbsp;Alexandros Christou ,&nbsp;Colin Boyle ,&nbsp;Louise Savine ,&nbsp;Peter R. Worsley ,&nbsp;Spyros Masouros","doi":"10.1016/j.jtv.2025.100920","DOIUrl":"10.1016/j.jtv.2025.100920","url":null,"abstract":"<div><h3>Aims</h3><div>This study evaluates the effectiveness of three seating interventions—static foam (SF), alternating pressure (AP) cushion, and lateral pressure (LP) device—in reducing pressure ulcer (PU) risk among seated individuals by maintaining tissue perfusion levels in buttocks tissue.</div></div><div><h3>Methods</h3><div>Eight healthy participants were seated on each intervention for 30 min, followed by a 10-min standing recovery period. Transcutaneous tissue oxygen (TcPO₂) and carbon dioxide (TcPCO₂) were measured at the right ischial tuberosity to monitor tissue perfusion. Responses were recorded as a percentage change relative to each participant's unloaded baseline gas tensions and categorised into three levels of risk. Statistical analysis included paired, one-tailed t-tests to compare the impact of each seating intervention on transcutaneous gas tensions.</div></div><div><h3>Results</h3><div>Both AP and LP devices revealed a lower magnitude of ischemic carbon dioxide compared to the SF cushion, with mean TcPCO₂ increases of 13.8 % ± 12.0 % and 14.3 % ± 12.0 %, respectively, versus 96.5 % ± 106.5 % for SF. The corresponding TcPO₂ decrease was significantly less for AP (−29.2 % ± 15.7 %) and LP (−28.3 % ± 32.6 %) than for SF (−67.8 % ± 29.0 %). Participants spent significantly more time in the lowest risk category on the AP (17.5 min) and LP (18.2 min) devices than on the SF (2.2 min).</div></div><div><h3>Conclusion</h3><div>The AP and LP devices maintained favourable buttocks tissue perfusion more effectively compared to the SF, indicating their potential benefit in reducing PU risk for seated patients. These findings support the need for further research to confirm the efficacy of interventions across large sample sizes and longer durations.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100920"},"PeriodicalIF":2.4,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143932051","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 discourse on skin tone assessment: The how, the why, and the path toward equitable pressure ulcer prevention","authors":"Pinar Avsar,&nbsp;Zena Moore,&nbsp;Declan Patton,&nbsp;Hannah Wilson","doi":"10.1016/j.jtv.2025.100897","DOIUrl":"10.1016/j.jtv.2025.100897","url":null,"abstract":"","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 2","pages":"Article 100897"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143947271","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":"ADVERTISEMENT - JTV - CONFERENCE 2026 210X280MM","authors":"","doi":"10.1016/S0965-206X(25)00071-3","DOIUrl":"10.1016/S0965-206X(25)00071-3","url":null,"abstract":"","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 2","pages":"Article 100923"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143947272","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":"Exploration of current practice and context for the prevention and treatment of incontinence associated dermatitis for adults living in care homes and community settings: a qualitative study","authors":"Sue Woodward ,&nbsp;Tanya Graham ,&nbsp;Sangeeta Sooriah ,&nbsp;Christopher Chatterton ,&nbsp;Mandy Fader ,&nbsp;Joanne M. Fitzpatrick ,&nbsp;Hilary Gadd ,&nbsp;Ruth Harris ,&nbsp;Farzana Kausir ,&nbsp;Christine Norton ,&nbsp;Peter R. Worsley","doi":"10.1016/j.jtv.2025.100925","DOIUrl":"10.1016/j.jtv.2025.100925","url":null,"abstract":"<div><h3>Aims</h3><div>This study aimed to explore current practice and context for the prevention and treatment of incontinence associated dermatitis (IAD), identify challenges and solutions, current prevention and treatment strategies, and products used.</div></div><div><h3>Materials and methods</h3><div>Using a qualitative cross-sectional approach online focus groups were conducted with stakeholders including experts by experience of IAD (n = 5) and health/care professionals (n = 16). Verbatim transcripts were coded independently by two researchers and analysed using framework analysis.</div></div><div><h3>Results</h3><div>Four themes and two sub-themes were identified: (1) Impact of IAD: “significant” damage could occur in a short space of time; (2) Uncertainty, is it IAD? Correct diagnosis of IAD was challenging, especially in people with black skin. Uncertainty was underpinned by a lack of education and clear guidance on skin inspection. (3) Lack of resources (sub-themes human resources and product resources): Lack of human resources related to the number of staff available, deficiency of knowledgeable and skilled staff, and limited leadership. Lack of availability of pads was a challenge and carers reduced the number of pad changes to “conserve pads”; (4) Variation in practice, both for cleansing skin and applying a leave-on ‘barrier’ product.</div></div><div><h3>Conclusion</h3><div>Care for adults with incontinence to prevent and/or treat IAD is challenging in the social care sector. Wide variation in practice exists and there is a need for educational interventions in the sector, targeting an international and transient workforce.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100925"},"PeriodicalIF":2.4,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144090224","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":"Influences of enteral nutritional enriched with n-3 polyunsaturated fatty acids on postoperative wound infection following gastrointestinal surgery: A meta-analysis","authors":"Ming Zhang ,&nbsp;Hui-Juan Xiao ,&nbsp;Yue Li,&nbsp;Ping Zheng,&nbsp;Hua-Ying Yan","doi":"10.1016/j.jtv.2025.100919","DOIUrl":"10.1016/j.jtv.2025.100919","url":null,"abstract":"<div><h3>Background and aim</h3><div>Postoperative wound infections remain a significant challenge in gastrointestinal surgery, with substantial implications for prolonged hospital stays and healthcare costs. Immunonutrition with n-3 polyunsaturated fatty acids (PUFAs) offers potential preventive benefits through modulation of inflammatory responses. This study aimed to explore the impact of enteral nutritional enriched with n-3 PUFAs on wound infection in patients undergoing gastrointestinal surgery.</div></div><div><h3>Methods</h3><div>A thorough search was carried out, from databases to December 2023, across Cochrane Library, Embase, CNKI, Google Scholar, Wanfang, and PubMed on randomized controlled trials (RCTs) examining the impacts of enteral nutritional enriched with n-3 PUFAs for treatment of patients with gastrointestinal surgery. Two independent researchers conducted literature screening, data extraction, and quality assessments. The primary outcome measures were wound infection and complications. Statistical analysis was conducted in Stata 17.0 and RevMan 5.4 software.</div></div><div><h3>Results</h3><div>Fifteen RCTs involving 1442 patients who underwent gastrointestinal surgery were included. The analysis revealed the application of enteral nutritional enriched with n-3 PUFAs markedly decreased the occurrence of complications (odds ratio [OR] = 0.56, 95 % confidence intervals [CI]: 0.44–0.71, <em>P</em> &lt; 0.001) and wound infection (OR = 0.68, 95 %CI: 0.47–0.98, <em>P</em> = 0.04) in patients who underwent gastrointestinal surgery.</div></div><div><h3>Conclusions</h3><div>This study demonstrates that postoperative support with enteral nutritional enriched with n-3 PUFAs can effectively decrease the occurrence of wound infections and postoperative complications following gastrointestinal surgery. These findings suggest that n-3 PUFAs supplementation should be considered as a standard component of perioperative nutritional protocols to improve surgical outcomes in patients undergoing gastrointestinal procedures.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100919"},"PeriodicalIF":2.4,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143891457","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":"Healthcare workers' knowledge, attitudes, practices, and influencing factors in the prevention of medical device-related pressure injuries: A scoping review","authors":"Yanling Hu ,&nbsp;Hanmei Peng ,&nbsp;Xia Li ,&nbsp;Xuemei Guo ,&nbsp;Ying-Xin Li ,&nbsp;Xi Huang ,&nbsp;Ru Yang ,&nbsp;Zeyao Shi ,&nbsp;Yuan Li","doi":"10.1016/j.jtv.2025.100916","DOIUrl":"10.1016/j.jtv.2025.100916","url":null,"abstract":"<div><h3>Objectives</h3><div>Medical device-related pressure injuries (MDRPIs) represent a significant iatrogenic complication in healthcare settings. Healthcare workers' competency in device management is crucial for MDRPI prevention, yet evidence regarding their preventive knowledge, attitudes, and practices remains fragmented. This study aims to synthesize evidence on assessment methods, current status, and influencing factors of healthcare workers' knowledge, attitudes, and practices in MDRPI prevention.</div></div><div><h3>Methods</h3><div>A scoping review was conducted following the Arksey and O'Malley framework. We systematically searched Medline, Embase, Web of Science, Scopus, and CINAHL databases from inception to December 18, 2024. Studies were considered if they examined healthcare workers' knowledge, attitudes, practices, or influencing factors regarding MDRPI prevention. Two independent researchers performed study selection and data extraction, with narrative synthesis of findings.</div></div><div><h3>Results</h3><div>Analysis of 20 studies across nine countries revealed substantial methodological heterogeneity in assessment approaches. While healthcare workers maintained positive attitudes toward prevention, knowledge assessment identified significant deficits, particularly in MDRPI concepts, staging classification, and preventive measures. Practice implementation varies considerably, with notable gaps in device repositioning, protective dressing application, and prevention strategy documentation. Prevention competencies were significantly influenced by individual factors (e.g., age, education, clinical experience) and institutional characteristics (e.g., hospital grade, department type).</div></div><div><h3>Conclusions</h3><div>This review identified substantial heterogeneity in assessment methods for MDRPI prevention competencies. While healthcare workers demonstrated positive attitudes, significant knowledge deficits persisted, with practice implementation showing considerable variations. Prevention initiatives should focus on developing standardized assessment tools and implementing targeted educational interventions, while considering both individual and institutional factors that influence prevention competencies.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100916"},"PeriodicalIF":2.4,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143895241","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":"Cognition and quality of life in patients with a diabetes-related foot ulcer","authors":"Nada Bechara ,&nbsp;Fiona Hawke ,&nbsp;Jenny E. Gunton ,&nbsp;Peta Ellen Tehan","doi":"10.1016/j.jtv.2025.100913","DOIUrl":"10.1016/j.jtv.2025.100913","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to compare cognitive function and quality of life (QoL) in individuals with diabetes and a diabetes-related foot ulcer (DFU) to a control group with diabetes and no active foot ulceration.</div></div><div><h3>Materials &amp; methods</h3><div>A cross-sectional case-control study was conducted between December 2022 and August 2024. Forty-two adults with diabetes and an active DFU were compared to forty age- and sex-matched controls with diabetes but no DFU. Cognitive function was assessed using the Trail Making Test (TMT), and QoL was measured using the EuroQol EQ-5D-5L. Statistical analyses included Mann-Whitney U tests, logistic regression, and correlation analyses to evaluate differences and associations between cognitive function and QoL.</div></div><div><h3>Results</h3><div>Individuals with a DFU demonstrated significantly poorer cognitive function compared to controls, taking approximately twice as long to complete the TMT (p &lt; 0.001). Both rote memory (TMT-A) and executive functioning (TMT-B) were significantly impaired in the DFU group. QoL scores were also significantly lower in the DFU group (p = 0.005), with a notable association between cognitive impairment and reduced QoL (p = 0.01, r = −0.29). Logistic regression indicated that longer TMT completion time was associated with 4.13 increased odds of DFU (p &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Cognitive function is significantly impaired in individuals with DFU and is associated with poorer QoL. These findings highlight the need to integrate cognitive assessments into DFU management to optimise adherence and improve patient outcomes.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100913"},"PeriodicalIF":2.4,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143907904","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":"Concordance treatment continuum: A proposed clinical outcome to boost concordance with compression therapy","authors":"Chloe Jansz ,&nbsp;William McGuiness ,&nbsp;Sonja Cleary","doi":"10.1016/j.jtv.2025.100907","DOIUrl":"10.1016/j.jtv.2025.100907","url":null,"abstract":"<div><div>Research by MacGregor (2013)and shows that 1–3 % of the population experience chronic venous insufficiency (CVI). Among these individuals, 60–80 % develop venous leg ulcers (VLU), according to Nelson and Adderley (2016). However, patient adherence to compression therapy (CT)—the gold standard treatment for VLUs—remains low at 39.9 %, even for those whose ulcers have healed. This lack of concordance heightens the risk of ulcer recurrence (Erickson et al., 1995; Finlayson et al., 2014; Kapp et al., 2013), presenting a significant and costly challenge for healthcare systems (Smith &amp; McGuiness, 2010). Compression therapy works by enhancing venous return and reducing both venous pressure and stasis.</div><div>Two Delphi studies conducted revealed a combined 105 overall factors. Whilst clinicians and patients identified different factors that influence long term concordance, there was consensus around factors that contribute to comfort, motivation, access to health care, and clinician attributes. Further research is needed to combine these elements into a concise clinical guideline, a concordance treatment continuum, to assist both the clinician and patient to achieve long term concordance with CT, to improve clinical outcomes of VLU reoccurrence.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100907"},"PeriodicalIF":2.4,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143878459","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 systematic review and meta-analysis to investigate the effectiveness of exosome for diabetic wounds","authors":"Lan Chen,&nbsp;Jia Liu,&nbsp;Yaoyao He,&nbsp;Chongcong Zeng,&nbsp;Weixiang Liao,&nbsp;Chaoxi Luo","doi":"10.1016/j.jtv.2025.100917","DOIUrl":"10.1016/j.jtv.2025.100917","url":null,"abstract":"<div><h3>Aim</h3><div>Exosomes, small endosome-derived membrane vesicles, have shown significant potential as wound healing therapies. However, translating experimental research into commercially available treatments remains a challenge.</div></div><div><h3>Objectives</h3><div>This systematic review and meta-analysis provide a comprehensive evaluation of the current research on exosome-based wound healing therapies.</div></div><div><h3>Materials and methods</h3><div>A systematic search of PubMed and Google Scholar was conducted to identify full-text articles published between 2010 and February 2024 on mammalian-derived exosomes in wound healing. Of 138 identified studies, 19 met the inclusion criteria for meta-analysis.</div></div><div><h3>Results</h3><div>Exosome-based therapies were found to enhance wound healing by promoting angiogenesis, re-epithelialization, and collagen deposition while reducing scar formation. However, research in this area is highly variable, with differences in cell sources, biomaterials, and delivery methods.</div></div><div><h3>Conclusions</h3><div>Further comparative studies are needed to optimize cellular sources, delivery systems, and biomaterials. The reliance on rodent models remains a limitation, as progress toward large-scale testing and more advanced in vivo models has been slow. Addressing these challenges is crucial for the clinical translation of exosome-based therapies into scalable, commercially viable wound healing treatments.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100917"},"PeriodicalIF":2.4,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143891542","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}