Journal of tissue viability最新文献

{"title":"Cultural adaptation and validation of the Ghent global IAD monitoring tool (GLOBIAD-M) for Brazilian Portuguese.","authors":"Laís Del'Moro Cespedes Wojastyk, Dimitri Beeckman, Vera Lúcia Conceição Gouveia Santos","doi":"10.1016/j.jtv.2024.08.003","DOIUrl":"10.1016/j.jtv.2024.08.003","url":null,"abstract":"<p><strong>Background: </strong>Incontinence-associated dermatitis (IAD) poses a significant challenge for individuals experiencing incontinence, characterized by irritative contact dermatitis due to prolonged exposure to urine and/or faeces.</p><p><strong>Objective: </strong>This study aimed to culturally adapt the Ghent Global IAD Monitoring Tool - GLOBIAD-M to Brazilian Portuguese and to assess the adapted version's measurement properties quality.</p><p><strong>Method: </strong>A clinimetric study was conducted, comprising cultural adaptation and psychometric assessment. Cultural adaptation followed international guidelines, while psychometric properties were evaluated for content validity, inter-rater reliability, and correlation with other variables (thermography). Inter-rater reliability was assessed through clinical and photographic evaluations. The study samples included linguists and, IAD specialists, nurses, and adult patients with IAD according to the cultural adaptation or psychometric evidence assessment.</p><p><strong>Result: </strong>The process of cultural adaptation resulted in a cumulative coefficient of variation ratio (CVR) of 0.66. Subsequently, the study included 57 patients and 57 nurses for clinical assessments, totalling 166 evaluations of IAD. The inter-rater reliability among nurses was deemed satisfactory, with a Gwet coefficient of 0.77. Moreover, out of 215 photographic assessments conducted by 54 nurses, there was a 92.1 % concurrence in the categorization of IAD. Furthermore, thermography analysis revealed significant temperature differences between healthy individuals and those with IAD, particularly in patients categorized under IAD Cat. 1B, showing a difference of 1.90 °C.</p><p><strong>Conclusion: </strong>and Impact on Clinical Practice: The results confirm the availability of the GLOBIAD-M in its Brazilian Portuguese version. This tool will allow health professionals to obtain a standardized IAD classification and monitoring in Brazil, enhancing its diagnostic accuracy and aiding clinical decision-making.</p>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":" ","pages":"871-876"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142126086","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 pilot study for testing feasibility and preliminary influence of early intervention using text messaging for pressure ulcer prevention in individuals with spinal cord injury.","authors":"Liang Q Liu, Rachel Deegan, Hester Dunne, Sarah L Knight, Helen T Allan, Angela Gall","doi":"10.1016/j.jtv.2024.06.013","DOIUrl":"10.1016/j.jtv.2024.06.013","url":null,"abstract":"<p><strong>Background: </strong>This pilot study assessed text messaging as an early intervention for preventing pressure ulcers (PrUs) in individuals with spinal cord injury (SCI) post-hospital discharge.</p><p><strong>Method: </strong>Thirty-nine wheelchair-users discharged after acquiring a SCI, underwent randomisation into an intervention group (n = 20) with text messages and a control group (n = 19). All participants received standard post-discharge care and completed a skincare questionnaire before and 6-month after discharge. Primary outcomes included feasibility and acceptability of early intervention using text messaging, alongside performance, concordance, and attitudes toward skincare. Secondary outcomes measured perception and the incidence of PrUs.</p><p><strong>Results: </strong>Baseline demographics were comparable between the intervention and control groups. Eight of 20 participants completed 6-month follow-up questionnaires in the intervention group, six participants completed the 6-month questionnaires in the control group,. Participants expressed high satisfaction with text messages, understanding of content, and increased confidence in preventing PrUs. At 6-month post-discharge, the intervention group showed improved prevention practices, heightened awareness of PrU risks, and increased perceived importance of prevention, which were not observed in the control group. However, there were no significant differences in PrU incidence, possibly due to the small sample size and short follow-up.</p><p><strong>Conclusion: </strong>The study demonstrates that using text messaging as an early intervention for PrU prevention in individuals with SCI is feasible and well-received. Preliminary results suggest a positive impact on participants' attitudes and practices, indicating the potential of text messaging to reduce PrU incidence. However, further research with larger samples and extended follow-up is crucial to validate these promising initial findings.</p>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":" ","pages":"666-671"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141534697","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":"Nurse knowledge, attitudes, and barriers to pressure injuries: A cross-sectional study in an Australian metropolitan teaching hospital.","authors":"Linda Coventry, Amanda Towell-Barnard, Joelle Winderbaum, Nicole Walsh, Mark Jenkins, Dimitri Beeckman","doi":"10.1016/j.jtv.2024.10.003","DOIUrl":"10.1016/j.jtv.2024.10.003","url":null,"abstract":"<p><strong>Background: </strong>Pressure injuries are associated with significant clinical complications with negative effects on the patient's emotional, psychological, social and physical wellbeing. However, in Australia little is known about the knowledge and attitudes of nurses towards hospital-acquired pressure injuries.</p><p><strong>Objective: </strong>To determine nurse knowledge and attitudes towards hospital-acquired pressure injuries and to identify barriers towards prevention.</p><p><strong>Methods: </strong>A cross-sectional study following the STROBE statement was conducted between May to July in 2017. All nurses at a major metropolitan teaching hospital in Western Australia were invited to participate. Nurse knowledge and attitude to pressure injury were assessed using validated Pressure Ulcer Knowledge Assessment tool, and Attitude towards Pressure Ulcer Prevention tool. An open-ended question asked about the barriers to pressure injury prevention. Quantitative data were analysed using descriptive and inferential statistics and answers for the open-ended question were analysed using thematic analysis.</p><p><strong>Results: </strong>Data from 224 nurses (response rate 19.0 %) were analysed. While nurses displayed a satisfactory attitude towards hospital-acquired pressure injury prevention, most nurses lacked adequate knowledge of the stages, causes and prevention of pressure injuries. Thematic analysis of responses to the open-ended question yielded two main themes: modifiable barriers to pressure injury prevention were lack of knowledge, attitude of pressure injury prevention and the scarcity of resources. Non-modifiable barriers to pressure injury prevention were the nursing environment and patient characteristics.</p><p><strong>Conclusion: </strong>Most nurses have satisfactory attitude towards pressure injury prevention, but inadequate knowledge about pressure injuries. Barriers to pressure injury prevention are attributed to nurse working environments, particularly impeded by staffing, time constraints and resources.</p>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":" ","pages":"792-801"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502892","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":"Prevalence and incidence of skin tear in older adults：A systematic review and meta-analysis.","authors":"Shenbi Yang, Xiaoli Liang, Jian She, Jing Tian, Zhifei Wen, Yanmin Tao, Hongyan Wang, Xiangeng Zhang","doi":"10.1016/j.jtv.2024.06.010","DOIUrl":"10.1016/j.jtv.2024.06.010","url":null,"abstract":"<p><strong>Background: </strong>Skin tear (ST) is a public health problem in older adults; they substantially increase the risk of complications and cause serious adverse consequences and health care burden.</p><p><strong>Aim: </strong>To estimate the pooled prevalence and incidence of ST among older adults.</p><p><strong>Methods: </strong>Ten databases were systematically searched from their inception to July 27, 2023. Two researchers performed a systematic review independently according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. All inconsistencies were resolved by a principal researcher. The pooled prevalence and incidence of ST were estimated in R 4.3.1 program.</p><p><strong>Results: </strong>Thirteen studies were included in this review. The pooled prevalence of ST was 6.0 % (95 % confidence interval (CI): 3.0%-11.0 %, I² = 98 %), and the pooled incidence was 11.0 % (95 % CI: 5.0%-19.0 %, I² = 94 %). The prevalence of ST was 11.0 % (95 % CI: 5.0%-19.0 %, I² = 95 %) in long-term care facilities, 5.0 % (95 % CI: 3.0%-9.0 %, I² = 86 %) in Europe, and 7.0 % (95 % CI: 1.0%-16.0 %, I² = 82 %) in the Skin Tear Audit Research classification system (STAR). It has stabilized at 6.0 % since 2021. The incidence of ST was 15.0 % (95 % CI: 11.0%-20.0 %, I² = 66 %) in long-term care facilities in Japan and 4.0 % (95 % CI: 2.0%-6.0 %) in Canada.</p><p><strong>Conclusions: </strong>Older adults are at a high risk for ST. Our findings emphasize the importance of epidemiologic studies and further exploring assessment tools for ST. Healthcare professionals should pay attention to ST, identify high-risk individuals and associated factors, and implement targeted prevention strategies for older adults.</p>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":" ","pages":"1017-1024"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141544981","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 impact of machine learning on the prediction of diabetic foot ulcers - A systematic review.","authors":"Teagan Weatherall, Pinar Avsar, Linda Nugent, Zena Moore, John H McDermott, Seamus Sreenan, Hannah Wilson, Natalie L McEvoy, Rosemarie Derwin, Paul Chadwick, Declan Patton","doi":"10.1016/j.jtv.2024.07.004","DOIUrl":"10.1016/j.jtv.2024.07.004","url":null,"abstract":"<p><strong>Introduction: </strong>Globally, diabetes mellitus poses a significant health challenge as well as the associated complications of diabetes, such as diabetic foot ulcers (DFUs). The early detection of DFUs is important in the healing process and machine learning may be able to help inform clinical staff during the treatment process.</p><p><strong>Methods: </strong>A PRISMA-informed search of the literature was completed via the Cochrane Library and MEDLINE (OVID), EMBASE, CINAHL Plus and Scopus databases for reports published in English and in the last ten years. The primary outcome of interest was the impact of machine learning on the prediction of DFUs. The secondary outcome was the statistical performance measures reported. Data were extracted using a predesigned data extraction tool. Quality appraisal was undertaken using the evidence-based librarianship critical appraisal tool.</p><p><strong>Results: </strong>A total of 18 reports met the inclusion criteria. Nine reports proposed models to identify two classes, either healthy skin or a DFU. Nine reports proposed models to predict the progress of DFUs, for example, classing infection versus non-infection, or using wound characteristics to predict healing. A variety of machine learning techniques were proposed. Where reported, sensitivity = 74.53-98 %, accuracy = 64.6-99.32 %, precision = 62.9-99 %, and the F-measure = 52.05-99.0 %.</p><p><strong>Conclusions: </strong>A variety of machine learning models were suggested to successfully classify DFUs from healthy skin, or to inform the prediction of DFUs. The proposed machine learning models may have the potential to inform the clinical practice of managing DFUs and may help to improve outcomes for individuals with DFUs. Future research may benefit from the development of a standard device and algorithm that detects, diagnoses and predicts the progress of DFUs.</p>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":" ","pages":"853-863"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141633795","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":"Use of a mobile application to monitor drain sites and surgical wounds after discharge from acute care - A feasibility study in Singapore.","authors":"Siew Huang Chua, Darshini Devi Rajasegeran, Nanthakumahrie Gunasegaran, Peijin Esther Monica Fan, Mei Dong, Fiona Aisis Oo, Saraswathi Nagalingam, Teng Teng Lee, Li Juan Krismaine Ng, Shi Ling Bernice Yong, Yi Zhen Ng, Shin Yuh Ang, Fazila Aloweni","doi":"10.1016/j.jtv.2024.05.011","DOIUrl":"10.1016/j.jtv.2024.05.011","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to demonstrate the compliance, feasibility, and acceptability of telehealth monitoring among surgical patients discharged with wounds or drains.</p><p><strong>Methodology: </strong>This is a cross-sectional feasibility study. Post-surgical breast, plastic, and hepatobiliary patients with wounds and/or surgical drains were recruited using convenience sampling. The control group received conventional care which consisted of daily telephone follow-up. The intervention group used a mobile wound application to take wound and drain images, report drainage amount and symptoms. Compliance was assessed by measuring the percentage of actual to expected patient entries, feasibility was assessed by comparing detection of abnormalities and unexpected hospital visits, and acceptability was assessed by subjective feedback from nurses and patients from the intervention group.</p><p><strong>Results: </strong>59 patients were recruited, with 30 patients in the control group and 29 patients in the intervention group. 9 specialty nurses were involved in the patients' post-discharge care. The mean compliance rate for the hepatobiliary, breast and plastic patients were 89.9 %, 89.5 % and 75.9 % respectively. 4 patients from the intervention group (13.8 %) and 6 patients from the control group (20.1 %) were flagged as having potential abnormalities. As for unexpected hospital visits, there were 2 (6.9 %) in the intervention group and 1 (3.4 %) in the control group. 25 patients and 9 specialty nurses responded to the feedback survey. 22 patients (88 %) did not face any application issues. 18 patients (72 %) preferred to self-report symptoms via the application rather than to call the nurses and reported feeling safe knowing that they are remotely monitored. Most nurses found the app convenient and timesaving (n = 7, 78 %), with monitoring through pictures as more accurate than phone conversation (n = 8, 89 %).</p><p><strong>Conclusion: </strong>The results suggest that use of a mobile application by surgical patients discharged with wounds or drains is feasible and serves as a viable monitoring tool.</p>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":" ","pages":"824-830"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141855895","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":"An inter-assessor reliability study on the categorization and staging of pressure injuries.","authors":"Ayişe Karadaǧ, Vildan Çakar, Ayşe Sılanur Demir","doi":"10.1016/j.jtv.2024.09.009","DOIUrl":"10.1016/j.jtv.2024.09.009","url":null,"abstract":"<p><strong>Background: </strong>The first step in effective management of pressure injuries (PIs) is to assess, categorize and stage correctly.</p><p><strong>Purpose: </strong>This study aims to examine the agreement regarding the classification and staging of PIs among nurse academicians working on chronic wounds and with different stage of expertise.</p><p><strong>Methods: </strong>Three nurse academicians were assigned as assessors according to Benner's stages of clinical competence (Competent, Proficient, and Expert). The assessors independently evaluated PIs photographs (n = 694). The assessors then met for the wounds where there was disagreement, and a Consensus agreement was reached. Kappa Statistics analysed the agreement between two assessors; Fleiss Kappa Statistics analysed the agreement between Competent, Proficient, Expert, and Consensus.</p><p><strong>Results: </strong>Statistically, almost perfect agreement was obtained between Competent, Proficient, Expert, and Consensus assessments, respectively (Ƙ = 0.871; p < 0.001, Ƙ = 0.842; p < 0.001, Ƙ = 0.937; p < 0.001). The highest agreement between the assessors were Unstageable PIs, Deep Tissue PIs, and Stage 3 PIs respectively. The most common disagreements were between Deep Tissue PIs and Stage 1 PIs, and between Deep Tissue PIs and Stage 2 PIs.</p><p><strong>Conclusion: </strong>In the study, it was found that the categorization, and staging of PIs had varying degrees of reliability among the assesors, although at a statistically acceptable level.</p>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":" ","pages":"786-791"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142391512","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":"Predictors of post-healing recurrence in patients with diabetic foot ulcers: A systematic review and meta-analysis.","authors":"Yujian Sun, Yue Zhou, Yu Dai, Yufan Pan, Yi Xiao, Yufeng Yu","doi":"10.1016/j.jtv.2024.07.002","DOIUrl":"10.1016/j.jtv.2024.07.002","url":null,"abstract":"<p><strong>Background: </strong>Diabetic foot ulcer is one of the most prevalent, serious, and costly consequences of diabetes, often associated with peripheral neuropathy and peripheral arterial disease. These ulcers contribute to high disability and mortality rates in patients and pose a major challenge to clinical management.</p><p><strong>Objective: </strong>To systematically review the risk prediction models for post-healing recurrence in diabetic foot ulcer (DFU) patients, so as to provide a reference for clinical staff to choose appropriate prediction models.</p><p><strong>Methods: </strong>The authors searched five databases (Cochrane Library, PubMed, Web of Science, EMBASE, and Chinese Biomedical Database) from their inception to September 23, 2023, for relevant literature. After data extraction, the quality of the literature was evaluated using the Predictive Model Research Bias Risk and Suitability Assessment tool (PROBAST). Meta-analysis was performed using STATA 17.0 software.</p><p><strong>Results: </strong>A total of 9 studies involving 5956 patients were included. The recurrence rate after DFU healing ranged from 6.2 % to 41.4 %. Nine studies established 15 risk prediction models, and the area under the curve (AUC) ranged from 0.660 to 0.940, of which 12 models had an AUC≥0.7, indicating good prediction performance. The combined AUC value of the 9 validation models was 0.83 (95 % confidence interval: 0.79-0.88). Hosmer-Lemeshow test was performed for 10 models, external validation for 5 models, and internal validation for 6 models. Meta-analysis showed that 14 predictors, such as age and living alone, could predict post-healing recurrence in DFU patients (p < 0.05).</p><p><strong>Conclusion: </strong>To enhance the quality of these risk prediction models, there is potential for future improvements in terms of follow-up duration, model calibration, and validation processes.</p>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":" ","pages":"542-549"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141616742","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":"Determination the incidence of surgery related pressure injury and to examine the effects of risk factors on pressure injury formation.","authors":"Deniz İnan, Filiz Ogce Aktas, Tülay Yavan","doi":"10.1016/j.jtv.2024.11.002","DOIUrl":"10.1016/j.jtv.2024.11.002","url":null,"abstract":"<p><p>Surgical patients are at risk for pressure injuries throughout the entire surgical process. Prevalence and incidence studies are critical to determine risk groups in surgical patient groups. This study was conducted to determine the incidence of pressure injury development in patients hospitalized in surgical clinics and to examine the effects of risk factors on it. The sample of this descriptive study consisted of 138 patients hospitalized in surgical wards. Data collection tools included a patient information questionnaire, The National Pressure Injury Advisory Panel (NPIAP) Pressure Injury and Stages Form, and the Munro Perioperative Pressure Ulcer Risk Assessment Scale. Data were analyzed on the SPSS 24.0 software package by using descriptive statistical tests such as frequency and percentage distribution, chi-square test, independent groups t-test, and univariate logistic regression analysis. The incidence of surgery-related pressure injuries was found to be 18.8 %. Patients' mean scores on the Munro scale were 10.23 ±0 .2.95 before surgery, 12.80 ± 2.57 during surgery, and 23.03 ± 5.07 following surgery, with the mean total score being 24.47 ± 5.44. The mean score on the total Munro scale was statistically significantly higher in patients who developed pressure injuries than in those who did not. Patients' age, blood albumin level, body mass index, presence of oedema, use of medical equipment, mobility status, type of anaesthesia used in surgery, and duration of surgery were determined as effective risk factors in pressure injury development. In conclusion, it was found that pressure injuries developed at a considerable rate in patients undergoing surgical operations. It is recommended that surgical nurses should take the necessary precautions in time.</p>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":" ","pages":"814-819"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751293","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 itching on sleep quality and comfort in patients with hemodialysis and renal transplantation: A multi-center cross-sectional study.","authors":"Tuğba Ege, Elif Ok, Vesile Ünver","doi":"10.1016/j.jtv.2024.09.003","DOIUrl":"10.1016/j.jtv.2024.09.003","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to determine the effect of itching on sleep quality and comfort in hemodialysis (HD) and renal transplant (Tx) patients with itching.</p><p><strong>Methods: </strong>This descriptive, correlational seeking and cross-sectional study was conducted in four hospitals affiliated with a private health group in Istanbul between April and June 2021. The sample of the study consisted of 42 patients receiving HD treatment and 49 patients with renal transplantation. Data were collected using the Patient Information Form, 5-D Itch Scale, Richards-Campbell Sleep Questionnaire and General Comfort Questionnaire.</p><p><strong>Results: </strong>There was a significant difference between the HD and renal transplantation groups in the Direction (p = 0.01) and Disability dimension (p = 0.002) of the 5- D Itch scale in favor of the renal transplant group. The mean sleep quality and comfort scores of the groups were similar and moderate. Itching negatively affects sleep quality in patients receiving HD treatment, and 22 % of the change in sleep quality is explained by disability of itching (R² = 0.22; p = 0.002). Itching negatively affects comfort in both groups. Itching explains 27 % of the change in comfort level in the HD group (R² = 0.27; p = 0.002) and 25 % of the change in comfort level in the renal transplantation group (R² = 0.25; p = 0.001).</p><p><strong>Conclusions: </strong>According the study results during the hemodialysis treatment process, itching is more intense in terms of distribution and disability and affects the quality of sleep of patients. Itching has a significant impact on patients' perception of comfort. Patients experience itching both during HD treatment and after renal transplantation, which significantly impairs their comfort. Therefore, itching should be carefully monitored during renal replacement therapy and its effects on patients should be evaluated.</p>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":" ","pages":"903-908"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142349133","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}