Journal of tissue viability最新文献

{"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":"2025-08-01","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 influencing Patient engagement in preventing pressure injuries: A cross-sectional study in Orthopedic inpatients","authors":"Ying Liu ,&nbsp;Rong Hu ,&nbsp;Peifang Li ,&nbsp;Lin Zhang ,&nbsp;Liqun Wang ,&nbsp;Junhong Qu ,&nbsp;Xingcui Pu ,&nbsp;Ning Ning ,&nbsp;Jiali Chen","doi":"10.1016/j.jtv.2025.100902","DOIUrl":"10.1016/j.jtv.2025.100902","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to explore the level of patients’ engagement behaviours in preventing pressure injury (PI) and the influencing factors related to it.</div></div><div><h3>Background</h3><div>The importance of “Patient and Family Engagement” was recognized as one of the key components in the outline of the 2023 Global Patient Safety Report. PIs were common and concerning patient safety events in Orthopaedics department. Active patient participation behaviour can effectively prevent the occurrence of PIs.</div></div><div><h3>Method</h3><div>This was a cross-sectional study involving 366 participants from Orthopaedics in China who has high level of risk in PI. The behavioural level of patients' participation in PI prevention was measured using a research tool designed by the research team. Based on the theory of planned behaviour, the possible influencing factors were determined, and the corresponding research tools were selected for evaluation. Univariate analysis, correlation analysis and multiple stepwise regression were used to determine the influencing factors of patients’ participation behaviour with SPSS 25.0.</div></div><div><h3>Results</h3><div>The total score of orthopaedic inpatients participating in PI preventive behaviour was 89.45 ± 10.64, with a scoring rate of 85.19 % (actual score/maximum possible score × 100 %), indicating relatively high adherence. Multiple regression analysis revealed that social support showed the strongest positive association (β = 0.291, P &lt; 0.001), suggesting enhanced support networks facilitate engagement. Participation attitude (β = 0.211, P &lt; 0.001) and health literacy (β = 0.233, P &lt; 0.001) were key cognitive facilitators. Unexpectedly, cohabitation with children exhibited negative correlation (β = −0.141, P = 0.001), potentially indicating caregiving role transfer. Inter-hospital transfers (β = −0.120, P = 0.004) and medium-length stays (4–7 days, β = −0.089, P = 0.010) were inversely related, possibly reflecting care continuity challenges. Social Security recipients demonstrated greater participation (β = 0.108, P = 0.009), highlighting socioeconomic influences.</div></div><div><h3>Conclusion</h3><div>Our findings may guide clinical healthcare providers to develop more targeted interventions to promote patient engagement in self-care, including encouraging family members to involve in PI prevention with patients, improving patients’ attitude of participation, and supporting more health education of PI prevention. It was a potential suggestion for patient participation behaviour in medical services to prevent other types of adverse events as well.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100902"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143799889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","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":"2025-08-01","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":"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":"2025-08-01","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":"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":"2025-08-01","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":"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":"2025-08-01","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":"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":"2025-08-01","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":"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":"2025-08-01","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":"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":"2025-08-01","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":"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":"2025-08-01","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}