Journal of Wound Ostomy and Continence Nursing最新文献

{"title":"Clean Versus Sterile: Management of Chronic Wounds.","authors":"","doi":"10.1097/WON.0000000000001174","DOIUrl":"https://doi.org/10.1097/WON.0000000000001174","url":null,"abstract":"","PeriodicalId":49950,"journal":{"name":"Journal of Wound Ostomy and Continence Nursing","volume":"52 2","pages":"E2"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711983","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":"Wound Ostomy Continence Nursing: Mentoring.","authors":"","doi":"10.1097/WON.0000000000001166","DOIUrl":"https://doi.org/10.1097/WON.0000000000001166","url":null,"abstract":"","PeriodicalId":49950,"journal":{"name":"Journal of Wound Ostomy and Continence Nursing","volume":"52 2","pages":"99"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711692","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 Kegel Exercise-Focused Intervention on Urinary Incontinence in Elderly Women.","authors":"Hilal Gamze Hakbilen, Serpil Ince","doi":"10.1097/WON.0000000000001162","DOIUrl":"https://doi.org/10.1097/WON.0000000000001162","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to evaluate the effect of an intervention focused on pelvic floor muscle exercises (PFME), traditionally referred to as Kegel exercises, on the severity and related characteristics, along with the impact of daily life, in elderly women with urinary incontinence (UI).</p><p><strong>Design: </strong>Randomized controlled trial design.</p><p><strong>Subjects and settings: </strong>The sample comprised 60 elderly women (intervention = 30, control = 30) with UI receiving home care in Antalya, Turkey.</p><p><strong>Methods: </strong>Women in the intervention group received PFME training during visits to their homes. The frequency of UI, the amount of urine leaking, and the impact of UI on daily living were assessed with the International Consultation on Incontinence Questionnaire Short Form and questions on the assessment of the perceived impact at the onset of the study (baseline) and follow-up home visits paid at 6 and 12 weeks after the intervention.</p><p><strong>Results: </strong>When compared to control participants, women performing PFME experienced a significant decrease in the level of UI, an increase in the level of quality of life, and a decrease in complaints about UI at both 6 and 12 weeks following the intervention. In addition, almost three-quarters (73.3%, n = 22) of the intervention group participants stated that they continued to perform PFME daily.</p><p><strong>Conclusions: </strong>Study findings indicate that PFME learned through one-to-one training and frequent home follow-ups reduced the frequency of UI and amount of urine leakage and alleviated the negative impact of UI on daily life.</p>","PeriodicalId":49950,"journal":{"name":"Journal of Wound Ostomy and Continence Nursing","volume":"52 2","pages":"137-146"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711986","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":"Context for Practice: Clean Versus Sterile Technique in Wound Care, Updating Wound Care Algorithms, Concave Ostomy Pouching System, Medical Device Related Pressure Injuries in Children.","authors":"Mikel Gray","doi":"10.1097/WON.0000000000001167","DOIUrl":"https://doi.org/10.1097/WON.0000000000001167","url":null,"abstract":"","PeriodicalId":49950,"journal":{"name":"Journal of Wound Ostomy and Continence Nursing","volume":"52 2","pages":"97-98"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711985","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 Trajectory of Adjustment Outcomes Among New Ostomy Patients: A Prospective Study.","authors":"Carol Stott, Julia Kittscha, Lisa Graaf, Ian Whiteley, Colleen Mendes, Deb Day, Brenda Christiansen, Jill Fairhall, Jenny Duggan, Joan Walsh, Karen Cole, Mark Murtagh, Greg Fairbrother","doi":"10.1097/WON.0000000000001151","DOIUrl":"https://doi.org/10.1097/WON.0000000000001151","url":null,"abstract":"<p><strong>Purpose: </strong>The study aimed to describe a 9-month adjustment trajectory post ostomy surgery in a group of community dwelling persons with an ostomy and explore 9-month outcomes against personal and clinical characteristics.</p><p><strong>Design: </strong>Questionnaire-based longitudinal survey.</p><p><strong>Subjects and setting: </strong>Participants were enrolled by Enterostomal Therapy Nurses from 11 Australian hospitals (metropolitan and regional). Initial enrollment was 849 participants; 735 (86.6%) ultimately underwent ostomy surgery and 272 (32.0%) were followed to the 9-month end point. Participants were enrolled over a 2-year period from October 2017 to December 2019.</p><p><strong>Methods: </strong>Respondents completed a questionnaire comprising the Ostomy Adjustment Inventory (OAI-23) and an inventory of demographics. Data were collected at 5 time points from discharge to 9 months post-discharge.</p><p><strong>Results: </strong>Trend analyses suggested significant improvement in anger and worsening in anxious preoccupation domains by 9 months. No significant changes in acceptance and social engagement domains were identified. Multiple linear regression analysis suggested that younger age and not being culturally and linguistically diverse (CALD) background were the strongest predictors of adjustment at 9 months, with younger age retained by all 4 domain-based predictive models, and CALD status retained by 3 of 4 models. Elective (vs emergency) surgery was associated with improvement in both acceptance and anger, and the presence of incontinence on baseline was associated with improvement in anger. Self-reported peer support activity was associated with better social engagement.</p><p><strong>Conclusions: </strong>Significant improvement by 9 months was noted in only 1 of the 4 OAI-23 domains (anger). This outcome highlights the time required for the adjustment process. Younger age and non-CALD background were both shown to be advantageous. The finding regarding involvement in peer support is encouraging. Further study about peer support as an assistive factor should be pursued.</p>","PeriodicalId":49950,"journal":{"name":"Journal of Wound Ostomy and Continence Nursing","volume":"52 2","pages":"126-132"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712024","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":"Diaper Dermatitis Algorithm and Scoring Tool in the Neonatal Intensive Care Unit (NICU): A Quality Improvement Project.","authors":"Meredith Sharp","doi":"10.1097/WON.0000000000001147","DOIUrl":"10.1097/WON.0000000000001147","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this quality improvement project was to implement and evaluate an algorithm for management and prevention of diaper dermatitis (DD) embedded in a scoring tool. The specific aim of the project was to decrease DD occurrences with a severity score of 3 to 4 by 25%.</p><p><strong>Participants and setting: </strong>Quality improvement participants comprised 164 neonates; 89 were cared for prior to project implementation and 75 post-implementation. Data were collected over a 3-month period. The setting of this quality improvement project was a 98-bed, Level IV neonatal intensive care unit (NICU) located in the Midwestern United States (Oklahoma City, OK). The NICU is part of a freestanding children's hospital affiliated with a university.</p><p><strong>Approach: </strong>Diaper dermatitis occurrences and severity scores were collected prior to and 3 months after the protocol was implemented in the NICU. We collected pre-implementation data, followed by staff education concerning the DD protocol. We also provide guidance for protocol implementation at the bedside and in our Electronic Medical Record. Data on DD rates and severity were provided during the National Database for Nurse Quality Indicators (NDNQI) prevalence days the 4th quarter of 2020 and the 1st quarter of 2021. We compared data before and after protocol implementation to evaluate its effect on DD rates and severity.</p><p><strong>Outcomes: </strong>Analysis before and after implementation of the protocol showed no significant differences in DD occurrences or severity scores. The unintended introduction of water-based cleansing wipes was identified as a confounding factor that we believe influenced outcomes. The DD scoring system and algorithm were permanently implemented for DD score quantification, DD management and treatment guidance, and ease of DD documentation with interventions, despite non-significant group differences.</p><p><strong>Implications for practice: </strong>Next steps for this project are to implement the water-based cleansing wipes facility wide, along with the scoring tool and DD prevention protocol.</p>","PeriodicalId":49950,"journal":{"name":"Journal of Wound Ostomy and Continence Nursing","volume":"52 1","pages":"76-80"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014978","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":"Invest in Yourself: Professional Career Development.","authors":"Vittoria Vicky Pontieri-Lewis","doi":"10.1097/WON.0000000000001149","DOIUrl":"10.1097/WON.0000000000001149","url":null,"abstract":"","PeriodicalId":49950,"journal":{"name":"Journal of Wound Ostomy and Continence Nursing","volume":"52 1","pages":"9"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014998","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":"Reusable Intermittent Catheters are Acceptable but Product Innovation is Needed: An Interview Study of Catheter Users' Experiences.","authors":"","doi":"10.1097/WON.0000000000001158","DOIUrl":"10.1097/WON.0000000000001158","url":null,"abstract":"","PeriodicalId":49950,"journal":{"name":"Journal of Wound Ostomy and Continence Nursing","volume":"52 1","pages":"E1"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015131","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":"Measurement of Convexity Characteristics: A Transdisciplinary Consensus Conference.","authors":"Janice M Beitz, Jan Colwell, Dorothy Doughty, Laurie McNichol, Mikel Gray","doi":"10.1097/WON.0000000000001139","DOIUrl":"10.1097/WON.0000000000001139","url":null,"abstract":"<p><p>While convex skin barriers have been used in patient care for decades, regulatory bodies and manufacturers have not established consistent parameters for measuring the most essential characteristics of a convex skin barrier. A transdisciplinary panel of manufacturers, engineers, marketing specialists and clinical subject matter experts from the United States was convened to address this gap. An initial consensus meeting was held to establish consensus around measurement parameters for 5 characteristics of convex skin barriers: depth, slope, flexibility, compressibility, and tension location. Consensus around 3 characteristics (depth, slope, and tension location) was achieved. In contrast, while multiple possible techniques for establishing measurement parameters for the remaining 2 characteristics (flexibility and compressibility) were discussed, final consensus for standardized measurement parameters was not achieved. The proceedings of this initial and novel approach to achieving consensus on measurement parameters for essential convexity characteristics lay the groundwork for development of international clinical practice standards on convex ostomy products. These standards aim to ensure predictable outcomes for persons with ostomies who use these products.</p>","PeriodicalId":49950,"journal":{"name":"Journal of Wound Ostomy and Continence Nursing","volume":"52 1","pages":"36-44"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015068","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":"Analysis of Outcomes and Factors Influencing Community-Acquired Pressure Injury: A Retrospective Review of 413 Patients.","authors":"Xiuru Yang, Dan Zhang, Hongmei Zhang, Liangliang Cui, Qin Hu, Yang Hu, Dan Wen, Yanfei Ma, Qiuhong He","doi":"10.1097/WON.0000000000001138","DOIUrl":"10.1097/WON.0000000000001138","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to analyze the outcomes and influencing factors of patients with community-acquired pressure injuries (CAPIs) and provide insights for clinical practice.</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Subjects and setting: </strong>We reviewed medical records of 413 patients with a total of 522 CAPIs. Patients with CAPIs who were hospitalized at Mianyang Central Hospital, Sichuan Province, China, between December 2021 and December 2022.</p><p><strong>Methods: </strong>Depending on CAPI outcome at the time of discharge, the patients were split into \"improvement\" and \"no improvement\" groups. Factors influencing CAPI outcomes were examined using univariate analysis followed by multivariate analysis (logistic regression).</p><p><strong>Results: </strong>A majority of patients (n = 324, 78.5%) showed improvement, and 89 (21.5%) showed no improvement. Logistic regression analysis showed statistically significant associations between CAPI outcomes and Braden Scale for Pressure Sore Risk scores, Barthel Index for Activities of Daily living scores, along with serum albumin, hemoglobin, interleukin-6, and C-reactive protein levels.</p><p><strong>Conclusions: </strong>The outcomes of patients with CAPIs were influenced by the Braden score, the Barthel score, serum albumin and hemoglobin levels, as well as inflammatory markers, including interleukin-6 and C-reactive protein. To effectively treat and care for patients with CAPIs, nurses should develop customized nursing interventions based on the unique characteristics of patients.</p>","PeriodicalId":49950,"journal":{"name":"Journal of Wound Ostomy and Continence Nursing","volume":"52 1","pages":"23-27"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014929","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}