Journal of Wound Ostomy and Continence Nursing最新文献_第3页

Progressive Mobility to Promote Healing of a Sacral Pressure Injury in an Acute Care Setting: A Case Study. 渐进式活动在急性护理环境中促进骶骨压迫性损伤愈合：一个案例研究。

IF 1.7 3区医学

Journal of Wound Ostomy and Continence Nursing Pub Date : 2025-03-01 Epub Date: 2025-03-20 DOI: 10.1097/WON.0000000000001161

Melissa Delvecchio, Jacob Knarr

{"title":"Progressive Mobility to Promote Healing of a Sacral Pressure Injury in an Acute Care Setting: A Case Study.","authors":"Melissa Delvecchio, Jacob Knarr","doi":"10.1097/WON.0000000000001161","DOIUrl":"10.1097/WON.0000000000001161","url":null,"abstract":"Background: This case study describes progressive sitting in a hospitalized patient with chronic full thickness wounds. Promoting patient mobility is often a challenge. Patient adherence, logistics of progressive sitting, and potential threats to wound healing must be addressed to optimize wound healing.Case: Ms. B was a 49-year-old obese female admitted to an acute care hospital with a worsening stage 4 sacral pressure injury. She became progressively deconditioned and was not adherent to recommended repositioning in bed due to pain and poor respiratory status. A physical therapist (PT) created a structured program to encourage out of bed sitting that included detailed instructions on transfer method, weight shift type, and sitting surface to address Ms. B's adherence and mobility impairments. The PT partnered with a certified WOC nurse and performed weekly wound treatments, provided recommendations on sitting time based on wound assessments, and addressed additional modifiable risk factors such as nutrition. Ms. B progressively increased the time spent sitting in an appropriate seating system. Upon discharge, she achieved her goal of sitting up daily in her own wheelchair for at least 4 hours with a 92% decrease in wound volume.Conclusion: This case highlights the importance of a collaborative and structured approach to promoting mobility while managing chronic wounds. The case also demonstrates how to progressively increase out of bed sitting time without negatively impacting the healing of a stage 4 sacral pressure injury.","PeriodicalId":49950,"journal":{"name":"Journal of Wound Ostomy and Continence Nursing","volume":"52 2","pages":"153-157"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712022","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}

引用次数: 0

Updating Wound Care Algorithms: A Systematic, Focused Review. 更新伤口护理算法：一个系统的，集中的回顾。

IF 1.7 3区医学

Journal of Wound Ostomy and Continence Nursing Pub Date : 2025-03-01 Epub Date: 2025-03-20 DOI: 10.1097/WON.0000000000001154

Lia van Rijswijk, Janice M Beitz

{"title":"Updating Wound Care Algorithms: A Systematic, Focused Review.","authors":"Lia van Rijswijk, Janice M Beitz","doi":"10.1097/WON.0000000000001154","DOIUrl":"10.1097/WON.0000000000001154","url":null,"abstract":"Purpose: The purpose of this project was to update the underlying evidence base for basic wound care in the Solutions Wound Care Algorithms and revise this resource as needed.Methods: The 14 major algorithm goals, guidelines, and outcomes of patient care and 34 detailed qualifying assessment and management statements/steps were reconstructed to encompass 21 qualifying statements/steps and aligned with their most recent (2013) levels of evidence. Next, a systematic, focused review of the literature was conducted to update the evidence levels using the Strength of Recommendation Taxonomy.Search strategy: An English language search of CINAHL, Medline, Cochrane Library, and Joanna Briggs Institute (JBI) electronic databases was conducted for the years 2015-2023. For each wound type, the following search terms were used: meta-analysis, systematic review, randomized controlled trial, clinical practice guideline, clinical trial, and wound care/healing and dressings. Publications not focused on the patient population or qualifying statements were excluded.Findings: The search retrieved 59 elements that met the predetermined criteria for analysis and leveling. All qualifying statements and steps remain evidence-based. Higher quality evidence became available for nutritional status assessment, exercise to reduce risk factors for various types of lower extremity ulcers, using tap water to cleanse wounds; that delayed wound healing may be a sign of infection, and that silver-containing dressings are effective when used appropriately. No basic patient and wound care steps have the highest level of evidence (level 1) and strength of recommendation (A).Conclusion: Compared to previous updates, we found fewer clinical trials indicating a need for research to improve evidence levels for various steps of basic wound assessment and care processes.","PeriodicalId":49950,"journal":{"name":"Journal of Wound Ostomy and Continence Nursing","volume":"52 2","pages":"104-111"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710696","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}

引用次数: 0

Getting Ready for Certification: Offloading. 准备认证：卸载。

IF 1.7 3区医学

Journal of Wound Ostomy and Continence Nursing Pub Date : 2025-03-01 Epub Date: 2025-03-20 DOI: 10.1097/WON.0000000000001163

Sarah K Erslev

引用次数: 0

WOCN®-Accredited Professional Education Programs: Please contact individual education program for dates, types of structure(s), and costs. WOCN®认可的专业教育项目：请联系个别教育项目，了解日期、结构类型和费用。

IF 1.7 3区医学

Journal of Wound Ostomy and Continence Nursing Pub Date : 2025-03-01 Epub Date: 2025-03-20 DOI: 10.1097/WON.0000000000001173

引用次数: 0

Clean Versus Sterile: Management of Chronic Wounds. 清洁与无菌：慢性伤口的处理。

IF 1.7 3区医学

Journal of Wound Ostomy and Continence Nursing Pub Date : 2025-03-01 Epub Date: 2025-03-20 DOI: 10.1097/WON.0000000000001159

Andrew Storer, Susan Cali, Kaitlin Denson, Lindyce Kulik, Julie McCord, Denise Paoline

引用次数: 0

Clean Versus Sterile: Management of Chronic Wounds. 清洁与无菌：慢性伤口的处理。

IF 1.7 3区医学

Journal of Wound Ostomy and Continence Nursing Pub Date : 2025-03-01 Epub Date: 2025-03-20 DOI: 10.1097/WON.0000000000001174

引用次数: 0

Caregiver Burden and Spiritual Well-Being in Family Caregiver of Ostomy Patients. 造口病人家庭照顾者的照顾负担与精神幸福感。

IF 1.7 3区医学

Journal of Wound Ostomy and Continence Nursing Pub Date : 2025-03-01 Epub Date: 2025-03-20 DOI: 10.1097/WON.0000000000001157

Hossein Rafiei, Farnoosh Rashvand, Sahar Malmir

{"title":"Caregiver Burden and Spiritual Well-Being in Family Caregiver of Ostomy Patients.","authors":"Hossein Rafiei, Farnoosh Rashvand, Sahar Malmir","doi":"10.1097/WON.0000000000001157","DOIUrl":"10.1097/WON.0000000000001157","url":null,"abstract":"Purpose: The aim of this study was to examine care burden among family members of persons living with an ostomy; we also examined the relationship between care burden and spiritual well-being.Design: Descriptive, quantitative, and cross-sectional.Subjects and setting: The study was conducted in an ostomy clinic located in Tehran, Iran. This sample comprised 250 family caregivers of patients with an intestinal ostomy. Convenience sampling method was used.Methods: Participants completed a questionnaire that included items querying demographic and relevant clinical data; the questionnaire also contained 2 validated instruments that were used to measure caregiver burden (CB) and spiritual well-being (SWB). The Guest and Novak Caregiver Inventory was used to assess CB; possible scores for this validated instrument range from 24 to 120. Higher scores indicate a higher level of family CB. The Paloutzian and Ellison Spiritual Well-Being Scale was used to assess participants' SWB. Scores obtained from this scale range from 20 to 120; higher scores indicate a higher level of SWB.Results: The sample comprised 250 respondents; their mean age for caregivers was 35.1 (SD 7.6) years. More than half (n = 143, 57.2%) were men. The mean score of the CB was 85.4 (SD 3.9). The mean score of SWB was 82.3 (SD 10.5). Pearson correlation coefficient revealed an inverse and significant correlation between the mean score of CB and the mean score of their SWB (r = -0.308; P = .001).Conclusion: Caregivers of patients with ostomy experience a high level of burden that is related to their SWB level. A caregiver with a higher level of SWB reported a lower level of burden.","PeriodicalId":49950,"journal":{"name":"Journal of Wound Ostomy and Continence Nursing","volume":"52 2","pages":"133-136"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711959","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}

引用次数: 0

Wound Ostomy Continence Nursing: Mentoring. 创面造口自制护理：指导。

IF 1.7 3区医学

Journal of Wound Ostomy and Continence Nursing Pub Date : 2025-03-01 Epub Date: 2025-03-20 DOI: 10.1097/WON.0000000000001166

引用次数: 0

Effect of Kegel Exercise-Focused Intervention on Urinary Incontinence in Elderly Women. 凯格尔运动对老年妇女尿失禁的干预效果。

IF 1.7 3区医学

Journal of Wound Ostomy and Continence Nursing Pub Date : 2025-03-01 Epub Date: 2025-03-20 DOI: 10.1097/WON.0000000000001162

Hilal Gamze Hakbilen, Serpil Ince

{"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":"10.1097/WON.0000000000001162","url":null,"abstract":"Purpose: 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).Design: Randomized controlled trial design.Subjects and settings: The sample comprised 60 elderly women (intervention = 30, control = 30) with UI receiving home care in Antalya, Turkey.Methods: 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.Results: 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.Conclusions: 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.","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}

引用次数: 0

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. 实践背景：伤口护理中的清洁与无菌技术，更新伤口护理算法，凹形造口袋装系统，儿童医疗器械相关压力损伤。

IF 1.7 3区医学

Journal of Wound Ostomy and Continence Nursing Pub Date : 2025-03-01 Epub Date: 2025-03-20 DOI: 10.1097/WON.0000000000001167

Mikel Gray

引用次数: 0