Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society最新文献

{"title":"What is MARSI?","authors":"Jan Kottner","doi":"10.1097/WON.0000000000001218","DOIUrl":"10.1097/WON.0000000000001218","url":null,"abstract":"","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"52 5","pages":"358"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12506682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Urinary Incontinence, Quality of Life and Non-Pharmacologic Coping Strategies Among Pregnant Women: A Cross-Sectional Research Study.","authors":"Özge Öz Yildirim, İlknur Aydin Avci, Seher Sari Kayalarli","doi":"10.1097/WON.0000000000001212","DOIUrl":"10.1097/WON.0000000000001212","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to evaluate the prevalence of urinary incontinence (UI) in pregnant women, disease-specific health-related quality of life, and the use of non-pharmacologic coping strategies to manage UI and related LUTS. We also examined the association between incontinence-related quality of life and the use of non-pharmacologic coping strategies in pregnant women.</p><p><strong>Design: </strong>Cross-sectional, correlational study.</p><p><strong>Subjects and setting: </strong>The sample comprised 320 pregnant women. Their mean age was 30.41 years (SD = 4.19). Nearly half (n = 156, 48.8%) had given birth previously, and 35.9% (n = 59) had vaginal deliveries. Slightly less than 1 quarter (22.8%, n = 73) had a history of UI before pregnancy. The study setting was the gynecology outpatient clinics of a private hospital in Samsun, Turkey.</p><p><strong>Methods: </strong>Respondents completed a questionnaire designed for purposes of this study that queried sociodemographic data and 2 validated instruments, the Frequency of use of Non-Pharmacologic Coping Strategies for UI, and the International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF). In addition to calculating UI prevalence and frequency of associated characteristics, independent t-tests, 1-way ANOVA, Mann Whitney U, Kruskal Wallis, Chi-square, and logistic regression were used to analyze findings.</p><p><strong>Results: </strong>The prevalence of UI was 45.3% (n = 145); 52.4% (n = 167) first experienced UI during the second trimester. Logistic regression analysis indicated that personal or family history of UI, and mode of vaginal delivery were significantly associated with an increased likelihood of UI during pregnancy. Analysis indicated a moderate and positive correlation (r = 0.354; P < .001) between scores on the ICIQ-SF and Frequency of Use of Non-Pharmacologic Coping Strategies for UI instrument.</p><p><strong>Conclusions: </strong>Slightly less than half of a group of 320 women experienced half of the pregnant subjects (45.3%) experienced UI. Urinary incontinence began during the second trimester for most. A personal or family or family history of UI, and previous vaginal deliveries were associated with an increased likelihood of UI during pregnancy.</p>","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"52 5","pages":"407-412"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor: \"3D-Printed Ostomy Flange Stabilizer\".","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.1097/WON.0000000000001203","DOIUrl":"10.1097/WON.0000000000001203","url":null,"abstract":"","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":" ","pages":"421"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144802467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Honoring Excellence: Recognizing the 2025 Class of Wound, Ostomy, and Continence Nurses Society™ (WOCN®) Fellows.","authors":"Vittoria Vicky Pontieri-Lewis","doi":"10.1097/WON.0000000000001227","DOIUrl":"10.1097/WON.0000000000001227","url":null,"abstract":"","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"52 5","pages":"357"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145215505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introduction to Artificial Intelligence for the Wound, Ostomy, and Continence Nurse.","authors":"Joshua Morriss, Jill Cox, Virginia Capasso, Laura E Edsberg","doi":"10.1097/WON.0000000000001208","DOIUrl":"10.1097/WON.0000000000001208","url":null,"abstract":"<p><p>Artificial intelligence (AI) is transforming how medical information is processed and used; it has the potential to enhance clinical decision-making and expedite diagnosis and treatment. Applications of AI, such as machine learning models, are increasingly employed to analyze large volumes of data from diverse sources and identify patterns associated with patient deterioration, such as sepsis and hospital-acquired infections. In wound, ostomy, and continence (WOC) nursing, AI is already influencing areas such as prognosis, diagnosis, and treatment. Despite these advances, concerns about the \"black box\" nature of many AI models, where decision-making processes lack transparency and pose challenges to clinical trust and accountability. This article provides a historical context of AI, discusses its core concepts, and explores applications relevant to WOC nursing. As AI becomes integral to clinical practice, WOC nurses must be equipped with foundational knowledge needed to ensure that these technologies complement clinical expertise, maintain ethical standards, fairness, and accountability in patient care.</p>","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"52 5","pages":"361-368"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum: Ankle Brachial Index: Quick Reference Guide for Clinicians: WOCN Society Ankle Brachial Task Force.","authors":"Yvette Conyers, Christine Lomauro, Alexxia Richmond, Kristin Stemke, Molly White, Andrew Storer","doi":"10.1097/WON.0000000000001231","DOIUrl":"10.1097/WON.0000000000001231","url":null,"abstract":"","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"52 5","pages":"423"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introduction to Artificial Intelligence for the Wound, Ostomy, and Continence Nurse.","authors":"","doi":"10.1097/WON.0000000000001236","DOIUrl":"10.1097/WON.0000000000001236","url":null,"abstract":"","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"52 5","pages":"E5"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship Between Social Support and Psychosocial Adjustment in Individuals Living With a Colostomy: A Descriptive, Cross-Sectional Study.","authors":"Özkan Karadede, Selda Rizalar","doi":"10.1097/WON.0000000000001209","DOIUrl":"10.1097/WON.0000000000001209","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to determine levels of social support received by individuals with a colostomy and evaluate the relationship between social support and ostomy adjustment.</p><p><strong>Design: </strong>Descriptive, cross-sectional.</p><p><strong>Subjects and setting: </strong>The sample comprised 52 participants who underwent colostomy surgery for colorectal cancer treatment. Their mean age was 52.34 years (SD = 9.61) more than half were women (n = 28, 53.4%). The study setting was the stomatherapy units of 2 hospitals in Istanbul, Turkey.</p><p><strong>Methods: </strong>Data were collected between January 01 and April 05, 2019. A questionnaire that included a participant information form, and 2 validated instruments: the Cancer-Specific Social Support Scale (CSSS), and the Ostomy Adjustment Inventory (OAI-23). Outcomes were analyzed using the Shapiro-Wilk test, t-test, Mann-Whitney U test, Kruskal-Wallis test, and Spearman correlation test.</p><p><strong>Results: </strong>The mean CSSS score was 127.92 (SD = 10.62); subscale scores were 59.48 (SD = 8.44) for confidence support, 41.23 (SD = 2.93) for emotional support, and 27.21 (SD = 7.23) for information support; these scores indicate high levels of social support. The mean total score for the OAI-23 was 45.48 (SD = 18.97), indicating moderate levels of psychosocial adjustment to an ostomy. Analysis revealed no significant relationship between the CSSS and psychosocial adjustment scores (P = .720). A significant negative correlation was found between the perceived information support scores and accepting and anxiety subscale scores.</p><p><strong>Conclusions: </strong>No relationship was found between perceived social support and psychosocial adjustment. A significant negative correlation was found between the perceived information support scores and anxiety subscale scores.</p>","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"52 5","pages":"401-406"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimizing Self-Management for People Living With Chronic Diabetic Foot Ulcers: A Longitudinal Qualitative Study.","authors":"Shupeng Shi, Yijin Xu, Yongjie Li, Xingzhou Liu, Chuan Yang","doi":"10.1097/WON.0000000000001216","DOIUrl":"10.1097/WON.0000000000001216","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to identify facilitators and barriers in dynamic self-management in order to optimize individualized strategies of persons with diabetic foot ulcers (DFUs).</p><p><strong>Design: </strong>Longitudinal qualitative research design.</p><p><strong>Participants and setting: </strong>The sample comprised 18 participants diagnosed with a DFU and 10 family caregivers; respondents were recruited from Sun Yat-sen Memorial Hospital, a metropolitan tertiary center with a diabetic foot multidisciplinary care team located in Guangzhou, China.</p><p><strong>Methods: </strong>Semi-structured interviews were constructed guided by self- and family-management (SFM) framework. Interviews occurred around 1, 3, and 6 months after DFU diagnosis. Data were analyzed using thematic analysis. Data collection was conducted between September 2023 and June 2024.</p><p><strong>Results: </strong>Eleven subthemes were identified as either facilitators or barriers and were categorized according to the 3 stages of DFU-SFM. They were (1) SFM buildup: motivation and determination, support network at its peak, information overload and uncertainty; (2) SFM adaption: activating more resources, establishing a virtuous cycle, waning support network and accumulation of negative experiences; and (3) SFM optimization: test the boundaries, reflection and personalization and living with DFU.</p><p><strong>Conclusions: </strong>We identified strategies to optimize DFU self-management that occurred in in stages. We hypothesize that providing earlier structured education that incorporates skills start SFM, a holistic approach that goes beyond wound care to maintain SFM, and enhancing self-monitoring and external supervision to optimize SFM.</p>","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"52 5","pages":"376-383"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Redefining the High-Output Stoma and Its Bearing on Clinical Practice Results of an International Consensus Panel.","authors":"Michelle Carr, Freeke Caers, Dee Waugh, Paris Purnell, Mikel Gray","doi":"10.1097/WON.0000000000001207","DOIUrl":"10.1097/WON.0000000000001207","url":null,"abstract":"<p><p>High-output stomas are a challenge for ostomy care nurses, occurring in 16-50% of small bowel ostomy and causing 20-65% of ostomy-related readmissions. Causes are varied and often multifactorial. Such complexity requires a multidisciplinary approach. Current definitions regarding the high-output ostomy focus on output volume, but this can be arbitrary and may not be reflective of the full clinical scenario. An international clinical expert forum (ICEF) developed 12 consensus statements to redefine the high-output stoma to help improve patient management, support peristomal skin health, and emphasize a more holistic approach. These statements recognize the complexity of patient management, advocating a multidisciplinary approach to management as well as more patient-centric care.</p>","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"52 5","pages":"384-391"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12479063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}