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

{"title":"Getting Ready for Certification: Management of Bowel Dysfunction and Fecal Incontinence.","authors":"Kathryn Khandaker, Amanda Cronin","doi":"10.1097/WON.0000000000001319","DOIUrl":"https://doi.org/10.1097/WON.0000000000001319","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":"53 5","pages":"439-441"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149003248","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: Response to \"What is MARSI?\"","authors":"Samantha Holloway, Fiona Downie","doi":"10.1097/WON.0000000000001303","DOIUrl":"10.1097/WON.0000000000001303","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":"53 5","pages":"444"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149003231","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":"Fecal Management Systems: Complications and Compliance With Recommendations: A Retrospective Review.","authors":"Adam Studniarek, Muhammad Huzaifa Zafar, Marhama Zafar, Jennifer Pan, Jessica Salgado, Heng Wang, Alejandra Perez-Tamayo, Johan Nordenstam, Anders Mellgren, Gerald Gantt","doi":"10.1097/WON.0000000000001310","DOIUrl":"https://doi.org/10.1097/WON.0000000000001310","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to evaluate the complication rates associated with fecal management systems (FMS) and assess compliance with manufacturer guidelines at our institution.</p><p><strong>Design: </strong>Retrospective review.</p><p><strong>Subjects and setting: </strong>Patients with FMS inserted between September 2010 and April 2019 at a tertiary care center located in the Midwestern United States.</p><p><strong>Methods: </strong>Variables collected included demographics, history of liver cirrhosis, anticoagulation, indications for insertion, complications, and diagnostic or therapeutic interventions. Univariate analysis and Fisher exact test were performed to calculate odds ratio of potential predictive factors.</p><p><strong>Results: </strong>A total of 202 patients were included, with a median age of 63 years. Of these, 3.5% (7 patients) experienced FMS-related complications, all presenting with rectal bleeding; 57% had rectal ulcerations, 71% required transfusions, and 1 patient required operative intervention. Notably, 96% of cases lacked documentation of a digital rectal examination before insertion. The median duration of FMS use was significantly longer in patients with complications (11 days) compared with those without (6 days, P = .05), suggesting that prolonged use may be associated with an increased risk of adverse effects.</p><p><strong>Conclusion: </strong>Prolonged use of FMS was associated with an increased risk of complications, and overall adherence to recommended guidelines was poor. Implementing structured documentation and assessment protocols may help improve adherence and promote safer use.</p>","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"53 5","pages":"425-429"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149003224","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":"Standardizing Peristomal Hygiene: Reducing Variation and Complications in Ostomy Care.","authors":"Janice M Beitz, Dona Isaac, Giulia Villa, David M Schwartzberg, Maria Boccara de Paula, Faye Jones, Catherine Milne","doi":"10.1097/WON.0000000000001325","DOIUrl":"https://doi.org/10.1097/WON.0000000000001325","url":null,"abstract":"<p><strong>Abstract: </strong>Peristomal skin complications (PSCs) remain a common, costly, and underrecognized challenge in ostomy care, driven by inconsistent education, variable clinical practices, and the absence of standardized terminology and protocols. These complications affect a substantial proportion of people living with an ostomy and are associated with leakage, pain, psychological distress, reduced health-related quality of life (QoL), and preventable health care utilization. To address this global gap, an international panel of ostomy care experts convened as the Peristomal Hygiene Advancement in Skin Education (PHASE) group to develop a standardized, evidence-informed protocol of care applicable across health care settings. Drawing on global survey data, published evidence, and expert consensus, the group developed the Peristomal Hygiene protocol, a simple 4 step framework: Cleanse, Assess, Secure, and Live! This protocol standardizes essential practices while remaining adaptable for specialist and nonspecialist providers, caregivers, and individuals living with an ostomy. The model emphasizes safe cleansing and adhesive removal, systematic and repeatable assessment using validated tools, individualized product selection and securement based on anatomy and risk, and holistic support for long-term adaptation to life with an ostomy. By embedding proactive prevention into routine care, the Peristomal Hygiene protocol shifts practice from reactive management of complications to preservation of healthy peristomal skin. It aims to improve communication among providers, support consistent clinical decision making, and empower individuals to actively participate in self-care. Importantly, the framework addresses both physical and psychosocial dimensions of living with an ostomy, reinforcing confidence, independence, and sustained QoL. The Peristomal Hygiene protocol offers a practical, globally applicable approach to reducing variation in ostomy care, preventing PSCs and leakage, and improving long-term outcomes for people living with an ostomy.</p>","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"53 5S","pages":"S3-S14"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149003233","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":"Context for Practice: Pressure Injuries in African American and Black Persons, Gender Difference in Persons With an Ostomy and Their Dyad, Fecal Management System Complications.","authors":"Mikel Gray","doi":"10.1097/WON.0000000000001330","DOIUrl":"https://doi.org/10.1097/WON.0000000000001330","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":"53 5","pages":"363"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149003009","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":"Factors Associated With Pressure Injury Development in Black or African American Critically Ill Patients: A Multisite Retrospective Case-Control Study.","authors":"","doi":"10.1097/WON.0000000000001329","DOIUrl":"https://doi.org/10.1097/WON.0000000000001329","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":"53 5","pages":"e5"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149003203","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":"Response to Letter to the Editor: What is MARSI?","authors":"Jan Kottner","doi":"10.1097/WON.0000000000001318","DOIUrl":"10.1097/WON.0000000000001318","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":"53 5","pages":"445"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149003237","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":"Examining Gender Differences in Self-Care Engagement Among Ostomy Patients and Their Caregivers.","authors":"Camilla Elena Magi, Alessia Campoli, Maria Rosaria Esposito, Laura Rasero, Ercole Vellone, Paolo Iovino, Giulia Villa","doi":"10.1097/WON.0000000000001313","DOIUrl":"https://doi.org/10.1097/WON.0000000000001313","url":null,"abstract":"<p><strong>Purpose: </strong>The aims of this study was to describe ostomy patients' engagement in self-care and caregiver contribution to this care, compare engagement levels in these behaviors between patients and their caregivers, and examine gender disparities in self-care and caregiver contribution to self-care.</p><p><strong>Design: </strong>Secondary analysis of cross-sectional analysis of data collected from a previous study.</p><p><strong>Subjects and setting: </strong>The sample comprised 523 participants living with an ostomy and 252 caregivers. Patients and caregiver dyads were recruited from 2 regions in Italy, (Latium and Lombard).</p><p><strong>Methods: </strong>Patient self-care and caregiver contribution to self-care were collected using the Ostomy Self-Care Index and the Caregiver Contribution to Ostomy Self-Care Index, respectively. Statistical analysis involved independent sample's t tests and Mann-Whitney U test when comparisons were explored across gender, whereas paired sample's t test and Wilcoxon signed rank were used to compare the behaviors across dyad members. In addition, invariance of OSCI and CC-OSCI subscales was measured to understand whether the total scores of each scale could be comparable across gender and patient-caregiver dyads.</p><p><strong>Results: </strong>Analysis of the Ostomy Self-Care Index and Caregiver Contribution to Ostomy Self-Care Index revealed adequate self-care maintenance but inadequate self-care management and confidence for both patients and caregivers. Comparisons within dyads indicated that caregivers scored significantly lower than patients on specific self-care monitoring items. Comparisons across gender revealed that men scored lower than women on specific self-care items while no significant differences were found in the caregiving behaviors.</p><p><strong>Conclusions: </strong>Implications for clinical practice include the need for tailored support strategies and a collaborative approach among patients, caregivers, and health care providers.</p>","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"53 5","pages":"392-401"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149003130","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":"A Comparative Randomized Crossover Pilot Study Comparing Male External Urine Collection Devices in Home Settings.","authors":"Adrian Wagg","doi":"10.1097/WON.0000000000001317","DOIUrl":"10.1097/WON.0000000000001317","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to compare nighttime urine capture, safety, and participant preference between a male external catheter connected to a vacuum-assisted collection system and a male condom catheter in community-dwelling older men who previously used incontinence products at night.</p><p><strong>Design: </strong>Prospective, open label, randomized, 2-phase crossover pilot study.</p><p><strong>Participants and setting: </strong>Fifteen older men (≥65 years) requiring nocturnal urine management were enrolled across 2 US outpatient research sites (Greenacres, FL; Hamilton, NJ). Data were collected March-June 2025 in participants' home setting.</p><p><strong>Methods: </strong>Participants were randomized 1:1 to device sequence and used each device for 7 consecutive nights separated by a ≥2-day washout. Primary outcomes assessed mean nightly urine capture rate (performance) and device-related adverse events requiring medical intervention (safety). Secondary endpoints included device preference, dislodgement, and tolerability, whereas changes in the PROMIS Sleep Disturbance scale before and after the use of each device were captured as exploratory endpoints. Analyses were descriptive with paired comparisons and beta regression for capture rate.</p><p><strong>Results: </strong>Fifteen participants completed both 7 night usage periods. Mean (SD) overall capture rate was 98.5% (1.7) with the study device (MEC) versus 98.1% (2.6) with the comparator (sheath; LS mean difference 0.5%, 95% CI -0.8 to 1.7). No device-related adverse events requiring medical intervention were reported. Device dislodgement occurred infrequently for both devices and was numerically higher for the male external catheter, with events primarily occurring during the first treatment phase and driven by repeated dislodgements in a single participant. Preference favored the study device (13/15, 86.7%). The PROMIS Sleep Disturbance scale decreased (improved) from baseline in both periods (mean change -8.6 and -6.3).</p><p><strong>Conclusions: </strong>In older men requiring nocturnal urine management at home, the male external urine collection device demonstrated capture performance and safety comparable to a sheath-style catheter, with strong participant preference for the external collection device.</p>","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":" ","pages":"430-434"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13592824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148932478","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":"Quality of Life and Adjustment Evaluation Tools for Persons Living With an Ostomy: A Narrative Review.","authors":"Megan Kaynak, Emma Poon, Ishith Seth, Jawed Noori, Angus Lee","doi":"10.1097/WON.0000000000001312","DOIUrl":"https://doi.org/10.1097/WON.0000000000001312","url":null,"abstract":"<p><strong>Abstract: </strong>The purpose of this narrative review was to identify instruments used to evaluate health-related quality of life (QoL) among individuals living with an ostomy. PubMed, Web of Science, Cochrane CENTRAL, and Scopus databases were searched from January 1948 to May 2023. We searched for studies describing the development and validation of instruments used to measure QoL in people living with an ostomy. Twelve instruments were identified, 7 of which were developed specifically for ostomy populations and were the focus of this review. We assert that generic QoL scales are insufficient for capturing the unique physical, psychological, and social impacts of living with an ostomy. We found 7 ostomy-specific instruments. Selection of an appropriate tool should be guided by the clinical context, available time, and population served. Shorter instruments are recommended for use in the clinical setting, whereas a more comprehensive instrument was recommended for a detailed evaluation in the clinical setting or use in the research setting.</p>","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"53 5","pages":"386-391"},"PeriodicalIF":1.8,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149003235","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}