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

{"title":"Erratum: A Proactive Approach to Using Moldable Skin Barriers to Enhance Ostomy Care: A Multiple Case Series.","authors":"Catherine Milne, Nurbaisyah Binti Badaruddin, Yuwadee Kestsumpun, Minako Komatsu, Akiko Nishijima, Choo Eng Ong, Qiao Lina, Tan Bte Abdullah Nur Madalinah, Wang Xia, Anuttra Wunnasaweg, Li Fang Yang, Xin Mei Ye","doi":"10.1097/WON.0000000000001276","DOIUrl":"https://doi.org/10.1097/WON.0000000000001276","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 2","pages":"159"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147358728","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":"Don't Lose Sleep Over It, Impact of Living With an Ostomy on Sleep Disruptions: Results From a US Survey and Multinational Ostomy Clinical Registry.","authors":"George Skountrianos, Renee Malandrino, Colleen Drolshagen, Rachel Lovegrove","doi":"10.1097/WON.0000000000001264","DOIUrl":"10.1097/WON.0000000000001264","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to describe the influence of living with an ostomy on sleep disruptions using data from a self-reported survey and multinational clinical registry of individuals living with an ostomy.</p><p><strong>Design: </strong>Cross-sectional survey and clinical registry.</p><p><strong>Subjects and setting: </strong>Survey data were collected from 5648 respondents living in the US with an ostomy, using any manufacturer's product; these data were collected from October 2021 to April 2022. In addition, clinical registry data were extracted from 206 respondents living in the UK, US, and Canada, using all data available as of December 2022.</p><p><strong>Methods: </strong>An electronic survey focusing on sleep was distributed through an industry-sponsored ostomy patient support program, product supply distributor, and ostomy patient association. Participation was anonymous, voluntary, and without compensation. Participants in the multinational registry completed monthly or quarterly electronic questionnaires that included information on sleep quality and sleep disruptions. Inferential analyses were conducted using Fisher exact test and chi-square test (χ2).</p><p><strong>Results: </strong>Nearly half of the Sleep Survey respondents (n = 2676 of 5648, 47%) reported their pouching system had disrupted their main sleep period over the past 30 days. Seventy-five percent (n = 1845) experienced disruptions weekly, and 31% (n = 760) reported nightly sleep disruptions. Common causes included the need to empty a pouch (64%, n = 1722), leakage of effluent (40%, n = 1068), and worry about pouching system leakage (25%, n = 677). Respondents reporting peristomal skin problems were 1.5 times more likely to experience sleep disruptions (P < .001), while individuals with ileostomies were 1.3 and 1.6 times more likely to report disruptions compared to individuals with colostomies and urostomies, respectively (P < .001). The proportion of registry respondents who reported sleep disruptions in the preceding 30 days was 39% (n = 79). A vast majority (96%, n = 76) reported being bothered by these sleep disruptions.</p><p><strong>Conclusions: </strong>The prevalence of sleep disruptions among individuals living with an ostomy is high, especially for those living with an ileostomy.</p>","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"53 2","pages":"124-130"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12947914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147358741","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":"Use of Hyaluronic Acid-Based Filler to Prevent Ostomy Pouch System Leakage: A Case Study.","authors":"Brooke E Heyer, Evelyn Echevarria Cruz, Jamie M Moenster","doi":"10.1097/WON.0000000000001266","DOIUrl":"10.1097/WON.0000000000001266","url":null,"abstract":"<p><strong>Background: </strong>An ileostomy is a commonly performed procedure in patients with various gastrointestinal conditions. A portion of small bowel (ileum) is brought through the anterior abdominal wall via a surgical opening called a stoma where fecal effluent is collected in an ostomy pouching system. The procedure is associated with potential complications including parastomal herniation, undermining and leakage of the ostomy pouching system, and peristomal skin damage. Leakage under the ostomy pouch system is initially treated conservatively with interventions for skin protection, such as skin barriers, adjusting the fit of the skin to accommodate ostomy size, convexity and an ostomy belt. If conservative measures are unsuccessful, more invasive procedures, such as dermal fillers, may be implemented.</p><p><strong>Case: </strong>A 42-year-old woman with a history of ulcerative colitis (UC) and an ileostomy experienced recurrent ostomy pouch leakage. This case describes a previously unreported treatment approach using hyaluronic acid (HA)-based filler for managing leakage secondary to scarring and concave areas in the peristomal skin. The use of HA-based fillers improved the adhesion of her ostomy pouch system, resulting in decreased leakage and peristomal irritant contact dermatitis.</p><p><strong>Conclusion: </strong>Use of HA-based filler for scarring and concave areas of Ms T's peristomal skin allowed longer ostomy pouching system wear time without leakage, improving her symptoms and health-related quality of life. Further studies are needed to investigate the long-term effectiveness of this procedure and compare outcomes to other types of fillers for peristomal skin.</p>","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"53 2","pages":"145-148"},"PeriodicalIF":1.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147358718","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":"Intermittent Catheters With Integrated Features Designed to Reduce the Risk of Urinary Tract Infection: Findings From the Continence Care Registry, a Multinational, Observational, Longitudinal Study.","authors":"Daniel Gordon, George Skountrianos, Diane K Newman, Jessica Simmons","doi":"10.1097/WON.0000000000001249","DOIUrl":"10.1097/WON.0000000000001249","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this analysis was to compare urinary tract infection (UTI) rates, health-related quality of life (QoL) and intermittent catheter (IC) experience, and satisfaction among participants who used hydrophilic ICs with a ring cap, protective introducer tip, and sleeve (Group A) to those who used ICs without this combination of features (Group B).</p><p><strong>Design: </strong>Analysis of data from a prospective, observational, longitudinal continence care registry.</p><p><strong>Subjects and setting: </strong>The sample comprised 222 monthly or quarterly electronic patient-reported outcome registry visits across 32 intermittent self-catheterization (ISC) users from the US, Canada, and the UK. Participants self-reported data directly into a secure cloud-based electronic data capture system.</p><p><strong>Methods: </strong>Generalized linear mixed models that were capable of modeling the longitudinal nature of the data structure within the registry were employed. These models were used to compare UTI odds, QoL scores based on the Intermittent Self-Catheterization Questionnaire (ISC-Q), and ISC satisfaction and experience ratings between the 2 groups.</p><p><strong>Results: </strong>Group A had a significantly lower likelihood of experiencing a UTI than Group B (odds ratio = 0.38; P = .035). Furthermore, total ISC-Q scores for Group A were significantly greater than Group B (P = .044). The ISC-Q difference of 8.85 points exceeded the ISC-Q minimum important difference range of 4.94 to 8.73 points, indicating a clinically relevant difference in QoL for Group A compared to Group B. Additionally, ISC users from Group A reported significantly greater satisfaction and more positive ISC experiences compared to IC users from Group B.</p><p><strong>Conclusions: </strong>Participants using hydrophilic ICs with a ring cap, protective introducer tip, and sleeve (Group A) demonstrated significantly lower UTI risk, greater QoL, and better ISC satisfaction and experience than participants who used ICs from Group B. These findings indicate the beneficial use of Group A hydrophilic ICs.</p>","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"53 1","pages":"40-46"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12794708/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145992752","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":"Adapting a Pressure Injury Prevention Process to Decrease Deep Tissue Pressure Injuries: A Quality Improvement Project.","authors":"Kaitlin Denson, Krista Jones","doi":"10.1097/WON.0000000000001248","DOIUrl":"10.1097/WON.0000000000001248","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this quality improvement project was to reduce hospital-acquired deep tissue pressure injuries (DTPIs) within 6 months of implementation using a prevention bundle that focused use of a polymeric membrane dressing.</p><p><strong>Participants and setting: </strong>The project was conducted in the intensive care and progressive care units of a rural hospital in the Midwestern US (Mattoon, IL, USA). Participants included adult patients at risk for PIs and nursing staff responsible for their care. The hospital serves a predominantly rural population, with a patient mix that includes many elderly and critically ill individuals.</p><p><strong>Approach: </strong>Guided by the Institute for Healthcare Improvement's Psychology of Change framework, the project used surveys, observations, and chart audits to assess knowledge and protocol adherence. Baseline data informed the project's design, with tools including pre- and post-implementation surveys to measure knowledge and adherence.</p><p><strong>Outcomes: </strong>No hospital-acquired DTPIs nor progression of existing DTPIs have been detected since initiation of the project. Surveys show increased nursing knowledge and improved protocol adherence.</p><p><strong>Implications for practice: </strong>This project improved patient care, enhanced decision-making, and reduced hospital-acquired DTPIs, yielding fiscal benefits in the inpatient care unit where it was implemented. Next steps include strategies to sustain improvements and expand the prevention bundle to other hospital units.</p>","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"53 1","pages":"20-24"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145993006","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":"Comparison of Pelvic Floor Muscle Training and Extracorporeal Magnetic Innervation on Urinary Incontinence, Pelvic Floor Muscle Strength, and Quality of Life in Women With Urinary Incontinence: A Randomized Controlled Trial.","authors":"Sevil Yılmaz, Leyla Khorshtd, Serpil Aydoğmuş, Özlem Bolel","doi":"10.1097/WON.0000000000001253","DOIUrl":"https://doi.org/10.1097/WON.0000000000001253","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to compare the effects of pelvic floor muscle training (PFMT) and extracorporeal magnetic innervation (ExMI) on urinary incontinence, pelvic floor muscle strength, and incontinence-specific quality of life in women with stress, urge, and mixed urinary incontinence.</p><p><strong>Design: </strong>Randomized controlled trial.</p><p><strong>Subjects and setting: </strong>The sample comprised 35 adult women with urinary incontinence (UI) who sought care in a urogynecology clinic in Turkey. Their mean age was 46.77 (SD = 8.88) years. Nineteen women were randomly allocated to a PFMT group and 16 women were allocated to an ExMI group.</p><p><strong>Methods: </strong>Nineteen participants underwent PFMT for 12 weeks, while 16 underwent ExMI during 20-minute sessions 3 times a week, for 6 weeks. Outcomes (incontinence severity, pelvic floor muscle strength, and incontinence-specific quality of life) were measured in both groups at baseline and 6 and 12 weeks following initiation of the intervention. The Mann-Whitney U test was used for between-group comparisons, and the Friedman test was used for within-group comparisons. Two-way repeated measure ANOVA was used to compare outcomes in the 2 groups over time.</p><p><strong>Results: </strong>Analysis revealed significant improvements in incontinence severity, incontinence-related quality of life, and pelvic floor muscle strength of participants in both intervention groups. In contrast, no significant between-group differences were found.</p><p><strong>Conclusion: </strong>Pelvic floor muscle training and ExMI improve self-reported severity of incontinence, incontinence-specific quality of life, and pelvic floor muscle strength. This head-to-head comparison revealed no differences between the interventions for these outcomes.</p>","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"53 1","pages":"47-54"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145992632","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":"Parastomal Hernia Prevention, Assessment, and Management: A Scoping Review and Consensus-Based Best Practice Recommendations.","authors":"Madeline Lemke, Kimberley LeBlanc, Mary Hill, Kevin Woo, Terry Zwiep","doi":"10.1097/WON.0000000000001255","DOIUrl":"https://doi.org/10.1097/WON.0000000000001255","url":null,"abstract":"<p><strong>Purpose: </strong>This purpose of this project was to generate best practice recommendations for health care providers caring to individuals at risk of or experiencing a parastomal hernia.</p><p><strong>Methods: </strong>This project was completed in 2 phases. A scoping literature review was conducted, and results were used to generate best practice statements guiding clinicians caring for persons undergoing or living with an abdominal ostomy. A modified Delphi method was used to generate consensus-based recommendations for care. Finally, these statements underwent external review.</p><p><strong>Search strategy: </strong>A scoping review was conducted that focused on the definitions, etiology, epidemiology, pathophysiology, assessment, prevention, and management of parastomal hernias. Databases and resources searched were CINAHL; EMBASE; Google Scholar; MEDLINE via OVID, Nurses Specialized in Wound, Ostomy and Continence Canada; Nursing and Allied Health Source on ProQuest; Ordre des infirmiers et infirmières du Québec; PsycInfo; PubMed Registered Nurses' Association of Ontario (RNAO); and the Wound, Ostomy, Continence Nurses Society library.</p><p><strong>Results: </strong>Our search retrieved 187 records; 65 were read in full and included in the scoping literature review used to generate proposed consensus statements. Consensus was reached on 15 statements that achieved a 96% or higher agreement among expert panelists. Twenty-eight professionals participated in expert review, and 96% (n = 27) reported they would recommend these best practice recommendations to support parastomal hernia practices.</p><p><strong>Conclusion: </strong>This process generated 15 best practice recommendations that provide guidance to health care providers who care for patients with an ostomy to assess risk, prevent, assess, and manage parastomal hernias.</p><p><strong>Implications: </strong>These recommendations were generated from a structured literature review of current best evidence, supported by consensus among a panel of clinical experts, and supported by external review. While they represent best practice in the prevention and management of parastomal hernias, further research is required to establish evidence-based preventive and treatment recommendations.</p>","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"53 1","pages":"35-39"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145992765","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":"Identifying Candidate Predictors of Hospital-Acquired Pressure Injuries among Adult, Medical-Surgical Patients Using Clinical Expert Knowledge: A Delphi Study.","authors":"Urszula A Snigurska, Ragnhildur I Bjarnadottir, Ann L Horgas, Parisa Rashidi, Robert J Lucero","doi":"10.1097/WON.0000000000001254","DOIUrl":"10.1097/WON.0000000000001254","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to identify clinically important candidate predictors of hospital-acquired pressure injuries among adult, medical-surgical patients.</p><p><strong>Design: </strong>Modified Delphi technique.</p><p><strong>Methods: </strong>Interdisciplinary clinicians were recruited for the expert panel, and multiple rounds were administered as electronic questionnaires using a modified Delphi approach. The opening round was informed by a literature review that was used to extract candidate predictors from prognostic model development studies of hospital-acquired pressure injury (HAPI). The panel evaluated clinical concepts by answering either \"Yes\" or \"No\" to whether each concept was \"important\" in the assessment of HAPI risk and categorized the concept as a predisposing or precipitating factor.</p><p><strong>Results: </strong>The panel comprised 16 clinicians (8 physical/occupational therapists, 7 registered nurses, and 1 physician) from 2 large academic health care centers located in the US (Florida and California). The Delphi study comprised 3 rounds, with an overall attrition rate of 6.25%. The panel evaluated the clinical importance of 205 concepts that described HAPI risk. More than half of the panel agreed that 132 (64%) concepts were clinically \"important,\" including 99 (75%) predisposing factors and 33 (25%) precipitating factors. Thirteen (6%) concepts reached 100% agreement.</p><p><strong>Conclusion: </strong>Variable selection is a key component of prognostic model development study. Based on expert recommendations that highlight the use of clinical expertise in variable selection, we conducted a rigorous consensus study to gather feedback from clinicians who were experts in assessing, preventing, and treating pressure injuries. The final compilation of 132 \"important\" concepts provides a foundation for designing new or refining existing HAPI risk assessment tools. Future research should focus on identifying which concepts are valid predictors of HAPI and integrating them into standardized risk assessment tools.</p>","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"53 1","pages":"25-34"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12794716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145992759","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":"Getting Ready for Certification: Patient and Caregiver Education on Risk Factors and Foot Care Guidelines.","authors":"Yvette Conyers, Cathy Harmon","doi":"10.1097/WON.0000000000001250","DOIUrl":"https://doi.org/10.1097/WON.0000000000001250","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 1","pages":"75-77"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145992642","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":"Medications and Wound Healing: A Narrative Literature Review.","authors":"","doi":"10.1097/WON.0000000000001256","DOIUrl":"https://doi.org/10.1097/WON.0000000000001256","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 1","pages":"E1"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145992732","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}