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

{"title":"Reframing Hospital-Acquired Skin Injuries at End-of-Life: From Prevention Metrics to Prognostic Markers.","authors":"Schawanya Kaewpitoon Rattanapitoon, Nav La, Patpicha Arunsan, Nathkapach Kaewpitoon Rattanapitoon","doi":"10.1097/WON.0000000000001251","DOIUrl":"https://doi.org/10.1097/WON.0000000000001251","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":"78"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145992788","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":"Janice M Beitz","doi":"10.1097/WON.0000000000001247","DOIUrl":"https://doi.org/10.1097/WON.0000000000001247","url":null,"abstract":"<p><p>One constant in the care of patients with wounds and multiple chronic illnesses is the use of pharmacotherapy. While clinicians understand the need for drug use to treat patients' disorders, some may not be aware of their potential impact on wound healing. This article describes wound healing processes, explains how common categories of drugs exert both detrimental and helpful effects on wound healing, and delineates clinical implications for health care providers. Alternative topical use of prescription medications and complementary (herbal) therapy is also described.</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":"13-19"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145992767","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 Clinical Application of Digestive Fluid Reinfusion Technology in the Nutritional Management of Patients With High-Output Ostomies and Fistulas: A Multiple Case Series.","authors":"Juanjie Duan, Huijun Wang, Xianzhen Jin, Lina Qiao, Xiaoli Liu, Ping Liu, Pengwei Zhao","doi":"10.1097/WON.0000000000001245","DOIUrl":"https://doi.org/10.1097/WON.0000000000001245","url":null,"abstract":"<p><strong>Background: </strong>Patients with high-output ostomies and fistulas face a significant risk of severe complications such as electrolyte imbalances and renal failure secondary to substantial loss of gastrointestinal fluid. Consequently, these patients present considerable challenges for wound, ostomy, and continence (WOC) nurses.</p><p><strong>Cases: </strong>We report 5 cases of high-output intestinal stomas and 1 case of enteric fistula resulting from gastrointestinal complications following abdominal surgery. An integrated care plan was developed for each patient, which included continuous nutritional assessments to monitor their nutritional interventions based on their evolving needs. A regimen combining enteric fluid reinfusion with total parenteral nutrition and enteral nutrition preparations was employed. The management of ostomy pouch systems, nutritional tubes at the stoma site, and the peristomal skin was conducted by WOC nurses. Additionally, our WOC nurses participated in formulating a comprehensive follow-up plan for the patients after discharge.</p><p><strong>Conclusion: </strong>Under the meticulous treatment and care provided by the team, the nutritional status of the 6 patients gradually improved. The end result was the successful re-anastomosis for patients with ostomies and a smooth recovery and discharge for the patient with an enteric fistula.</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":"64-74"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145992782","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":"Psycho-Dynamics of Rendering Foot and Wound Care to Psychologically Challenged Street Homeless: A Narrative Review.","authors":"Tim Porter-O'Grady","doi":"10.1097/WON.0000000000001244","DOIUrl":"10.1097/WON.0000000000001244","url":null,"abstract":"<p><p>Providing foot and wound care to psychologically challenged homeless persons presents complex psychosocial and medical challenges. Homeless individuals often suffer from both physical and psychological comorbidities that are compounded by their living conditions. In this article, I explore the psycho-dynamics of delivering foot and related wound care to homeless persons with psychological challenges. Challenges related to delivering care to this vulnerable population include psycho-social dynamics/interaction, accommodating the emotional and behavioral challenges in delivering care, trauma-informed factors, and the relational impacts on both patients and providers. Best clinical practices for creating a safe and supportive space for both practitioner and patient are outlined, drawing from existing literature and evidence-based care models.</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":"55-58"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145992794","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":"Advancing Knowledge of Acute Cutaneous Graft-Versus-Host Disease Wound Care: A Case Study.","authors":"Sara Errichiello, Chiara Visintini, Chiara Rosignoli, Diana Cerne, Giuseppe Petruzzellis, Francesca Patriarca, Alvisa Palese","doi":"10.1097/WON.0000000000001240","DOIUrl":"10.1097/WON.0000000000001240","url":null,"abstract":"<p><strong>Background: </strong>Acute cutaneous graft-versus-host disease (GvHD) is a frequent complication of patients undergoing allogeneic hematopoietic stem cell transplantation (HSCT). It requires multidisciplinary systemic and topical management. However, no well-established recommendations regarding wound management have been established. This case study describes our experience caring for the wound of a patient with acute myeloid leukemia who developed a grade IV stage 4 acute cutaneous GvHD.</p><p><strong>Case: </strong>Mr T was a 64-year-old male diagnosed with acute myeloid leukemia with myelodysplasia-related changes. Seventy-five days after receiving an allogeneic human leukocyte antigen-HSCT, he developed wounds on his upper and lower limbs, part of his chest, torso, and sacrum. Four lines of therapy (systemic steroids, tacrolimus together with extracorporeal photopheresis, etanercept, and ruxolitinib) integrated with wound care using advanced dressings of soft silicone layers led to the resolution of his wounds on day 109.</p><p><strong>Conclusion: </strong>Our case study provides further evidence for the management of cutaneous GvHD. Further studies are required to assess the effectiveness of silicone layer dressings for managing allogeneic HSCT recipients with cutaneous GvHD on a large scale to provide definitive recommendations for their 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 1","pages":"59-63"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12794702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145992649","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":"Context for Practice: Wound Healing, Parastomal Hernia Assessment, Prevention and Treatment, Foot Care for Psychologically Challenged Homeless.","authors":"Mikel Gray","doi":"10.1097/WON.0000000000001262","DOIUrl":"https://doi.org/10.1097/WON.0000000000001262","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":"9-10"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145992622","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":"2026: A New Year.","authors":"Christine Chris Berke","doi":"10.1097/WON.0000000000001263","DOIUrl":"https://doi.org/10.1097/WON.0000000000001263","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":"11"},"PeriodicalIF":1.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145992937","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":"Analysis of YouTube Videos Focusing on Ileostomy, Colostomy, Urostomy Care, and Pouching System Changes.","authors":"Tuba Sengul, Ayise Karadag, Havanur Kilic, Aleyna Ucanbelen, Ayse Silanur Demir","doi":"10.1097/WON.0000000000001229","DOIUrl":"https://doi.org/10.1097/WON.0000000000001229","url":null,"abstract":"<p><strong>Purpose: </strong>This purpose of this study was to evaluate the content, reliability, and quality of selected videos posted on the YouTube video platform that describe fecal and urinary ostomy care, including pouching system changes.</p><p><strong>Design: </strong>Structured search of videos combined with descriptive of their content, reliability, and quality via validated instruments.</p><p><strong>Materials and methods: </strong>The topic of ostomy care was searched on the YouTube platform using relevant keywords from October to December 2023 without year limitation. In total, 101 videos were examined; 36 videos that met inclusion criteria were analyzed. Video content was assessed using the Assessment Tool for Stoma Care Skill: The Rubric approach. The reliability of videos was evaluated using the DISCERN Questionnaire, and video quality was assessed using the Global Quality Scale (GQS) instrument.</p><p><strong>Results: </strong>A total of 11 (30.56%) videos focused on colostomy care, 7 (19.45%) on ileostomy care, 4 (11.10%) on urostomy care, and 14 (38.89%) on general ostomy care. Nearly half (n = 17, 47.2%) were intended for educational purposes. More than half (58.3%, n = 21) were narrated or presented by health care professionals. The mean scores for content evaluation via the Rubric instrument was 20.89 (SD 7.494). The mean score on the GQS instrument, used to evaluate quality, was 2.08 (SD 0.996) and the mean score on the DISCERN instrument, used to evaluate reliability, was 2.47 (SD 0.810). All scores were determined to be below average for content, reliability, and quality were below average.</p><p><strong>Conclusion: </strong>Videos intended to guide ostomy care and pouching system changes were found to be below average in content, quality, and reliability, potentially leading viewers to incorrect ostomy care practices. We recommend creation of videos using best practice guidelines to enhance their usefulness to persons living with an ostomy and their caregivers.</p>","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145892788","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":"Use of Negative Pressure Wound Therapy in Selected Cases to Facilitate Abdominal Wound Healing: A Multiple Case Series.","authors":"Karie Wilson, Terran Sims","doi":"10.1097/WON.0000000000001233","DOIUrl":"10.1097/WON.0000000000001233","url":null,"abstract":"<p><strong>Background: </strong>Surgical wound dehiscence resulting in exposed bowel increases the risk for development of an enterocutaneous fistula. Consequently, management of exposed bowel in an open wound presents challenges in terms of wound care management. In addition, a surgical wound dehiscence within the peristomal plane of an ileal conduit also creates a complex challenge of maintaining an ostomy pouching system seal.</p><p><strong>Cases: </strong>Case 1 was a patient with peristomal skin complications requiring stoma re-siting and subsequent surgical wound dehiscence at the prior ostomy site. As a result, we addressed wound management in the setting of urinary leakage from the ileal conduit. We used negative pressure wound therapy (NPWT) in the setting of a peristomal dehisced surgical wound to promote healing and optimize peristomal skin health. Case 2 was a patient with an infected surgical incision requiring readmission to hospital and additional surgery. Intra-operative findings revealed a fascial defect with exposed bowel in the wound resulting in unique challenges for wound management. Again, we used NPWT in the setting of exposed bowel to promote granulation and achieve wound closure.</p><p><strong>Conclusion: </strong>Research regarding ideal wound management for complex open abdominal wounds with exposed bowel is sparse. These case studies summarize our clinical experience managing complex patients with wound dehiscence and abdominal fascia defects and risk of enterocutaneous fistula formation with NPWT.</p>","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"52 6","pages":"503-509"},"PeriodicalIF":1.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145515473","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":"Comparative Pressure Mapping of Pediatric Support Surfaces.","authors":"Oleg Teleten, Chrissie Smith, Jonathon Holte, Lisa Tsang, Lisa Peterson, Tuba Sengul, Reynaldo Ballesteros, Holly Kirkland-Kyhn","doi":"10.1097/WON.0000000000001228","DOIUrl":"https://doi.org/10.1097/WON.0000000000001228","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to identify the most effective pressure redistributing surface in children.</p><p><strong>Design: </strong>Repeated measures design study with each participant acting as their own control.</p><p><strong>Subjects and setting: </strong>The sample comprised 49 infants and children; their mean age was 4.5 (SD: 5.2) months. Their average weight was 9.56 (SD: 8.6) kg. The study setting was conducted at two academic medical centers in the western United States: University of California Davis Health and University of California, San Francisco Children's Hospitals.</p><p><strong>Methods: </strong>A pressure mapping system was used to measure interface pressures and surface areas between the surface and body of study participants. We compared pressures from a standard hospital bed, crib, or isolette surface used in the respective hospitals to a static air-inflated surface placed on top of the standard surface.</p><p><strong>Results: </strong>The mean pressure for static air-filled cushions was 10.41 mmHg, with peak pressure of 22.44 mmHg, while regular cushions had a mean pressure of 12.43 mmHg and peak pressure of 34.92 mmHg. The average surface area for the static air surfaces was 140.1 sq inches and the average surface area for regular surface was 105.3 sq inches.</p><p><strong>Conclusions: </strong>Static air-filled surfaces had lower tissue interface pressures when compared to standard hospital surfaces.</p>","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":"52 6","pages":"499-502"},"PeriodicalIF":1.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145515441","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}