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

{"title":"Context for Practice: Pediatric Support Surfaces, Complex Surgical Wounds, Odor and Anxiety in Persons With an Ostomy, Risk Assessment for Venous Leg Ulcer Recurrence.","authors":"Mikel Gray","doi":"10.1097/WON.0000000000001243","DOIUrl":"https://doi.org/10.1097/WON.0000000000001243","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 6","pages":"443-444"},"PeriodicalIF":1.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145515446","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":"Measurement of Flexibility and Compressibility in Convex Ostomy Barriers: Report of a Transdisciplinary Consensus Conference.","authors":"Dorothy B Doughty, Janice M Beitz, Jan Colwell, Laurie McNichol, Mikel Gray","doi":"10.1097/WON.0000000000001223","DOIUrl":"10.1097/WON.0000000000001223","url":null,"abstract":"<p><p>Establishment and maintenance of a secure seal between the pouching system and the peristomal skin is a critical element of effective ostomy care. Convex skin barriers are frequently used to improve outcomes when the stoma is retracted, the os empties at or below skin level, the peristomal surface is concave or irregular, or there is high-volume or liquid output. Manufacturers have responded to the increasing use of convex ostomy skin barriers by providing a wide variety of such barriers with differing features; thus, ostomy nurses have been challenged to develop guidelines for matching convex barriers to patient needs. An international consensus conference resulted in clear definitions for 5 identified characteristics of convex barriers: depth, slope, tension location, flexibility, and compressibility. However, until recently, there have been no guidelines for objective and standard measurement of these characteristics, and for matching products to patients. A transdisciplinary consensus conference held in 2024 resulted in guidelines for measurement and labeling 3 characteristics of convex barriers: depth, slope, and tension location. That conference also generated general guidelines for the use of convexity and specific clinical implications for all 5 characteristics. Nevertheless, that conference failed to generate consensus for standardized management of flexibility and compressibility. A subsequent consensus conference was convened to focus on measurement guidelines for the 2 dynamic features of convex barriers: flexibility and compressibility. This article summarizes outcomes of the previous consensus conference and provides an in-depth report on consensus statements regarding the measurement of flexibility and compressibility.</p>","PeriodicalId":520700,"journal":{"name":"Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society","volume":" ","pages":"469-475"},"PeriodicalIF":1.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139990","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":"Effects of a Support Group Intervention on Adaptation to Ostomy, Quality of Life, and Complication Severity in Patients With an Ostomy.","authors":"Serap Sayar, Fatma Vural","doi":"10.1097/WON.0000000000001226","DOIUrl":"https://doi.org/10.1097/WON.0000000000001226","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the study was to investigate the effect of a support group intervention on the adaptation to an ostomy, health-related quality of life, and severity of ostomy complications in patients with intestinal ostomies.</p><p><strong>Design: </strong>Non-randomized comparison cohort study.</p><p><strong>Subjects and setting: </strong>The sample comprised 65 participants; 34 received routine care following ostomy surgery. Thirty-one participants in the intervention group received routine ostomy care and participated in a support group. The mean age of the control subjects was 53.67 (SD 13.07 years); the mean age of intervention group participants was 54.52 (SD 15.2) years. The study was conducted in the Wound and Stoma Therapy Unit of the Dokuz Eylul University Hospital General Surgery Clinic and Polyclinic in Izmir, Turkey. Data were collected from November 1, 2017 and June 30, 2019.</p><p><strong>Methods: </strong>Data were gathered via a form designed for purposes of this study. The form queried sociodemographic and relevant clinical data including ostomy type. The form also incorporated 3 validated instruments, the Pittman Ostomy Complication Severity Index (Pittman OCSI), Ostomy Adjustment Scale (OAS), and City of Hope Quality of Life-Ostomy instrument (COHQOL-O). The intervention group attended support group sessions, whereas the control group received routine follow-up.</p><p><strong>Results: </strong>The percentage of males in the control group was 85.3% (N = 29), 73.5% (N = 25) had a temporary stoma, 50% (N = 17) had a colostomy, and 70.6% (N = 24) had surgery 2 months prior to data collection. A majority of the intervention group 74.2% (N = 23) was male, 80.6% (N = 25) had a temporary stoma, and 45.2% (N = 14) had a colostomy; 67.7% (N = 21) underwent ostomy surgery 2 months prior to data collection. Although there was no statistically significant difference in baseline data between the groups in terms of adaptation to ostomy, quality of life, and severity of ostomy complications scores a significant difference was noted between the groups after the support group intervention. As compared with the control group, the intervention group had significantly higher total mean scores on the COHQOL-O, OAS and Pittman OCSI from the first follow-up and second follow-up following the support group intervention.</p><p><strong>Conclusions: </strong>Study findings suggest that the support group intervention improves quality of life in patients living with an ostomy, increases adaptation to an ostomy, and reduces the severity of complications. A support group intervention may enhance the quality of the care provided in the clinic to patients with an ostomy and should be included in routine nursing 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 6","pages":"485-491"},"PeriodicalIF":1.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145515450","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":"Innovative Wound Care Education to Support the Expanding Role of Community Care Paramedics.","authors":"Kimberly LeBlanc, Nicholas Joachimides","doi":"10.1097/WON.0000000000001238","DOIUrl":"https://doi.org/10.1097/WON.0000000000001238","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 6","pages":"510-511"},"PeriodicalIF":1.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145515464","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":"Relationships Start With Conversation and an Invitation.","authors":"Christine Chris Berke","doi":"10.1097/WON.0000000000001242","DOIUrl":"https://doi.org/10.1097/WON.0000000000001242","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 6","pages":"445"},"PeriodicalIF":1.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145515475","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":"My Reflections on the Future of Wound, Ostomy, and Continence (WOC) Nursing in the Philippines: A View From Here.","authors":"Annielyn Ocampo","doi":"10.1097/WON.0000000000001232","DOIUrl":"https://doi.org/10.1097/WON.0000000000001232","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 6","pages":"446-447"},"PeriodicalIF":1.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145515505","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":"Disease-Specific Distress in Adults With Venous Leg Ulcers: An Integrative Review.","authors":"Christina Narelle Parker, Ut Bui, Kathleen Finlayson, Julia Hindmarsh, Kay Seymour, Yanuar Primanda, Hana Skripic, Jane O'Brien","doi":"10.1097/WON.0000000000001221","DOIUrl":"10.1097/WON.0000000000001221","url":null,"abstract":"<p><p>The purpose of this integrative literature review was to identify disease specific distress (DSD) in adults with venous leg ulcers (VLUs). Databases searched were CINAHL, MEDLINE and PubMed, APA PsychInfo, and Embase. Our review was initially structured as a systematic review; however, we found no studies specifically examining DSD in persons with VLU and no instruments specific for measuring DSD in this population. Nevertheless, we found evidence that patients with VLUs are likely to describe symptoms of anxiety and depression. We therefore assert that areas of DSD in adults with VLU can be broadly summarized under the themes of emotional, healthcare, interpersonal/social, treatment and symptom related. Additional research is needed to formally identify and evaluate DSD in persons with VLU. Studies examining potential distress indicators will aid healthcare practitioners in implementing interventions that prioritize person-centered care for adults with VLUs.</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":"459-464"},"PeriodicalIF":1.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145515431","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":"Managing Urinary Incontinence in Nursing Homes: A Phenomenological Exploration of Multidisciplinary Team Experiences.","authors":"Meltem Yildirim, Javier Jerez-Roig, Laura Coll-Planas, Pau Moreno-Martin, Miriam Molas-Tuneu, Sandra Rierola-Fochs, Joanne Booth","doi":"10.1097/WON.0000000000001225","DOIUrl":"10.1097/WON.0000000000001225","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to explore the experiences of health professionals managing urinary incontinence in nursing homes during the COVID-19 pandemic.</p><p><strong>Design: </strong>Qualitative descriptive using a phenomenological approach.</p><p><strong>Participants and setting: </strong>Seventeen health care professionals (5 nurses' aides, 4 physiotherapists, 3 nurses, 2 occupational therapists, 2 psychologists, and 1 nursing home director) were selected through heterogeneous sampling from 9 nursing homes in Central Catalonia (1 of the 9 regions that comprise Spain).</p><p><strong>Methods: </strong>Semi-structured interviews conducted by videoconferencing between January and March 2021. Data were digitally recorded and transcribed verbatim. These data were analyzed following Colaizzi's method.</p><p><strong>Results: </strong>Findings suggest that health care professionals experienced numerous resident-related, staff-related, and contextual challenges. The COVID-19 pandemic exacerbated some challenges, particularly management of time and workload. Facilitators of continence care were highlighted, such as building trust between the resident and health care professionals, anticipation of continence needs, activity planning, and effective communication with the residents and among health care professionals. For future best practice, person-centered care by a multidisciplinary team is required. Participants also recommended the development of specific competencies related to continence care in this setting.</p><p><strong>Conclusions: </strong>Study findings illustrate the difficulties experienced by staff managing urinary incontinence in nursing homes during the COVID-19 epidemic.</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":"493-498"},"PeriodicalIF":1.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145515496","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":"Improving Pressure Injury Care Outcomes With Structured Patient Education: A Quasi-Experimental Study.","authors":"Deena Clare Thomas, Ping Lei Chui, Abqariyah Yahya, Jiann Wen Yap","doi":"10.1097/WON.0000000000001230","DOIUrl":"https://doi.org/10.1097/WON.0000000000001230","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to evaluate the effects of a structured patient education program on pressure injury (PI) knowledge, patient participation in PI, health-related quality of life (HRQOL), and healing rates.</p><p><strong>Design: </strong>Quasi-experimental study.</p><p><strong>Subjects and setting: </strong>This sample comprised 116 adult patients with limited mobility and stage 2 or 3 PIs. Their mean age was 52.5 (SD 13.4) years; 65.5% (n = 76) were male. Participants were assigned to intervention and control groups, each with 58 participants. This study was conducted in Kota Kinabalu, Sabah, Malaysia, from August 2020 to November 2021.</p><p><strong>Methods: </strong>The intervention group received a structured education program spanning 4 days of daily 40-minute face-to-face sessions, followed by biweekly sessions for 8 weeks. Educational sessions focused on PI etiology, staging, skin care, incontinence management, repositioning, support surfaces, wound dressings, and dietary needs. Follow-up focused on biweekly monitoring and skin assessments, with activities recorded in a logbook. The control group received standard care and advice on PIs. Outcome variables were assessed using a validated questionnaire and checklist at baseline, and at weeks 4 and 8.</p><p><strong>Results: </strong>Both control and intervention groups demonstrated improved knowledge and participation in PI care over time. However, the intervention group exhibited significantly greater knowledge and perceived participation than the control group. Quality-of-life scores decreased over time in both groups; nevertheless, the intervention group showed significant improvements when compared to the control group and they experienced significantly more progress toward healing than the control group (even after controlling for PI stages/categories and initial wound size).</p><p><strong>Conclusion: </strong>We found positive effects of structured PI educational intervention which achieved enhanced knowledge, better patient participation care, improved HRQOL, and greater progress toward healing than the comparison group.</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":"449-458"},"PeriodicalIF":1.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145515497","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":"Commentary on the Development and Validation of the Satisfaction Concerning Stoma Care Questionnaire (SSCQ): An Essential Tool for Patient-Centered Care.","authors":"Cláudia Oliveira, Tânia Xavier","doi":"10.1097/WON.0000000000001237","DOIUrl":"https://doi.org/10.1097/WON.0000000000001237","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 6","pages":"517"},"PeriodicalIF":1.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145515459","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}