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

{"title":"Evaluation of the Construct Validity of a Risk Assessment Instrument for Venous Leg Ulcer Recurrence.","authors":"Christina Narelle Parker, Amanda Pagan, Jane O'Brien, Kathleen Finlayson","doi":"10.1097/WON.0000000000001239","DOIUrl":"https://doi.org/10.1097/WON.0000000000001239","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to evaluate the construct validity of an instrument designed to predict the risk of recurrence of venous leg ulcers.</p><p><strong>Design: </strong>Methodological study to determine the validity of an existing instrument.</p><p><strong>Subjects and setting: </strong>A convenience sample of 37 adults with a venous leg ulcer were recruited from the Southern District Health Board serving residents of the southern half of the South Island of New Zealand. Participants had a history of a venous leg ulcer within 4 weeks of healing; they were followed for 12 months to determine venous leg ulcer recurrence.</p><p><strong>Methods: </strong>An 8-item instrument that was previously developed was evaluated. The instrument queries history of deep vein thrombosis and previous ulcers, duration of previous ulcer, body mass index, living alone, leg elevation, moving around on feet, and compression to measure the risk of recurrence. The construct validity of the VLU recurrence risk instrument was evaluated using the area under the receiver operating characteristic curve and the Hosmer-Lemeshow statistic.</p><p><strong>Results: </strong>The area under the curve was acceptable at 0.824 (95% CI, 0.695-0.952, P < .001) for the total risk assessment score; results were similar when the AUC was measured at 3- and 6-month follow-up visits.</p><p><strong>Conclusion: </strong>The validation of a risk assessment tool for recurrence of venous leg ulcers in differing populations provides support for the tool's use in guiding individualized interventions more globally to address any modifiable risk factors, increase concordance, and thus reduce recurrence rates.</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":"465-468"},"PeriodicalIF":1.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145515498","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":"Getting Ready for Certification: Performing a Focused Wound Assessment to Determine Etiology as a Blueprint for Treatment Selection.","authors":"Alexis M Aningalan, Thanoon Thabet","doi":"10.1097/WON.0000000000001234","DOIUrl":"https://doi.org/10.1097/WON.0000000000001234","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":"513-515"},"PeriodicalIF":1.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145515524","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":"Ostomy Leakage, Odor, and Peristomal Skin Complications as Predictors of Anxiety Symptoms in Colorectal Cancer Survivors: A Cross-Sectional Study.","authors":"","doi":"10.1097/WON.0000000000001241","DOIUrl":"https://doi.org/10.1097/WON.0000000000001241","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":"E6"},"PeriodicalIF":1.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145515509","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":"WOCN®-Accredited Professional Education Programs: Please contact individual education program for dates, types of structure(s), and costs.","authors":"","doi":"10.1097/WON.0000000000001215","DOIUrl":"https://doi.org/10.1097/WON.0000000000001215","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":"518"},"PeriodicalIF":1.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145515513","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":"Ostomy Leakage, Odor, and Peristomal Skin Complications as Predictors of Anxiety Symptoms in Colorectal Cancer Survivors: A Cross-Sectional Study.","authors":"Juehyun Shin, Guofen Yan, Jessie S Gibson, Randy A Jones, Mikel Gray, Katrina J Debnam","doi":"10.1097/WON.0000000000001222","DOIUrl":"10.1097/WON.0000000000001222","url":null,"abstract":"<p><strong>Purpose: </strong>The aim is to examine the relationships between ostomy leakage, odor, peristomal skin complications (PSC), and anxiety symptoms in colorectal cancer (CRC) survivors with ostomies.</p><p><strong>Design: </strong>Cross-sectional design.</p><p><strong>Methods: </strong>One hundred thirty CRC survivors with ostomies (Stages I-III) were recruited from online support groups. Participants completed assessments of ostomy-related issues using single-item Likert scales measuring leakage, odor, and PSC. Anxiety symptoms were measured using the Generalized Anxiety Disorder-7. Baron and Kenny's mediation model, with a series of regression analyses, examined relationships between variables while controlling for demographic and clinical factors.</p><p><strong>Results: </strong>Ostomy leakage significantly predicted odor intensity (β = 0.61, P < .001), PSC (β = 0.51, P < .001), and anxiety (β = 0.23, P = .003). In mediation analysis, odor demonstrated a significant association with anxiety (β = 0.19, P = 0.039), while leakage's direct effect became nonsignificant (β = 0.11, P = 0.249). Peristomal skin complications showed no significant association with anxiety (β = -0.05, P = 0.575). Race and treatment status maintained significant associations with anxiety across all models.</p><p><strong>Conclusions: </strong>Ostomy odor mediates the relationship between leakage and anxiety among CRC survivors with ostomies, suggesting that odor management may be crucial for reducing anxiety in this population.</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":"476-484"},"PeriodicalIF":1.8,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145515483","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":"Skin Failure: Results of a Think Tank Hosted by the National Pressure Injury Advisory Panel.","authors":"Joyce Black, Jill Cox, Janet Cuddigan, Jessie Jenkins, Hadar Lev-Tov, Joshua Mervis, T Samuel Nwafor, Vicky Pontieri-Lewis, Marilyn Schallom, Carri Siedlik, Nicole Siparsky, Kathleen Vollman, Nicole Walkowiak","doi":"10.1097/WON.0000000000001211","DOIUrl":"10.1097/WON.0000000000001211","url":null,"abstract":"<p><p>The term skin failure is used to describe multiple changes in the skin. This article summarizes a concept analysis and deliberations of a multidisciplinary think tank hosted by the National Pressure Injury Advisory Panel August 2024. The panel was tasked with addressing the topic of skin failure in the critically ill person. The term skin failure was introduced many years ago as one component of multi-organ system failure occurring in critically ill patients and those at end of life. However, until recently the phrase has had limited use. The think tank panel examined contemporary uses of the term skin failure and its proposed use in diagnosing and coding skin changes that may also be attributable to pressure. Panelists concluded that skin failure in critically ill adults should be considered non-pressure related. Instead, they defined skin failure as an injury that occurs despite standard preventive interventions and for which no other etiology has been identified. Panelists further acknowledged that a distinct etiology for non-pressure-related skin failure in critically ill patients has not been elucidated; particularly when it occurs on pressure bearing body areas. They recognized that while hypoperfusion is hypothesized to be a principal etiologic factor in non-pressure-related skin failure, the histopathology for non-pressure-related skin failure in the critically ill has not been fully elucidated, and no photographs have been published that depict acute skin failure. Think tank participants concurred that additional research is needed to establish a reproducible description of the etiology, pathophysiology, and natural history of non-pressure-related skin failure. Even though the term skin failure is frequently used in clinical settings, the concept has not been sufficiently well studied to support a specific diagnosis or diagnostic code.</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":"369-375"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12537035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139941","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":"JWOCN Manuscript Award Winners (2025).","authors":"Mikel Gray","doi":"10.1097/WON.0000000000001224","DOIUrl":"10.1097/WON.0000000000001224","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":"355"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145215517","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":"https://doi.org/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":"145139938","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":"Computer-Simulated Model Examining the Effects of Convexity Characteristics at the Skin Barrier- Abdomen Interface.","authors":"Jack Bradley-Clarke, Jennifer Evans, Jonathan Waller, Katie McGill, Clifford Long, Tod Brindle, Neal Carty","doi":"10.1097/WON.0000000000001206","DOIUrl":"10.1097/WON.0000000000001206","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to use computer simulations to generate quantitative insights as to how the characteristics of convex skin barriers might contribute to stomal protrusion or leveling of the peristomal skin when applied to 3 different types of abdomens varying in thickness and tone of the subcutaneous fat.</p><p><strong>Materials and methods: </strong>Finite element analysis (FEA) was used to model the interactions of convex skin barriers with 3 different types of abdomens. The skin barriers' depth, slope, tension location, and compressibility were systematically varied, and the model was used to simulate how each combination deformed the peristomal tissue when applied. The results were analyzed using factorial regression analysis to reveal which characteristics of convexity contribute most to generating central and peripheral tension. The influence of flexibility was not measured as our simulation did not capture the bending motion required to flex the skin barrier.</p><p><strong>Conclusions: </strong>Depth and tension location were identified as the most influential factors in promoting central tension, whereas slope and depth most influenced peripheral tension. These findings further our understanding of the 5 main characteristics of convexity and may assist with appropriate selection of convex skin barriers for a person 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":"52 5","pages":"392-400"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12506684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139768","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":"Response to Letter to the Editor for \"3D-Printed Ostomy Flange Stabilizer\".","authors":"Bard C Cosman, Ilan E Cosman","doi":"10.1097/WON.0000000000001202","DOIUrl":"10.1097/WON.0000000000001202","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":"422"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144802468","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}