Advances in Skin & Wound Care最新文献

{"title":"Efficacy of Stamp Skin Grafting to Promote the Healing Process of Chronic Wounds.","authors":"Huilin He, Li Zhu, Xiaohong Chen, Qingli Jiang, Yeping Li, Ke Jing, Fang He, Yuwei Yang","doi":"10.1097/ASW.0000000000000314","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000314","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the clinical efficacy of stamp skin grafting in promoting wound healing for patients with chronic wounds.</p><p><strong>Methods: </strong>This study enrolled 86 patients with chronic wounds from a wound care clinic between November 2022 and December 2023. The participants were randomly allocated into the control (n = 44) and skin-grafting (n = 42) groups using a preset random number table. The control group received conventional wet dressing care, whereas the skin-grafting group underwent additional stamp skin-grafting care.</p><p><strong>Results: </strong>The skin-grafting group demonstrated significantly reduced wound healing time, improved healing efficacy, decreased dressing change frequency, and lowered dressing change costs compared with the control group (all Ps < .05). During the nursing process, the skin-grafting group exhibited significantly lower pretreatment Numeric Rating Scale scores when the fourth and fifth dressings were changed and during-treatment Visual Analog Scale scores from the third to fifth dressing changes compared with the control group (all Ps < .05). After adjusting for confounding factors, wound area served as an independent risk factor for both healing time (rpartial = 0.457, P < .05) and healing efficacy (β = -0.559, P < .05) in the skin-grafting group, whereas patient adherence to wound care served as an independent risk factor for both healing time (rpartial = 0.333, P < .05) and healing efficacy (β = 1.194, P < .05) in the control group, as well as for healing efficacy (β = 1.318, P < .05) in the skin-grafting group.</p><p><strong>Conclusions: </strong>Stamp skin grafting effectively promotes the rapid recovery of chronic wounds with reduced medical burden and patient pain. The effectiveness primarily depends on the wound area and patient adherence.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144582823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"State Anxiety Levels and Predictors of Stoma-Related Concerns at Discharge among Patients with a Stoma.","authors":"Semra Bağriaçik Altintaş, Fatma Vural, Emel Cihan","doi":"10.1097/ASW.0000000000000312","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000312","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the state anxiety levels and concerns expressed by patients with a stoma at hospital discharge and identify predictors.</p><p><strong>Methods: </strong>The investigators recruited 136 patients with a stoma who were discharged from the hospital between March and December 2021. Participants completed the demographic questionnaire, the State-Trait Anxiety Inventory state anxiety subscale (STAI-S), and questions about stoma-related concerns. Data were analyzed with descriptive statistics, independent-sample t test, and analysis of variance. Multiple regression analysis was conducted to identify the significant predictors of STAI-S score.</p><p><strong>Results: </strong>The mean STAI-S score of all patients was 44.75 ± 9.53 at discharge, and approximately 84.5% consistently experienced stoma-related concerns. Stoma status, cause of stoma, marital status, stoma self-care ability, and patients' thoughts on stoma care self-efficacy were all significant predictors of anxiety levels. Patients' primary concerns at discharge related to the sufficiency of stoma care training, stool leakage, stoma bag puncture while sleeping, touching the stoma region, and the appearance of the stoma.</p><p><strong>Conclusions: </strong>Patients with a stoma experience moderate anxiety and significant concerns at discharge; if left unaddressed, patients may be prematurely discharged with high anxiety. Healthcare providers should pay attention to at-risk patients: those with permanent stomas, who have undergone colorectal cancer surgery, who are single, who believe their stoma care self-efficacy is insufficient, and who primarily rely on others for stoma care. Clinicians should assess anxiety levels and concerns of stoma patients before discharge and refer patients for psychological counseling as needed.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144558802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating Challenges in the Delivery of Diabetic Foot Self-care Education: Perspectives of Nurses in Rural Southwest China.","authors":"Wangqiao Zhu, Lifang Zhang, Sulan Long, Jia Liu, Yingying Qin, Caimei Huang","doi":"10.1097/ASW.0000000000000290","DOIUrl":"10.1097/ASW.0000000000000290","url":null,"abstract":"<p><strong>Background: </strong>Several prior studies have investigated determinants linked to the insufficient delivery of diabetic foot self-care education (DFSE), with some specifically concentrating on rural environments. Individuals with diabetes, especially those at risk of foot ulcers, should acquire the skills necessary for daily foot inspection, proper toenail-trimming techniques, consistent use of appropriate footwear, and a thorough understanding of preventive measures against ulcers.</p><p><strong>Objective: </strong>To explore the challenges associated with delivering DFSE among nurses in rural areas.</p><p><strong>Methods: </strong>The authors used a qualitative descriptive design. Fourteen participants were purposively selected from two township health centers. Data were collected through focus group discussions. All interviews were analyzed using thematic analysis.</p><p><strong>Results: </strong>The primary challenges to delivering DFSE in rural areas were identified and categorized into four key themes: limited human resources, excessive patient visits, high patient turnover rate, and understanding gaps in collaborative medical care.</p><p><strong>Conclusions: </strong>Limited diabetic nursing resources hinder patient education, affecting those with high admissions and extensive care needs. Excessive patient visits pose a challenge, overshadowing education efforts, especially during peak times after festival celebrations. Swift patient turnover and communication gaps among healthcare providers are significant barriers to timely health education. Nurses must enhance interdisciplinary communication for quality teaching and patient care. Integrating technology into nursing education can improve flexibility and accessibility. For the reform of China's national primary healthcare system, attracting and retaining skilled healthcare professionals in primary care should involve incentives and professional development.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"316-322"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Procalcitonin as a Diagnostic Marker for Osteomyelitis in Patients with Pressure Injuries: A Retrospective Study.","authors":"Joon Suk Bae, Young Hun Kang, Eun Soo Park, Seung Min Nam, Chang Yong Choi","doi":"10.1097/ASW.0000000000000276","DOIUrl":"10.1097/ASW.0000000000000276","url":null,"abstract":"<p><strong>Objective: </strong>To assess the diagnostic potential of procalcitonin in identifying osteomyelitis in patients with pressure injuries (PIs).</p><p><strong>Methods: </strong>The authors conducted a retrospective study of 21 patients with PIs from 2017 to 2022. Inflammatory markers (white blood cell count, erythrocyte sedimentation rate, C-reactive protein, procalcitonin) and radiologic images were analyzed to determine osteomyelitis presence. Patients were divided into osteomyelitis-positive and osteomyelitis-negative groups, with marker levels compared statistically.</p><p><strong>Results: </strong>Both C-reactive protein and procacitonin levels were significantly higher in the osteomyelitis group ( P s = .05). Elevated procalcitonin (>0.5) indicated a 10.67 times higher likelihood of osteomyelitis.</p><p><strong>Conclusions: </strong>Procalcitonin may serve as a valuable marker for diagnosing osteomyelitis in patients with PIs, aiding in early detection and treatment planning. Further research with larger cohorts is needed to confirm its diagnostic and monitoring potential.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"323-325"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143955468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of a Situated Simulation Teaching Strategy on Knowledge of Negative-Pressure Wound Therapy among Surgical Nurses in Taiwan.","authors":"Yi-Ling Tseng, Hua-Shan Wu, Pei-Yu Huang, Pei-Shan Hsaio, Hui-Chen Tseng","doi":"10.1097/ASW.0000000000000293","DOIUrl":"10.1097/ASW.0000000000000293","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effect of a situated simulation teaching strategy for negative-pressure wound therapy (NPWT) on surgical nurses' knowledge of care for patients who receive NPWT.</p><p><strong>Methods: </strong>This quasi-experimental study used a one-group pretest/posttest design. Thirty-one female surgical nurses from a central Taiwan district hospital participated. They received situational simulation training and completed self-administered preintervention and postintervention scale assessing their knowledge of NPWT-related care and a demographic questionnaire.</p><p><strong>Results: </strong>Participants' mean score on the knowledge of NPWT-related care scale was 19.90 preintervention and increased to 27.84 postintervention, a significant improvement ( z = -4.45, P < .001). All aspects of NPWT knowledge, including indications and effects ( z = -3.84, P < .001), device operation ( z = -3.71, P < .001), assessment ( z = -3.89, P < .001), and anomaly response ( z = -3.93, P < .001), significantly improved following the intervention.</p><p><strong>Conclusions: </strong>The study indicates that simulation and cues and a debriefing session in situational simulation teaching significantly enhance surgical nurses' knowledge of NPWT-related care and facilitates the acquisition of problem-solving methods, suggesting its potential application in NPWT-related continuing education courses for surgical nurses.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"303-309"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12244965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143784399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Virtual Reality Simulation-Based Training on Enhancing Positive Attitudes toward Newborn Skin Assessment among Neonatal ICU Nurses.","authors":"Adnan Batuhan Coşkun, Zerrin Çiğdem","doi":"10.1097/ASW.0000000000000297","DOIUrl":"10.1097/ASW.0000000000000297","url":null,"abstract":"<p><strong>Background: </strong>Maintenance of skin integrity in the neonatal period is crucial to avoid morbidity and mortality associated with skin problems in infants admitted to the neonatal ICUs (NICUs). Neonatal ICU nurses play a key role in the assessment of newborn skin for the early detection and management of skin injury. Consequently, there is a need to foster positive attitudes toward newborn skin assessment among nurses through training to reduce the incidence of skin injury.</p><p><strong>Objective: </strong>To examine the effect of virtual reality simulator (VRS)-based training on the attitude toward newborn skin assessment among NICU nurses.</p><p><strong>Methods: </strong>The study had a quasi-experimental design, involving pretest/posttest comparisons. A total of 73 NICU nurses (training group, n = 33; control group, n = 40) working in public and private hospitals in Gaziantep, Turkey, were included in the study, which was conducted from March to May 2022. Data were collected using the Sociodemographic and Occupational Data Form and the Newborn Skin Assessment Attitude Scale (NSAAS). The nurses in the training group received a VRS training program that was developed based on the theory of attitude change known as the Message-Learning Approach. The control group did not receive any training.</p><p><strong>Results: </strong>Intragroup and between-group comparisons of the pretest and posttest scores of the NSAAS subdimensions (awareness, practice, and avoidance) and total scores after training showed that all subdimension scores and total NSAAS scores improved significantly in the training group.</p><p><strong>Conclusions: </strong>The VRS training was effective in enhancing or reinforcing positive attitudes toward newborn skin assessment among NICU nurses.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"310-315"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143784398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Repair of a Nasal Tip Defect Using Graft and Patch Versions of a Deep-Frozen Amniotic Membrane: A Case Report.","authors":"Vitězslav Marek","doi":"10.1097/ASW.0000000000000249","DOIUrl":"10.1097/ASW.0000000000000249","url":null,"abstract":"<p><strong>Abstract: </strong>This report describes the clinical course of a patient who underwent radical excision of a basal cell carcinoma and subsequent reconstruction using a Zitelli modification of the bilobed flap, which resulted in a nasal tip defect. The patient did not wish to undergo another surgical nose reconstruction; thus, the author used a two-stage application method with deep-frozen amniotic membrane to treat the nasal tip defect. The first application-the graft version-was applied to exposed cartilaginous structures, initiating tissue restoration. Seven days later, the author observed complete absorption of the amniotic membrane, wound bed granulation with overlapping cartilaginous structures, and peripheral epithelialization. The second application-the patch version-supported tissue restoration and acted as a biological cover. This method provides a better aesthetic outcome and shorter healing time compared with secondary intention wound healing. It may be indicated for patients with skin defects on the nasal tip who do not want to or who cannot undergo surgical intervention.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 6","pages":"333-335"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144332291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bullous Pemphigoid: Clinical Aspects and Treatments.","authors":"Ryan S Q Geng, R Gary Sibbald","doi":"10.1097/ASW.0000000000000309","DOIUrl":"10.1097/ASW.0000000000000309","url":null,"abstract":"<p><strong>General purpose: </strong>To review the risk factors and clinical features of bullous pemphigoid (BP) and discuss available treatment options.</p><p><strong>Target audience: </strong>This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and registered nurses with an interest in skin and wound care.</p><p><strong>Learning objectives/outcomes: </strong>After participating in this educational activity, the participant will: 1. Summarize the clinical features and manifestations associated with BP. 2. Identify evidence-based methods to diagnose BP. 3. Explain evidence-based pharmacologic management strategies for the effective treatment of BP.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 6","pages":"287-293"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144332287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Scoping Review of Wounds in Hospitalized Adults with COVID-19 over the First 3 Years of the Pandemic.","authors":"Jennifer Bart, Cristina Phillips, Meghan Bailey, Elizabeth C Dunn, Margaret Ansell, Magali R De Carvalho, Debra E Lyon","doi":"10.1097/ASW.0000000000000188","DOIUrl":"10.1097/ASW.0000000000000188","url":null,"abstract":"<p><strong>Objective: </strong>To synthesize the literature on skin failure and pressure injuries (PIs) among hospitalized patients with COVID-19.</p><p><strong>Data sources: </strong>An electronic literature search using relevant keywords and controlled vocabulary was conducted in March 2023 on MEDLINE/PubMed, EMBASE, and CINAHL. Manual citation searches of included articles and gray literature, including the Wound, Ostomy, and Continence Nurses Society website were performed. Articles published in English between 2020 and April 2023 were considered.</p><p><strong>Study selection: </strong>Articles were included if they reported on hospitalized adults who were COVID-19 positive with wounds that were not present upon admission. A total of 31 articles met these criteria.</p><p><strong>Data extraction: </strong>Covidence was used to extract article data, including publication information; study aims and design; participant characteristics; wound characteristics, location, and diagnosis; care setting; clinical outcomes; and clinical and research implications.</p><p><strong>Data synthesis: </strong>Of the 31 studies, 27 reported new onset skin lesions during hospitalization. Wounds were classified as PIs, skin failure, livedo racemosea, and/or, retiform purpura, and were associated with microvascular thrombosisthrombotic vasculopathy. Most PIs were associated with prone positioning, and affected patients often had multiple comorbidities including hypertension, diabetes mellitus, end-stage renal disease, heart disease, and chronic obstructive pulmonary disorder. Four articles highlighted an increased risk of new onset wounds, and three emphasized the importance of distinguishing deep tissue PIs from ischemic-related lesions in patients with COVID-19.</p><p><strong>Conclusions: </strong>The evidence suggests an increased risk of ischemic lesions and PIs in patients with COVID-19 infection. This phenomenon may have inflated the numbers of PIs reported during the pandemic and adversely affected nursing quality measures in acute care environments.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"326-332"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141330206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perioperative Risk Factors of Postoperative Pressure Injuries in Patients after Surgical Hematoma Evacuation of Intracranial Hemorrhage: A Retrospective Cohort Study.","authors":"On-Yu Choi, Youn-Jung Son","doi":"10.1097/ASW.0000000000000304","DOIUrl":"10.1097/ASW.0000000000000304","url":null,"abstract":"<p><strong>Objective: </strong>To identify the incidence and perioperative risk factors of postoperative pressure injuries (PIs) in patients with intracranial hemorrhage who had surgical evacuation of hematoma.</p><p><strong>Methods: </strong>This retrospective cohort study was conducted at a tertiary care university hospital. Researchers collected medical record data from April 2010 to March 2020 and conducted backward selection in multiple logistic regression.</p><p><strong>Results: </strong>Of the 386 patients identified, 103 (26.7%) developed postoperative PIs. The most common site of PI was the coccyx (n = 56; 38.9%). More than half of the patients had stage 2 PIs, and 43 (41.7%) developed PIs 14 or more days after surgery. Three variables were associated with an increased risk of postoperative PI: older age ( P = .025), receiving a packed red blood cell transfusion while in the ICU ( P = .004), and staying in the ICU for more than 7 days ( P < .001).</p><p><strong>Conclusions: </strong>The present findings indicate that risk factors for postoperative PIs include older age, requiring a blood transfusion, and longer ICU stays, which may increase nursing workload regardless of surgery type. Future research on postoperative PIs in patients undergoing neurosurgery should consider additional ICU work environment factors, including nurse-to-patient ratio and immobility-related factors such as duration of medical device use. Further, international comparisons of risk factors for postoperative PIs among patients undergoing neurosurgery are needed.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"295-302"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12244973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143953144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}