Advances in Skin & Wound Care最新文献_第10页

Video-Based Education with Storytelling Reduces Parents' Fear of Topical Corticosteroid Use in Children with Atopic Dermatitis: A Randomized Controlled Trial (The EduDerm Study Part II). 以视频为基础的讲故事教育减少了父母对特应性皮炎儿童局部使用皮质类固醇的恐惧:一项随机对照试验(教育研究第二部分)。

IF 2.4 4区医学

Advances in Skin & Wound Care Pub Date : 2023-08-01 DOI: 10.1097/ASW.0000000000000002

Corinne Brunner, Anna-Barbara Schlüer, Hansjoerg Znoj, Agnes Schwieger-Briel, Isabelle Luchsinger, Lisa Weibel, Martin Theiler

{"title":"Video-Based Education with Storytelling Reduces Parents' Fear of Topical Corticosteroid Use in Children with Atopic Dermatitis: A Randomized Controlled Trial (The EduDerm Study Part II).","authors":"Corinne Brunner, Anna-Barbara Schlüer, Hansjoerg Znoj, Agnes Schwieger-Briel, Isabelle Luchsinger, Lisa Weibel, Martin Theiler","doi":"10.1097/ASW.0000000000000002","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000002","url":null,"abstract":"Objective: To investigate the efficacy of educational videos using storytelling to reduce parents' fear of topical corticosteroid (TCS) use in children affected by atopic dermatitis (AD).Methods: Children aged 0 to 5 years who had AD were included. The primary outcome measures were parental fear of TCSs, as determined by Topical Corticosteroid Phobia score, and quality of life according to the Family Dermatology Life Quality Index. Disease severity, assessed by the Scoring Atopic Dermatitis tool, served as a secondary outcome measure. Assessments were performed at baseline (T1), 1 to 4 weeks later (T2), and at 3-month follow-up (T3). The intervention group was exposed to the videos between baseline and T2.Results: Forty patients were recruited: 21 in the intervention group and 19 in the control group. A statistically significant decrease in parental TCS fear was found in the intervention group at T2 after video education as compared with the control group (P < .0001); this was maintained at T3 (P = .001). The groups did not significantly differ in FDLQI or SCORAD scores at any point.Conclusions: These findings suggest that video education based on the method of storytelling is effective in reducing TCS fear. Although the education did not impact disease severity or quality of life, effectively reducing TCS fear remains an important aspect for AD management.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10195753","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}

引用次数: 0

Protecting Access to Wound Care: Wound Care Advocacy in 2023. 保护获得伤口护理:2023年的伤口护理倡导。

IF 2.4 4区医学

Advances in Skin & Wound Care Pub Date : 2023-08-01 DOI: 10.1097/ASW.0000000000000012

Marcia Nusgart

引用次数: 0

Mesenchymal Stem Cells and Regenerative Therapy with Bilateral Gracilis Flaps for Perineal Reconstruction of a Wound Infection in the Setting of Anal Squamous Cell Carcinoma. 间充质干细胞及双侧股薄肌皮瓣再生治疗肛门鳞状细胞癌创面感染的会阴重建。

IF 2.4 4区医学

Advances in Skin & Wound Care Pub Date : 2023-08-01 DOI: 10.1097/ASW.0000000000000009

Matthew F Garcia, Kirti K Tiwari, Julian L Gendreau, Pamela L Burgess, Philippe Taupin, Eric D Martin

{"title":"Mesenchymal Stem Cells and Regenerative Therapy with Bilateral Gracilis Flaps for Perineal Reconstruction of a Wound Infection in the Setting of Anal Squamous Cell Carcinoma.","authors":"Matthew F Garcia, Kirti K Tiwari, Julian L Gendreau, Pamela L Burgess, Philippe Taupin, Eric D Martin","doi":"10.1097/ASW.0000000000000009","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000009","url":null,"abstract":"Abstract: Many patients are affected by HIV/AIDS, and these conditions are highly prevalent worldwide. Patients with HIV/AIDS can experience debilitating wound infections that often require flap reconstruction and become challenging for surgeons to treat. In the past 5 years, mesenchymal stem cells have been tested and used as regenerative therapy to promote the growth of tissues throughout the body because of their ability to successfully promote cellular mitogenesis. To the authors' knowledge, the use of mesenchymal stem cell grafting following necrosis of a myocutaneous gracilis flap (as part of perineal wound reconstruction) has never been reported in the literature.In addition, the use of mesenchymal stem cells and regenerative medicine combined in the setting of squamous cell carcinoma of the anus with prior radiation (along with comorbid AIDS) has not been previously documented.In this report, the authors outline the case of a 60-year-old patient who had a recipient bed (perineum) complication from prior radiation therapy. Complicating the clinical picture, the patient also developed a Pseudomonal organ space infection of the pelvis leading to the failure of a vertical rectus abdominis myocutaneous flap and myocutaneous gracilis flaps. As a result, the patient underwent serial operative debridements for source control, with the application of mesenchymal stem cells, fetal bovine dermis, porcine urinary bladder xenograft, and other regenerative medicine products, achieving a highly successful clinical outcome. A procedural description for future use and replication of this method is provided.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10133035","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}

引用次数: 0

Being Paid Does Not Guarantee You Will Keep the Payment! 被支付并不能保证你会保留付款!

IF 2.4 4区医学

Advances in Skin & Wound Care Pub Date : 2023-08-01 DOI: 10.1097/ASW.0000000000000014

Kathleen D Schaum

引用次数: 0

Healing Peristomal Wounds Around Retracted Stomas with Negative-Pressure Wound Therapy: A Case Series. 负压创面治疗缩口周围口周创面:一个病例系列。

IF 2.4 4区医学

Advances in Skin & Wound Care Pub Date : 2023-08-01 DOI: 10.1097/ASW.0000000000000006

Jarosław Cwaliński, Jacek Hermann, Tomasz Banasiewicz

{"title":"Healing Peristomal Wounds Around Retracted Stomas with Negative-Pressure Wound Therapy: A Case Series.","authors":"Jarosław Cwaliński, Jacek Hermann, Tomasz Banasiewicz","doi":"10.1097/ASW.0000000000000006","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000006","url":null,"abstract":"Abstract: One method for treating a retracted stoma is a vacuum dressing that cleans the wound and protects against intestinal leakage. This case series describes the use of an integrated, single-use negative-pressure wound therapy (NPWT) dressing to treat retracted stomas as an alternative to other noninvasive remedies. The report includes seven patients who were hospitalized in the authors' surgical department from 2019 to 2020. All patients developed severe peristomal infection that failed to respond to local treatment with proper ostomy appliances or specialist dressings. After cleaning each wound and removing necrotic lesions, the authors applied a single-use hydrofiber NPWT dressing to each patient. The dressing was changed every 2 to 5 days, depending on the effects of the therapy. The stoma orifice was covered with a bag with two-piece ostomy systems. The peristomal wound healed in all cases, and leakage was eliminated. The mean time of treatment was 14 days (range, 10-21 days), and the vacuum dressings were changed an average of four times (range, 3-7 times). None of the patients required a stoma translocation or other additional surgery. Three patients received systemic IV antibiotic therapy to treat general infection. Single-use NPWT dressings protect peristomal wounds from bowel leakage and do not hinder the application of stoma bags. This system, similar to standard NPWT devices, effectively protects infected stomas from retraction.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10135043","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}

引用次数: 0

International Interprofessional Contributions to Improved Skin and Wound Care. 改善皮肤和伤口护理的国际跨专业贡献。

IF 2.4 4区医学

Advances in Skin & Wound Care Pub Date : 2023-08-01 DOI: 10.1097/ASW.0000000000000015

引用次数: 0

Measure It: Proper Wheelchair Fit Is Key to Ensuring Function while Protecting Skin Integrity. 测量:适当的轮椅适合是保证功能的关键，同时保护皮肤的完整性。

IF 2.4 4区医学

Advances in Skin & Wound Care Pub Date : 2023-08-01 DOI: 10.1097/ASW.0000000000000001

Stephen Sprigle

引用次数: 0

Jet Lavage Irrigation Resolves Stage 4 Pelvic Pressure Injury Undermining. 喷射灌洗解决第4期盆腔压力损伤破坏。

IF 2.4 4区医学

Advances in Skin & Wound Care Pub Date : 2023-08-01 DOI: 10.1097/ASW.0000000000000007

James B Stiehl

{"title":"Jet Lavage Irrigation Resolves Stage 4 Pelvic Pressure Injury Undermining.","authors":"James B Stiehl","doi":"10.1097/ASW.0000000000000007","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000007","url":null,"abstract":"Objective: Patients with stage 4 pelvic pressure injuries that have large, undermined cavities are at high risk for treatment failure and often fall into the category of palliative care. This case series identified five cases where treatment had stalled, and surgical reconstructive options were limited. Jet lavage irrigation in the outpatient setting was assessed as a treatment alternative.Methods: From an investigational review board study assessing the use of low-pressure jet lavage irrigation in the outpatient setting for chronic wounds, five patients were identified where the wound dimension increased at least 50% resulting from undermined cavities. All were considered high risk with Charlson Comorbidity Index scores of 5 or greater, and their wound healing had stalled with extended treatments of topicals and medicated dressings. A team of physical therapists irrigated these patients' wounds at the bedside with 3 L of saline 3 to 5 days per week using a special long irrigation tip to reach the depth of the undermined cavity. Digital planimetry was used to assess healing with wound size as the outcome.Results: Reduction of the undermined cavities was seen early within the first 3 weeks. No patient developed wound sepsis, and bacterial contamination was determined by use of autofluorescence digital imaging. Undermining resolution occurred in four patients, and one patient with an improving wound died of COVID-19.Conclusions: This simple method offered clear benefits in each patient, but only one patient survived to complete wound healing. Patient and family satisfaction were high regarding the treatment, which created a painless, odor-free wound.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/81/1d/nsw-36-441.PMC10430680.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10135040","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}

引用次数: 0

Decreasing Pressure Injuries on an Adult Inpatient Unit through Implementation of a Nutrition Assessment and Management Process. 通过实施营养评估和管理流程减少成人住院病房的压力伤害。

IF 2.4 4区医学

Advances in Skin & Wound Care Pub Date : 2023-08-01 DOI: 10.1097/ASW.0000000000000004

Lida Hamidi

{"title":"Decreasing Pressure Injuries on an Adult Inpatient Unit through Implementation of a Nutrition Assessment and Management Process.","authors":"Lida Hamidi","doi":"10.1097/ASW.0000000000000004","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000004","url":null,"abstract":"Objective: To lower the rate of hospital-acquired pressure injuries (HAPIs) by identifying at-risk patients based on the Braden Scale score, evaluating nutrition using a Mini Nutrition Assessment (MNA) tool, and implementing nutrition improvement measures.Methods: There were three steps in this intervention. First, patients with a Braden Scale score of 18 or lower were identified as being at risk for HAPI. Next, the MNA screening tool was implemented to identify nutrition deficiencies. The MNA screening tool can predict malnutrition, HAPI development, and/or additional complications. It is validated, cost-effective, and easy to administer to patients who are hospitalized with HAPI complications. In the final step, the author implemented a multicomponent nutrition intervention to improve the nutrition status of patients at risk for developing HAPI.Results: Included patients (N = 205) were hospitalized in the intermediate ICU, had a Braden Scale score of 18 or lower, and had poor nutrition status. There was a 74% decrease in HAPI rate following the MNA nutrition screening and management, with HAPI incidence decreasing from 1.9% preintervention to 0.5% postintervention.Conclusions: Categorizing patients who are at risk for developing HAPI, assessing for nutrition deficiency, and then implementing a multicomponent nutrition intervention considerably reduced the rate of HAPIs per number of patients admitted to the unit.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10142790","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}

引用次数: 0

Intrareliability and Interreliability of Low-Cost Devices to Measure Skin Tone, Moisture, and Oiliness. 测量肤色、水分和油性的低成本设备的内在可靠性和相互可靠性。

IF 2.4 4区医学

Advances in Skin & Wound Care Pub Date : 2023-07-01 DOI: 10.1097/01.ASW.0000935992.43962.1f

Carlos Eduardo Girasol, Flávia Belavenuto Rangon, Guilherme Castro Borsari, Rinaldo Roberto de Jesus Guirro, Elaine Caldeira de Oliveira Guirro

{"title":"Intrareliability and Interreliability of Low-Cost Devices to Measure Skin Tone, Moisture, and Oiliness.","authors":"Carlos Eduardo Girasol, Flávia Belavenuto Rangon, Guilherme Castro Borsari, Rinaldo Roberto de Jesus Guirro, Elaine Caldeira de Oliveira Guirro","doi":"10.1097/01.ASW.0000935992.43962.1f","DOIUrl":"https://doi.org/10.1097/01.ASW.0000935992.43962.1f","url":null,"abstract":"Objective: To evaluate the intraexaminer and interexaminer reliability of low-cost commercial devices to measure skin tone, moisture, and oiliness; determine associations with the Fitzpatrick Scale; and compare results with those of widely used commercial equipment.Methods: Researchers bilaterally collected a total of 36 samples from 18 participants. For data acquisition, two experienced raters were considered for skin index assessment. Evaluations were conducted independently, with measurements taken at two different times with an interval between them, thus enabling intrarater and interrater reliability measures. The measurements were made with two low-cost devices and compared with those acquired using standard equipment for such analyses.Results: For the intraexaminer reliability results, the authors observed intraclass correlation coefficient ranging from moderate to high reliability between these tools (0.747-0.971). Regarding interexaminer reliability, intraclass correlation coefficient ranging from moderate to high (0.541-0.939) were observed. For the results of the correlations, a moderate to a large association was observed for skin tone. However, a small association for moisture was observed among the tools.Conclusions: Evaluations of skin tonality, oiliness, and moisture showed moderate to excellent intrareliability and interreliability. These methods can be applied in different environments, especially clinics, because of their low cost and ease of use.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9670898","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}

引用次数: 0