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

Amputation Risk Prediction Tools for Patients With Diabetic Foot: A Systematic Review. 糖尿病足患者截肢风险预测工具：系统综述

IF 1.4 4区医学

Advances in Skin & Wound Care Pub Date : 2026-06-01 Epub Date: 2026-04-30 DOI: 10.1097/ASW.0000000000000451

Yanmei Wang, Cancan Cao, Qianwen Chai, Minghui Lu, Li Wei

{"title":"Amputation Risk Prediction Tools for Patients With Diabetic Foot: A Systematic Review.","authors":"Yanmei Wang, Cancan Cao, Qianwen Chai, Minghui Lu, Li Wei","doi":"10.1097/ASW.0000000000000451","DOIUrl":"10.1097/ASW.0000000000000451","url":null,"abstract":"Objective: To systematically evaluate the research on amputation risk prediction models for patients with diabetic foot.Data sources: PubMed, Embase, Web of Science, China National Knowledge Infrastructure (CNKI), Wanfang Database, China Science and Technology Journal Database (VIP), and SinoMed were searched for studies on risk prediction tools for amputation in patients with diabetic foot.Study selection: Two researchers screened 2134 articles, and 9 met the inclusion criteria.Data extraction: Included study basic information, model construction methods, predictive factors, and model efficacy indicators (AUC, sensitivity, specificity).Data synthesis: The 9 studies included in the review described the construction of 15 prediction models and one prediction tool. Eight of the 9 studies had a high overall risk of bias; 2 had poor applicability in the field of predictive factors, and 6 had good applicability in all fields and overall. The main predictive factors included in the models were diabetes duration, glycated hemoglobin, white blood cell count, fibrinogen, and infection. The most common predictive factors were duration of diabetes (odds ratio=2.79; 95% CI: 1.65-3.93), white blood cell count (odds ratio=1.88; 95% CI: 0.78-2.98), and fibrinogen (odds ratio=0.10; 95% CI: 0.06-0.14).Conclusions: The predictive performance of current amputation risk prediction tools for patients with diabetic foot is good, but the literature has a high risk of bias and needs improved clinical applicability. Researchers should further validate and calibrate the existing tools or develop risk prediction tools with low bias risk and high clinical applicability based on local data.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"E233-E238"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147809524","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

Peristomal Skin Complications in the First 12 Weeks Post-discharge Following Urinary/Fecal Stoma Formation Surgery. 尿/粪造口手术后12周内的口周皮肤并发症。

IF 1.5 4区医学

Advances in Skin & Wound Care Pub Date : 2026-06-01 Epub Date: 2026-04-23 DOI: 10.1097/ASW.0000000000000454

Tania Louise Norman, Leanne Monterosso, Keryln Carville, Gail Ross-Adjie

{"title":"Peristomal Skin Complications in the First 12 Weeks Post-discharge Following Urinary/Fecal Stoma Formation Surgery.","authors":"Tania Louise Norman, Leanne Monterosso, Keryln Carville, Gail Ross-Adjie","doi":"10.1097/ASW.0000000000000454","DOIUrl":"10.1097/ASW.0000000000000454","url":null,"abstract":"Objective: Ostomates often develop complications to the peristomal skin, which impact recovery and rehabilitation. The aim of this study was to determine the number, type, and etiology of peristomal skin complications (PSC) experienced by a cohort of ostomates in the first 12 weeks postdischarge from hospital following surgery that resulted in a fecal or urinary stoma.Methods: Nineteen patients with newly formed stomas were recruited by stomal therapy nurses (STNs) from 2 large hospitals in Perth, Western Australia. Baseline data were collected before discharge; ostomates then were reviewed weekly for 4 weeks, and then fortnightly until 12 weeks. Peristomal skin assessments were conducted, and photographic images taken and assessed by the researcher and an independent expert.Results: Nineteen ostomates were recruited, 2 withdrew, and the remaining 17 were followed through for 12 weeks or until reversal of their stoma (if temporary). One hundred percent of ostomates presented with one or more PSCs, 74% (n=14) were attributed to irritant dermatitis, which was directly related to a leaking appliance, and 53% (n=10) had PSCs that were classified as bruising. None of the PSCs were classified as severe, with many ostomates not recognizing that they had a PSC.Conclusions: The results from this study align with the PSCs reported in the international literature and highlight the importance of regular postoperative STN follow-up, especially in the early postoperative period. The study has identified the main contributing factors for PSCs, which can be used to identify ostomates at high risk of developing PSCs and guide prevention strategies.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"246-252"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759708","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

Job Satisfaction and Motivation Levels of Wound, Ostomy, and Continence Nurses: A Correlational Study. 创伤、造口和失禁护士工作满意度和动机水平：一项相关研究。

IF 1.5 4区医学

Advances in Skin & Wound Care Pub Date : 2026-06-01 Epub Date: 2026-04-02 DOI: 10.1097/ASW.0000000000000441

Yeşim Dikmen Aydin, Rabia Koca, İnci Kirtil

{"title":"Job Satisfaction and Motivation Levels of Wound, Ostomy, and Continence Nurses: A Correlational Study.","authors":"Yeşim Dikmen Aydin, Rabia Koca, İnci Kirtil","doi":"10.1097/ASW.0000000000000441","DOIUrl":"10.1097/ASW.0000000000000441","url":null,"abstract":"Objective: This study was conducted to determine the job satisfaction and job motivation levels of wound, ostomy, and continence (WOC) nurses, the relationship between these variables, and the influencing factors.Methods: This descriptive and correlational study, conducted in February-March 2025 with 120 actively working WOC nurses who volunteered and met the criteria, explored the relationships between their personal/work characteristics, job satisfaction [using Job Satisfaction Scale for Nurses (JSSN)], and job motivation [using Nurse Job Motivation Scale (NJMS)]. Data were collected online after ethical approval and informed consent. Analysis involved descriptive statistics, analysis of variance, t tests, Pearson correlation, and regression.Results: With 14.68±7.42 years of professional experience, these nurses averaged ~3 years as WOC nurses. JSSN and NJMS scores did not significantly differ across demographics or professional traits ( P >.05). A slight positive link existed between WOC nurses' work duration and total NJMS scores, plus the JSSN's \"pleasant work environment.\" The total NJMS score was identified as an independent predictive variable significantly affecting the JSSN score ( P <.001).Conclusions: The study findings indicate that job motivation has a strong positive impact on job satisfaction among nurses and that an increase in WOC nurse work experience positively influences job motivation and the perception of a pleasant work environment. Based on these results, it is recommended to establish supportive work environments and promote motivational strategies to enhance job satisfaction among WOC nurses.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"E203-E207"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147589488","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

Coming Soon! Hospital Harm-Pressure Injury. 快到了!医院伤害-压力伤害。

IF 1.5 4区医学

Advances in Skin & Wound Care Pub Date : 2026-06-01 Epub Date: 2026-05-15 DOI: 10.1097/ASW.0000000000000467

Michele Deppisch

引用次数: 0

Satisfaction With Stoma Care Services and Confidence in Self-Management: Insights From Patients and Carers. 对造口护理服务的满意度和自我管理的信心：来自患者和护理人员的见解。

IF 1.5 4区医学

Advances in Skin & Wound Care Pub Date : 2026-06-01 Epub Date: 2026-04-30 DOI: 10.1097/ASW.0000000000000456

Siew Hoon Lim, Cherry Pincel, Ting Ting Poh, Choo Eng Ong

{"title":"Satisfaction With Stoma Care Services and Confidence in Self-Management: Insights From Patients and Carers.","authors":"Siew Hoon Lim, Cherry Pincel, Ting Ting Poh, Choo Eng Ong","doi":"10.1097/ASW.0000000000000456","DOIUrl":"10.1097/ASW.0000000000000456","url":null,"abstract":"Objective: Patients with colorectal cancer experience immense physical, psychological, and social challenges after stoma formation surgery. It is crucial to provide adequate support and assist in building confidence in the management of a stoma. This study aimed to assess the satisfaction with stomal care service and confidence level among patients with a new stoma and their family carers.Methods: This is a prospective cross-sectional study. Patients who had undergone colorectal resections with stoma formation and carers were recruited from inpatient and outpatient settings of a tertiary public hospital from August 2023 to August 2024. Questionnaires assessing satisfaction and confidence with self-care were administered. Descriptive statistics summarized the demographic and clinical data, and patients' and carers' satisfaction and confidence levels. Qualitative responses were analyzed using content analysis.Results: The majority of participants (n=80) reported high satisfaction with stoma care services before and after surgery, with more than 90% feeling well supported and informed. However, only 83.8% felt confident managing stoma care after discharge, with lower confidence reported in more complex tasks like measuring and securing the appliance. Five key themes related to challenges and needs in managing stoma care emerged: (i) visual and physical limitations; (ii) emotional and psychological barriers; (iii) difficulty with independent care; (iv) system and appliances challenges; and (v) learning and training needs.Conclusions: This study highlighted the importance of structured postdischarge education to sustain psychosocial support and tailor resources to meet the diverse needs of patients with a stoma.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"265-272"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147809082","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

The Approximation Principle: A Novel Mechanobiological Approach to Chronic Wound Management. 近似原理：慢性伤口处理的一种新的机械生物学方法。

IF 1.5 4区医学

Advances in Skin & Wound Care Pub Date : 2026-05-01 Epub Date: 2026-04-17 DOI: 10.1097/ASW.0000000000000432

Igor Melnychuk, Fateme Fayyazbakhsh

{"title":"The Approximation Principle: A Novel Mechanobiological Approach to Chronic Wound Management.","authors":"Igor Melnychuk, Fateme Fayyazbakhsh","doi":"10.1097/ASW.0000000000000432","DOIUrl":"10.1097/ASW.0000000000000432","url":null,"abstract":"Chronic wounds represent a pathological disruption of the canonical wound healing cascade, often arrested in a pro-inflammatory phase due to cellular senescence, biofilm presence, and altered mechanotransduction signaling. Approximation in wound care refers to the process of bringing the wound's opposing tissue surfaces, either edges or walls, closer together to facilitate faster healing. Though common in acute wound closure, the approximation principle is rarely used in chronic wounds due to concerns about cavity formation and infection. This paper redefines approximation as a biomechanical intervention targeting wound wall convergence to converge wound walls through controlled compression. Unlike edge-based suturing or closure, wall approximation modifies the wound's 3D architecture and microenvironment, thus stimulating tissue regeneration. Mechanical compression influences fibroblast behavior and matrix remodeling through core mechanotransduction pathways involving integrins, cytoskeletal dynamics, and focal adhesion signaling. This study investigates the influence of skin anisotropy and Langer's lines on modulating mechanical tension and healing outcome. Integrating clinical observations with mechanistic insights, this article presents approximation as a practical, evidence-based strategy to promote healing in chronic wounds, including those not amenable to surgical closure.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"39 4","pages":"175-179"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147721509","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

Enhanced Home-Based Wart Treatment Protocol: Optimizing Debridement and Occlusion Therapy for Improved Outcomes. 增强的家庭疣治疗方案：优化清创和闭塞治疗以改善结果。

IF 1.4 4区医学

Advances in Skin & Wound Care Pub Date : 2026-05-01 Epub Date: 2026-04-17 DOI: 10.1097/ASW.0000000000000445

引用次数: 0

Developing Consensus Wound Care Research Priorities Among Stakeholders in Canada: A Mixed-Methods Study. 在加拿大利益相关者中发展共识伤口护理研究优先事项：一项混合方法研究。

IF 1.5 4区医学

Advances in Skin & Wound Care Pub Date : 2026-05-01 Epub Date: 2026-03-27 DOI: 10.1097/ASW.0000000000000431

Omar Gaballa, Virginie Blanchette, Leslie Summers deLuca, Ahmed Kayssi

{"title":"Developing Consensus Wound Care Research Priorities Among Stakeholders in Canada: A Mixed-Methods Study.","authors":"Omar Gaballa, Virginie Blanchette, Leslie Summers deLuca, Ahmed Kayssi","doi":"10.1097/ASW.0000000000000431","DOIUrl":"10.1097/ASW.0000000000000431","url":null,"abstract":"Objective: The purpose of this work was to identify consensus wound care research priorities in Canada.Methods: A sequential mixed-methods approach utilizing a national survey followed by a modified Delphi technique was used to identify consensus research priorities. The modified Delphi process included 3 rounds of voting and 2 virtual workshops for stakeholder discussions. Stakeholders from the wound care community included patients, caregivers, clinicians of various backgrounds, researchers, industry partners, and Wounds Canada leaders.Results: The first Canada-wide survey was completed by 91 respondents (75 English-speaking and 16 French-speaking). Respondents submitted 161 priority research questions that were edited for clarity and redundancy, resulting in 112 questions. Twenty-nine expert panelists participated in the Delphi process. Three anonymous panelist questionnaires and 2 remote workshops were carried out to generate 29 wound care research priorities. All questions were reviewed and rated by the panelists, with 23 questions ultimately meeting the 80% consensus threshold.Conclusions: Stakeholders are motivated to improve wound outcomes through evidence-informed changes and clinical innovations; however, no consensus existed among Canadian wound care stakeholders on research priorities. Through the findings of this work, which identified consensus wound care research priorities, targeted research activities, and strategic planning can be facilitated with a focus on expedited improvements in wound care.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"208-215"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147589478","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

Evaluation of Microwave Thermotherapy Versus Intralesional Antimonial in the Treatment of Cutaneous Leishmaniasis: A Randomized Clinical Trial. 评价微波热疗法与局灶内注射锑治疗皮肤利什曼病：一项随机临床试验。

IF 1.5 4区医学

Advances in Skin & Wound Care Pub Date : 2026-05-01 Epub Date: 2026-03-23 DOI: 10.1097/ASW.0000000000000437

Masoud Maleki, Naeemeh Ebrahimabadi, Vahid Mashayekhi Goyonlo, Bita Kiafar, Masoumeh Hosseininezhad, Negar Morovatdar, Hossein Hasanabadi, Seyedeh Zahra Ghasemi

{"title":"Evaluation of Microwave Thermotherapy Versus Intralesional Antimonial in the Treatment of Cutaneous Leishmaniasis: A Randomized Clinical Trial.","authors":"Masoud Maleki, Naeemeh Ebrahimabadi, Vahid Mashayekhi Goyonlo, Bita Kiafar, Masoumeh Hosseininezhad, Negar Morovatdar, Hossein Hasanabadi, Seyedeh Zahra Ghasemi","doi":"10.1097/ASW.0000000000000437","DOIUrl":"10.1097/ASW.0000000000000437","url":null,"abstract":"Objective: There is a need for safer and more efficient therapies for cutaneous leishmaniasis (CL). This study evaluates the effectiveness of thermotherapy using microwave in the treatment of cutaneous leishmaniasis alongside intralesional meglumine antimoniate.Methods: This pilot study was conducted among 40 patients with CL using a randomized controlled methodology. Participants were randomly allocated to receive either microwave thermotherapy (intervention; N=20) twice a week or intralesional meglumine antimoniate therapy weekly (control; N=20). The size of the induration of lesions was assessed at the starting point and at 2, 3, 6, and 12 months after treatment. A significance level of P <.05 was determined.Results: The total number of lesions was 55. The rate of complete recovery after 1 year was 55.2% in the intervention group and 76.9% in the control group. There was no statistically significant variation in the remission distribution comparing either of the groups ( P =.155). The complications in the intervention group were markedly reduced compared with the control group ( P =.027).Conclusions: Microwave thermotherapy is an efficient and innovative treatment for CL that does not have any adverse effects. This method can be used as an alternative therapy in certain areas and with certain patients.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"216-223"},"PeriodicalIF":1.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147497337","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

Combining Acellular Dermal Grafts With Negative-Pressure Wound Therapy in a Postsurgical Wound: A Case Report. 脱细胞真皮移植联合负压创面治疗术后创面1例。

IF 1.5 4区医学

Advances in Skin & Wound Care Pub Date : 2026-05-01 Epub Date: 2026-03-24 DOI: 10.1097/ASW.0000000000000435

Fiona S Gruzmark, Robert S Kirsner, Jose A Jaller

引用次数: 0