Advances in Skin & Wound Care最新文献

{"title":"Nurse Practitioners Are Legally Responsible for Claims Submitted to Medicare on Their Behalf.","authors":"Kathleen D Schaum","doi":"10.1097/ASW.0000000000000284","DOIUrl":"10.1097/ASW.0000000000000284","url":null,"abstract":"","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 3","pages":"118-119"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143661971","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":"Healing Rate and Time to Closure of Venous Leg Ulcers: A Real-World Service Evaluation of Neuromuscular Electrostimulation as an Adjunct to Compression Therapy.","authors":"Holly Murray, Rochelle Duong, Duncan Shirreffs Bain","doi":"10.1097/ASW.0000000000000299","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000299","url":null,"abstract":"<p><strong>Objective: </strong>To perform a service evaluation of neuromuscular electrostimulation (NMES) as an adjunct to compression therapy, comparing the rate of wound margin advance and time to closure with a matched retrospective control group.</p><p><strong>Methods: </strong>Fifteen patients with venous leg ulcers were prescribed NMES for 6 hours per day for 56 days or until wound closure (whichever occurred first), in addition to multilayer compression. Wounds were selected for size, with an inclusion criterion of a maximum of 12 cm2. Wound progress was compared with 15 retrospective control patients who were matched for ulcer size and duration.</p><p><strong>Results: </strong>The retrospective group had a healing rate of 0.31 mm per week (95% CI, 29-37 mm/week), whereas the prospective compression plus NMES group had a healing rate of 0.56 mm per week (95% CI, 50-62 mm/week; P = .004). All wounds in both groups healed completely during the service evaluation. Mean time to closure for the retrospective group was 77 days (95% CI, 66-88 days), whereas the NMES group had a mean time to closure of 40 days (95% CI, 37-43 days; P = .005).</p><p><strong>Conclusions: </strong>Adding NMES of the common peroneal nerve to a care bundle including multicomponent compression resulted in significantly faster wound margin advance and significantly less time to heal in comparison with retrospective matched controls. Future randomized controlled trials or self-controlled studies of this approach would be of great interest to inform clinical practice.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143784403","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":"Spectrum of Dermatoses and Infections Affecting the Lower Leg and Foot in an Outpatient Clinic at a Tertiary Care Hospital.","authors":"Shanta Passi, Deepika Uikey, Manoj Kumar","doi":"10.1097/ASW.0000000000000262","DOIUrl":"10.1097/ASW.0000000000000262","url":null,"abstract":"<p><strong>Background: </strong>Infections and dermatoses of the lower leg and foot can be attributed to factors such as blood stagnation, chemical contact, and abnormal mechanics. These factors make the lower leg and foot more susceptible to microbial infections, contact dermatitis, stasis eczema, ulcers, corns, and calluses.</p><p><strong>Objective: </strong>To identify the patterns of infections and dermatoses on the lower leg and foot.</p><p><strong>Methods: </strong>This study took place between September 2020 and August 2021 at an outpatient dermatology clinic. All patients with lower leg and foot skin conditions were included in the study, irrespective of age, sex, or occupation. Patients with generalized lesions all over the body were excluded.</p><p><strong>Results: </strong>Of the 42,527 patients who presented to the outpatient dermatology clinic during the study period, 424 patients (1%) had lower leg and foot skin conditions. The ratio of male to female patients was 2.3:1. Patients ranged in age from 4 to 76 (mean, 44.8 ± 15) years. A total of 152 patients had infections, and 272 patients had dermatoses. Fungal infection (21.7%) was most common among patients with infections, followed by bacterial (8.25%) and viral infections (7.07%). Lichen simplex chronicus (29.3%) and dermatoses due to venous stasis (19%) were most common among patients with dermatoses. The most commonly involved site was the shin, followed by the dorsum and sole of the foot.</p><p><strong>Conclusions: </strong>The identification of high-risk patients is key in taking preventive measures to avoid complications.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"148-152"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057703","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":"Autologous Skin Micrografting: A Modified Technique Adopted to the Wound Clinic Setting.","authors":"Igor Melnychuk","doi":"10.1097/ASW.0000000000000252","DOIUrl":"10.1097/ASW.0000000000000252","url":null,"abstract":"","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 3","pages":"120-123"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143661968","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":"Strategies for Prevention and Management of Postoperative Wounds and Scars Following Microsurgical Breast Reconstruction: An Evidence-Based Review.","authors":"Nicholas G Cuccolo, David L Tran, Carter J Boyd, Alay R Shah, Roy G Geronemus, Ernest S Chiu","doi":"10.1097/ASW.0000000000000282","DOIUrl":"10.1097/ASW.0000000000000282","url":null,"abstract":"<p><strong>General purpose: </strong>To provide an evidence-based review of strategies for the prevention and management of wounds and postoperative scars following microsurgical autologous breast reconstruction.</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. Identify operative considerations to promote wound healing in microsurgical autologous breast reconstruction. 2. Synthesize management strategies for major flap complications following microsurgical autologous breast reconstruction. 3. Explain features in the assessment, prevention, and treatment of scars following microsurgical autologous breast reconstruction.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 3","pages":"125-131"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143661973","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":"https://doi.org/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":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk Prediction Model of Peristomal Skin Complications Among Patients with Colorectal Cancer and an Ostomy: A Cross-sectional Study in Shanghai, China.","authors":"Li-Li Ma, Ya-Juan Zhang, Hui-Ren Zhuang, Hui Jiang","doi":"10.1097/ASW.0000000000000245","DOIUrl":"10.1097/ASW.0000000000000245","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the risk factors for peristomal skin complications (PSCs) in patients with colorectal cancer and an ostomy, construct a prediction model, and verify its effectiveness.</p><p><strong>Methods: </strong>In this cross-sectional study, researchers recruited 265 patients with an ostomy at the stoma clinic of a tertiary hospital, from May 2022 to August 2023. Patients were divided into two groups: complications group (n = 81) and no complications group (n = 184). Researchers constructed a logistic regression prediction model using univariate and multivariate analyses. From May 2023 to August 2023, a validation group of 135 patients with an ostomy was selected for external validation of the model.</p><p><strong>Results: </strong>The incidence of PSCs was 30.57% in the modeling group and 30.37% in the validation group. The predictor variables were preoperative and postoperative health education, tumor therapy within 3 months, preoperative stoma positioning, stoma height, stoma type, and excrement state. The Hosmer-Lemeshow test yielded a P value of .513, the area under the receiver operating characteristic curve was 0.872, the Youden index was 0.561, and the sensitivity and specificity were 0.827 and 0.734. For external validation, the Hosmer-Lemeshow test yielded a P value of .835, the area under the receiver operating characteristic curve was 0.887, and the sensitivity and specificity were 0.905 and 0.720, respectively.</p><p><strong>Conclusions: </strong>The prediction model demonstrates good predictive efficacy and can serve as a reference for clinical caregivers in identifying patients at high risk of PSCs.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"133-141"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057701","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":"Demographic Factor Analysis on the Knowledge, Attitudes, and Practice Status of Nurses in Preventing Device-Related Pressure Injuries: A Multicentric Cross-sectional Study.","authors":"Qingli Jiang, Fang He, Xin Fu, Yuwei Yang, Huilin He, Mei He","doi":"10.1097/ASW.0000000000000291","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000291","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the current status of the Device-Related Pressure Injuries Knowledge, Attitude, and Practice (DRPI-KAP) survey among nurses and explore its demographic factors.</p><p><strong>Methods: </strong>The demographic questionnaire and appropriative DRPI-KAP scale were used to investigate 1,368 nurses from eight representative hospitals in Mianyang City, China.</p><p><strong>Results: </strong>A total of 1,344 valid questionnaires were collected, yielding an effective response rate of 98.2% (1,344/1,368). The scores (score rates) of the knowledge, attitude, and practice dimensions and overall DRPI-KAP scale were 49.5 ± 12.1 (65.9%), 38.3 ± 5.6 (85.1%), 56.7 ± 10.0 (81.0%), and 144.4 ± 22.6 (76.0%), respectively. The Pearson and partial correlation analysis revealed a significant positive correlation between scores on the DRPI knowledge, attitude, and practice dimensions. After adjusting for the confounding effects of the three DPRI-KAP dimensions, the multiple linear stepwise regression analysis revealed that multiple demographic factors independently influenced the knowledge (eg, department, work years, received DRPI training, wound/stoma specialist nurse), attitude (eg, technical title, department), and practice (eg, position, technical title, wound/stoma specialist nurse, received DRPI training). Of them, the proactive DRPI attitude of pediatric nurses and the effective DRPI practices of frontline nurses were identified as innovative findings.</p><p><strong>Conclusions: </strong>There is an urgent need for improvement in the knowledge of DRPI prevention among representative hospital nurses. Enhancing the knowledge training and management system is anticipated to cultivate professional attitude and practice, thereby elevating the DRPI nursing quality.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762788","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":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","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":"Conservative Reconstruction of the Lower Limb with a Bilayer Porous Collagen Matrix after a Spider Bite.","authors":"Marco Palmesano, Davide Johan Bottini, Gabriele Storti, Lorenzo Secondi, Carlo Cossi, Alessio Calicchia, Martina Giacalone, Irene Nunziata, Emanuela Basile, Valerio Cervelli","doi":"10.1097/ASW.0000000000000254","DOIUrl":"10.1097/ASW.0000000000000254","url":null,"abstract":"<p><strong>Abstract: </strong>Brown recluse spider bites may cause symptoms ranging from local cutaneous reactions to systemic visceral loxoscelism. Most bites are self-limiting, but some can lead to necrotic ulcerations with severe complications and soft tissue defects. Necrotizing ulcers are uncommon and have various clinical presentations, so no standard treatment exists. A 68-year-old man required medical attention after getting a spider bite while traveling in Tanzania. After returning to Italy, the patient presented with a posterior lower limb black papule, local edema, and fever. The lesion quickly ulcerated with an eschar. Medical history and symptoms suggested a brown recluse spider bite. Ulcer management was conservative, with careful surgical debridement and a two-step reconstruction using a split-thickness skin graft and a bilayer porous collagen matrix. Treatment resulted in functional recovery and acceptable aesthetics.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"161-164"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057730","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}