Advances in Skin & Wound Care最新文献_第2页

Validity and Reliability of the Revised Skin Management Needs Assessment Checklist: A Methodological Study. 修订皮肤管理需求评估清单的效度与信度：一项方法学研究。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-06-30 DOI: 10.1097/ASW.0000000000000318

Seda Şahan, Günay Elif İsmailoğlu, Eda Ergin, Emine Korkmaz

{"title":"Validity and Reliability of the Revised Skin Management Needs Assessment Checklist: A Methodological Study.","authors":"Seda Şahan, Günay Elif İsmailoğlu, Eda Ergin, Emine Korkmaz","doi":"10.1097/ASW.0000000000000318","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000318","url":null,"abstract":"Abstract: Objective: This study was conducted to adapt the revised Skin Management Needs Assessment Checklist (SMnac) into Turkish and determine the reliability and validity by using the Rasch model.Methods: Data were collected between February and July 2023 from a total of 201 patients using a demographics and clinical history form, Braden Scale, and the revised SMnac. This methodological study used forward translation, expert opinion, back translation, pilot test, and finalization for the language adaptation of the instrument. The feasibility of the questionnaire for the Turkish population with pressure injury was assessed through the Rasch measurement model. Internal consistency reliability with Rasch analysis was calculated with the Person Reliability Index and Item Reliability Index. For content validity, the first Turkish version was evaluated by seven experts.Results: The Content Validity Index of the Turkish version of the revised SMnac was determined to be 0.87. In the Rasch analysis, the person reliability coefficient was detected as 0.87 and the item reliability coefficient as 0.94. In accordance with the results of the adaptation and reliability validity analyses of the original scale, three items were excluded from the scale.Conclusions: According to the results of the study, the revised SMnac scale was determined to be valid and reliable in Turkish.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537765","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

Surgical Options for Advanced Pressure Injuries. 晚期压迫性损伤的手术选择。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-06-25 DOI: 10.1097/ASW.0000000000000324

A Bert Chabot, Shafic Abdulkarim, Samantha D Morin, Ibrahim T Yazgan, Abigail E Chaffin

引用次数: 0

Differential Frequencies of Osteomyelitis and Amputation Significantly Vary by Toe among Patients with Advanced Diabetic Forefoot Ulcer: A Preliminary Epidemiologic Report. 晚期糖尿病前足溃疡患者骨髓炎和截肢的不同频率有显著差异：初步流行病学报告。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-06-25 DOI: 10.1097/ASW.0000000000000316

Kaissar Yammine, Mohammad Omar Honeine, Mariana Helou, Chahine Assi

{"title":"Differential Frequencies of Osteomyelitis and Amputation Significantly Vary by Toe among Patients with Advanced Diabetic Forefoot Ulcer: A Preliminary Epidemiologic Report.","authors":"Kaissar Yammine, Mohammad Omar Honeine, Mariana Helou, Chahine Assi","doi":"10.1097/ASW.0000000000000316","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000316","url":null,"abstract":"Background: Diabetic foot ulcers and diabetic foot infections (DFIs) are serious complications that can lead to premature death. Although most DFIs are located in the forefoot, rates of bone involvement and the need for amputation in each toe are not reported in the literature.Objective: To report early epidemiologic data on the frequency of initial osteomyelitis (OM) and amputation in severe DFIs.Methods: This retrospective comparative study included 91 DFI episodes treated with surgery. All patients had severely infected toe ulcers (University of Texas grade 3/stage B). Cases were classified as conservative surgery group versus amputation surgery group. Outcomes were defined as initial rate of OM and amputation surgery. Analysis was conducted to search for significant differences in outcomes between toes.Results: Diabetic foot infection frequencies from hallux to the fifth toe were as follows: 37 (44%), 15 (16.5%), 10 (11%), 12 (13.2%), and 17 (18.7%). For the OM and amputation outcomes, no significant differences were found between hallux and second toe, whereas significance was recorded between the two medial toes compared with the three lateral toes, where both outcomes were highly prevalent in the three lateral toes.Conclusions: This epidemiological report highlights for the first time significant differences in the outcomes of severe toe infection with respect to toe location. The authors propose a new prognostic grouping to better reflect outcome prediction of diabetic toe infection: a medial toe group comprising the hallux and second toe versus a lateral toe group including the third, fourth, and fifth toes.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144482837","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

Consulting the Digital Doctor: Efficacy of ChatGPT-3.5 in Answering Questions Related to Diabetic Foot Ulcer Care. 咨询数字医生：ChatGPT-3.5在回答糖尿病足溃疡护理相关问题中的疗效。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-06-18 DOI: 10.1097/ASW.0000000000000317

Rachel N Rohrich, Karen R Li, Christian X Lava, Isabel Snee, Sami Alahmadi, Richard C Youn, John S Steinberg, Jayson M Atves, Christopher E Attinger, Karen K Evans

{"title":"Consulting the Digital Doctor: Efficacy of ChatGPT-3.5 in Answering Questions Related to Diabetic Foot Ulcer Care.","authors":"Rachel N Rohrich, Karen R Li, Christian X Lava, Isabel Snee, Sami Alahmadi, Richard C Youn, John S Steinberg, Jayson M Atves, Christopher E Attinger, Karen K Evans","doi":"10.1097/ASW.0000000000000317","DOIUrl":"10.1097/ASW.0000000000000317","url":null,"abstract":"Background: Diabetic foot ulcer (DFU) care is a challenge in reconstructive surgery. Artificial intelligence (AI) tools represent a new resource for patients with DFUs to seek information.Objective: To evaluate the efficacy of ChatGPT-3.5 in responding to frequently asked questions related to DFU care.Methods: Researchers posed 11 DFU care questions to ChatGPT-3.5 in December 2023. Questions were divided into topic categories of wound care, concerning symptoms, and surgical management. Four plastic surgeons in the authors' wound care department evaluated responses on a 10-point Likert-type scale for accuracy, comprehensiveness, and danger, in addition to providing qualitative feedback. Readability was assessed using 10 readability indexes.Results: ChatGPT-3.5 answered questions with a mean accuracy of 8.7±0.3, comprehensiveness of 8.0±0.7, and danger of 2.2±0.6. ChatGPT-3.5 answered at the mean grade level of 11.9±1.8. Physician reviewers complimented the simplicity of the responses (n=11/11) and the AI's ability to provide general information (n=4/11). Three responses presented incorrect information, and the majority of responses (n=10/11) left out key information, such as deep vein thrombosis symptoms and comorbid conditions impacting limb salvage.Conclusions: The researchers observed that ChatGPT-3.5 provided misinformation, omitted crucial details, and responded at nearly 4 grade levels higher than the American average. However, ChatGPT-3.5 was sufficient in its ability to provide general information, which may enable patients with DFUs to make more informed decisions and better engage in their care. Physicians must proactively address the potential benefits and limitations of AI.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144332285","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

Effects of Mutuality and Positive Aspects of Caregiving on Caregiver Burden and Quality of Life of Caregivers of Patients With Diabetic Foot Who Have Undergone Amputation. 互惠性和积极性照护对截肢糖尿病足患者照护者负担和生活质量的影响

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-06-18 DOI: 10.1097/ASW.0000000000000323

Xiaoying Wang, Xiaoqing Xu, Hui Shan, Ju Zhang

{"title":"Effects of Mutuality and Positive Aspects of Caregiving on Caregiver Burden and Quality of Life of Caregivers of Patients With Diabetic Foot Who Have Undergone Amputation.","authors":"Xiaoying Wang, Xiaoqing Xu, Hui Shan, Ju Zhang","doi":"10.1097/ASW.0000000000000323","DOIUrl":"10.1097/ASW.0000000000000323","url":null,"abstract":"Objective: The caregiver burden is a stressor that affects caregivers' quality of life. However, the impact of mutuality and positive aspects of caregiving on caregiver burden and quality of life has not been studied in caregivers of patients with diabetic foot who have undergone amputation. This study aimed to explore the moderating effects of mutuality and positive aspects of caregiving on the relationship between caregiver burden and quality of life.Methods: In this descriptive cross-sectional survey, the authors conducted a questionnaire survey of 150 caregivers of patients who underwent diabetic foot amputation from September 2021 to February 2022. The investigation was conducted with the Mutuality Scale, Zarit Caregiver Burden Interview, Positive Aspects of Caregiving, and Health Survey Short Form 12. Stratified regression analysis and the Johnson-Neyman technique were used to explore the moderating role of mutuality and positive aspects of the adverse effects of caregiver burden.Results: A total of 150 caregivers participated in this study. The results of the study showed that the caregiver burden was negatively correlated with mental health (r=-0.229, P<.01). Moreover, mutuality was positively correlated with mental health (r=0.252, P<.01), and positive aspects of caregiving were positively correlated with mental health (r=0.276, P<.01). Mutuality and positive aspects of caregiving played a moderate role in caregiver burden and mental health in patients who underwent diabetic foot amputation (β=0.278, t=3.221, P<.05; β =0.032, t =2.526, P<.05).Conclusions: The authors found that mutuality and positive aspects of caregiving reduce caregiver burden and improve the mental health of patients with diabetic foot who have undergone amputation.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144332286","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

Pemphigus Vulgaris: Clinical Aspects and Treatments. 寻常性天疱疮：临床方面和治疗。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-06-01 Epub Date: 2025-04-04 DOI: 10.1097/ASW.0000000000000307

Ryan S Q Geng, R Gary Sibbald

引用次数: 0

Continuity of Outpatient Care for Patients with an Intestinal Fistula in China. 中国肠瘘患者门诊护理的连续性

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-06-01 Epub Date: 2025-04-15 DOI: 10.1097/ASW.0000000000000289

Yi Qiao, Beihua Xi, Yin Zhang

{"title":"Continuity of Outpatient Care for Patients with an Intestinal Fistula in China.","authors":"Yi Qiao, Beihua Xi, Yin Zhang","doi":"10.1097/ASW.0000000000000289","DOIUrl":"10.1097/ASW.0000000000000289","url":null,"abstract":"Objective: To report on the current state of outpatient nursing care for patients with an intestinal fistula in a stoma clinic in China.Methods: This retrospective study included 41 patients with an intestinal fistula who visited the stoma clinic in a tertiary hospital in Shanghai, China, between January 2019 and December 2023. Electronic medical records were selected for analysis of patients' clinical data, fistula diagnosis and treatment process, and outcome regression.Results: Few patients with an intestinal fistula are referred to the stoma clinic for nursing care (1.29%). At patients' first visit to the stoma clinic, the majority of those with an intestinal fistula (87.80%) had perifistular moisture-associated skin damage (MASD). The mean discolor, erosion, and tissue score was 6.73 ± 4.35, the mean healing time for MASD was 8.77 ± 8.51 days, and the mean number of follow-ups was 3.41 ± 1.92. The majority of patients (87.80%) complained of accompanying pain of different degrees. The mean self-healing time for nonoperative treatment was 301.96 ± 193.95 days. Enterostomal therapists applied the dressings to care for the skin around the fistula and formulated and guided a personalized management method to effectively contain output.Conclusions: The quality of outpatient nursing care for patients with an intestinal fistula needs to be optimized. Standardized assessment and individualized precise intervention can reduce the incidence of complications such as MASD and improve the quality of care and prognosis of patients.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"254-257"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12244964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143953096","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

Healing Rate and Time to Closure of Venous Leg Ulcers: A Real-World Service Evaluation of Neuromuscular Electrostimulation as an Adjunct to Compression Therapy. 下肢静脉溃疡的愈合速度和愈合时间：神经肌肉电刺激作为压迫治疗辅助的真实世界服务评估。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-06-01 Epub Date: 2025-04-01 DOI: 10.1097/ASW.0000000000000299

Holly Murray, Rochelle Duong, Duncan Shirreffs Bain

{"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":"10.1097/ASW.0000000000000299","url":null,"abstract":"Objective: 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.Methods: 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 cm 2 . Wound progress was compared with 15 retrospective control patients who were matched for ulcer size and duration.Results: 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).Conclusions: 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.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"246-250"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12244963/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the Braden QD Scale Assessment Performance and Related Hospital-Acquired Pressure Injury Influencing Factors among Critically Ill Adult Patients. 成人危重病人Braden QD量表评估绩效及相关医院获得性压力损伤影响因素探讨

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-06-01 Epub Date: 2025-04-18 DOI: 10.1097/ASW.0000000000000301

Xiuli Zhu, Linhe Yang, Junjie Ning, Baoqin Li, Yang Chen, Zhenyu Luo

{"title":"Exploring the Braden QD Scale Assessment Performance and Related Hospital-Acquired Pressure Injury Influencing Factors among Critically Ill Adult Patients.","authors":"Xiuli Zhu, Linhe Yang, Junjie Ning, Baoqin Li, Yang Chen, Zhenyu Luo","doi":"10.1097/ASW.0000000000000301","DOIUrl":"10.1097/ASW.0000000000000301","url":null,"abstract":"Objective: To investigate the performance of the Braden QD Scale in predicting hospital-acquired pressure injuries (HAPIs) in critically ill adult patients and the incidence and factors associated with HAPIs within such patients.Methods: A prospective observational study was conducted in a dual-center comprehensive ICU from June to September 2023. The nurse on duty examined all patients for skin integrity upon admission to the ICU and also scored patients using both the Braden and Braden QD scales. A patient's skin was then checked daily by 14 course-trained nurses until the patient was discharged or transferred out of the ICU. If a suspected HAPI was found, photographs were taken and sent to specialist nurses for confirmation and documentation.Results: A total of 316 critically ill patients were enrolled in the study, and 79 HAPIs occurred. Fifty-five patients (17.4%) had pressure injuries (PIs), 35 patients (11.1%) had medical device-related PIs, and 14 patients (4.4%) had both medical device-related PIs and PIs. Essential predictors of HAPIs were detected. Further, the Braden QD Scale performed better than the Braden Scale in predicting HAPI development in critically ill adults, with the area under the curve being 0.77 (CI, 0.75-0.84) on admission.Conclusions: The incidence of HAPIs in critically ill adult patients is high, with several influencing factors. The Braden QD Scale emerges as a validated predictive tool for HAPIs in critically ill adult patients, demonstrating clinical utility that warrants additional investigation to optimize prevention strategies.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"239-244"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12244961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960862","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

Evaluation of Intensive Care Nurses' Skin Tear Knowledge. 重症监护护士皮肤撕裂知识的评价。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-06-01 Epub Date: 2025-04-19 DOI: 10.1097/ASW.0000000000000288

Betül İlbey Koç, Dilay Hacıdursunoğlu Erbaş, Fatma Eti Aslan

{"title":"Evaluation of Intensive Care Nurses' Skin Tear Knowledge.","authors":"Betül İlbey Koç, Dilay Hacıdursunoğlu Erbaş, Fatma Eti Aslan","doi":"10.1097/ASW.0000000000000288","DOIUrl":"10.1097/ASW.0000000000000288","url":null,"abstract":"Objective: To assess the skin tear knowledge of intensive care nurses who care for surgical patients.Methods: This study was conducted among intensive care nurses working in a training and research hospital and caring for surgical patients. Data were collected face-to-face using the Demographic Data Collection Form and the Skin Tear Knowledge Assessment Instrument.Results: Participants were primarily women (66.7%), and most (71.3%) had a bachelor's degree. The mean age of the participants was 30.01 ± 2.49 years, and the mean years of intensive care experience was 6.29 ± 2.76 years. No significant relationships were found between the scale scores of the participants and age, sex, and education status, or whether they had received training on skin tears. There was a statistically significant positive correlation between years of intensive care experience and experience caring for patients with skin tears and OASES (Skin Tear Knowledge Assessment Instrument) total scale score. The analysis revealed that years of intensive care experience had a significant positive effect on the scale total score.Conclusions: This study revealed that nurses had a moderate level of knowledge about skin tears and that intensive care experience and status of caring for patients with skin tears were important factors influencing skin tear knowledge.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"251-253"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673020","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