Advances in Skin & Wound Care最新文献_第3页

Educating Intensive Care Nurses in Pressure Injury Staging by Using Analogy: A Quasi-experimental Study. 运用类比法对重症监护护士进行压伤分期教育：一项准实验研究。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-05-01 Epub Date: 2025-03-19 DOI: 10.1097/ASW.0000000000000292

Ceyda Yamaç, Aliye Okgün Alcan

{"title":"Educating Intensive Care Nurses in Pressure Injury Staging by Using Analogy: A Quasi-experimental Study.","authors":"Ceyda Yamaç, Aliye Okgün Alcan","doi":"10.1097/ASW.0000000000000292","DOIUrl":"10.1097/ASW.0000000000000292","url":null,"abstract":"Objective: To evaluate the effect of training on pressure injury (PI) staging provided to intensive care nurses with two different teaching techniques: a traditional teaching method and the analogy-based technique.Methods: The sample of this pretest/posttest, quasi-experimental study consisted of 60 intensive care nurses from a university hospital. Using the stratified randomization method, nurses were divided into two groups as traditional (n = 30) and intervention (n = 30) groups. Training on PI staging was given to the traditional group using a traditional teaching technique and to the intervention group using analogy-based teaching. For both groups, the pretest was administered before training, the posttest was administered immediately after the training, and the retention test was administered 4 weeks later. Data were analyzed by Mann-Whitney U test, two-way mixed analysis of variance, and Pearson correlation analysis.Results: The mean pretest score of the intervention group (7.97 ± 3.25) was significantly lower than the mean pretest score of the traditional group (12.30 ± 3.16; P < .001). After the training, the mean posttest score of the intervention group (15.27 ± 2.15) was significantly higher than the mean posttest score of the traditional group (12.43 ± 2.21; P < .001). Further, the mean retention test score of the intervention group (13.73 ± 3.69) was significantly higher than the posttest mean score of the traditional group (11.90 ± 3.03; P = .04).Conclusions: Pressure injury staging training with the analogy-based teaching method resulted in significantly better posttest and retention scores compared with the training using a traditional teaching method. The authors recommend the use of analogy-based teaching method for nurse training in the staging of PIs.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"220-223"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143672899","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

Comparison of Effectiveness of Chinese Association of Operating Room Nurses-Based Nursing Care and Routine Nursing in Reducing Intraoperative Pressure Injury in Patients Undergoing Neurosurgery. 中国手术室护士协会护理与常规护理在减少神经外科患者术中压力损伤中的效果比较

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-05-01 Epub Date: 2025-03-25 DOI: 10.1097/ASW.0000000000000285

Miaomiao Jiang, Jianshu Cai, Luping Li, Xiaoling Huang

{"title":"Comparison of Effectiveness of Chinese Association of Operating Room Nurses-Based Nursing Care and Routine Nursing in Reducing Intraoperative Pressure Injury in Patients Undergoing Neurosurgery.","authors":"Miaomiao Jiang, Jianshu Cai, Luping Li, Xiaoling Huang","doi":"10.1097/ASW.0000000000000285","DOIUrl":"10.1097/ASW.0000000000000285","url":null,"abstract":"Objective: To compare the effectiveness of Chinese Association of Operating Room Nurses (CORN)-based nursing care against that of routine nursing for reducing intraoperative pressure injury (PI) in patients undergoing neurosurgery.Methods: Convenience sampling was used to select patients who received neurosurgery between March 1, 2022, and June 30, 2022, at a grade A hospital in Zhejiang Province, China, as the study participants (N = 100). Participants were divided into a control group (n = 50) and an observation group (n = 50). The control group received routine intraoperative nursing care for PIs based on the nursing team's clinical experience and judgment. For the observation group, the CORN scale was applied to conduct comprehensive evaluation and implement nursing interventions.Results: The incidence of intraoperative PI was significantly lower in the observation group than in the control group. Further, PIs were more likely to occur among patients who underwent neurosurgery in the prone position.Conclusions: Compared with routine intraoperative nursing, CORN-based nursing care can effectively reduce the incidence of intraoperative PI among patients undergoing neurosurgery and improve nursing quality. The findings indicate that CORN-based nursing care has potential value in clinical application.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"210-214"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708008","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

Use of Electronic Health Records to Identify Factors Related to Skin Changes in Terminal Patients. 使用电子健康记录识别与晚期患者皮肤变化相关的因素。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-05-01 Epub Date: 2025-01-27 DOI: 10.1097/ASW.0000000000000260

Chia-Jung Chan, Yeu-Hui Chuang, Tsai-Wei Huang, Made Satya Nugraha Gautama

{"title":"Use of Electronic Health Records to Identify Factors Related to Skin Changes in Terminal Patients.","authors":"Chia-Jung Chan, Yeu-Hui Chuang, Tsai-Wei Huang, Made Satya Nugraha Gautama","doi":"10.1097/ASW.0000000000000260","DOIUrl":"10.1097/ASW.0000000000000260","url":null,"abstract":"Objective: To investigate the incidence of skin changes at life's end (SCALE) among hospice patients and identify associated factors.Methods: The authors conducted a retrospective chart review of demographic data, medical history, Braden Scale assessment scores, Charlson Comorbidity Index, symptom records, and medical treatments of patients admitted to a local teaching hospital's hospice unit between May 2019 and April 2021.Results: Most (79%) of the 300 hospice patients included in the study had cancer. Of the 181 patients who died, 49 (60.3%) had SCALE. Logistic regression analysis revealed that greater variations in Braden Scale scores from admission to predeath (odds ratio, 1.188; 95% CI, 1.014-1.392; P = .033), higher Eastern Cooperative Oncology Group grades (odds ratio, 1.965; 95% CI, 1.241-3.109; P = .004), and elevated Charlson Comorbidity Index scores (odds ratio, 1.514; 95% CI, 1.237-1.854; P < .001) significantly increased the likelihood of developing SCALE.Conclusions: The findings suggest that the occurrence of SCALE may serve as a valuable clinical indicator for healthcare professionals to recognize that a patient is approaching the end of life. Consequently, the care approach should prioritize pain relief and promote comfort rather than wound healing in this patient population. These results provide evidence to support the integration of SCALE-related training programs for hospice care, which can increase healthcare professionals' awareness and understanding of SCALE. Ultimately, the implementation of such training programs may lead to more appropriate care for hospice patients with SCALE, enhancing their quality of life at the end of life.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"204-209"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057704","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

Trustworthiness. 可信赖性。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-05-01 DOI: 10.1097/ASW.0000000000000302

引用次数: 0

Effect of Almond and Extra Virgin Olive Oils on Maintaining Skin Integrity in Neonates Admitted to the Neonatal ICU. 杏仁和特级初榨橄榄油对新生儿ICU新生儿皮肤完整性的影响

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-04-04 DOI: 10.1097/ASW.0000000000000306

İrem Zülal Topçuoglu Arslan, Ayse Karakoç

{"title":"Effect of Almond and Extra Virgin Olive Oils on Maintaining Skin Integrity in Neonates Admitted to the Neonatal ICU.","authors":"İrem Zülal Topçuoglu Arslan, Ayse Karakoç","doi":"10.1097/ASW.0000000000000306","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000306","url":null,"abstract":"Objective: To evaluate the effects of extra-virgin olive and almond oils on maintaining skin integrity in neonates admitted to the neonatal ICU.Methods: This was a semiexperimental study. The sample comprised 120 term (37-42 weeks) neonates treated in a state hospital in Istanbul, Turkey (May-August 2023), who met the sample criteria (olive oil: 60, almond oil: 60). The data were collected using a newborn identification form, the Neonatal Skin Condition Score, and the DMM Skin Moisture Meter.Results: The neonates' sex, gestational age, postnatal age, birth weight, length, and head circumference measurements were similar, suggesting no significant differences between the groups (Ps > .05). A statistically significant difference was found between the mean skin hydration levels of neonates treated with almond oil and extra-virgin olive oil on the first, second, and third days of the application, where a higher skin hydration was determined in the extra-virgin olive oil group (P = .024, P = .004, P = .020). However, no statistically significant difference was found between the Neonatal Skin Condition Score scores of neonates treated with almond oil and extra-virgin olive oil before and on all days of the application (1-5 days, P > .05).Conclusions: Both extra-virgin olive oil and almond oil increased the stratum corneum hydration in term neonates. The application of extra-virgin olive oil and almond oil did not result in any adverse effects on neonatal skin conditions of neonates admitted to the neonatal ICU.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143784441","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

Effectiveness of Virtual Reality Simulation-Based Training on Enhancing Positive Attitudes toward Newborn Skin Assessment among Neonatal ICU Nurses. 基于虚拟现实模拟的新生儿重症监护护士对新生儿皮肤评估积极态度的增强效果

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-04-02 DOI: 10.1097/ASW.0000000000000297

Adnan Batuhan Coşkun, Zerrin Çiğdem

{"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":"https://doi.org/10.1097/ASW.0000000000000297","url":null,"abstract":"Background: 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.Objective: To examine the effect of virtual reality simulator (VRS)-based training on the attitude toward newborn skin assessment among NICU nurses.Methods: 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.Results: 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.Conclusions: The VRS training was effective in enhancing or reinforcing positive attitudes toward newborn skin assessment among NICU nurses.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-02","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}

引用次数: 0

A Skin Examination Can Improve Your Health and Even Save Your Life! 皮肤检查可以改善你的健康，甚至可以挽救你的生命！

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-04-01 DOI: 10.1097/ASW.0000000000000287

引用次数: 0

Pyoderma Gangrenosum Improved with Dapsone and Prednisone: A Case Report. 氨苯砜与强的松联合治疗坏疽性脓皮病1例。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-04-01 Epub Date: 2025-01-27 DOI: 10.1097/ASW.0000000000000250

Arbie Sofia P Merilleno, Charlene Marie Ang-Tiu

引用次数: 0

Application of Negative-Pressure Wound Therapy in Patients with Wound Complications after Flap Repair for Vulvar Cancer: A Retrospective Study. 负压创面治疗外阴癌皮瓣修复术后创面并发症的回顾性研究。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-04-01 Epub Date: 2024-12-12 DOI: 10.1097/ASW.0000000000000247

Liangzhi Qiu, Xianrong Wu, Xiu Wang

{"title":"Application of Negative-Pressure Wound Therapy in Patients with Wound Complications after Flap Repair for Vulvar Cancer: A Retrospective Study.","authors":"Liangzhi Qiu, Xianrong Wu, Xiu Wang","doi":"10.1097/ASW.0000000000000247","DOIUrl":"10.1097/ASW.0000000000000247","url":null,"abstract":"Objective: To analyze the characteristics of postoperative wound complications (WCs) in patients following vulvectomy with flap repair and evaluate the efficacy of negative-pressure wound therapy (NPWT) in wound healing.Methods: This study retrospectively reviewed 17 patients with WCs following vulvectomy with flap repair at a tertiary comprehensive hospital from January 2016 to December 2022. All patients were treated with NPWT, and the wound healing rate, healing time, and NPWT-related complications were observed.Results: The most common WCs were seroma and lymphorrhea (52.94%; nine cases), followed by wound infection (35.29%, six cases), fat liquefaction (23.53%, four cases), wound dehiscence (17.65%, three cases), and wound ischemia (5.88%, one case). The main locations for flap WCs were the vulva (64.71%), thigh (35.29%), and pubic symphysis (23.53%). One patient halted treatment; the remaining 16 patients all achieved complete healing with a mean healing time of 43.50 ± 17.92 days. One complication was associated with the use of NPWT: procedural pain (17.65%, three cases).Conclusions: The use of NPWT may contribute to accelerated wound healing after flap repair in vulvar cancer and is safe for clinical application.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"142-147"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11939101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142817056","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

Nurse Practitioners Are Legally Responsible for Claims Submitted to Medicare on Their Behalf. 执业护士对代表他们向医疗保险提出的索赔负有法律责任。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-04-01 DOI: 10.1097/ASW.0000000000000284

Kathleen D Schaum

引用次数: 0