Advances in Skin & Wound Care最新文献_第3页

Strategies for Prevention and Management of Postoperative Wounds and Scars Following Microsurgical Breast Reconstruction: An Evidence-Based Review. 显微外科乳房重建术后伤口和疤痕的预防和处理策略：基于证据的回顾。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-04-01 DOI: 10.1097/ASW.0000000000000283

引用次数: 0

Evaluation of Oncology/Hematology Nurses' Proficiency in Assessing Lower-Extremity Skin and Edema in Patients with Cancer: An Observational Study. 肿瘤/血液科护士评估癌症患者下肢皮肤和水肿的熟练程度：一项观察性研究。

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.0000000000000248

Zeliha Genç, Ayda Kebapci, Dilek Yildirim, Gulbeyaz Can, Orhan Zeytun, Elif Kök

{"title":"Evaluation of Oncology/Hematology Nurses' Proficiency in Assessing Lower-Extremity Skin and Edema in Patients with Cancer: An Observational Study.","authors":"Zeliha Genç, Ayda Kebapci, Dilek Yildirim, Gulbeyaz Can, Orhan Zeytun, Elif Kök","doi":"10.1097/ASW.0000000000000248","DOIUrl":"10.1097/ASW.0000000000000248","url":null,"abstract":"Objective: To assess the competency of oncology/hematology nurses in evaluating the lower extremities of patients with cancer for skin conditions and edema.Methods: This prospective and descriptive observational study was conducted with patients in a university hospital's 48-bed oncology/hematology service. Patients with cancer admitted to the oncology/hematology service were examined independently by three evaluators (two nurse researchers and the patient's primary nurse) daily. Interrater reliability for assessing patients' right and left legs was determined using Fleiss κ statistics for categorical variables.Results: The study revealed a high degree of agreement among the three evaluators in the assessment of skin surface, skin color, and presence of petechiae and rashes on the right and left leg, as well as itching on the left leg. However, only moderate agreement was found for temperature assessment, ecchymoses edema on the left and right leg, and itching on the right leg. The reliability of the two researcher nurses' assessment of edema on the right and left legs was excellent.Conclusions: Although the agreement between the two researcher nurses was near excellent, only moderate agreement was observed among all evaluators in the edema assessment. The result underscores the importance of healthcare providers' knowledge and enhancing clinical skills through innovative training strategies.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"153-159"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057695","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

Navigating Challenges in the Delivery of Diabetic Foot Self-care Education: Perspectives of Nurses in Rural Southwest China. 应对糖尿病足自我保健教育的挑战：西南农村护士的视角。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-03-27 DOI: 10.1097/ASW.0000000000000290

Wangqiao Zhu, Lifang Zhang, Sulan Long, Jia Liu, Yingying Qin, Caimei Huang

{"title":"Navigating Challenges in the Delivery of Diabetic Foot Self-care Education: Perspectives of Nurses in Rural Southwest China.","authors":"Wangqiao Zhu, Lifang Zhang, Sulan Long, Jia Liu, Yingying Qin, Caimei Huang","doi":"10.1097/ASW.0000000000000290","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000290","url":null,"abstract":"Background: Several prior studies have investigated determinants linked to the insufficient delivery of diabetic foot self-care education (DFSE), with some specifically concentrating on rural environments. Individuals with diabetes, especially those at risk of foot ulcers, should acquire the skills necessary for daily foot inspection, proper toenail-trimming techniques, consistent use of appropriate footwear, and a thorough understanding of preventive measures against ulcers.Objective: To explore the challenges associated with delivering DFSE among nurses in rural areas.Methods: The authors used a qualitative descriptive design. Fourteen participants were purposively selected from two township health centers. Data were collected through focus group discussions. All interviews were analyzed using thematic analysis.Results: The primary challenges to delivering DFSE in rural areas were identified and categorized into four key themes: limited human resources, excessive patient visits, high patient turnover rate, and understanding gaps in collaborative medical care.Conclusions: Limited diabetic nursing resources hinder patient education, affecting those with high admissions and extensive care needs. Excessive patient visits pose a challenge, overshadowing education efforts, especially during peak times after festival celebrations. Swift patient turnover and communication gaps among healthcare providers are significant barriers to timely health education. Nurses must enhance interdisciplinary communication for quality teaching and patient care. Integrating technology into nursing education can improve flexibility and accessibility. For the reform of China's national primary healthcare system, attracting and retaining skilled healthcare professionals in primary care should involve incentives and professional development.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143762789","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

Cutaneous Psoriasis: Clinical Aspects and Treatments. 皮肤牛皮癣：临床方面和治疗。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-03-25 DOI: 10.1097/ASW.0000000000000243

Ryan S Q Geng, R Gary Sibbald

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 : 2025-03-25 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":"https://doi.org/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":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Postoperative Anastomotic Leakage Complicated with Severe Intra-abdominal Infection and Peristomal Abscess after Colon Cancer Surgery: A Case Report. 结肠癌术后吻合口瘘并发严重腹腔内感染及口周脓肿1例。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-03-19 DOI: 10.1097/ASW.0000000000000286

Qin-Ying Chen, Bei Li, Li Pan

{"title":"Postoperative Anastomotic Leakage Complicated with Severe Intra-abdominal Infection and Peristomal Abscess after Colon Cancer Surgery: A Case Report.","authors":"Qin-Ying Chen, Bei Li, Li Pan","doi":"10.1097/ASW.0000000000000286","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000286","url":null,"abstract":"Abstract: Postoperative anastomotic leakage following surgery for colorectal cancer is a serious complication that is frequently associated with significant intra-abdominal infection and the formation of peristomal abscesses. Patients with this condition often present with complex medical comorbidities and face considerable challenges in achieving wound healing. In this case report, a 57-year-old man presented with colonic obstruction secondary to colon cancer and subsequently underwent curative surgery. Postoperatively, anastomotic leakage occurred, which necessitated resection of the anastomosis and the formation of a descending colostomy. The patient subsequently developed severe intra-abdominal infection and peristomal abscess, leading to impaired wound healing. Clinicians implemented a treatment regimen combining continuous negative-pressure wound therapy (NPWT) with intermittent NPWT with instillation and dwell time. This approach resulted in rapid wound healing. Ultimately, the patient successfully underwent colostomy closure, restoring gastrointestinal continuity. For abdominal wounds with severe fecal contamination and extensive separation of the dermis and subcutaneous tissues, the combination of continuous NPWT and intermittent NPWT with instillation and dwell time may be an efficacious therapeutic strategy.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673094","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 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 : 2025-03-19 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":"https://doi.org/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, 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":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-19","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

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 : 2025-03-19 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":"https://doi.org/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":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-19","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

Management of Skin Tears in Vulnerable Populations from Older Adults to Critically Ill Patients: ISTAP Part 2. 从老年人到危重患者的脆弱人群皮肤撕裂的管理：ISTAP第2部分。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-03-01 DOI: 10.1097/ASW.0000000000000275

Emmy Nokaneng, Anika Fourie

引用次数: 0

Impact of Skin Tone on Skin Tolerance to Shear in the Context of Pressure Injuries: Theory and Computer Modeling. 肤色对压力损伤皮肤抗剪能力的影响：理论与计算机模型。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-03-01 DOI: 10.1097/ASW.0000000000000270

Tomer Katz, Amit Gefen

{"title":"Impact of Skin Tone on Skin Tolerance to Shear in the Context of Pressure Injuries: Theory and Computer Modeling.","authors":"Tomer Katz, Amit Gefen","doi":"10.1097/ASW.0000000000000270","DOIUrl":"10.1097/ASW.0000000000000270","url":null,"abstract":"Abstract: Objective: To investigate the impact of darker skin tones on skin tolerance to shear forces in the context of pressure injuries (PIs) and explore the mechanobiological hypothesis that people with darker skin may be at an increased PI risk due to altered biomechanical skin properties resulting from a lower water content (WC) as some literature suggests.Methods: The authors developed a computational modeling framework simulating skin with varying Poisson ratios to represent different WC levels in the stratum corneum (SC), focusing on the effects of ethnicity and WC on mechanical stresses in superficial skin during weightbearing postures. Mechanical properties of the tissues were based on literature values. Pure compression and compression with shear were applied to the skin model.Results: A lower Poisson ratio in the SC, indicating lower WC, is associated with higher tissue stresses and more intense stress concentrations, especially under combined compression and shear loading. The initial reduction in the Poisson ratio had the most significant impact on increased tissue loading. These results support the hypothesis that the lower WC in darker skin, associated with increased transepidermal water loss, may lead to altered biomechanical behavior and increased PI risk.Conclusions: The modeling suggests that reduced WC and increased transepidermal water loss, notably present in darker skin tones, lead to higher stress concentrations within the SC, thus elevating the PI risk. Comprehensive clinical and biomechanical data across various skin tones are needed to improve the practice of PI prevention in individuals with darker skin.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 2","pages":"105-111"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466752","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