Advances in Skin & Wound Care最新文献

{"title":"Hospitalized Pediatric Patients: Risk Factors Related to the Development of Immobility-Related and Medical Device-Related Pressure Injuries.","authors":"","doi":"10.1097/ASW.0000000000000278","DOIUrl":"10.1097/ASW.0000000000000278","url":null,"abstract":"","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 2","pages":"32"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466836","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":"Evaluation of Caregivers' Experiences in the Management of Pressure Injuries in Palliative Care Patients: A Phenomenologic Study.","authors":"Sevil Pamuk Cebeci, Pınar Duru, Zeynep Irmak Kaya, Mihraç Topçu","doi":"10.1097/ASW.0000000000000273","DOIUrl":"10.1097/ASW.0000000000000273","url":null,"abstract":"<p><strong>Abstract: </strong></p><p><strong>Objective: </strong>To evaluate the experiences of caregivers (patients' companions and nurses) in managing pressure injuries (PIs) in patients in palliative care.</p><p><strong>Methods: </strong>Included in this qualitative phenomenologic study were 10 caregivers (five patient companions and five nurses) involved in the care of five patients hospitalized in the palliative care unit of a single facility between January and March 2023. The research data were collected through face-to-face, in-depth interviews using semistructured interviews.</p><p><strong>Results: </strong>Two main themes emerged from the interviews: \"approach to care\" and \"factors affecting the care of PIs.\" Regarding \"approach to care,\" subsidiary analytic themes included \"management of PIs\" and \"feelings.\" For \"factors affecting the care of PIs,\" analytic themes were \"level of knowledge,\" \"facilitators,\" \"difficulty in caregiving,\" and \"experience of care.\"</p><p><strong>Conclusions: </strong>The interviewed nurses and patients' companions identified factors facilitating and complicating the effective management of PIs, knowledge of which may steer the development of strategies by healthcare providers and administrators that meet the needs of healthcare personnel. These findings may contribute to creating interventions and policies for managing PIs, potentially increasing the patients' quality of life.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 2","pages":"E18-E24"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466806","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":"Which Technologies and Procedures Does Medicare Cover for Pressure Injuries?","authors":"Kathleen D Schaum","doi":"10.1097/ASW.0000000000000277","DOIUrl":"10.1097/ASW.0000000000000277","url":null,"abstract":"","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 2","pages":"62-63"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466441","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":"Clinical Relevance of Microclimate Tests on Support Surfaces.","authors":"Michele Deppisch, Ryan Alvarez, Brent Larson, Dave Newton, Steven Saliga, Barbara Samson, Frank Sauser, Sara Tackson, Erica Thibault, Kristen Thurman, Jackie Todd","doi":"10.1097/ASW.0000000000000074","DOIUrl":"10.1097/ASW.0000000000000074","url":null,"abstract":"","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 2","pages":"71-75"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466769","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":"Evaluation of the Effect of Massage on Pressure Injury Prevention among Intensive Care Patients: A Randomized Controlled Study.","authors":"Esra Özkan, Dilek Çilingir","doi":"10.1097/ASW.0000000000000280","DOIUrl":"10.1097/ASW.0000000000000280","url":null,"abstract":"<p><strong>Abstract: </strong></p><p><strong>Background: </strong>Few studies have investigated the application of massage to bony prominences, and international guidelines do not currently recommend additional massage in these areas.</p><p><strong>Objective: </strong>To investigate the impact of the effleurage technique, a component of classical massage known for its clinical applicability and practicality, in preventing pressure injuries (PIs).</p><p><strong>Methods: </strong>The study focused on bedridden patients in the ICU of a state hospital. The sample included patients admitted between July 1, 2021, and November 30, 2021, without preexisting PIs. Using a randomized controlled trial design with simple randomization, routine nursing care was provided to the control group of 30 patients, and the experimental group of 30 patients received classical massage (effleurage technique) in addition to routine care. Both groups were followed up for an average of 12 days using various assessment tools, including a patient information form, the Braden Risk Assessment Scale, the Pressure Wound Staging Form, and an experimental/control group follow-up form.</p><p><strong>Results: </strong>The research results revealed a statistically significant impact of massage application on preventing PIs (P < .05). The average day of PI development was 10.93 ± 2.31 in the experimental group and 6.79 ± 4.42 in the control group.</p><p><strong>Conclusions: </strong>The study findings suggest that the effleurage technique, as part of classical massage, can be integrated into nursing practices to effectively prevent PIs.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 2","pages":"E25-E31"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466812","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":"New Pressure Injury Evidence and the Upcoming 4th Edition of the EPUAP/NPPIAP/PPPIA International Pressure Injury Practice Guideline.","authors":"","doi":"10.1097/ASW.0000000000000279","DOIUrl":"10.1097/ASW.0000000000000279","url":null,"abstract":"","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 2","pages":"61"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466435","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":"Hospitalized Pediatric Patients: Risk Factors Related to the Development of Immobility-Related and Medical Device-Related Pressure Injuries.","authors":"Ann Marie Nie, Barbara Delmore","doi":"10.1097/ASW.0000000000000271","DOIUrl":"10.1097/ASW.0000000000000271","url":null,"abstract":"<p><strong>General purpose: </strong>To review risk factors for the development of medical device-related and immobility-related pressure injuries in hospitalized pediatric patients.</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 be better able to:1. Describe trends in pressure injuries (PIs) for hospitalized pediatric patients as summarized in current literature.2. Identify risk factors predictive of medical device-related and immobility-related PIs in hospitalized pediatric patients.3. Summarize the methodology used to understand risk factors for developing PIs in the hospitalized pediatric patient population.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 2","pages":"76-85"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466816","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":"Cost of Illness of Pressure Injuries in the Inpatient Area of a Socio-Health Center in Spain.","authors":"Antonio Ramos-Sánchez, María Jesús Martínez-Beltrán, Blanca Egea-Zerolo, María Del Carmen Águila-Pollo, Juan M Arribas-Marín, David Fernández-Ayuso, Ana S F Ribeiro","doi":"10.1097/ASW.0000000000000272","DOIUrl":"10.1097/ASW.0000000000000272","url":null,"abstract":"<p><strong>Abstract: </strong></p><p><strong>Objective: </strong>To estimate the increase in length of stay and cost of illness of pressure injuries (PIs) in the inpatient area of a socio-health center.</p><p><strong>Methods: </strong>This was a retrospective cohort study that included a consecutive sampling of patients admitted to the inpatient programs of a socio-healthcare center between January 1, 2016, and December 31, 2018. Data were retrospectively extracted from patients' electronic health records.</p><p><strong>Results: </strong>During the study period 4,062 patients were admitted to the different hospitalization programs. The patients' mean age was 75.34 ± 13.69 years, and 51.2% of them were men. Of these, 1,421 patients had PIs, and 318 patients had to prolong their hospital stay due to PIs. These 318 patients were admitted 12,089 days longer (mean of 38.01 ± 41.49 days per patient) than patients without a PI, representing an expense of €1,381,006 (US $1,430,722). The cost of illness in the period under study was estimated at €1,922,049 (US $1,991,212). The average cost of PI treatment per patient was €1,352.60 ± €3,351.43 (US $1,401.29 ± $3,472.08), and the average cost of treatment until complete resolution of a PI was €2,064.65 ± €4,282.48 (US $1,470.79 ± $4,436.65). The cost of treatment ranged from €1,419.68 ± €3,100.47 (US $2,138.98 ± $3,212.09) for stage 1 PIs to €6,299.31 ± €10,000.57 (US $6,526.08 ± $10,360.59) for stage 4 PIs.</p><p><strong>Conclusions: </strong>This study highlights the significant health and economic impacts of PIs in the inpatient area of a socio-health center. The findings emphasize the necessity of effective prevention strategies to mitigate the occurrence of PIs and their associated costs. By understanding the financial burden of PIs, healthcare providers and policymakers can make informed decisions to improve resource allocation, enhance patient care, and reduce financial strain on the healthcare system.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 2","pages":"E6-E11"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466772","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 Heat and Pressure Loading on Erythema and Skin Microclimate at Pressure-Prone Areas of Semirecumbent Healthy Adults.","authors":"Caroline Borzdynski, Charne Miller, Bill McGuiness","doi":"10.1097/ASW.0000000000000244","DOIUrl":"10.1097/ASW.0000000000000244","url":null,"abstract":"<p><strong>Abstract: </strong></p><p><strong>Background: </strong>Altered localized microclimate conditions are known to increase the risk of pressure injuries in immobile patients. Limited in vivo studies have examined how skin properties change over time and under different skin microclimate conditions.</p><p><strong>Objective: </strong>To examine changes in erythema, stratum corneum hydration, and skin temperature in response to an altered microclimate, simulated by the introduction of heat, at the skin-support surface interface of semirecumbent healthy adults.</p><p><strong>Methods: </strong>In this quasi-experimental study, researchers obtained noninvasive biophysical skin measures at the elbows, heels, and sacrum of healthy adults positioned semirecumbently. Participants advanced through a controlled condition and heat intervention. Repeated measures were gathered at the anatomic sites every 10 minutes for 60 minutes per condition. Linear mixed models were used to compare skin measures over time and between conditions.</p><p><strong>Results: </strong>Large regional variation in skin measures emerged by condition and among participants. The introduction of heat increased skin temperature at the heels (P < .001), elbows (P = .005), and sacrum (P < .001). Erythema increased at the sacrum (P = .012) but at no other anatomic testing site. There was no impact on stratum corneum hydration as a result of increased heat at any anatomic testing site.</p><p><strong>Conclusions: </strong>More frequent monitoring cycles for erythematous skin discoloration and thermal changes may be required at the sacral skin in immobile patients. Distinctive protocols in relation to skin-care regimens may be warranted for individual patients. Skin cooling, enabled by intermittent off-loading of pressure-prone areas, may assist optimization of the skin microclimate.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 2","pages":"96-104"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466798","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":"Operation and Practice of the Scott-Munro Model: Risk Assessment of Intraoperatively Acquired Pressure Injuries.","authors":"Yanjun Wu, Yuting Chen, Weina Kong, Caiqin He, Dongxue Li","doi":"10.1097/ASW.0000000000000281","DOIUrl":"10.1097/ASW.0000000000000281","url":null,"abstract":"<p><strong>Abstract: </strong></p><p><strong>Objective: </strong>To evaluate the feasibility and effectiveness of the Scott-Munro (S-M) model in the dynamic assessment of intraoperatively acquired pressure injuries (IAPIs) in adults.</p><p><strong>Methods: </strong>This study included 8,254 patients who underwent surgery between October 2022 and September 2023. The S-M model was applied for the dynamic risk assessment of IAPIs. The first cycle was set as the baseline from October 1, 2022, to December 31, 2022, and cycles were set every 3 months thereafter. Each cycle was compared with the first cycle and the previous cycle, in terms of IAPI incidence, actual assessment rate of IAPIs in high-risk patients, and accuracy of IAPI assessment in high-risk patients.</p><p><strong>Results: </strong>The incidences of IAPIs in the four cycles were 0.52%, 0.27%, 0.09%, and 0.13%, respectively. The third and fourth cycles both differed significantly from the first cycle (P < .05). The actual assessment rates of IAPIs in high-risk patients in the four cycles were 13.01%, 47.20%, 90.96%, and 95.67%, respectively (P < .05). Similarly, the accuracy of the assessment of IAPIs in high-risk patients was 38.04%, 67.37%, 89.93%, and 86.58%, respectively, in the four cycles (P < .05).</p><p><strong>Conclusions: </strong>The S-M model can reduce the incidence of IAPIs, dynamically and effectively evaluate IAPIs, and provide a basis for the management and prevention of IAPIs.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 2","pages":"90-95"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466438","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}