Advances in Skin & Wound Care最新文献_第4页

Beyond the Case Study: Laboratory Activities to Complement Integumentary Education. 超越个案研究：辅助教学的实验活动。

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.0000000000000255

Deborah M Wendland, Kathryn Panasci, Hope A Martinez, John S Mantanona, Melinda G Powers, Rachael L Sausman, Karen A Gibbs

{"title":"Beyond the Case Study: Laboratory Activities to Complement Integumentary Education.","authors":"Deborah M Wendland, Kathryn Panasci, Hope A Martinez, John S Mantanona, Melinda G Powers, Rachael L Sausman, Karen A Gibbs","doi":"10.1097/ASW.0000000000000255","DOIUrl":"10.1097/ASW.0000000000000255","url":null,"abstract":"Objective: To present a full scope of detailed and engaging laboratory activities recommended by physical therapist clinicians and educators from across the US to assist health professions faculty to develop new or improve current integumentary/wound management (IWM) instruction.Methods: A three-round Delphi survey was conducted to update IWM curriculum recommendations for entry-level doctor of physical therapy education. First-round participants provided ideas for laboratory activities. Activity responses were discussed, edited for redundancy, and clarified. Missing information (eg, estimated cost and time required) was added to increase usability.Results: A total of 139 laboratory activities were recommended by survey participants. Many of the suggestions included inexpensive and readily available, do-it-yourself wound models requiring food or other moulage techniques. These simulations are elucidated to facilitate translation of ideas into classroom and community laboratory activities to promote student learning.Conclusions: The literature supports that most entry-level healthcare profession programs report limited IWM education, emphasizing the need for effective and efficient use of IWM contact hours. Developing engaging and meaningful hands-on laboratory activities is vital to increasing student knowledge and skill in this area of clinical practice.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"196-203"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057728","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 Shear Force Redistribution and Microclimate in Foam Dressings Indicated for Pressure Injury Prevention. 泡沫敷料中剪切力重分布及微气候对预防压力损伤的影响。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-05-01 Epub Date: 2025-04-03 DOI: 10.1097/ASW.0000000000000295

Sandra Guzman, Kasey Call, Marianne Russon, Susan Jellum, Jordan Fisk, Evan Call

{"title":"Evaluation of Shear Force Redistribution and Microclimate in Foam Dressings Indicated for Pressure Injury Prevention.","authors":"Sandra Guzman, Kasey Call, Marianne Russon, Susan Jellum, Jordan Fisk, Evan Call","doi":"10.1097/ASW.0000000000000295","DOIUrl":"10.1097/ASW.0000000000000295","url":null,"abstract":"Objective: To understand the performance of a border and silicone version of a next-generation multilayered foam dressing (dressings A and B) compared with three commercially available wound dressings (dressings C, D, and E) in bench tests relevant for pressure injuries.Methods: Two methods were used. The first measured shear force transmission through dressings in low- and high-shear force scenarios compared with a control with no dressing. The second measured the dressings' microclimate (heat and moisture) compared with two controls: one with high moisture output and one with no moisture output. Statistical significance was determined using a 95% CI and t test with α = .05.Results: In the low-shear scenario, dressing A showed the lowest force transmission, whereas dressing B was not significantly different from dressings C and E. In the high-shear scenario, dressing D had a significantly higher percentage of transmitted forces compared with the other dressings, with dressing A showing the lowest force transmission but no significant differences among the other three dressings. Regarding microclimate, dressing A showed no significant difference in relative humidity in the dressing-indenter and dressing-surface interfaces, suggesting good breathability. Dressing E had the highest temperature at the indenter-dressing interface, significantly different from the other dressings ( P < .05).Conclusions: The study found that a next-generation foam dressing (dressing A) had better breathability and lower shear force transmission than other available dressings. This study emphasized the importance of understanding the physical properties of dressings to choose the most appropriate product based on individual patient needs, wound characteristics, and environmental conditions.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"183-188"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143771041","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

Pressure Distribution Properties in Wound Dressings Using Heel and Sacrum Indenters Under Clinically Relevant Loads. 临床相关负荷下足跟和骶骨压头伤口敷料的压力分布特性。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-05-01 Epub Date: 2025-04-03 DOI: 10.1097/ASW.0000000000000294

Sandra Guzman, Kasey Call, Marianne Russon, Susan Jellum, Jordan Fisk, Evan Call

{"title":"Pressure Distribution Properties in Wound Dressings Using Heel and Sacrum Indenters Under Clinically Relevant Loads.","authors":"Sandra Guzman, Kasey Call, Marianne Russon, Susan Jellum, Jordan Fisk, Evan Call","doi":"10.1097/ASW.0000000000000294","DOIUrl":"10.1097/ASW.0000000000000294","url":null,"abstract":"Objective: To understand the pressure distribution characteristics of a border and silicone version of a next-generation multilayered foam dressing (A and B) compared with three commercially available dressings (C, D, and E) using a novel pressure distribution model with clinically relevant pressures.Methods: The testing setup included a support surface analog of K45 foam covered with polyurethane fabric, a high-resolution pressure mapping system, and a silicone layer to simulate overlying tissue. The dressing was exposed to clinically relevant loads of 30 and 80 mm Hg for 60 seconds using new sacral and heel indenters. A control was conducted using the same setup without a dressing. Statistical significance was determined using a 95% CI and t test with α = .05.Results: All dressings decreased pressure and increased contact area compared with the control ( P < 0.05). Dressings A and B had lower peak pressures than dressings C and E for both indenters. Dressings D and B had the largest contact areas and lowest pressures in the heel indenters, whereas dressing E had the smallest contact area and the highest pressures for both indenters. The results also demonstrated a strong negative correlation between the average pressure and the contact area for both indenters.Conclusions: Using anatomically accurate indenters and clinically relevant pressures, the study demonstrated that dressings A and B significantly reduced interface pressure compared with no dressing, suggesting potential advantages for pressure redistribution in vulnerable areas. Additional clinical research in various care settings is needed to validate this study's findings.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"189-194"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039901/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143771045","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

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

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