{"title":"Knowledge, Attitude, and Practice of Bathing Care Among Patients with a Stoma and Their Correlations With Quality of Life: A Cross-sectional Study.","authors":"Haiyan Chen, Ziyi Zhou, Weizhen Li, Feixia Wang","doi":"10.1097/ASW.0000000000000439","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000439","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the knowledge, attitude, and practice of bathing care among patients with a stoma and to examine the correlations between bathing care and patients' quality of life.</p><p><strong>Methods: </strong>A cross-sectional study was conducted, involving 663 patients with a stoma from 22 tertiary hospitals across 7 provinces in East China. A self-designed Knowledge-Attitude-Practice of Bathing Questionnaire and City of Hope-Quality of Life-Ostomy Questionnaire were used. Data were analyzed following descriptive statistics, t test, analysis of variance, and ordinal logistic regression.</p><p><strong>Results: </strong>Patients with a stoma demonstrate a moderate level of knowledge, attitude, and practice of bathing care. Educational level, marital status, primary caregiver, time after surgery, stoma-related complications, and primary bathing method were identified as independent influencing factors for bathing care in patients with stoma (P<.05). A positive correlation was found between bathing care and quality of life (r=0.434; P<.01).</p><p><strong>Conclusions: </strong>Bathing practices of patients with a stoma were affected by the presence of a stoma, and the level of bathing care was closely linked to the quality of life. In clinical practice, nurses should pay greater attention to bathing issues for patients during education and follow-up. Future studies should focus on developing interventions to improve the bathing-care abilities and quality of life among these patients.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147589415","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":"Job Satisfaction and Motivation Levels of Wound, Ostomy, and Continence Nurses: A Correlational Study.","authors":"Yeşim Dikmen Aydin, Rabia Koca, İnci Kirtil","doi":"10.1097/ASW.0000000000000441","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000441","url":null,"abstract":"<p><strong>Objective: </strong>This study was conducted to determine the job satisfaction and job motivation levels of wound, ostomy, and continence (WOC) nurses, the relationship between these variables, and the influencing factors.</p><p><strong>Methods: </strong>This descriptive and correlational study, conducted in February-March 2025 with 120 actively working WOC nurses who volunteered and met the criteria, explored the relationships between their personal/work characteristics, job satisfaction [using Job Satisfaction Scale for Nurses (JSSN)], and job motivation [using Nurse Job Motivation Scale (NJMS)]. Data were collected online after ethical approval and informed consent. Analysis involved descriptive statistics, analysis of variance, t tests, Pearson correlation, and regression.</p><p><strong>Results: </strong>With 14.68±7.42 years of professional experience, these nurses averaged ~3 years as WOC nurses. JSSN and NJMS scores did not significantly differ across demographics or professional traits (P>.05). A slight positive link existed between WOC nurses' work duration and total NJMS scores, plus the JSSN's \"pleasant work environment.\" The total NJMS score was identified as an independent predictive variable significantly affecting the JSSN score (P<.001).</p><p><strong>Conclusions: </strong>The study findings indicate that job motivation has a strong positive impact on job satisfaction among nurses and that an increase in WOC nurse work experience positively influences job motivation and the perception of a pleasant work environment. Based on these results, it is recommended to establish supportive work environments and promote motivational strategies to enhance job satisfaction among WOC nurses.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147589488","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}
Teresa J Kelechi, Steve W Cole, Laurie Theeke, Martina Mueller, Mary E Hanley, Joshua J Visserman, Moby Madisetti, Robin Muise-Helmericks
{"title":"Use of a Social Genomics Model to Explore Loneliness and Systemic Inflammation in an Adult Population With Chronic Lower Extremity Ulcers.","authors":"Teresa J Kelechi, Steve W Cole, Laurie Theeke, Martina Mueller, Mary E Hanley, Joshua J Visserman, Moby Madisetti, Robin Muise-Helmericks","doi":"10.1097/ASW.0000000000000410","DOIUrl":"10.1097/ASW.0000000000000410","url":null,"abstract":"<p><strong>Objective: </strong>To investigate associations among demographic data, gene expression, and psychosocial variables and characterize a biomarker panel of 18 proinflammatory gene transcripts for lonely individuals with chronic lower extremity wounds.</p><p><strong>Methods: </strong>For this observational study, data and blood samples were collected from 38 individuals at baseline and week 4 follow-up while receiving wound care. Comparisons were made between individuals who identified as higher lonely (L+) ≥40 on the UCLA Loneliness Scale or less lonely (L-) ≤39. Validated measures were used for self-reported wound pain, pain interference, sleep disturbance, physical health, depression, and wound healing, and RNA sequencing was used for whole blood samples.</p><p><strong>Results: </strong>Individuals in the L+ group showed significantly elevated expression of proinflammatory genes over the 2 study visits ( P =.010), with significant differences observed at both baseline and follow-up. Several wound characteristics were independently associated with elevated inflammatory gene expression, including wound healing ( P =.025) and self-reported wound pain ( P =.018). The L+ group elevation in inflammatory gene expression was robust to control for depressive symptoms and variations in leukocyte subset prevalence. More individuals in the L+ group lived alone, were single, had a lower socioeconomic status, larger wounds, were mildly depressed, and experienced pain interference with physical mobility.</p><p><strong>Conclusions: </strong>Understanding differences in the biomarker profile of lonely individuals with chronic wounds, along with assessment of covariates such as living alone, low socioeconomic status, depression, poor social support, reduced mobility, and pain that impairs daily functioning, could lead to targeted interventions to improve patient outcomes.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"159-167"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146123564","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}
José Luis Lázaro-Martínez, Marta García-Madrid, Raúl J Molines-Barroso, Francisco J Álvaro-Afonso, Aroa Tardáguila-García, Mateo López-Moral
{"title":"Clinical Efficacy of a Novel Minimal Offloading Dressing for the Treatment of Plantar Diabetes-Related Foot Ulcers: A Pilot Randomized Controlled Clinical Trial.","authors":"José Luis Lázaro-Martínez, Marta García-Madrid, Raúl J Molines-Barroso, Francisco J Álvaro-Afonso, Aroa Tardáguila-García, Mateo López-Moral","doi":"10.1097/ASW.0000000000000413","DOIUrl":"10.1097/ASW.0000000000000413","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the clinical efficacy of a minimal offloading dressing (MOD) in comparison with felted foam for the treatment of diabetes-related foot ulcers (DFU) located beneath a metatarsal head.</p><p><strong>Methods: </strong>A monocenter randomized controlled parallel (1:1) clinical trial was performed with consecutively selected individuals with diabetes and active DFUs. Participants were randomly assigned to control or treatment groups. The experimental group received MOD treatments, and the control group received 15-mm felted foam treatments. All participants wore a removable ankle-high offloading device. The primary outcome measure was the 12-week healing rate. The time to healing was evaluated during a 12-week follow-up period. The secondary outcome measures included minor or major amputations related to the DFU during a follow-up period of 6 months.</p><p><strong>Results: </strong>Between December 2023 and September 2024, 40 participants (20 per group) were enrolled. All participants completed the planned study visits during the 12-week follow-up period. Of the total sample, 36 participants (90%) healed during the follow-up period. There were 17 participants (85%) who healed in the control group, whereas 19 participants (95%) healed in the experimental group. The median healing time was 21 days [interquartile range (IQR): 10.5-50 d] in the control group and 14 (7-28) days in the experimental group ( P =.292).</p><p><strong>Conclusions: </strong>The use of MOD in combination with an ankle-high offloading device resulted in similar healing rates compared with felted foam at 12 weeks. MODs should be considered in clinical practice to avoid design mistakes and reduce the variability in nonspecialized clinical settings.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"152-158"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146257027","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":"Newborn Skin Protection Methods Applied by Neonatal Intensive Care Nurses: A Qualitative Study.","authors":"Özge Eren, Çağri Çövener Özçelik","doi":"10.1097/ASW.0000000000000420","DOIUrl":"10.1097/ASW.0000000000000420","url":null,"abstract":"<p><strong>Objective: </strong>In newborns, the skin continues to develop in the first months and even years, and its structure and functions mature. Neonatal nurses protect the skin and support its development while caring for the newborn.</p><p><strong>Methods: </strong>The descriptive study was conducted with 12 nurses working in the neonatal intensive care unit of a training and research hospital between September 2021 and November 2021. The Descriptive Information Form, Voice Recorder, and Focus Group Interview Form were used as data collection tools. Content analysis was used to evaluate the qualitative data. Research results are reported according to the COREQ Checklist.</p><p><strong>Results: </strong>Participants' interviews were analyzed, and 9 themes were formed. These themes were (1) newborn skin protection, (2) awareness, (3) information sharing, (4) results of skin protection, (5) negative effects of treatment and care, (6) institutional barriers in protecting skin integrity, (7) medical barriers in protecting skin integrity, (8) experience, and (9) lifelong learning.</p><p><strong>Conclusions: </strong>Nurses working in the neonatal intensive care unit were found to know the conditions that disrupt skin integrity in the unit and to perform practices to protect skin integrity.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"E136-E141"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146177239","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":"Anesthetic Flooding Technique for Sharp Wound Debridement: A Novel Approach to Pain Control and Hemostasis.","authors":"Igor Melnychuk, Julia Juriga","doi":"10.1097/ASW.0000000000000417","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000417","url":null,"abstract":"<p><p>A traditional anesthetic approach for sharp wound debridement typically involves application of a topical anesthetic. Despite its simplicity, it produces a variable degree of procedure-related anesthesia, often necessitating an interrupting of the procedure for additional anesthesia, switching the anesthesia modality, or prematurely terminating the procedure. In this article, the authors introduce a novel anesthetic flooding technique that can enhance topical anesthesia without the need for procedure interruption or switching to an injectable route of anesthesia application. The flooding technique involves an anesthetic poured into the wound base at the outset or during the procedure if additional anesthesia is required. This approach not only provides continuous anesthesia throughout the debridement process but can also promote a clear visual field due to hemostasis control. The flooding technique is an invaluable tool in situations where procedure-related pain is not well controlled using conventional anesthetic application.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"39 3","pages":"121-123"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147484372","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}
Anjie Ge, Jacob P Reinhart, Michael J Camilleri, Afsaneh Alavi
{"title":"Severe Necrotizing Locally Advanced Basal Cell Carcinoma With Osteomyelitis.","authors":"Anjie Ge, Jacob P Reinhart, Michael J Camilleri, Afsaneh Alavi","doi":"10.1097/ASW.0000000000000416","DOIUrl":"10.1097/ASW.0000000000000416","url":null,"abstract":"<p><p>Locally advanced basal cell carcinoma (BCC) is an uncommon and complex presentation of BCC. These tumors can present as extensive nonhealing ulcers and require skin biopsy to rule out other causes, including malignant, infectious, and inflammatory etiologies. In this case report, a 57-year-old female without significant past medical history presented with a 5-year history of a chronic progressive ulcer involving the neck and back. Histopathological study of the tissue identified nodular and infiltrative BCC, prompting further multidisciplinary treatment and management with vismodegib, radiation, and surgery.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"E163-E165"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147288929","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}
Vishal Garimella, George Tinotenda Mukosera, David A Liedl, Austin Todd, Mark Denis P Davis, Thom W Rooke, Afsaneh Alavi
{"title":"Venous Abnormalities in Biopsy-confirmed Lipodermatosclerosis.","authors":"Vishal Garimella, George Tinotenda Mukosera, David A Liedl, Austin Todd, Mark Denis P Davis, Thom W Rooke, Afsaneh Alavi","doi":"10.1097/ASW.0000000000000421","DOIUrl":"10.1097/ASW.0000000000000421","url":null,"abstract":"<p><strong>Background: </strong>Lipodermatosclerosis (LDS) is a type of sclerosing panniculitis that predominantly involves the lower extremities and is characterized by erythema, hemosiderin pigmentation, and sclerotic skin lesions. LDS is a common reason for specialty consultations across clinical settings, including dermatology, vascular medicine, and occasionally the emergency department or internal medicine services.</p><p><strong>Methods: </strong>To further evaluate the prevalence of venous hypertension in patients with LDS at the authors' institution, they retrospectively reviewed the findings of lower extremity Doppler ultrasonography with or without segmental pressure (ie, venous ultrasonography) performed for adult patients with biopsy-confirmed LDS who were treated at the Clinic from January 1, 2000, through September 30, 2022.</p><p><strong>Results: </strong>A total of 430 patients were included in the study. Venous ultrasonography findings were abnormal for 327 (76.0%) patients, whereas the other 103 (23.9%) patients had normal findings. Venous hemodynamics studies, including air plethysmography and continuous-wave Doppler ultrasonography, were performed for 33 patients with normal venous ultrasonography findings. Of these patients, 7 had mild valvular incompetence, 12 had abnormal calf muscle pump function, and 2 had pulsatility (backflow in the peripheral vein with elevated right atrial pressure) evident on continuous-wave Doppler ultrasonography.</p><p><strong>Conclusions: </strong>Overall, the findings extend previous observations that venous abnormalities are commonly present in patients with LDS and may contribute to its pathogenesis. However, a few patients with LDS have normal venous hemodynamics, which suggests that other factors also contribute to LDS pathogenesis.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"141-144"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146123636","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":"Enhancing Patient Outcomes Through Personalized Comprehensive Care for Perianal Wounds: A Case Series Analysis.","authors":"XiaoYing He, XueQin Gong, XingQi Chen, DanDan Shi, Jing Ding, HongYun Liu, Ju Tian","doi":"10.1097/ASW.0000000000000419","DOIUrl":"10.1097/ASW.0000000000000419","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study is to provide a comprehensive and individualized approach to perianal wound care and improve wound healing outcomes, enhance patient satisfaction, and promote overall well-being for patients with perianal wounds.</p><p><strong>Methods: </strong>From January 2020 to July 2023, a total of 32 patients with perianal skin defects were treated, ranging in age from 20 to 84 years old. A thorough assessment was conducted to gather information about the patients' wound characteristics, medical history, underlying conditions, lifestyle factors, and personal preferences. A comprehensive and individualized wound care approach based on these assessments was then developed. Multiple indicators of patients, including wound healing, pain levels, nursing satisfaction, and skin integrity, were observed.</p><p><strong>Results: </strong>All 32 patients experienced either cure or improvement, with some patients showing wound reduction and subsequent healing through postdischarge dressing changes. The pain score decreased from 4.7 before treatment to 1.7 posttreatment. Further, nursing satisfaction increased from 90% before treatment to 99.8%. Individualized comprehensive nursing plans were found to be effective in alleviating pain and resulting in high nursing satisfaction.</p><p><strong>Conclusions: </strong>Individualized comprehensive perianal wound care can provide tailored and holistic nursing interventions to promote optimal healing, prevent complications, alleviate symptoms, improve patient comfort, and enhance overall well-being.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"E150-E156"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146155711","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":"Marjolin Ulcer Developed in Osteomyelitis Fistula: A Rare Clinical Entity That Should Not Be Overlooked.","authors":"Berna Aksoy, Hasan Mete Aksoy, Ercan Karacaoğlu","doi":"10.1097/ASW.0000000000000414","DOIUrl":"10.1097/ASW.0000000000000414","url":null,"abstract":"<p><p>The term Marjolin ulcer is used to refer to a malignant change accompanying chronic burn scars or chronic wounds. A 53-year-old male patient is presented with a nonhealing wound on his left leg that developed after a comminuted fracture in a traffic accident 33 years ago. The patient had a history of frequent antibiotic use and repeated operations due to osteomyelitis. Purulent discharge and granulation tissue were detected at the opening of the osteomyelitis fistula. Histopathologic examination of the wound debridement material revealed invasive squamous cell carcinoma in one area. In chronic wounds and osteomyelitis fistulas, if chronic ulceration does not heal for more than 3 months, the wound edges are rolled out, and, especially in the presence of raised or increased granulation tissue, it is vital to remember Marjolin ulcer and obtain a biopsy. This case is presented to remind every clinician dealing with chronic wounds that they should keep in mind the risk of cancerization over time in chronic wounds that do not heal.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"E160-E162"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147288752","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}