Advances in Skin & Wound Care最新文献_第6页

Surgical Options for Advanced Pressure Injuries. 晚期压迫性损伤的手术选择。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-08-01 Epub Date: 2025-07-17 DOI: 10.1097/ASW.0000000000000327

引用次数: 0

Practice Points and Practice Reflections as the Key to Knowledge Translation. 实践要点与实践反思：知识翻译的关键。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-08-01 Epub Date: 2025-07-17 DOI: 10.1097/ASW.0000000000000330

R Gary Sibbald, Elizabeth A Ayello

引用次数: 0

Differential Frequencies of Osteomyelitis and Amputation Significantly Vary by Toe among Patients with Advanced Diabetic Forefoot Ulcer: A Preliminary Epidemiologic Report. 晚期糖尿病前足溃疡患者骨髓炎和截肢的不同频率有显著差异：初步流行病学报告。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-08-01 Epub Date: 2025-06-25 DOI: 10.1097/ASW.0000000000000316

Kaissar Yammine, Mohammad Omar Honeine, Mariana Helou, Chahine Assi

{"title":"Differential Frequencies of Osteomyelitis and Amputation Significantly Vary by Toe among Patients with Advanced Diabetic Forefoot Ulcer: A Preliminary Epidemiologic Report.","authors":"Kaissar Yammine, Mohammad Omar Honeine, Mariana Helou, Chahine Assi","doi":"10.1097/ASW.0000000000000316","DOIUrl":"10.1097/ASW.0000000000000316","url":null,"abstract":"Background: Diabetic foot ulcers and diabetic foot infections (DFIs) are serious complications that can lead to premature death. Although most DFIs are located in the forefoot, rates of bone involvement and the need for amputation in each toe are not reported in the literature.Objective: To report early epidemiologic data on the frequency of initial osteomyelitis (OM) and amputation in severe DFIs.Methods: This retrospective comparative study included 91 DFI episodes treated with surgery. All patients had severely infected toe ulcers (University of Texas grade 3/stage B). Cases were classified as conservative surgery group versus amputation surgery group. Outcomes were defined as initial rate of OM and amputation surgery. Analysis was conducted to search for significant differences in outcomes between toes.Results: Diabetic foot infection frequencies from hallux to the fifth toe were as follows: 37 (44%), 15 (16.5%), 10 (11%), 12 (13.2%), and 17 (18.7%). For the OM and amputation outcomes, no significant differences were found between hallux and second toe, whereas significance was recorded between the two medial toes compared with the three lateral toes, where both outcomes were highly prevalent in the three lateral toes.Conclusions: This epidemiological report highlights for the first time significant differences in the outcomes of severe toe infection with respect to toe location. The authors propose a new prognostic grouping to better reflect outcome prediction of diabetic toe infection: a medial toe group comprising the hallux and second toe versus a lateral toe group including the third, fourth, and fifth toes.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"357-359"},"PeriodicalIF":1.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144482837","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

Implementing a Quality Improvement Project to Reduce Incidents of Hospital-Acquired Pressure Injury. 实施质量改进工程减少医院获得性压力伤害事件。

IF 1.4 4区医学

Advances in Skin & Wound Care Pub Date : 2025-07-28 DOI: 10.1097/ASW.0000000000000319

Saqer Al Mualla, Noura Salim, Salma Saeed, Nasreen Abdelatif Khalid, Shiby Varghese

{"title":"Implementing a Quality Improvement Project to Reduce Incidents of Hospital-Acquired Pressure Injury.","authors":"Saqer Al Mualla, Noura Salim, Salma Saeed, Nasreen Abdelatif Khalid, Shiby Varghese","doi":"10.1097/ASW.0000000000000319","DOIUrl":"10.1097/ASW.0000000000000319","url":null,"abstract":"Objective: A quality improvement project (QIP) was implemented in 2021 at Al Qassimi Hospital in Sharjah, United Arab Emirates, to decrease the incidence of hospital-acquired pressure injuries (HAPIs).Methods: A FOCUS PDCA (Find, Organize, Clarify, Understand, Select, Plan, Do, Check, and Act) methodology was used to reduce the HAPI rate, understand the source of variation, and select improvement measures. A protocol for PI assessment and prevention was developed and implemented. A multidisciplinary team was involved, and several educational sessions were conducted. The PIs per 1000 patient days were monitored monthly.Results: The HAPI rate dropped from an average of 3.4/1000 patient days during the 3 months preintervention period to an average of 1.7/1000 patient days in the first 9 months following the QIP. During 2022 and 2023, the HAPI rate decreased to an average of 0.9 and 0.8 patient days, respectively.Conclusions: The QIP reduced the incidence of HAPIs by 75% in 2023. Staff involvement and a multidisciplinary team were essential to the success of the project. For patients, the reduction of PI risk resulted in a better quality of life and shorter hospitalizations.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12345812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726465","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

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 : 2025-07-01 Epub 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":"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":"316-322"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","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

Effects of a Situated Simulation Teaching Strategy on Knowledge of Negative-Pressure Wound Therapy among Surgical Nurses in Taiwan. 情境模拟教学策略对台湾外科护士负压伤口治疗知识的影响。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-07-01 Epub Date: 2025-04-01 DOI: 10.1097/ASW.0000000000000293

Yi-Ling Tseng, Hua-Shan Wu, Pei-Yu Huang, Pei-Shan Hsaio, Hui-Chen Tseng

{"title":"Effects of a Situated Simulation Teaching Strategy on Knowledge of Negative-Pressure Wound Therapy among Surgical Nurses in Taiwan.","authors":"Yi-Ling Tseng, Hua-Shan Wu, Pei-Yu Huang, Pei-Shan Hsaio, Hui-Chen Tseng","doi":"10.1097/ASW.0000000000000293","DOIUrl":"10.1097/ASW.0000000000000293","url":null,"abstract":"Objective: To evaluate the effect of a situated simulation teaching strategy for negative-pressure wound therapy (NPWT) on surgical nurses' knowledge of care for patients who receive NPWT.Methods: This quasi-experimental study used a one-group pretest/posttest design. Thirty-one female surgical nurses from a central Taiwan district hospital participated. They received situational simulation training and completed self-administered preintervention and postintervention scale assessing their knowledge of NPWT-related care and a demographic questionnaire.Results: Participants' mean score on the knowledge of NPWT-related care scale was 19.90 preintervention and increased to 27.84 postintervention, a significant improvement ( z = -4.45, P < .001). All aspects of NPWT knowledge, including indications and effects ( z = -3.84, P < .001), device operation ( z = -3.71, P < .001), assessment ( z = -3.89, P < .001), and anomaly response ( z = -3.93, P < .001), significantly improved following the intervention.Conclusions: The study indicates that simulation and cues and a debriefing session in situational simulation teaching significantly enhance surgical nurses' knowledge of NPWT-related care and facilitates the acquisition of problem-solving methods, suggesting its potential application in NPWT-related continuing education courses for surgical nurses.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"303-309"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12244965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143784399","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

Procalcitonin as a Diagnostic Marker for Osteomyelitis in Patients with Pressure Injuries: A Retrospective Study. 降钙素原作为压迫性损伤患者骨髓炎的诊断指标：一项回顾性研究。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-07-01 Epub Date: 2025-05-08 DOI: 10.1097/ASW.0000000000000276

Joon Suk Bae, Young Hun Kang, Eun Soo Park, Seung Min Nam, Chang Yong Choi

{"title":"Procalcitonin as a Diagnostic Marker for Osteomyelitis in Patients with Pressure Injuries: A Retrospective Study.","authors":"Joon Suk Bae, Young Hun Kang, Eun Soo Park, Seung Min Nam, Chang Yong Choi","doi":"10.1097/ASW.0000000000000276","DOIUrl":"10.1097/ASW.0000000000000276","url":null,"abstract":"Objective: To assess the diagnostic potential of procalcitonin in identifying osteomyelitis in patients with pressure injuries (PIs).Methods: The authors conducted a retrospective study of 21 patients with PIs from 2017 to 2022. Inflammatory markers (white blood cell count, erythrocyte sedimentation rate, C-reactive protein, procalcitonin) and radiologic images were analyzed to determine osteomyelitis presence. Patients were divided into osteomyelitis-positive and osteomyelitis-negative groups, with marker levels compared statistically.Results: Both C-reactive protein and procacitonin levels were significantly higher in the osteomyelitis group ( P s = .05). Elevated procalcitonin (>0.5) indicated a 10.67 times higher likelihood of osteomyelitis.Conclusions: Procalcitonin may serve as a valuable marker for diagnosing osteomyelitis in patients with PIs, aiding in early detection and treatment planning. Further research with larger cohorts is needed to confirm its diagnostic and monitoring potential.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"323-325"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143955468","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 : 2025-07-01 Epub 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":"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":"310-315"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","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

Bullous Pemphigoid: Clinical Aspects and Treatments. 大疱性类天疱疮：临床方面和治疗。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-07-01 DOI: 10.1097/ASW.0000000000000309

Ryan S Q Geng, R Gary Sibbald

引用次数: 0

Repair of a Nasal Tip Defect Using Graft and Patch Versions of a Deep-Frozen Amniotic Membrane: A Case Report. 深层冷冻羊膜移植与补片修复鼻尖缺损1例报告。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-07-01 DOI: 10.1097/ASW.0000000000000249

Vitězslav Marek

引用次数: 0