Advances in Skin & Wound Care最新文献

{"title":"Patient-Centered Approaches to Pressure Injury Prevention and Management for Adults in the Acute Care Hospital Setting: A Scoping Review.","authors":"Laaiba Riaz, Megan Kennedy, Chester H Ho, Elisavet Papathanassoglou, Kiran Pohar Manhas, Caitlin L Hurd","doi":"10.1097/ASW.0000000000000397","DOIUrl":"10.1097/ASW.0000000000000397","url":null,"abstract":"<p><strong>Objective: </strong>To identify patient-centered approaches to pressure injury (PI) prevention and management for adults in acute care settings, including the strategies used and their effectiveness.</p><p><strong>Data sources: </strong>A comprehensive search strategy was developed using the JBI Participants, Concept, and Context framework. The authors searched EMBASE, CINAHL, MEDLINE, Scopus, Cochrane Library, ProQuest, the James Lind Alliance, Healthcare Excellence Canada, and PI-specific organizations for English-language publications from the past 10 years.</p><p><strong>Study selection: </strong>The search identified 3055 articles, and 1422 duplicates were removed. Studies were excluded if they did not focus on patient-centered PI prevention and management, did not occur in acute care settings, or did not include data that could be extracted. Following abstract and full-text screening, 21 studies were included in this review.</p><p><strong>Data extraction: </strong>Two independent reviewers extracted data on study design, interventions, and outcomes, and quality (using the Mixed Methods Appraisal Tool).</p><p><strong>Data synthesis: </strong>The included studies reported 4 main PI prevention strategies: care bundles, educational interventions, technological interventions, or tools to assess or reduce PI risk. Quantitative findings consistently showed reduced PI incidence with patient-centered interventions. Qualitative studies emphasized the importance of knowledge, communication, and collaboration in enhancing patient involvement. Barriers to engagement included pain, cognitive impairment, and health care provider time constraints. The methodological quality of the included studies varied, with limitations due to a lack of blinding and incomplete outcome data.</p><p><strong>Conclusions: </strong>Patient-centered approaches can effectively reduce PI incidence in acute care. Future interventions should incorporate consistent education, tailored care plans, and effective communication to enhance patient engagement and improve PI prevention and management.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"E100-E111"},"PeriodicalIF":1.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146049916","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":"Does Nutrition Intervention Prevent and Heal Pressure Injury? A Systematic Review of Randomized Controlled Trials.","authors":"Duygu Yildirim, Esra Akin","doi":"10.1097/ASW.0000000000000398","DOIUrl":"10.1097/ASW.0000000000000398","url":null,"abstract":"<p><strong>Objective: </strong>This systematic review of randomized controlled trials (RCTs) sought to evaluate and summarize the impact of nutrition on healing and prevention of pressure injury (PI).</p><p><strong>Data sources: </strong>Randomized controlled trials were identified by searching Medline, ULAKBİM, PubMed, ProQuest, and Web of Science between 2002 and 2024.</p><p><strong>Study selection: </strong>This study was designed based on the systematic review of RCTs. Search terms included \"pressure ulcers,\" \"pressure wounds,\" \"pressure injury\" in combination with \"nutrition\" and \"supplements.\"</p><p><strong>Data extraction: </strong>The review was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Of 1877 articles screened, 18 met the eligibility criteria. All studies were independently assessed by 2 researchers, and data were summarized using a standardized table.</p><p><strong>Data synthesis: </strong>Nutritional supplementation showed beneficial effects for both prevention and treatment. Prevention trials mainly evaluated protein, arginine, zinc, and antioxidant-enriched formulas, whereas treatment trials examined a wider range of products including collagen, ornithine alpha-ketoglutarate, fish oil, amino acid mixtures, and micronutrients. Overall, nutritional interventions appeared to enhance wound healing and reduce the incidence of new PIs. However, the strength of evidence was limited by small sample sizes, variability in interventions, and moderate methodological quality.</p><p><strong>Conclusions: </strong>Across 18 studies including 1231 participants (aged 38 to 83 y) with stage 2 to 4 PIs, nutritional interventions demonstrated positive effects on prevention and healing. Formulas enriched with protein, arginine, zinc, antioxidants, and other nutrients appear promising; nonetheless, further large-scale, high-quality RCTs are needed to confirm these findings.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"E112-E123"},"PeriodicalIF":1.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146049957","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":"Informal Caregivers' Knowledge, Attitude, and Practice on the Prevention, Care, and Healing of People With Pressure Injuries: A Cross-Sectional Study in China.","authors":"Chun Sheng, Jing Lu, Xuan Yang, Lian Mao, Lina Gong","doi":"10.1097/ASW.0000000000000396","DOIUrl":"10.1097/ASW.0000000000000396","url":null,"abstract":"<p><strong>Objective: </strong>The study aimed to assess the knowledge, attitude, and practice (KAP) of informal caregivers toward patients with pressure injury (PI) at Tier-3 Grade A hospitals and their community and nursing homes.</p><p><strong>Methods: </strong>Data for this single-center cross-sectional study were collected from informal caregivers of patients with PIs who visited the outpatient department within 6 months of the patient's hospital discharge. A convenience sampling technique was used to recruit 239 subjects from April 2022 to April 2023. In the final analysis, 213 informal caregivers completed the questionnaire.</p><p><strong>Results: </strong>The total score, knowledge score, attitude score, and behavior score were 36.17±3.49, 0.04±0.25, 26.07±3.63, and 10.05±3.27, respectively. There was a positive and significant relationship between the 3 variables. Relationship between caregivers and family members and their practices ( P <.05). Findings revealed that the caregiver's job status can significantly positively affect knowledge scores (β=0.032 >0, P <.05). The caregiver's job status can significantly negatively affect knowledge scores (β=-0.581 <0, P <.05). The health of the caregiver can significantly positively affect knowledge scores (β=0.912 >0, P <.05); the caregiver's job status can significantly positively affect practice scores (β=0.386 >0, P <.05). Whether to assist or not can significantly positively affect practice scores (β=1.141 >0, P <.05). The caregiver's health can significantly positively affect practice scores (β=0.633 >0, P <.05).</p><p><strong>Conclusions: </strong>The study found that informal caregivers had suboptimal knowledge and that most caregivers showed inadequate practices in preventing PI. Given the threat to patient safety, health care center managers must develop comprehensive plans with input from the health care team. Educational initiatives for PI prevention and coordinated nursing services for at-risk patients are essential.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"97-103"},"PeriodicalIF":1.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12893133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146130940","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}

{"title":"Determination of Nurses' Knowledge of and Attitudes Toward Medical Device-related Pressure Injuries.","authors":"Zilan Baran, Dilek Özden, Şakire Nur Sözen","doi":"10.1097/ASW.0000000000000400","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000400","url":null,"abstract":"<p><strong>Objective: </strong>To determine nurses' level of knowledge and attitudes toward medical device-related pressure injuries (MDRPIs).</p><p><strong>Methods: </strong>This descriptive, cross-sectional study was conducted in a university hospital between April and July 2024. Data were collected using the Nurse Descriptive Characteristics Form, Medical Device Associated Pressure Injury Knowledge Scale, and Attitude Scale for Prevention of Medical Device Associated Pressure Injury.</p><p><strong>Results: </strong>The mean MDRPI knowledge score of the nurses was 13.37 ± 2.7 (maximum, 19), and the mean MDRPI attitude score was 46.0 ± 6.4 (maximum, 55). The findings revealed a significant correlation between the mean age and working experience, the unit in which they worked, the setting where they received MDRPI training, and MDRPI knowledge levels. A significant relationship was also observed between the nurses' MDRPI reporting status, pressure injury and MDRPI training status, MDRPI total knowledge score, and attitude levels.</p><p><strong>Conclusions: </strong>The study findings revealed that nurses exhibited low levels of knowledge regarding MDRPI and a favorable attitude toward MDRPI prevention and care behaviors. In light of these findings, the authors recommend that institutional administrators integrate MDRPI training into in-service training programs and that MDRPI education be incorporated into the nursing programs. Further studies should be conducted with different sample groups.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"39 2","pages":"89-95"},"PeriodicalIF":1.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146257089","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":"Quantifying and Visualizing the Pressure Distribution of In-Bed Positions to Reduce Pressure Injury Risk.","authors":"Tim M N van Helden, Sarah L Versnel, Lisa Arkes, Mette Lindhout, Marc A M Mureau, Johan W van Neck","doi":"10.1097/ASW.0000000000000402","DOIUrl":"10.1097/ASW.0000000000000402","url":null,"abstract":"<p><strong>Objective: </strong>Pressure injuries (PIs) are a major health care issue, and timely and correct repositioning of patients at risk for PIs is crucial in lowering the PI risk. However, the ideal bed positions and the impact on the PI risk are often unclear to health care staff. Therefore, the authors used a pressure-detecting mat to quantify and visualize the effects of bed settings and body position on the pressure distribution to provide insightful graphics for educating health care staff.</p><p><strong>Methods: </strong>The authors quantitatively assessed and visualized the pressure distribution of different in-bed lying and sitting positions with a pressure-measuring mat on 2 different hospital mattresses by including healthy volunteers.</p><p><strong>Results: </strong>Differences between positions were visualized by the pressure mat. The median pressure on the sacrum increased by 30% to 35% when the head of bed (HOB) angle was raised from 0° to 30° and further increased 17% to 27% when the HOB angle was raised from 30° to 45°. Pressure on sacrum, when sitting with an HOB angle of 30°, reduced by 19% to 35% when raising the legs to semi-Fowler position. During lateral rotation, median pressure on the greater trochanter increased by 27% to 35% when rotating from 30° to 60°. Pressures are reported in a range between the 2 different mattresses.</p><p><strong>Conclusions: </strong>Pressure maps and peak pressure values of the different bed positions can help educate nurses on how body position changes the pressure distribution and provides additional support to follow the international guideline on PI prevention.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"39 2","pages":"73-79"},"PeriodicalIF":1.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12893143/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146257065","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}

{"title":"Baseline Knowledge of Direct Care Clinicians Regarding the Role of Full-body Support Surfaces in Pressure Injury Prevention.","authors":"Stephanie Slayton, Rachel Moseley, Susan Morello, Marcia Bauman, Carroll Gillespie","doi":"10.1097/ASW.0000000000000401","DOIUrl":"10.1097/ASW.0000000000000401","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate direct care clinicians' understanding of the role of full-body support surfaces in pressure injury prevention.</p><p><strong>Methods: </strong>A questionnaire was developed and distributed to direct care clinicians through QR code (through flyers and online). A total of 333 surveys were included in the analysis. Survey data were analyzed using both descriptive statistics and a Fisher exact test to compare the answers of respondents who were certified in wound care with those who were not certified.</p><p><strong>Results: </strong>The majority of respondents were nurses (81.68%), but several other disciplines were represented. Of the respondents, 41% had practiced for 21 or more years, and the acute hospital setting was the most common area of practice (70.57%). Of the respondents, 73.87% were certified in wound care through at least one organization. More direct care clinicians who are certified in wound care were aware that testing standards are available for support surfaces as compared with those not certified in wound care (73.17% vs 62.07%). For the knowledge-based questions, the wound care certified clinicians performed better on 7 of the questions than those not certified (questions 1, 2, 4, 5, 6, 7, and 9). Questions 3 and 7 demonstrated low proficiency within both groups.</p><p><strong>Conclusions: </strong>Based on the survey results, there are several deficits in knowledge demonstrated by direct care clinicians regarding support surface standards and their clinical application for use in pressure injury prevention.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"80-87"},"PeriodicalIF":1.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146049888","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":"Augmenting Braden Scores With Predictive Modeling to Reduce Hospital-Acquired Pressure Injuries: A Clinical Pilot Study.","authors":"Brooke Randol, Andrea Conley, David Franks, Kayla McGee","doi":"10.1097/ASW.0000000000000403","DOIUrl":"10.1097/ASW.0000000000000403","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the efficacy of a machine learning predictive model integrating the Braden Scale with patient demographic and care-related features, in aiding risk identification and guiding targeted interventions aimed at preventing hospital-acquired pressure injuries (HAPIs).</p><p><strong>Methods: </strong>This clinical pilot study was conducted at a regional medical center in the midwestern United States and included admitted patients ages 18 and older. A gradient boosting trees algorithm was trained using historical patient data and deployed in the electronic health record. Following a validation period, a 6-month pilot study on 2 medical floors involving 3808 admissions evaluated the model's impact. Patients identified by the model as high-risk received supplemental rounding and preventive care. Patients on control floors received standard care.</p><p><strong>Results: </strong>The primary outcome measures were HAPI events per 1000 census days and the distribution of injury severities. A statistically significant shift in the proportion of deep tissue injuries to full-thickness PIs was observed on pilot floors (odds ratio, 0.09; 95% CI, 0.01-0.88; P =.03). A reduction in the odds of census days with HAPI events to those without was also observed but was not significant in the span of the pilot (odds ratio: 0.69; 95% CI, 0.34-1.39; P =.38).</p><p><strong>Conclusions: </strong>Predictive modeling shows promise for enhancing HAPI risk identification and guiding targeted prevention in a clinical setting. Further research is needed to confirm that the results are generalizable across diverse health care systems.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"E71-E76"},"PeriodicalIF":1.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146049964","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":"Surprise! Last-Minute 2025 Reimbursement Changes Impact 2026 CTP Utilization.","authors":"Kathleen D Schaum","doi":"10.1097/ASW.0000000000000409","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000409","url":null,"abstract":"","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"39 2","pages":"63-64"},"PeriodicalIF":1.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146257080","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":"Celebrating Pressure Injury Milestones: The Eighth Pressure Injury Themed Issue Welcomes a New NPIAP Partnership.","authors":"Elizabeth A Ayello, R Gary Sibbald","doi":"10.1097/ASW.0000000000000408","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000408","url":null,"abstract":"","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"39 2","pages":"61"},"PeriodicalIF":1.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146257016","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":"Simplified and Comprehensive Diabetic Foot Offloading and Plantar Pressure Redistribution.","authors":"Bharat Kotru, Laura Lee Kozody, Tobi Mark, Emerson Jiang, R Gary Sibbald","doi":"10.1097/ASW.0000000000000406","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000406","url":null,"abstract":"<p><p>Early treatment interventions to prevent or heal a diabetic foot ulcer can often prevent amputations. Redistributing pressure on the plantar aspect of the foot is a mainstay of prevention strategies. Two enablers are described that summarize critical findings in the literature and attempt to simplify the evidence for practitioners in their offloading decision-making. The enablers are constructed based on the International Working Group of the Diabetic Foot Guidelines and distill offloading interventions. The enablers include interventions directed toward feet with and without neuropathy, peripheral arterial disease, and active foot ulcers.</p><p><strong>General purpose: </strong>To present current International Working Group of the Diabetic Foot recommendations for preventing and healing diabetic foot ulcers (DFUs) through offloading and plantar pressure redistribution.</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:Explain recommendations to prevent DFUs.Evaluate appropriate offloading and pressure redistribution interventions for persons with DFUs.Summarize care and educational considerations for patients with DFUs using offloading devices.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"39 2","pages":"65-71"},"PeriodicalIF":1.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146257067","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}