Advances in Skin & Wound Care最新文献_第6页

Evaluation of Oncology/Hematology Nurses' Proficiency in Assessing Lower-Extremity Skin and Edema in Patients with Cancer: An Observational Study. 肿瘤/血液科护士评估癌症患者下肢皮肤和水肿的熟练程度：一项观察性研究。

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.0000000000000248

Zeliha Genç, Ayda Kebapci, Dilek Yildirim, Gulbeyaz Can, Orhan Zeytun, Elif Kök

{"title":"Evaluation of Oncology/Hematology Nurses' Proficiency in Assessing Lower-Extremity Skin and Edema in Patients with Cancer: An Observational Study.","authors":"Zeliha Genç, Ayda Kebapci, Dilek Yildirim, Gulbeyaz Can, Orhan Zeytun, Elif Kök","doi":"10.1097/ASW.0000000000000248","DOIUrl":"10.1097/ASW.0000000000000248","url":null,"abstract":"Objective: To assess the competency of oncology/hematology nurses in evaluating the lower extremities of patients with cancer for skin conditions and edema.Methods: This prospective and descriptive observational study was conducted with patients in a university hospital's 48-bed oncology/hematology service. Patients with cancer admitted to the oncology/hematology service were examined independently by three evaluators (two nurse researchers and the patient's primary nurse) daily. Interrater reliability for assessing patients' right and left legs was determined using Fleiss κ statistics for categorical variables.Results: The study revealed a high degree of agreement among the three evaluators in the assessment of skin surface, skin color, and presence of petechiae and rashes on the right and left leg, as well as itching on the left leg. However, only moderate agreement was found for temperature assessment, ecchymoses edema on the left and right leg, and itching on the right leg. The reliability of the two researcher nurses' assessment of edema on the right and left legs was excellent.Conclusions: Although the agreement between the two researcher nurses was near excellent, only moderate agreement was observed among all evaluators in the edema assessment. The result underscores the importance of healthcare providers' knowledge and enhancing clinical skills through innovative training strategies.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"153-159"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057695","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

Impact of Skin Tone on Skin Tolerance to Shear in the Context of Pressure Injuries: Theory and Computer Modeling. 肤色对压力损伤皮肤抗剪能力的影响：理论与计算机模型。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-03-01 DOI: 10.1097/ASW.0000000000000270

Tomer Katz, Amit Gefen

{"title":"Impact of Skin Tone on Skin Tolerance to Shear in the Context of Pressure Injuries: Theory and Computer Modeling.","authors":"Tomer Katz, Amit Gefen","doi":"10.1097/ASW.0000000000000270","DOIUrl":"10.1097/ASW.0000000000000270","url":null,"abstract":"Abstract: Objective: To investigate the impact of darker skin tones on skin tolerance to shear forces in the context of pressure injuries (PIs) and explore the mechanobiological hypothesis that people with darker skin may be at an increased PI risk due to altered biomechanical skin properties resulting from a lower water content (WC) as some literature suggests.Methods: The authors developed a computational modeling framework simulating skin with varying Poisson ratios to represent different WC levels in the stratum corneum (SC), focusing on the effects of ethnicity and WC on mechanical stresses in superficial skin during weightbearing postures. Mechanical properties of the tissues were based on literature values. Pure compression and compression with shear were applied to the skin model.Results: A lower Poisson ratio in the SC, indicating lower WC, is associated with higher tissue stresses and more intense stress concentrations, especially under combined compression and shear loading. The initial reduction in the Poisson ratio had the most significant impact on increased tissue loading. These results support the hypothesis that the lower WC in darker skin, associated with increased transepidermal water loss, may lead to altered biomechanical behavior and increased PI risk.Conclusions: The modeling suggests that reduced WC and increased transepidermal water loss, notably present in darker skin tones, lead to higher stress concentrations within the SC, thus elevating the PI risk. Comprehensive clinical and biomechanical data across various skin tones are needed to improve the practice of PI prevention in individuals with darker skin.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"38 2","pages":"105-111"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466752","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

Management of Skin Tears in Vulnerable Populations from Older Adults to Critically Ill Patients: ISTAP Part 2. 从老年人到危重患者的脆弱人群皮肤撕裂的管理：ISTAP第2部分。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-03-01 DOI: 10.1097/ASW.0000000000000275

Emmy Nokaneng, Anika Fourie

引用次数: 0

Which Technologies and Procedures Does Medicare Cover for Pressure Injuries? 医疗保险承保哪些治疗压力性损伤的技术和程序？

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-03-01 DOI: 10.1097/ASW.0000000000000277

Kathleen D Schaum

引用次数: 0

Hospitalized Pediatric Patients: Risk Factors Related to the Development of Immobility-Related and Medical Device-Related Pressure Injuries. 住院儿科患者：与不动相关和医疗器械相关压力损伤发展相关的危险因素

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-03-01 DOI: 10.1097/ASW.0000000000000278

引用次数: 0

Evaluation of Caregivers' Experiences in the Management of Pressure Injuries in Palliative Care Patients: A Phenomenologic Study. 护理人员对姑息治疗病人压伤管理经验的评价：现象学研究。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-03-01 DOI: 10.1097/ASW.0000000000000273

Sevil Pamuk Cebeci, Pınar Duru, Zeynep Irmak Kaya, Mihraç Topçu

{"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":"Abstract: Objective: To evaluate the experiences of caregivers (patients' companions and nurses) in managing pressure injuries (PIs) in patients in palliative care.Methods: 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.Results: 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.\"Conclusions: 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.","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}

引用次数: 0

Clinical Relevance of Microclimate Tests on Support Surfaces. 支撑面微气候试验的临床意义

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-03-01 DOI: 10.1097/ASW.0000000000000074

Michele Deppisch, Ryan Alvarez, Brent Larson, Dave Newton, Steven Saliga, Barbara Samson, Frank Sauser, Sara Tackson, Erica Thibault, Kristen Thurman, Jackie Todd

引用次数: 0

Evaluation of the Effect of Massage on Pressure Injury Prevention among Intensive Care Patients: A Randomized Controlled Study. 按摩对重症病人压力损伤预防效果的评价：一项随机对照研究。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-03-01 DOI: 10.1097/ASW.0000000000000280

Esra Özkan, Dilek Çilingir

{"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":"Abstract: Background: Few studies have investigated the application of massage to bony prominences, and international guidelines do not currently recommend additional massage in these areas.Objective: 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).Methods: 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.Results: 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.Conclusions: The study findings suggest that the effleurage technique, as part of classical massage, can be integrated into nursing practices to effectively prevent PIs.","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}

引用次数: 0

New Pressure Injury Evidence and the Upcoming 4th Edition of the EPUAP/NPPIAP/PPPIA International Pressure Injury Practice Guideline. 新的压伤证据和即将出版的 EPUAP/NPPIAP/PPPIA 国际压伤实践指南第四版。

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-03-01 DOI: 10.1097/ASW.0000000000000279

引用次数: 0

Hospitalized Pediatric Patients: Risk Factors Related to the Development of Immobility-Related and Medical Device-Related Pressure Injuries. 住院儿科患者：与不动相关和医疗器械相关压力损伤发展相关的危险因素

IF 1.7 4区医学

Advances in Skin & Wound Care Pub Date : 2025-03-01 DOI: 10.1097/ASW.0000000000000271

Ann Marie Nie, Barbara Delmore

引用次数: 0