Advances in Skin & Wound Care最新文献_第7页

The Silent Threat: How Diabetic Foot Ulcers and the Fear of Amputation Shape Patients' Lives: A Qualitative Exploration of Patient Experiences. 无声的威胁：糖尿病足溃疡和截肢的恐惧如何塑造患者的生活：对患者经历的定性探索。

IF 1.5 4区医学

Advances in Skin & Wound Care Pub Date : 2026-07-01 Epub Date: 2026-05-18 DOI: 10.1097/ASW.0000000000000470

Merve Günbaş, Merve Dervişoğlu, Dilek Büyükkaya Besen

{"title":"The Silent Threat: How Diabetic Foot Ulcers and the Fear of Amputation Shape Patients' Lives: A Qualitative Exploration of Patient Experiences.","authors":"Merve Günbaş, Merve Dervişoğlu, Dilek Büyükkaya Besen","doi":"10.1097/ASW.0000000000000470","DOIUrl":"10.1097/ASW.0000000000000470","url":null,"abstract":"Objective: Diabetic foot ulcer (DFU) is a common and serious complication of diabetes. This study aimed to identify the difficulties experienced by people with type 2 diabetes who previously had DFUs, and those who had undergone amputation.Methods: A qualitative research design utilizing content analysis was used. Semi-structured interviews were conducted with 24 people with type 2 diabetes who had previously experienced DFUs between 2023 and 2024.Results: The interviews were recorded and subsequently transcribed. The data analysis revealed 5 themes: diabetic foot ulcers development process (ingrown nail, cracks, callus removal, foot blisters, etc.), practices in foot care (washing feet, nail clipping, etc.), amputation experience (loss of sensation, not noticing the wound, etc.), fear of amputation (death wish, fear of foot amputation, etc.), effect of diabetic foot ulcer on social life (quitting job, etc.).Conclusions: The study identified that the most significant factor contributing to the development of DFUs was inadequate foot care practices and a lack of information.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"314-320"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147969625","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

Revised Baux Score Identifies a New Risk Factor for Mortality: History of Diabetes. 修订的Baux评分确定了一个新的死亡危险因素：糖尿病史。

IF 1.4 4区医学

Advances in Skin & Wound Care Pub Date : 2026-07-01 Epub Date: 2026-05-18 DOI: 10.1097/ASW.0000000000000471

Timothy Nehila, Marian Mikhael, Shreya Arora, Rithvic Jupudi, Jaynie X Criscione, Nicole K Le, Kristen Whalen, Kristina Buller, Jake Laun, Jared Troy

{"title":"Revised Baux Score Identifies a New Risk Factor for Mortality: History of Diabetes.","authors":"Timothy Nehila, Marian Mikhael, Shreya Arora, Rithvic Jupudi, Jaynie X Criscione, Nicole K Le, Kristen Whalen, Kristina Buller, Jake Laun, Jared Troy","doi":"10.1097/ASW.0000000000000471","DOIUrl":"10.1097/ASW.0000000000000471","url":null,"abstract":"Objective: Over the past several decades, numerous predictive formulas have been developed to estimate the probability of death from burn injury. Despite the preponderance of models, there are relatively few widely accepted objective measures found to impact mortality in patients with burns. These factors include sex, age, burn depth, total body surface area (TBSA), and presence of inhalation injury.Methods: In this study, the authors retrospectively analyzed mortality in the burn patients over the age of 18 at a Level Ⅰ trauma center between 2015 and 2020 to identify prognostic factors. Significant risk factors for the prediction of mortality based on a set of objective variables were identified using a stepwise forward logistic-regression analysis.Results: Nine hundred sixty-three patients (mean age of 47±17 y; mean TBSA of 9±13%) met inclusion criteria. Mortality was 4%. Eighty-four patients (9%) had inhalational injury. The mean length of hospital stay was 10±15 days. The most prevalent burn etiologies in the population were flame (45.5%) and scald (13.5%). Five risk factors for death after burn injury were identified: increased age, increased TBSA, presence of inhalational injury, presence of third-degree burns, and history of diabetes.Conclusions: This is the first time, to the authors' knowledge, that history of diabetes has been identified as a prognostic factor for mortality and suggests that the inclusion of diabetic status in future mortality models would increase their accuracy in comparable populations. On the basis of this data, the authors propose an equation to calculate percent mortality in burn patients, which includes history of diabetes as a prognostic variable.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"304-307"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147969605","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

Skin Health and Persons with Diabetes. 皮肤健康与糖尿病患者。

IF 1.4 4区医学

Advances in Skin & Wound Care Pub Date : 2026-07-01 Epub Date: 2026-06-12 DOI: 10.1097/ASW.0000000000000482

R Gary Sibbald, Elizabeth A Ayello

引用次数: 0

Early Identification of Pressure Injury: An Equity-Informed Initiative. 压力损伤的早期识别：公平知情的倡议。

IF 1.4 4区医学

Advances in Skin & Wound Care Pub Date : 2026-07-01 Epub Date: 2026-06-12 DOI: 10.1097/ASW.0000000000000475

Charmaine Neu, Stephanie Furtado, Rebecca Dyck, Fatima Sheikh, Leanne Tremain, Denise Johnson

引用次数: 0

Utilization of Autologous Skin Shave Micrografting for Treatment of Advanced Stage Pressure Injuries: A Seven-Patient Case Series. 应用自体皮肤剃须微移植术治疗晚期压迫性损伤：7例病例系列。

IF 1.4 4区医学

Advances in Skin & Wound Care Pub Date : 2026-07-01 Epub Date: 2026-06-04 DOI: 10.1097/ASW.0000000000000472

Igor Melnychuk, Jordan Besh

{"title":"Utilization of Autologous Skin Shave Micrografting for Treatment of Advanced Stage Pressure Injuries: A Seven-Patient Case Series.","authors":"Igor Melnychuk, Jordan Besh","doi":"10.1097/ASW.0000000000000472","DOIUrl":"https://doi.org/10.1097/ASW.0000000000000472","url":null,"abstract":"Objective: The authors present an autologous skin shave micrografting (ASSM) technique for treating stage 3 to 4 pressure injuries (PI).Methods: Between 2024 and 2025, 7 patients with stage 3 and 4 PIs were treated using skin micrografting.Results: Seven patients with 10 PIs (3 stage 3 and 7 stage 4) underwent ASSM. The average PI size was 7.2 cm2. The average depth was 0.3 cm. The average donor site measured 1.5 cm2. All patients demonstrated complete healing within 4 months. Five of 7 patients remained recurrence-free during a 9-month follow-up period, and only 1 out of 10 PIs was open at 9 months.Conclusions: ASSM is a promising modality for the treatment of select PIs and may be considered as part of the reconstructive ladder for advanced pressure injuries. JOURNAL/aswca/04.03/00129334-202607000-00004/figure1/v/2026-06-13T090907Z/r/image-jpeg.Purpose: To increase knowledge of the application of the autologous skin shave micrografting (ASSM) technique for the management of advanced-stage pressure injuries (PI).Target audience: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and registered nurses with an interest in skin and wound care.Learning objectives/outcomes: After participating in this educational activity, the participant will:Evaluate patient-specific factors to select optimal treatment strategies for managing PI.Apply the techniques and procedural steps of ASSM for the treatment of advanced-stage PIs.Explain the underlying pathophysiologic mechanisms by which ASSM promotes healing in advanced-stage PIs.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"39 6","pages":"294-303"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148257009","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

Mobile Health App Needs Among Patients With Diabetic Foot Ulcers in China: A Qualitative Study From the Perceptions of Patients, Caregivers, and Health Care Professionals. 中国糖尿病足溃疡患者的移动医疗应用需求：一项来自患者、护理人员和医疗保健专业人员感知的定性研究

IF 1.5 4区医学

Advances in Skin & Wound Care Pub Date : 2026-07-01 Epub Date: 2026-05-18 DOI: 10.1097/ASW.0000000000000477

Jia-Li Yao, Ying-Jie Gu, Yuan-Yuan Yin, Hai-Ping Yu, Hui-Ren Zhuang

{"title":"Mobile Health App Needs Among Patients With Diabetic Foot Ulcers in China: A Qualitative Study From the Perceptions of Patients, Caregivers, and Health Care Professionals.","authors":"Jia-Li Yao, Ying-Jie Gu, Yuan-Yuan Yin, Hai-Ping Yu, Hui-Ren Zhuang","doi":"10.1097/ASW.0000000000000477","DOIUrl":"10.1097/ASW.0000000000000477","url":null,"abstract":"Objective: To explore the specific needs of patients with diabetic foot ulcers (DFUs), caregivers, and health care professionals (HCPs) for a mobile health (mHealth) app, aiming to inform the design and development of effective mHealth service solutions.Methods: This descriptive qualitative study was conducted from June to September 2024 in the wound care clinics of 2 local hospitals. Participants included patients with DFUs, caregivers, and HCPs directly involved in their care. Interview data were analyzed, synthesized, and refined using content analysis.Results: Five key themes emerged: the pressing need to implement mHealth app services, convenient and personalized access to information, continuous and specialized health guidance, a multidisciplinary approach to disease management, and free access alongside privacy and legal protections.Conclusions: This study provides valuable insights for the design and development of an mHealth app for DFU. During the development process, it is essential to consider user needs and ensure the app meets the expectations of patients and related groups for personalized, continuous, and specialized health guidance; free access; privacy protection; and multidisciplinary collaboration. A balance should be struck between convenience and security of the app's features, to encourage user engagement and enhance the app's value and effectiveness.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"329-335"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147969600","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

The Relationship Between Frailty and Care Dependency in Patients with Diabetic Foot Ulcers: A Structural Equation Modeling Approach. 糖尿病足溃疡患者虚弱与护理依赖的关系：结构方程建模方法。

IF 1.4 4区医学

Advances in Skin & Wound Care Pub Date : 2026-07-01 Epub Date: 2026-05-18 DOI: 10.1097/ASW.0000000000000461

Busra Gurcay, Aylin Bilgin, Havva Sert, Feride Taskin Yilmaz, Alper Erkin

{"title":"The Relationship Between Frailty and Care Dependency in Patients with Diabetic Foot Ulcers: A Structural Equation Modeling Approach.","authors":"Busra Gurcay, Aylin Bilgin, Havva Sert, Feride Taskin Yilmaz, Alper Erkin","doi":"10.1097/ASW.0000000000000461","DOIUrl":"10.1097/ASW.0000000000000461","url":null,"abstract":"Objective: Frailty, resulting from physical and psychological factors, may lead to the development of care dependency in people diagnosed with diabetic foot. This study was conducted to determine frailty and care dependency in patients diagnosed with diabetic foot ulcers and to examine these patients and the effect of these factors using structural equation modeling.Methods: This study, conducted with a descriptive design using structural equation modeling, included 302 patients with diabetic foot ulcers treated in the wound care outpatient clinic between July 2023 and September 2023. Data were collected through face-to-face interviews method, using a patient identification form, the Tilburg Frailty Indicator (TFI), and the Care Dependency Scale (CDS).Results: According to the TFI, 96.4% of the participants were frail. The mean CDS score of the patients was 78.97 ± 5.77. According to the structural equation model, age, duration of diabetes diagnosis, and physical frailty had significant effects on care dependency, whereas psychological and social frailty had no significant effect. Collectively, these variables accounted for 27% of the variance in care dependency, and the overall model was statistically significant.Conclusions: Nearly all patients with diabetic foot ulcers were frail. Although the participants had a high level of independence in meeting their care requirements, physical frailty was found to be a significant predictor of care dependency. Nurses' determination of the frailty levels of patients with diabetic foot ulcers in the treatment and care process at an early stage and interventions to reduce care dependency can facilitate the daily life of patients.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"321-328"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147969612","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

Validation of the CAN-WISE (Canadian Wound Program Information, Services, and Evaluation) Questionnaire. canwise（加拿大伤口项目信息、服务和评估）问卷的验证。

IF 1.4 4区医学

Advances in Skin & Wound Care Pub Date : 2026-07-01 Epub Date: 2026-05-18 DOI: 10.1097/ASW.0000000000000465

Corey Heerschap, Britney Butt

{"title":"Validation of the CAN-WISE (Canadian Wound Program Information, Services, and Evaluation) Questionnaire.","authors":"Corey Heerschap, Britney Butt","doi":"10.1097/ASW.0000000000000465","DOIUrl":"10.1097/ASW.0000000000000465","url":null,"abstract":"Objective: The Canadian Wound Program Information, Services, and Evaluation (CAN-WISE) questionnaire was developed to assess and evaluate acute wound care programs across Canada, addressing variations in service accessibility and program effectiveness.Methods: An expert panel of 9 acute care wound management program leads reviewed and assessed the CAN-WISE questionnaire. Content Validity Ratios (CVR), Scale Content Validity Index (S-CVI), Modified Kappa, Gwet's AC1, and Brennan-Prediger tests were utilized to evaluate the relevance and reliability of both questions and responses. Percentage agreement metrics were also used to assess the clarity and vocabulary of the questions and responses.Results: The results of this validation study demonstrated high consensus among the expert panel for the final questionnaire, with question CVRs ranging from 0.777 to 1, elevated I-CVI scores of 0.888 to 1, and high, statistically relevant inter-rater reliability scores (AC1=0.966, Brennan-Prediger=0.934), demonstrating that the questions included were both essential and well constructed. Questionnaire responses demonstrated similarly high CVR scores (0.777 to 1), I-CVI scores (0.888 to 1), and statistically relevant reliability (AC1=0.988, Brennan-Prediger=0.976). Clarity and vocabulary analysis showed high absolute agreement levels of 95.88% and 98.96%, respectively. These reliability metrics were further supported by high, statistically relevant Gwet's AC1 and Brennan-Prediger test results for clarity and vocabulary, confirming the tool's comprehensibility.Conclusions: The CAN-WISE questionnaire has demonstrated validity and reliability in its ability to evaluate acute care wound management programs in Canada. It provides a valuable tool for assessing program strengths and areas for improvement to improve acute wound care programs throughout the nation.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"E270-E275"},"PeriodicalIF":1.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147969631","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

Repair of a Large Ear Defect Including the Triangular Fossa. 包括三角窝在内的大耳缺损的修复。

IF 1.4 4区医学

Advances in Skin & Wound Care Pub Date : 2026-07-01 Epub Date: 2026-04-30 DOI: 10.1097/ASW.0000000000000463

Marcus Zaayman, Mojahed Mohammad K Shalabi, Hannah R Riva, Chad D Housewright

引用次数: 0

Medical Device-Related Pressure Injuries: A Systematic Review for Prevalence, Causes, and Risk Factors Since the COVID-19 Pandemic. 医疗器械相关压力伤害：自COVID-19大流行以来流行率、原因和风险因素的系统综述

IF 1.5 4区医学

Advances in Skin & Wound Care Pub Date : 2026-07-01 Epub Date: 2026-05-18 DOI: 10.1097/ASW.0000000000000468

Momhammad Minwer Alnaeem, Mohammad Jumah Alshamlan

{"title":"Medical Device-Related Pressure Injuries: A Systematic Review for Prevalence, Causes, and Risk Factors Since the COVID-19 Pandemic.","authors":"Momhammad Minwer Alnaeem, Mohammad Jumah Alshamlan","doi":"10.1097/ASW.0000000000000468","DOIUrl":"10.1097/ASW.0000000000000468","url":null,"abstract":"Objective: The intensive care unit (ICU) is a critical environment where patients are at risk for developing medical device-related pressure injuries (MDRPIs). This review aims to synthesize the literature and assess the prevalence, causes, and risk factors of MDRPIs, particularly in the context of the COVID-19 pandemic.Data sources: A systematic review was conducted to guide this study. A comprehensive search strategy was used across multiple databases, including PubMed, EMBASE, Web of Science, Scopus, and CINAHL.Study selection: The search focused on studies published between 2019 and 2024, specifically targeting adult patients in the ICU. Studies focusing on pediatric populations, patients with mental illnesses, or those investigating ulcers unrelated to MDRPIs were excluded.Data extraction: After screening and selecting relevant studies, data were extracted and analyzed in numerical data.Data synthesis: The review included 35 studies, revealing a high prevalence of MDRPIs in ICU settings, ranging from 5.01% to 62.4% across various countries. The prevalence was related to several factors, such as patient demographics (age and comorbidities), ICU practices, and the type and duration of medical device usage. Mechanical ventilation, nasogastric tubes, and endotracheal tubes were among the most common devices associated with MDRPIs.Conclusions: Tailored interventions, such as regular skin assessments and pressure-redistributing devices, are crucial for preventing MDRPIs and improving patient outcomes. The COVID-19 pandemic experience emphasizes the need for vigilant monitoring and evidence-based preventive measures in critical care environments.","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"E286-E294"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147969669","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