Advances in Skin & Wound Care最新文献

{"title":"Improving Care for People Living With Stomas and Ostomies.","authors":"Elizabeth A Ayello, R Gary Sibbald","doi":"10.1097/ASW.0000000000000459","DOIUrl":"10.1097/ASW.0000000000000459","url":null,"abstract":"","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"39 5","pages":"229"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148004299","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":"The Lived Experiences of Disabled Individuals With Stomas and of Wound, Ostomy, and Continence Nurses: A Phenomenological Study.","authors":"Eylem Toğluk Yiğitoğlu, Pelin Karaçay","doi":"10.1097/ASW.0000000000000458","DOIUrl":"10.1097/ASW.0000000000000458","url":null,"abstract":"<p><strong>Objective: </strong>Understanding how individuals with various disabilities adapt to life with a stoma, and how wound, ostomy, and continence (WOC) nurses perceive and manage this care, is crucial for improving health care practice. This study aimed to reveal the experiences of disabled individuals with stomas and the WOC nurses who care for them.</p><p><strong>Methods: </strong>This study utilized a qualitative descriptive phenomenological design. The sample consisted of 7 disabled individuals with stomas, and 7 WOC nurses who provided care to these individuals. Data were collected through one-on-one interviews using a semi-structured form. This study followed the steps of the Consolidated Criteria for Reporting Qualitative Research checklist. Data were analyzed thematically.</p><p><strong>Results: </strong>The mean age of individuals with disabilities was 48 ± 11.12 years; 5 of them had paraplegia, 2 were visually impaired, and the mean age of WOC nurses was 42 ± 6.48 years. Thematic analysis identified 3 major themes for disabled individuals with stomas: (1) change, (2) stoma education, and (3) challenges in home care, and 3 themes for WOC nurses: (1) concern due to a lack of experience, (2) disability-appropriate training, and (3) compassionate care.</p><p><strong>Conclusions: </strong>Living with a stoma can have both positive and negative impacts on the quality of life of individuals with disabilities, depending on the disability type and personal experiences. The findings of this study underscore the need to develop targeted strategies to address the unique challenges faced by this population. Furthermore, the integration of disability-specific content into the certified training programs for WOC nurses is recommended to enhance the quality of stoma care.JOURNAL/aswca/04.03/00129334-202606000-00005/figure1/v/2026-05-12T183530Z/r/image-jpegGENERAL PURPOSE: To understand the lived experiences of individuals with disabilities who have stomas and the wound, ostomy, and continence (WOC) nurses who care for them.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:Identify the methodology and study strengths exploring the lived experiences of stoma patients with disabilities and the WOC nurses who care for them.Assess the study results.Discuss the study educational and research implications.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"39 5","pages":"237-245"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148004360","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":"Time Out Before Amputation.","authors":"Laura Swoboda, Desmond Bell, Karen Bauer, Shannon Clayton","doi":"10.1097/ASW.0000000000000450","DOIUrl":"10.1097/ASW.0000000000000450","url":null,"abstract":"","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":"39 5","pages":"234-235"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148004363","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":"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":"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":"257-264"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13170552/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Symptoms Causing Urticaria and Angioedema in Systemic Connective Tissue Diseases: Investigation and Analysis of Early Manifestations.","authors":"Maria Z Lisiecka","doi":"10.1097/ASW.0000000000000448","DOIUrl":"10.1097/ASW.0000000000000448","url":null,"abstract":"<p><strong>Objective: </strong>The study aimed to investigate the available clinical data regarding the most common early manifestations of urticaria and angioedema in conditions such as Sjögren syndrome, dermatomyositis, systemic scleroderma, and systemic lupus erythematosus (SLE).</p><p><strong>Data sources: </strong>A literature search was conducted of articles published between 2020 and 2024 using databases such as Scopus, Google Scholar, PubMed, and ScienceDirect, along with relevant sources published before 2020.</p><p><strong>Study selection: </strong>One hundred two scientific papers were initially considered, with 45 remaining after full evaluation based on inclusion criteria such as publication date, country, journal, and availability.</p><p><strong>Data extraction: </strong>Data were extracted by analyzing publication titles, abstracts, headings, introductions, main content, conclusions, and reference lists.</p><p><strong>Data synthesis: </strong>The primary symptoms of urticaria and angioedema in connective tissue diseases were synthesized from evidence-based sources, emphasizing clinical cases across systemic lupus erythematosus, dermatomyositis, Sjögren syndrome, and systemic scleroderma.</p><p><strong>Conclusions: </strong>The prevalence of autoimmune angioedema in SLE ranged from 15% to 30%, with common areas affected being the face, lips, and periorbital region. In Sjögren syndrome, primary urticaria was observed in 26.2% of cases. The prevalence of edema and urticaria as primary symptoms in dermatomyositis remained uncertain, but localized edema of the face and limbs, as well as urticaria in areas like the neck and elbow creases, were noted. Systemic scleroderma often began with Raynaud phenomenon, accompanied by edema of the hands and fingers. Finally, expanding diagnostic criteria to include these symptoms as potential early indicators of autoimmune connective tissue diseases may help improve early detection and treatment strategies for these conditions.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"E239-E247"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147728031","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":"Postoperative Weight Loss as a Predictor of Stoma-Related Complications.","authors":"Mei-Yu Hsu, Hsiao-Hui Hsu, Hui-Chun Chung, Yu-Lin Wu","doi":"10.1097/ASW.0000000000000442","DOIUrl":"10.1097/ASW.0000000000000442","url":null,"abstract":"<p><strong>Objective: </strong>In this study, the authors investigated the percentage of weight change within 1 month after stoma surgery and examined its association with stoma-related complications (SRCs).</p><p><strong>Methods: </strong>Data were collected from a prospective research database of patients who underwent stoma surgery at a medical center in eastern Taiwan between January 2014 and December 2016. The patients' demographic characteristics and body weight were recorded preoperatively and 1 month postoperatively.</p><p><strong>Results: </strong>A total of 113 patients were included, of whom 75.2% were male, with a mean age of 60.5 years. At 1 month postoperatively, the mean body weight decreased from 62.6 kg to 59.1 kg (mean loss: 5.34%). Of these, 50 patients (44%) experienced ≥5% weight loss. In multivariable logistic regression, female sex (adjusted OR=3.01, 95% CI: 1.14-8.00, P =.027) and ≥5% postoperative weight loss (adjusted OR=4.40, 95% CI: 1.80-10.60, P =.001) were significant predictors of complications. Patients with complications had significantly greater weight loss than those without (8.8% vs. 3.4%, P <.001).</p><p><strong>Conclusions: </strong>A weight loss of ≥5% within 1 month after stoma surgery is a risk factor for SRCs. Weight should be monitored in patients undergoing stoma surgery.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"253-256"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147626790","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":"Life Experiences of Individuals With Fecal Incontinence: A Thematic Meta-Synthesis Study.","authors":"İlknur Özkan, Seçil Taylan, Cansu Polat Dünya","doi":"10.1097/ASW.0000000000000449","DOIUrl":"10.1097/ASW.0000000000000449","url":null,"abstract":"<p><strong>Objective: </strong>The study aimed to systematically interpret and synthesize data obtained from qualitative research on the life experiences of individuals with fecal incontinence.</p><p><strong>Data sources: </strong>A comprehensive literature search covering the years 2010 to 2023 was conducted on December 1, 2023, using the CINAHL, MEDLINE, PubMed, Web of Science, OpenAIRE, and OVID electronic databases. The search process followed PRISMA guidelines. The study was registered in PROSPERO (CRD42024507571).</p><p><strong>Study selection: </strong>Qualitative studies focusing on the life experiences of individuals with fecal incontinence were included. A total of 16 studies met the inclusion criteria and were incorporated into the meta-synthesis.</p><p><strong>Data extraction: </strong>Relevant data from the included studies were systematically extracted, focusing on participants' experiences, perceptions, and coping mechanisms related to fecal incontinence.</p><p><strong>Data synthesis: </strong>Data were analyzed using thematic synthesis. Five analytical themes were identified: (1) the meaning of fecal incontinence for the individual, (2) perceived barriers to the management of fecal incontinence, (3) negative effects of fecal incontinence on life, (4) developing individual coping strategies, and (5) expectations.</p><p><strong>Conclusions: </strong>Fecal incontinence was found to be more than a physical condition, significantly affecting individuals' mental health as well as their sexual and social lives. Social stigma, taboos, and limited awareness among health care professionals hinder patients from expressing their symptoms and seeking help, often leading to concealment of the condition. These findings highlight the need for educational interventions and awareness campaigns to reduce stigma and address the psychosocial dimensions of fecal incontinence.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"E217-E222"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147809556","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":"Chronic Wound Management With a Super-oxidized Solution and Aerosol Gel Spray: A Case Series.","authors":"Harikrishna K R Nair, Aishah Khamis, Alina Md Isa, Ranjeni Krishnen","doi":"10.1097/ASW.0000000000000444","DOIUrl":"10.1097/ASW.0000000000000444","url":null,"abstract":"<p><strong>Objective: </strong>Chronic wound management is a major challenge in modern medicine. Chronic wounds typically persist in the inflammatory stage of wound healing and are frequently attributed to, and exacerbated by, infections.</p><p><strong>Methods: </strong>In this retrospective, single-center case series, the authors evaluated whether wound management with an electro-activated super-oxidized solution (SOS) and aerosol gel spray effectively promoted chronic wound healing progression in patients treated at the Wound Care Unit, Department of Internal Medicine, Kuala Lumpur Hospital, between July 2021 and July 2022. As well as data on patient demographics, wound healing images, and wound size data were collected.</p><p><strong>Results: </strong>Across all 9 patients, progressive wound healing was achieved following consistent wound management with electro-activated SOS and aerosol gel spray. Reepithelialization and wound size reductions were observed in all patients, and none of the patients developed new wound infections. Notably, 1 patient experienced a diabetic foot ulcer that did not resolve with antibiotic treatment; however, complete wound closure was achieved within 31 days of management with electro-activated SOS and aerosol gel spray.</p><p><strong>Conclusions: </strong>The results of this case series suggest that wound management with electro-activated SOS and aerosol gel spray may promote wound healing in patients with various chronic wounds.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"E248-E253"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147809574","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":"Stoma-Related Bullous Pemphigoid: Case Report and Literature Review.","authors":"Igor Melnychuk, Julia Juriga, Betty Bellman","doi":"10.1097/ASW.0000000000000453","DOIUrl":"10.1097/ASW.0000000000000453","url":null,"abstract":"<p><p>Peristomal skin complications are common and occur in most stoma recipients. Typically, these complications present as contact dermatitis due to the adhesive or moisture associated with the leakage of the pouching system. However, they can also present as atypical peristomal skin complications presenting with vesicular eruptions that are triggered by surgical trauma of stoma creation. The authors present a case of bullous pemphigoid in a 73-year-old patient, initially localized in the peristomal area, which subsequently progressed to a generalized eruption affecting the trunk and extremities. This case is discussed in the context of a review of the present literature on stoma-related bullous pemphigoid.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"E258-E261"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759675","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":"Effect of Nursing Interventions on Patients' Adaptation to Living With a Stoma: A Meta-Analysis of Randomized, Controlled Trials.","authors":"Seçil Taylan, İlknur Özkan, Gülden Küçükakça Çelik, Ayişe Karadağ","doi":"10.1097/ASW.0000000000000452","DOIUrl":"10.1097/ASW.0000000000000452","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to determine the effect of nursing interventions on patients' adaptation to living with a stoma.</p><p><strong>Data sources: </strong>Nine electronic databases (PubMed, Complementary Index, MEDLINE, Academic Search Ultimate, CINAHL Complete, OpenAIRE, Directory of Open Access Journals, Supplemental Index, and the Belt and Road Initiative Reference) were searched to identify studies published until September 2023.</p><p><strong>Study selection: </strong>A 3-stage selection process was employed to manage the literature search records using Endnote X8 literature management software. Systematic review and meta-analysis following PRISMA 2020 and Cochrane 2021 recommendations. Seven RCTs were included, involving 657 participants (327 in intervention groups and 330 in control groups).</p><p><strong>Data extraction: </strong>A 9-item, standardized, and prepiloted data extraction form was employed to record data from included studies. Seven studies that met the inclusion criteria were eligible for meta-analysis.</p><p><strong>Data synthesis: </strong>The impact of nursing interventions was assessed using Comprehensive Meta-Analysis software. A meta-analysis was performed with the effect of nursing interventions on patients' adaptation to living with a stoma.</p><p><strong>Conclusions: </strong>Nursing interventions, especially those incorporating technological tools, are effective in supporting stoma patients, particularly patients with cancer, in adapting to life with a stoma. Nurses should integrate these interventions into routine care for patients with stoma to improve outcomes.</p>","PeriodicalId":7489,"journal":{"name":"Advances in Skin & Wound Care","volume":" ","pages":"E223-E232"},"PeriodicalIF":1.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147809609","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}