Pub Date : 2025-12-16DOI: 10.1016/j.jtv.2025.100982
Ying Zeng, Jianjian Tu, Jichao Qin
Negative pressure wound therapy (NPWT) has demonstrated substantial advantages in a variety of clinical settings, including the management of acute and chronic wounds, open injuries with exposed bone, nerves, or tendons, and implant-associated infections in orthopedics. Although numerous studies have reported the beneficial effects of NPWT in controlling wound infections and infections related to orthopedic implants, the underlying molecular and cellular mechanisms remain incompletely understood and require further investigation. Given its widespread clinical use, a comprehensive understanding of the biological effects of NPWT is essential to ensuring its rational and optimized application in clinical practice. This review summarizes the potential mechanisms through which NPWT facilitates wound healing and provides insights to inform both clinical use and future research.
{"title":"The mechanism by which negative pressure wound therapy promotes wound healing.","authors":"Ying Zeng, Jianjian Tu, Jichao Qin","doi":"10.1016/j.jtv.2025.100982","DOIUrl":"https://doi.org/10.1016/j.jtv.2025.100982","url":null,"abstract":"<p><p>Negative pressure wound therapy (NPWT) has demonstrated substantial advantages in a variety of clinical settings, including the management of acute and chronic wounds, open injuries with exposed bone, nerves, or tendons, and implant-associated infections in orthopedics. Although numerous studies have reported the beneficial effects of NPWT in controlling wound infections and infections related to orthopedic implants, the underlying molecular and cellular mechanisms remain incompletely understood and require further investigation. Given its widespread clinical use, a comprehensive understanding of the biological effects of NPWT is essential to ensuring its rational and optimized application in clinical practice. This review summarizes the potential mechanisms through which NPWT facilitates wound healing and provides insights to inform both clinical use and future research.</p>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"35 1","pages":"100982"},"PeriodicalIF":2.4,"publicationDate":"2025-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145794254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-12DOI: 10.1016/j.jtv.2025.100980
J Dumville, K Newton, J Mullings, P Wilson
{"title":"Corrigendum to Investigating UK packing practices for cavities resulting from the incision and drainage of perianal abscesses, a case for deimplementation? [Journal of Tissue Viability 2025 Nov;34(4):100965, doi: 10.1016/j.jtv.2025.100965].","authors":"J Dumville, K Newton, J Mullings, P Wilson","doi":"10.1016/j.jtv.2025.100980","DOIUrl":"https://doi.org/10.1016/j.jtv.2025.100980","url":null,"abstract":"","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":" ","pages":"100980"},"PeriodicalIF":2.4,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145751886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-04DOI: 10.1016/j.jtv.2025.100977
Ofek Barzilay , Amit Gefen
Background
Single-use negative-pressure wound therapy (suNPWT) dressings for closed surgical incisions are predominantly rectangular, despite long-time evidence from biomechanics that sharp or small-radius corners generate localized stress concentrations in underlying tissues. Optimizing dressing geometry and stiffness distribution may reduce the peri-incisional stress concentrations and improve closure.
Objectives
To determine how dressing shape and regional stiffness variations influence the peri-wound skin stresses and stress concentrations and the incision closure biomechanics under a negative pressure level of −125 mmHg.
Methods
A validated three-dimensional finite element model of a sutured midline incision was developed. Five homogeneous dressing shapes (rectangular, circular, elliptical, stadium, and dome) of identical contact area and material properties were compared for reduction in peak lateral skin stresses (ΔS). The best-performing dressing shape underwent further testing in eight stiffness configurations (homogeneous, or with stiffer/softer peripheral regions in symmetric or axisymmetric patterns). The lateral displacement of the peri-wound skin was used as a measure for the closure work. A sensitivity analysis was conducted on chosen model variants for broader transferability and for exploring potential covariance between dressing shape and material properties.
Results
Among the homogeneous dressing shapes, the circular dressing achieved the greatest stress reduction (ΔS = 2.9 %) versus the rectangular control (0.9 %). In the circular form, incorporating a stiffer peripheral symmetric ring around a softer core improved performance (ΔS = 3.2 %) while maintaining substantial lateral displacement (3.35 mm), achieving an optimal combination of stress relief with closure assistance. A fully stiff homogeneous dressing maximized the ΔS (6.5 %) but provided negligible closure support, whereas a fully soft dressing behaved conversely. The sensitivity analysis did not change these quantitative rankings across the studied model variants.
Conclusions
Eliminating sharp or small-radius geometric discontinuities and tuning the regional stiffness can markedly attenuate peri-incisional stresses without compromising the contribution of the dressing to the closure work. Circular suNPWT dressings with a peripheral stiffer ring offer a biomechanically superior, manufacturable alternative to conventional rectangular designs, warranting further pre-clinical and clinical evaluations.
{"title":"Be there or be square: Should we adopt non-rectangular dressing shapes in single-use negative pressure wound therapy?","authors":"Ofek Barzilay , Amit Gefen","doi":"10.1016/j.jtv.2025.100977","DOIUrl":"10.1016/j.jtv.2025.100977","url":null,"abstract":"<div><h3>Background</h3><div>Single-use negative-pressure wound therapy (suNPWT) dressings for closed surgical incisions are predominantly rectangular, despite long-time evidence from biomechanics that sharp or small-radius corners generate localized stress concentrations in underlying tissues. Optimizing dressing geometry and stiffness distribution may reduce the peri-incisional stress concentrations and improve closure.</div></div><div><h3>Objectives</h3><div>To determine how dressing shape and regional stiffness variations influence the peri-wound skin stresses and stress concentrations and the incision closure biomechanics under a negative pressure level of −125 mmHg.</div></div><div><h3>Methods</h3><div>A validated three-dimensional finite element model of a sutured midline incision was developed. Five homogeneous dressing shapes (rectangular, circular, elliptical, stadium, and dome) of identical contact area and material properties were compared for reduction in peak lateral skin stresses (ΔS). The best-performing dressing shape underwent further testing in eight stiffness configurations (homogeneous, or with stiffer/softer peripheral regions in symmetric or axisymmetric patterns). The lateral displacement of the peri-wound skin was used as a measure for the closure work. A sensitivity analysis was conducted on chosen model variants for broader transferability and for exploring potential covariance between dressing shape and material properties.</div></div><div><h3>Results</h3><div>Among the homogeneous dressing shapes, the circular dressing achieved the greatest stress reduction (ΔS = 2.9 %) versus the rectangular control (0.9 %). In the circular form, incorporating a stiffer peripheral symmetric ring around a softer core improved performance (ΔS = 3.2 %) while maintaining substantial lateral displacement (3.35 mm), achieving an optimal combination of stress relief with closure assistance. A fully stiff homogeneous dressing maximized the ΔS (6.5 %) but provided negligible closure support, whereas a fully soft dressing behaved conversely. The sensitivity analysis did not change these quantitative rankings across the studied model variants.</div></div><div><h3>Conclusions</h3><div>Eliminating sharp or small-radius geometric discontinuities and tuning the regional stiffness can markedly attenuate peri-incisional stresses without compromising the contribution of the dressing to the closure work. Circular suNPWT dressings with a peripheral stiffer ring offer a biomechanically superior, manufacturable alternative to conventional rectangular designs, warranting further pre-clinical and clinical evaluations.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"35 1","pages":"Article 100977"},"PeriodicalIF":2.4,"publicationDate":"2025-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145691413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-19DOI: 10.1016/j.jtv.2025.100976
Zeyao Shi , Yanling Hu , Xiaowen Li , Ru Yang , Yan Song , Xushu Chen , Jing Yan
Aim
To explore neonatal intensive care unit (NICU) nurses’ attitude, adherence, and influencing factors to pressure injury (PI) prevention based on guidelines, and identify the relationship between the attitude and adherence.
Methods
A multi-site, quantitative, cross-sectional study spanning 16 provinces in China was conducted. Data were collected by a self-reported questionnaire, including three sections: demographic information, attitude towards PI prevention, and adherence to evidence-based PI prevention. The sample size was calculated using PASS 2025, and a convenience sampling method was conducted. The data were analyzed using SPSS 27, and univariate analysis and multiple logistic regression were employed to examine the relationship between demographic data and attitude and adherence to the PI prevention. Besides, the relationship between the APuP and the adherence was shown through the structural equation model (SEM), it was estimated in Amos 24.0.
Results
In total, 465 NICU nurses were included in this survey. The NICU nurses’ mean score of attitudes toward PI prevention was 78.06 %, with the highest mean score in the subscale of responsibility in PI prevention (85 %). The mean score of the PI prevention compliance was 132.93 ± 15.21, with a scoring rate of 88.62 %. The highest mean score was in the “skin assessment and care” subscale (41.51 ± 4.47, 92.24 %), followed by the “repositioning and mobilization” domain (22.92 ± 2.64, 91.68 %), and “medical device” domain (27.33 ± 3.29, 91.1 %). The nurses who had been trained in the PI prevention guideline were found to have 1.822 times the PI prevention attitude ≥75 % than those who did not undergo training (P = 0.008). In addition, clinical nurse specialist (CNS) were 1.684 times in the PI prevention practice adherence ≥90 % than those who were not (P = 0.028). The attitude towards PI prevention was determined to affect the adherence in the NICUs directly (β = 1.521, P < 0.001), and a positive association was detected between attitude scores and adherence scores.
Conclusion
The level of attitude and the adherence of NICU nurses in China related to PI prevention were relatively desirable and poor, and a positive relationship was shown between the attitude and adherence.
{"title":"Attitude and adherence to evidence-based pressure injury prevention practices of neonatal intensive care nurses in China: a cross-sectional study","authors":"Zeyao Shi , Yanling Hu , Xiaowen Li , Ru Yang , Yan Song , Xushu Chen , Jing Yan","doi":"10.1016/j.jtv.2025.100976","DOIUrl":"10.1016/j.jtv.2025.100976","url":null,"abstract":"<div><h3>Aim</h3><div>To explore neonatal intensive care unit (NICU) nurses’ attitude, adherence, and influencing factors to pressure injury (PI) prevention based on guidelines, and identify the relationship between the attitude and adherence.</div></div><div><h3>Methods</h3><div>A multi-site, quantitative, cross-sectional study spanning 16 provinces in China was conducted. Data were collected by a self-reported questionnaire, including three sections: demographic information, attitude towards PI prevention, and adherence to evidence-based PI prevention. The sample size was calculated using PASS 2025, and a convenience sampling method was conducted. The data were analyzed using SPSS 27, and univariate analysis and multiple logistic regression were employed to examine the relationship between demographic data and attitude and adherence to the PI prevention. Besides, the relationship between the APuP and the adherence was shown through the structural equation model (SEM), it was estimated in Amos 24.0.</div></div><div><h3>Results</h3><div>In total, 465 NICU nurses were included in this survey. The NICU nurses’ mean score of attitudes toward PI prevention was 78.06 %, with the highest mean score in the subscale of responsibility in PI prevention (85 %). The mean score of the PI prevention compliance was 132.93 ± 15.21, with a scoring rate of 88.62 %. The highest mean score was in the “skin assessment and care” subscale (41.51 ± 4.47, 92.24 %), followed by the “repositioning and mobilization” domain (22.92 ± 2.64, 91.68 %), and “medical device” domain (27.33 ± 3.29, 91.1 %). The nurses who had been trained in the PI prevention guideline were found to have 1.822 times the PI prevention attitude ≥75 % than those who did not undergo training (<em>P</em> = 0.008). In addition, clinical nurse specialist (CNS) were 1.684 times in the PI prevention practice adherence ≥90 % than those who were not (<em>P</em> = 0.028). The attitude towards PI prevention was determined to affect the adherence in the NICUs directly (β = 1.521, <em>P</em> < 0.001), and a positive association was detected between attitude scores and adherence scores.</div></div><div><h3>Conclusion</h3><div>The level of attitude and the adherence of NICU nurses in China related to PI prevention were relatively desirable and poor, and a positive relationship was shown between the attitude and adherence.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"35 1","pages":"Article 100976"},"PeriodicalIF":2.4,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145573671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Corrigendum to \"Cognitive gaps and educational needs in foot self-care among patients with diabetic foot from a health literacy perspective: A qualitative study\" [J Tissue Viabil 34 (2025) 100960].","authors":"Xiaodan Lin, Xianghao Chen, Yuantian Li, Shumin He, Haidan Xie, Xiaozhou Zhou","doi":"10.1016/j.jtv.2025.100972","DOIUrl":"10.1016/j.jtv.2025.100972","url":null,"abstract":"","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":" ","pages":"100972"},"PeriodicalIF":2.4,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145549676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-07DOI: 10.1016/j.jtv.2025.100968
Ainhoa Nieto-García , Leticia Nieto-García , María Alba Roca-Biosca , María Teresa Moreiro-Barroso , Adela Carpio-Pérez , Montserrat Alonso-Sardón
Background
Pressure injuries represent an important health problem in Spain, which affects all levels of care. Within nursing care, the prevention of this type of injury is considered a priority activity in which nursing staff have a primary role. Therefore, knowing the possible training needs allows planning and directing resources towards those areas where there is a greater knowledge deficit.
Objective
To assess nursing professionals' knowledge of pressure injury prevention guidelines.
Method
A descriptive cross-sectional study using the Pressure Injury Prevention Knowledge Questionnaire (PIPK), self-completed by nurses working in the Salamanca Health Area (Spain) between January 1, 2023 and December 31, 2024.
Results
A total of 164 respondents participated (89 % women), mean age 36 years and mean professional experience of 13 years. Of these, 132 nurses work at the University Hospital of Salamanca and 29 nurses work in primary care. The average global Knowledge Index was 85.2 % and the Ignorance Index was 7.78 %. Professionals with postgraduate or specialized nursing training (P = 0.003) and more years of experience (P = 0.004) achieved higher knowledge scores on the PIPK questionnaire, with consistent results across all services.
Conclusion
The level of knowledge of the nurses in the Salamanca Health Area is appropriate in relation to published literature.
{"title":"Pressure injury prevention knowledge in nursing professionals","authors":"Ainhoa Nieto-García , Leticia Nieto-García , María Alba Roca-Biosca , María Teresa Moreiro-Barroso , Adela Carpio-Pérez , Montserrat Alonso-Sardón","doi":"10.1016/j.jtv.2025.100968","DOIUrl":"10.1016/j.jtv.2025.100968","url":null,"abstract":"<div><h3>Background</h3><div>Pressure injuries represent an important health problem in Spain, which affects all levels of care. Within nursing care, the prevention of this type of injury is considered a priority activity in which nursing staff have a primary role. Therefore, knowing the possible training needs allows planning and directing resources towards those areas where there is a greater knowledge deficit.</div></div><div><h3>Objective</h3><div>To assess nursing professionals' knowledge of pressure injury prevention guidelines.</div></div><div><h3>Method</h3><div>A descriptive cross-sectional study using the Pressure Injury Prevention Knowledge Questionnaire (PIPK), self-completed by nurses working in the Salamanca Health Area (Spain) between January 1, 2023 and December 31, 2024.</div></div><div><h3>Results</h3><div>A total of 164 respondents participated (89 % women), mean age 36 years and mean professional experience of 13 years. Of these, 132 nurses work at the University Hospital of Salamanca and 29 nurses work in primary care. The average global Knowledge Index was 85.2 % and the Ignorance Index was 7.78 %. Professionals with postgraduate or specialized nursing training (<em>P</em> = 0.003) and more years of experience (<em>P</em> = 0.004) achieved higher knowledge scores on the PIPK questionnaire, with consistent results across all services.</div></div><div><h3>Conclusion</h3><div>The level of knowledge of the nurses in the Salamanca Health Area is appropriate in relation to published literature.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"35 1","pages":"Article 100968"},"PeriodicalIF":2.4,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145528119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-07DOI: 10.1016/j.jtv.2025.100967
Erin M. Rajhathy , Karin Falk-Brynhildsen , Kevin Y. Woo , Dimitri Beeckman
Background
Wound cleansing is a fundamental component of chronic wound management; yet, high-quality evidence to guide practice is limited. Understanding nurses’ knowledge, attitudes, and practices (KAP) is essential, but no instrument with published evidence of acceptable measurement properties exists.
Objective
To develop a KAP questionnaire on wound cleansing for community nurses and evaluate its measurement properties.
Methods
A multi-phase study was conducted, including literature/consensus item generation; a two-round international Delphi process; pilot cognitive interviews; and field testing in Canada. Knowledge was assessed for item and construct validity; attitude for internal consistency (Cronbach's α); and all KAP items for stability using test-retest reliability.
Results
26 experts supported content relevance; feedback led to targeted revisions. Field testing involved 130 nurses (83.1 % homecare; >80 % with ≥5 years of wound care experience). Several knowledge items were too easy (≥.90); none negatively discriminated. Exploratory principal components analysis of attitudes yielded three components (63 % of variance); internal consistency ranged from α = 0.41 to α = 0.76. In the subsample (n = 30), knowledge κ values ranged from slight/fair to substantial; some items showed ceiling effects (uniform responses, κ undefined). Attitude and practice item-level intraclass correlation coefficients varied (.07–.95), with several ≥.75 and others <.60. Known-groups comparison supported higher knowledge among formally educated nurses.
Conclusion
Evidence supports content validity and a clarified attitudes structure; internal consistency and stability were acceptable for some elements but below the threshold for others. Future refinement and confirmatory testing are warranted.
{"title":"Knowledge, attitudes, and practices (KAP) of nurses towards wound cleansing: design and evaluation of measurement properties of a questionnaire","authors":"Erin M. Rajhathy , Karin Falk-Brynhildsen , Kevin Y. Woo , Dimitri Beeckman","doi":"10.1016/j.jtv.2025.100967","DOIUrl":"10.1016/j.jtv.2025.100967","url":null,"abstract":"<div><h3>Background</h3><div>Wound cleansing is a fundamental component of chronic wound management; yet, high-quality evidence to guide practice is limited. Understanding nurses’ knowledge, attitudes, and practices (KAP) is essential, but no instrument with published evidence of acceptable measurement properties exists.</div></div><div><h3>Objective</h3><div>To develop a KAP questionnaire on wound cleansing for community nurses and evaluate its measurement properties.</div></div><div><h3>Methods</h3><div>A multi-phase study was conducted, including literature/consensus item generation; a two-round international Delphi process; pilot cognitive interviews; and field testing in Canada. Knowledge was assessed for item and construct validity; attitude for internal consistency (Cronbach's α); and all KAP items for stability using test-retest reliability.</div></div><div><h3>Results</h3><div>26 experts supported content relevance; feedback led to targeted revisions. Field testing involved 130 nurses (83.1 % homecare; >80 % with ≥5 years of wound care experience). Several knowledge items were too easy (≥.90); none negatively discriminated. Exploratory principal components analysis of attitudes yielded three components (63 % of variance); internal consistency ranged from α = 0.41 to α = 0.76. In the subsample (n = 30), knowledge κ values ranged from slight/fair to substantial; some items showed ceiling effects (uniform responses, κ undefined). Attitude and practice item-level intraclass correlation coefficients varied (.07–.95), with several ≥.75 and others <.60. Known-groups comparison supported higher knowledge among formally educated nurses.</div></div><div><h3>Conclusion</h3><div>Evidence supports content validity and a clarified attitudes structure; internal consistency and stability were acceptable for some elements but below the threshold for others. Future refinement and confirmatory testing are warranted.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"35 1","pages":"Article 100967"},"PeriodicalIF":2.4,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145578427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.jtv.2025.100908
Chloe Jansz , William McGuiness , Sonja Cleary
Research by Nelson and Adderley (2016)reveals that 60–80 % of individuals affected by chronic venous insufficiency (CVI) develop venous leg ulcers (VLU). The gold standard treatment for VLU is the application of compression therapy (CT), which promotes venous return, reduces venous pressure, and minimizes stasis (Bullock & Manias, 2022). Patient concordance to CT is suboptimal, with only 40 % concordance, leading to a higher risk of VLU recurrence (Eri ckson et al., 1995; Fi nlayson et al., 2014; K app et al., 2013). This poses a significant and costly healthcare challenge (Smith & McGuiness, 2010).
A Delphi study was conducted to ascertain the factors that influence concordance with CT using a clinician cohort. The study asked participants to rank factors that facilitated concordance and those that acted as barrier. Results revealed that clinicians identified 44 factors that facilitated concordance and 46 factors that acted as a barrier in the initial phase. The consensus level, measured by a Kendall W Coefficient, ranged from moderate to strong amongst the participants (Zanotti & Chiffi, 2015).
{"title":"Improving concordance with long-term compression therapy amongst people with venous ulceration: A Delphi study- clinician cohort","authors":"Chloe Jansz , William McGuiness , Sonja Cleary","doi":"10.1016/j.jtv.2025.100908","DOIUrl":"10.1016/j.jtv.2025.100908","url":null,"abstract":"<div><div>Research by Nelson and Adderley (2016)reveals that 60–80 % of individuals affected by chronic venous insufficiency (CVI) develop venous leg ulcers (VLU). The gold standard treatment for VLU is the application of compression therapy (CT), which promotes venous return, reduces venous pressure, and minimizes stasis (Bullock & Manias, 2022). Patient concordance to CT is suboptimal, with only 40 % concordance, leading to a higher risk of VLU recurrence (Eri ckson et al., 1995; Fi nlayson et al., 2014; K app et al., 2013). This poses a significant and costly healthcare challenge (Smith & McGuiness, 2010).</div><div>A Delphi study was conducted to ascertain the factors that influence concordance with CT using a clinician cohort. The study asked participants to rank factors that facilitated concordance and those that acted as barrier. Results revealed that clinicians identified 44 factors that facilitated concordance and 46 factors that acted as a barrier in the initial phase. The consensus level, measured by a Kendall W Coefficient, ranged from moderate to strong amongst the participants (Zanotti & Chiffi, 2015).</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100908"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.jtv.2025.100963
Ying Xu , Min Xu , Pan Huang , Qianqian Zhu , Xiaoqiong Jiang , Fuman Cai
Objective
To evaluate the application of infrared thermography in assessing skin temperature characteristics of postoperative blanching erythema and Stage 1 pressure injuries in patients.
Methods
An observational study design was employed. We recruited 323 patients under general anesthesia who had an expected surgical duration exceeding 3 h and who experienced intraoperative sacral pressure. Infrared thermal images of the sacral region were captured, and skin assessments were conducted before entering the operating room, after admission to the post-anesthetic care unit, and daily for 3 days postoperatively.
Results
A total of 12 cases of Stage 1 pressure injuries and 81 cases of blanching erythema were identified. When the temperature in the affected area was elevated compared to the surrounding normal skin, Stage 1 pressure injuries demonstrated significantly higher ΔT values than blanching erythema (p = 0.001). When the temperature was reduced, the ΔT differences between Stage 1 pressure injuries and blanching erythema were not significant (p = 0.881). However, a higher proportion of Stage 1 pressure injury areas exhibited hypothermia (50 % vs. 8.6 %).
Conclusion
Postoperative blanching erythema and Stage 1 pressure injuries exhibit either warmer or cooler skin temperatures compared to adjacent normal skin. Compared to blanching erythema, Stage 1 pressure injuries are more likely to present with hypothermic areas or demonstrate more pronounced relative temperature increases in the affected regions.
{"title":"Infrared thermography for assessing skin temperature characteristics of postoperative blanching erythema and stage 1 pressure injuries","authors":"Ying Xu , Min Xu , Pan Huang , Qianqian Zhu , Xiaoqiong Jiang , Fuman Cai","doi":"10.1016/j.jtv.2025.100963","DOIUrl":"10.1016/j.jtv.2025.100963","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the application of infrared thermography in assessing skin temperature characteristics of postoperative blanching erythema and Stage 1 pressure injuries in patients.</div></div><div><h3>Methods</h3><div>An observational study design was employed. We recruited 323 patients under general anesthesia who had an expected surgical duration exceeding 3 h and who experienced intraoperative sacral pressure. Infrared thermal images of the sacral region were captured, and skin assessments were conducted before entering the operating room, after admission to the post-anesthetic care unit, and daily for 3 days postoperatively.</div></div><div><h3>Results</h3><div>A total of 12 cases of Stage 1 pressure injuries and 81 cases of blanching erythema were identified. When the temperature in the affected area was elevated compared to the surrounding normal skin, Stage 1 pressure injuries demonstrated significantly higher ΔT values than blanching erythema (p = 0.001). When the temperature was reduced, the ΔT differences between Stage 1 pressure injuries and blanching erythema were not significant (p = 0.881). However, a higher proportion of Stage 1 pressure injury areas exhibited hypothermia (50 % vs. 8.6 %).</div></div><div><h3>Conclusion</h3><div>Postoperative blanching erythema and Stage 1 pressure injuries exhibit either warmer or cooler skin temperatures compared to adjacent normal skin. Compared to blanching erythema, Stage 1 pressure injuries are more likely to present with hypothermic areas or demonstrate more pronounced relative temperature increases in the affected regions.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100963"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145481982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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