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Attitude and adherence to evidence-based pressure injury prevention practices of neonatal intensive care nurses in China: a cross-sectional study 中国新生儿重症监护护士对循证压力伤害预防实践的态度和依从性:一项横断面研究。
IF 2.4 3区 医学 Q2 DERMATOLOGY Pub Date : 2025-11-19 DOI: 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.
目的:探讨新生儿重症监护病房(NICU)护士对指南预防压力损伤(PI)的态度、依从性及影响因素,并探讨态度与依从性之间的关系。方法:在中国16个省份进行了多地点、定量、横断面研究。数据通过自我报告的问卷收集,包括三个部分:人口统计信息、对PI预防的态度和对循证PI预防的依从性。采用PASS 2025计算样本量,采用方便抽样法。采用SPSS 27统计软件对数据进行分析,采用单因素分析和多元logistic回归检验人口学数据与预防态度和依从性的关系。此外,APuP与粘附之间的关系通过结构方程模型(SEM)显示,在Amos 24.0中估计。结果:共纳入465名新生儿重症监护病房护士。NICU护士预防PI态度的平均得分为78.06%,预防PI责任分量表的平均得分最高(85%)。PI预防依从性平均得分为132.93±15.21分,评分率为88.62%。平均得分最高的是“皮肤评估与护理”分量表(41.51±4.47,92.24%),其次是“重新定位与活动”分量表(22.92±2.64,91.68%)和“医疗器械”分量表(27.33±3.29,91.1%)。接受过PI预防指南培训的护士对PI预防态度≥75%的比例为未接受培训护士的1.822倍(P = 0.008)。此外,临床专科护士(CNS)对PI预防实践依从性≥90%的人数是未依从者的1.684倍(P = 0.028)。结论:中国NICU护士预防PI的态度和依从性水平相对较好,较差,态度与依从性呈正相关关系。
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引用次数: 0
Pressure injury prevention knowledge in nursing professionals 护理专业人员的压力伤害预防知识
IF 2.4 3区 医学 Q2 DERMATOLOGY Pub Date : 2025-11-07 DOI: 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.
在西班牙,压力伤害是一个重要的健康问题,影响到所有级别的护理。在护理中,预防这种类型的伤害被认为是护理人员发挥主要作用的优先活动。因此,了解可能的培训需求可以规划并将资源引导到那些存在较大知识缺口的领域。目的了解护理人员对压伤预防指南的了解情况。方法采用2023年1月1日至2024年12月31日在西班牙萨拉曼卡卫生区工作的护士自行填写的压力伤害预防知识问卷(PIPK)进行描述性横断面研究。结果调查对象共164人(女性89%),平均年龄36岁,平均从业经验13年。其中,132名护士在萨拉曼卡大学医院工作,29名护士在初级保健部门工作。全球平均知识指数为85.2%,无知指数为7.78%。接受过研究生或专业护理培训(P = 0.003)和经验更多年(P = 0.004)的专业人员在PIPK问卷上的知识得分更高,所有服务的结果都是一致的。结论萨拉曼卡卫生区护士的知识水平相对于已发表的文献而言是适宜的。
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引用次数: 0
Knowledge, attitudes, and practices (KAP) of nurses towards wound cleansing: design and evaluation of measurement properties of a questionnaire 护士对伤口清洁的知识、态度和实践(KAP):问卷测量特性的设计和评估
IF 2.4 3区 医学 Q2 DERMATOLOGY Pub Date : 2025-11-07 DOI: 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.
背景:伤口清洗是慢性伤口管理的一个基本组成部分;然而,指导实践的高质量证据是有限的。了解护士的知识、态度和实践(KAP)是必不可少的,但没有公开证据表明存在可接受的测量属性。目的编制社区护士伤口清洁KAP问卷,并对问卷的测量性质进行评价。方法采用多阶段研究,包括文献/共识项生成;两轮国际德尔菲进程;先导认知访谈;并在加拿大进行实地测试。评估知识的项目效度和构念效度;内部一致性态度(Cronbach’s α);所有KAP项目的稳定性采用重测信度。结果26位专家支持内容相关性;反馈导致了有针对性的修订。现场测试涉及130名护士(83.1%为家庭护理;80%具有≥5年伤口护理经验)。有几个知识点过于简单(≥0.90);没有负面歧视。态度的探索性主成分分析产生三个成分(63%的方差);内部一致性范围为α = 0.41 ~ α = 0.76。在子样本(n = 30)中,知识κ值的范围从轻微/一般到大量;一些项目显示天花板效应(均匀反应,κ未定义)。态度与练习项目水平的班级内相关系数差异为(.07 -。95),个别≥.75,其他≥. 60。已知组比较支持受过正规教育的护士知识水平较高。结论证据支持内容效度和明确的态度结构;内部一致性和稳定性对某些要素是可以接受的,但对其他要素则低于阈值。未来的改进和确认测试是有保证的。
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引用次数: 0
Improving concordance with long-term compression therapy amongst people with venous ulceration: A Delphi study- clinician cohort 改善静脉溃疡患者长期压迫治疗的一致性:德尔菲研究-临床医师队列。
IF 2.4 3区 医学 Q2 DERMATOLOGY Pub Date : 2025-11-01 DOI: 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).
Nelson和Adderley(2016)的研究表明,60- 80%的慢性静脉功能不全(CVI)患者会出现静脉性腿部溃疡(VLU)。VLU的金标准治疗是应用压迫治疗(CT),它可以促进静脉回流,降低静脉压力,并最大限度地减少瘀滞(Bullock & Manias, 2022)。患者与CT的一致性不理想,只有40%的一致性,导致VLU复发的风险较高(Eri ckson等,1995;Fi nlayson等,2014;K app et al., 2013)。这对医疗保健构成了重大而昂贵的挑战(Smith & mcguinness, 2010)。采用德尔菲研究确定影响CT一致性的因素。该研究要求参与者对促进和谐的因素和阻碍和谐的因素进行排序。结果显示,临床医生确定了44个促进一致性的因素和46个在初始阶段作为障碍的因素。由肯德尔W系数衡量的共识水平在参与者中从中等到强不等(Zanotti & Chiffi, 2015)。
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引用次数: 0
Infrared thermography for assessing skin temperature characteristics of postoperative blanching erythema and stage 1 pressure injuries 红外热成像评价术后焯水性红斑和1期压伤的皮肤温度特征。
IF 2.4 3区 医学 Q2 DERMATOLOGY Pub Date : 2025-11-01 DOI: 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.
目的:探讨红外热像仪在评价术后焯水性红斑及1期压伤患者皮肤温度特征中的应用。方法:采用观察性研究设计。我们招募了323例全麻患者,预计手术时间超过3小时,术中出现骶骨压力。采集骶骨区域红外热像,并在进入手术室前、进入麻醉后护理单元后、术后3天每天进行皮肤评估。结果:1期压伤12例,烫红性红斑81例。与周围正常皮肤相比,当患处温度升高时,1期压力损伤的ΔT值明显高于焯水性红斑(p = 0.001)。温度降低后,1期压伤与烫漂性红斑的ΔT差异无统计学意义(p = 0.881)。然而,较高比例的1期压力损伤区域表现出低体温(50%对8.6%)。结论:与邻近正常皮肤相比,术后焯水性红斑和1期压伤的皮肤温度升高或降低。与焯水性红斑相比,第1阶段压伤更有可能出现低体温区域或在受影响区域表现出更明显的相对温度升高。
{"title":"Infrared thermography for assessing skin temperature characteristics of postoperative blanching erythema and stage 1 pressure injuries","authors":"Ying Xu ,&nbsp;Min Xu ,&nbsp;Pan Huang ,&nbsp;Qianqian Zhu ,&nbsp;Xiaoqiong Jiang ,&nbsp;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}
引用次数: 0
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IF 2.4 3区 医学 Q2 DERMATOLOGY Pub Date : 2025-11-01 DOI: 10.1016/S0965-206X(25)00119-6
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引用次数: 0
The incidence, prevalence, and risk factors of medical device-related pressure injuries in paediatric inpatients: A systematic review and meta-analysis 儿科住院患者医疗器械相关压力损伤的发生率、流行率和危险因素:系统回顾和荟萃分析
IF 2.4 3区 医学 Q2 DERMATOLOGY Pub Date : 2025-11-01 DOI: 10.1016/j.jtv.2025.100966
Yuan Li , Hanmei Peng , Xia Li , Ying-Xin Li , Xi Huang , Xuemei Guo , Ru Yang , Zeyao Shi , Biru Luo , Yan-Ling Hu , Yan Huang

Background

Medical device-related pressure injuries (MDRPIs) represent an increasing safety concern for paediatric inpatients, yet evidence regarding their epidemiology remains inconsistent. This study aimed to systematically review and meta-analyse the incidence, prevalence, and risk factors for MDRPIs in hospitalised children, and to identify the most common medical devices implicated.

Methods

Databases including PubMed, Medline, Embase, Web of Science, Scopus, and CINAHL were searched from inception to December 18, 2024, with an update on April 1, 2025. Two reviewers independently screened studies, extracted data, and assessed bias using Joanna Briggs Institute (JBI) tools. Pooled incidence and prevalence were estimated using random-effects meta-analysis. Heterogeneity was assessed; and for outcomes with ≥10 studies, subgroup, publication bias, and sensitivity analyses (including Bayesian meta-analysis) were performed. Commonly implicated medical devices were categorized and their reporting frequencies summarized.

Results

Eighteen studies, involving 15,991 paediatric patients across nine countries, were included. The pooled MDRPI incidence was 11.0 % (95 % CI: 5.2 %–22.0 %), and prevalence was 12.6 % (95 % CI: 1.1 %–65.8 %), both with substantial heterogeneity. Neonatal and Paediatric Intensive Care Units (NICUs/PICUs) exhibited the highest incidence (15.3 %/12.9 %). Key risk factors included younger age, low birth weight, immobility, multiple devices, and prolonged hospitalization. Respiratory support devices, monitoring equipment, and vascular access lines were frequently implicated.

Conclusions

MDRPIs pose a considerable burden on paediatric inpatients, especially in intensive care. This review provides updated epidemiological estimates, delineates key risk factors, and identifies common causative devices, highlighting the need for targeted preventive nursing strategies to improve patient safety.
背景:医疗器械相关压力损伤(mdrpi)是儿科住院患者日益关注的安全问题,但有关其流行病学的证据仍不一致。本研究旨在系统回顾和荟萃分析住院儿童mdrpi的发病率、流行率和危险因素,并确定最常见的医疗器械。方法检索PubMed、Medline、Embase、Web of Science、Scopus、CINAHL等数据库,检索时间为成立至2024年12月18日,更新时间为2025年4月1日。两位审稿人独立筛选研究,提取数据,并使用乔安娜布里格斯研究所(JBI)工具评估偏倚。使用随机效应荟萃分析估计合并发病率和患病率。评估异质性;对于≥10项研究的结果,进行亚组、发表偏倚和敏感性分析(包括贝叶斯荟萃分析)。对通常涉及的医疗器械进行分类并总结其报告频率。结果纳入了18项研究,涉及9个国家的15991名儿科患者。合并MDRPI发生率为11.0% (95% CI: 5.2% - 22.0%),患病率为12.6% (95% CI: 1.1% - 65.8%),两者均具有显著的异质性。新生儿和儿科重症监护病房(NICUs/PICUs)的发病率最高(15.3% / 12.9%)。主要危险因素包括年龄小、出生体重低、行动不便、使用多种器械和住院时间过长。呼吸支持装置、监测设备和血管通路经常受到影响。结论smdrpi给儿科住院患者,尤其是重症监护患者带来了相当大的负担。这篇综述提供了最新的流行病学估计,描述了关键的危险因素,并确定了常见的致病装置,强调了有针对性的预防性护理策略以提高患者安全的必要性。
{"title":"The incidence, prevalence, and risk factors of medical device-related pressure injuries in paediatric inpatients: A systematic review and meta-analysis","authors":"Yuan Li ,&nbsp;Hanmei Peng ,&nbsp;Xia Li ,&nbsp;Ying-Xin Li ,&nbsp;Xi Huang ,&nbsp;Xuemei Guo ,&nbsp;Ru Yang ,&nbsp;Zeyao Shi ,&nbsp;Biru Luo ,&nbsp;Yan-Ling Hu ,&nbsp;Yan Huang","doi":"10.1016/j.jtv.2025.100966","DOIUrl":"10.1016/j.jtv.2025.100966","url":null,"abstract":"<div><h3>Background</h3><div>Medical device-related pressure injuries (MDRPIs) represent an increasing safety concern for paediatric inpatients, yet evidence regarding their epidemiology remains inconsistent. This study aimed to systematically review and meta-analyse the incidence, prevalence, and risk factors for MDRPIs in hospitalised children, and to identify the most common medical devices implicated.</div></div><div><h3>Methods</h3><div>Databases including PubMed, Medline, Embase, Web of Science, Scopus, and CINAHL were searched from inception to December 18, 2024, with an update on April 1, 2025. Two reviewers independently screened studies, extracted data, and assessed bias using Joanna Briggs Institute (JBI) tools. Pooled incidence and prevalence were estimated using random-effects meta-analysis. Heterogeneity was assessed; and for outcomes with ≥10 studies, subgroup, publication bias, and sensitivity analyses (including Bayesian meta-analysis) were performed. Commonly implicated medical devices were categorized and their reporting frequencies summarized.</div></div><div><h3>Results</h3><div>Eighteen studies, involving 15,991 paediatric patients across nine countries, were included. The pooled MDRPI incidence was 11.0 % (95 % CI: 5.2 %–22.0 %), and prevalence was 12.6 % (95 % CI: 1.1 %–65.8 %), both with substantial heterogeneity. Neonatal and Paediatric Intensive Care Units (NICUs/PICUs) exhibited the highest incidence (15.3 %/12.9 %). Key risk factors included younger age, low birth weight, immobility, multiple devices, and prolonged hospitalization. Respiratory support devices, monitoring equipment, and vascular access lines were frequently implicated.</div></div><div><h3>Conclusions</h3><div>MDRPIs pose a considerable burden on paediatric inpatients, especially in intensive care. This review provides updated epidemiological estimates, delineates key risk factors, and identifies common causative devices, highlighting the need for targeted preventive nursing strategies to improve patient safety.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100966"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145465554","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}
引用次数: 0
The incidence of depression and its associated risk factors among diabetic foot ulcers patients: A meta-analysis and systematic review 糖尿病足溃疡患者抑郁发生率及其相关危险因素:荟萃分析和系统回顾
IF 2.4 3区 医学 Q2 DERMATOLOGY Pub Date : 2025-11-01 DOI: 10.1016/j.jtv.2025.100964
Yuai Ying, Ying Lv, Hongfang Zhu, Yini Zhang, Xiaowen Fang

Objective

This study aims to investigate the incidence of depression and its associated risk factors among patients with diabetic foot ulcers (DFU), thereby providing an evidence-based foundation to facilitate early clinical intervention strategies.

Method

A comprehensive computerized literature search was conducted to identify studies examining the incidence and/or risk factors of depression among patients with DFU. The retrieved literature was selected according to predefined inclusion and exclusion criteria. Meta-analysis was performed using Stata 18.0 software to assess the incidence of depression among DFU patients.

Results

A systematic review of the literature identified 19 eligible studies encompassing a total of 1369 patients. The incidence of depression among patients with DFU was 45 %. The subgroup analysis identified that age, the ulcer duration and Wagner ulcer classification were significant risk factors associated with depressive symptoms among DFU patients (P < 0.05).

Conclusion

Depression has a high incidence among DFU patients. Clinical healthcare professionals should implement early, targeted interventions addressing relevant risk factors to mitigate its occurrence.
目的:探讨糖尿病足溃疡(DFU)患者抑郁发生率及其相关危险因素,为临床早期干预策略提供循证依据。方法:进行全面的计算机文献检索,以确定检查DFU患者抑郁发生率和/或危险因素的研究。根据预定义的纳入和排除标准选择检索到的文献。采用Stata 18.0软件进行meta分析,评估DFU患者抑郁发生率。结果:系统回顾了19项符合条件的研究,共纳入1369例患者。DFU患者抑郁发生率为45%。亚组分析发现,年龄、溃疡病程、Wagner溃疡分型是影响DFU患者抑郁症状的重要危险因素(P)。临床卫生保健专业人员应尽早实施针对相关风险因素的有针对性的干预措施,以减轻其发生。
{"title":"The incidence of depression and its associated risk factors among diabetic foot ulcers patients: A meta-analysis and systematic review","authors":"Yuai Ying,&nbsp;Ying Lv,&nbsp;Hongfang Zhu,&nbsp;Yini Zhang,&nbsp;Xiaowen Fang","doi":"10.1016/j.jtv.2025.100964","DOIUrl":"10.1016/j.jtv.2025.100964","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to investigate the incidence of depression and its associated risk factors among patients with diabetic foot ulcers (DFU), thereby providing an evidence-based foundation to facilitate early clinical intervention strategies.</div></div><div><h3>Method</h3><div>A comprehensive computerized literature search was conducted to identify studies examining the incidence and/or risk factors of depression among patients with DFU. The retrieved literature was selected according to predefined inclusion and exclusion criteria. Meta-analysis was performed using Stata 18.0 software to assess the incidence of depression among DFU patients.</div></div><div><h3>Results</h3><div>A systematic review of the literature identified 19 eligible studies encompassing a total of 1369 patients. The incidence of depression among patients with DFU was 45 %. The subgroup analysis identified that age, the ulcer duration and Wagner ulcer classification were significant risk factors associated with depressive symptoms among DFU patients (<em>P</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Depression has a high incidence among DFU patients. Clinical healthcare professionals should implement early, targeted interventions addressing relevant risk factors to mitigate its occurrence.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100964"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145409596","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}
引用次数: 0
Understanding the association between pressure ulcers and sitting in adults: What does it mean for all of us? 了解成人压疮和久坐之间的关系:这对我们所有人意味着什么?
IF 2.4 3区 医学 Q2 DERMATOLOGY Pub Date : 2025-11-01 DOI: 10.1016/j.jtv.2025.100937
M. Stephens , C.A. Bartley , D.S. Chester Bessell , C. Greenwood , A. Marshall , S. Neill , S. Rooney , S. Rose , S.A. Scattergood , P.R. Worsley
This third version of the seating guidelines aims to deliver a practical guide, using the most up to date research and evidence on pressure ulcer prevention and management. This guide can be applied to adults who remain seated for extended periods of time across health and social care settings. In the UK, over 700,000 patients are affected by pressure ulcers each year; 180,000 of those are newly acquired and their treatment is estimated to cost the NHS £3.8 million every day. Therefore, guidelines that have been written for people living or working in health and social care are essential. Within the guidelines the authors explore how and where pressure ulcers develop when seated, the potential risk factors, the best possible seated position, ideal seating assessment, and who might be involved and what interventions can one expect after a seating assessment. The guidelines then go on to examine cushion and static chair selection, cushion covers, wheelchairs, and the use of tilt, recline, and elevating leg rests. Finally there is an examination of self-help strategies to prevent pressure ulcers, the key outcomes for those who remain seated for long periods and standards for procuring and testing cushions and static chairs.
这第三版的座位指南旨在提供一个实用的指南,使用最新的研究和证据对压疮的预防和管理。本指南适用于在卫生和社会保健机构中长时间坐着的成年人。在英国,每年有超过70万患者受到压疮的影响;其中18万人是新感染的,据估计,NHS每天的治疗费用为380万英镑。因此,为在卫生和社会保健领域生活或工作的人编写的准则至关重要。在指南中,作者探讨了坐着时压疮是如何和在哪里发生的,潜在的危险因素,最佳的坐姿,理想的座位评估,谁可能参与其中,以及在座位评估后可以期待什么干预措施。指南接着检查了坐垫和静态椅子的选择、坐垫套、轮椅以及倾斜、倾斜和抬高腿的使用。最后,还有一项关于预防压疮的自助策略的检查,对那些长时间坐着的人的关键结果,以及购买和测试坐垫和静态椅子的标准。
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引用次数: 0
The incidence and prevalence rates of pressure ulcers in the paediatric population: A meta-review of systematic reviews 儿科人群中压疮的发病率和患病率:一项系统综述的荟萃综述
IF 2.4 3区 医学 Q2 DERMATOLOGY Pub Date : 2025-11-01 DOI: 10.1016/j.jtv.2025.100962
Lauren Vickers , Carol Hilliard , Rosemarie Derwin , Fiona Boland , Zena Moore , Aglecia Moda Vitoriano Budri

Aim

This meta-review examined the incidence and prevalence rates of pressure ulcers in paediatric populations, to place in context the scope of the problem in this cohort of patients. The findings provide a foundation for future research on early factors contributing to paediatric pressure ulcers, aiming to improve understanding and prevention.

Method

A protocol for this study was registered with the International Prospective Register of Systematic Reviews. This meta-review followed the recommendations from the Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines. A comprehensive electronic literature search was undertaken of seven databases in February 2025. Search terms and keywords were identified to try and identify as many relevant articles as possible. Inclusion and exclusion criteria were applied, and articles which were identified were critically appraised using the Joanna Briggs Institute checklist for systematic reviews. Individual studies were extracted from the systematic reviews, duplicates were removed manually. From these individual studies, data points were identified for extraction and inclusion in this meta-review. Reported incidence and prevalence rates were broken into categories based on the type of pressure ulcer: hospital-acquired, medical device-related and tracheostomy-related pressure ulcers.

Results

Five systematic reviews met the inclusion criteria and were included in this review. Three types of pressure ulcers were discussed in the included studies: hospital-acquired pressure ulcers, medical device-related pressure ulcers, and tracheostomy-related pressure ulcers. Pooled incidence and prevalence rates were calculated using the STATA application and the Metaprop command. The pooled incidence rate for hospital-acquired pressure ulcers was 8 % (95 % Confidence Interval [CI]: 4 %–13 %), and for medical device-related pressure ulcers was 9 % (95 % CI: 2 %–19 %). The pooled prevalence rate for hospital-acquired pressure ulcers was 8 % (95 % CI: 5 %–12 %), and for medical device-related pressure ulcers was 10 % (95 % CI: 1 %–26 %). Studies related to tracheostomy-related pressure ulcers showed a pooled risk ratio of 0.35 (95 % CI 0.26–0.49).

Conclusion

Pressure ulcers are a concern in paediatric populations, with comparable incidence and prevalence rates between hospital-acquired and medical device-related pressure ulcers. Children with tracheostomies face a significantly higher risk of developing pressure ulcers, highlighting the need for tailored preventive interventions. The findings here point to the need for vigilant preventive measures and tailored interventions to safeguard the well-being of young patients against pressure ulcers.
目的:本荟萃综述检查了儿科人群中压疮的发病率和患病率,以确定该患者队列中问题的范围。该研究结果为未来研究导致儿童压疮的早期因素提供了基础,旨在提高理解和预防。方法本研究的方案已在国际前瞻性系统评价注册中注册。本荟萃综述遵循了《系统评价和荟萃分析指南首选报告项目》的建议。2025年2月对七个数据库进行了全面的电子文献检索。搜索词和关键字被识别出来,试图识别尽可能多的相关文章。采用纳入和排除标准,并使用乔安娜布里格斯研究所检查表对确定的文章进行系统评价。从系统综述中提取个别研究,手动删除重复研究。从这些单独的研究中,确定数据点用于提取和纳入本荟萃综述。报告的发病率和流行率根据压疮的类型分为:医院获得性、医疗器械相关和气管造口相关压疮。结果5篇系统评价符合纳入标准,纳入本综述。在纳入的研究中讨论了三种类型的压力性溃疡:医院获得性压力性溃疡、医疗器械相关压力性溃疡和气管造口相关压力性溃疡。使用STATA应用程序和Metaprop命令计算合并发病率和患病率。医院获得性压疮的总发病率为8%(95%可信区间[CI]: 4% - 13%),与医疗器械相关的压疮的总发病率为9%(95%可信区间[CI]: 2% - 19%)。医院获得性压疮的总患病率为8%(95%可信区间:5% - 12%),医疗器械相关压疮的总患病率为10%(95%可信区间:1% - 26%)。与气管造口术相关的压疮相关的研究显示合并风险比为0.35 (95% CI 0.26-0.49)。结论:压疮是儿科人群关注的问题,医院获得性和医疗器械相关性压疮的发病率和患病率相当。接受气管切开术的儿童患压疮的风险明显更高,因此需要量身定制的预防性干预措施。研究结果指出,需要采取警惕的预防措施和量身定制的干预措施,以保护年轻患者免受压疮的侵害。
{"title":"The incidence and prevalence rates of pressure ulcers in the paediatric population: A meta-review of systematic reviews","authors":"Lauren Vickers ,&nbsp;Carol Hilliard ,&nbsp;Rosemarie Derwin ,&nbsp;Fiona Boland ,&nbsp;Zena Moore ,&nbsp;Aglecia Moda Vitoriano Budri","doi":"10.1016/j.jtv.2025.100962","DOIUrl":"10.1016/j.jtv.2025.100962","url":null,"abstract":"<div><h3>Aim</h3><div>This meta-review examined the incidence and prevalence rates of pressure ulcers in paediatric populations, to place in context the scope of the problem in this cohort of patients. The findings provide a foundation for future research on early factors contributing to paediatric pressure ulcers, aiming to improve understanding and prevention.</div></div><div><h3>Method</h3><div>A protocol for this study was registered with the International Prospective Register of Systematic Reviews. This meta-review followed the recommendations from the Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines. A comprehensive electronic literature search was undertaken of seven databases in February 2025. Search terms and keywords were identified to try and identify as many relevant articles as possible. Inclusion and exclusion criteria were applied, and articles which were identified were critically appraised using the Joanna Briggs Institute checklist for systematic reviews. Individual studies were extracted from the systematic reviews, duplicates were removed manually. From these individual studies, data points were identified for extraction and inclusion in this meta-review. Reported incidence and prevalence rates were broken into categories based on the type of pressure ulcer: hospital-acquired, medical device-related and tracheostomy-related pressure ulcers.</div></div><div><h3>Results</h3><div>Five systematic reviews met the inclusion criteria and were included in this review. Three types of pressure ulcers were discussed in the included studies: hospital-acquired pressure ulcers, medical device-related pressure ulcers, and tracheostomy-related pressure ulcers. Pooled incidence and prevalence rates were calculated using the STATA application and the Metaprop command. The pooled incidence rate for hospital-acquired pressure ulcers was 8 % (95 % Confidence Interval [CI]: 4 %–13 %), and for medical device-related pressure ulcers was 9 % (95 % CI: 2 %–19 %). The pooled prevalence rate for hospital-acquired pressure ulcers was 8 % (95 % CI: 5 %–12 %), and for medical device-related pressure ulcers was 10 % (95 % CI: 1 %–26 %). Studies related to tracheostomy-related pressure ulcers showed a pooled risk ratio of 0.35 (95 % CI 0.26–0.49).</div></div><div><h3>Conclusion</h3><div>Pressure ulcers are a concern in paediatric populations, with comparable incidence and prevalence rates between hospital-acquired and medical device-related pressure ulcers. Children with tracheostomies face a significantly higher risk of developing pressure ulcers, highlighting the need for tailored preventive interventions. The findings here point to the need for vigilant preventive measures and tailored interventions to safeguard the well-being of young patients against pressure ulcers.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 4","pages":"Article 100962"},"PeriodicalIF":2.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145416109","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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Journal of tissue viability
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