Journal of tissue viability最新文献_第6页

Impact of systemic sclerosis on foot skin hydration: A case-control study 系统性硬化症对足部皮肤水化的影响：一项病例对照研究

IF 2.4 3区医学 Q2 DERMATOLOGY

Journal of tissue viability

Pub Date : 2025-05-17 DOI: 10.1016/j.jtv.2025.100929

Alba Gracia-Sánchez , Laura Cano-García , Laura Ramos-Petersen , Gabriel Gijón-Nogueron , Sara Zúnica-García , Esther Chicharro-Luna

Introduction

Systemic sclerosis (SSc), or scleroderma, is a connective tissue disease characterized by excessive collagen production, leading to microvascular damage, fibrosis, and dysfunction of the skin and internal organs. The skin of the foot, due to its weight-bearing function and exposure to mechanical forces, may undergo alterations, contributing to the development of ulcers and other podiatric complications. However, little is known about foot skin hydration in patients with SSc. This study aims to assess the hydration level of the stratum corneum in the foot skin of patients with SSc.

Materials and methods

A case-control study was conducted at the Clinical Rheumatology Unit of the Regional University Hospital of Málaga (Spain). Participants included 47 patients diagnosed with SSc and 52 age- and sex-matched controls. Hydration measurements were performed at ten points on the foot using the Corneometer 825® device. Sociodemographic and clinical data, including smoking habits, were also collected.

Results

No significant differences were found in total foot hydration between the SSc and control groups (p = 0.254 for the right foot, p = 0.835 for the left foot), although a trend towards lower hydration was observed in the feet of affected patients. Differences were identified in specific areas of the foot, with lower hydration levels in the arch and the medial and lateral heel regions. In the medial arch of the right foot, the SSc group showed significantly lower hydration (p = 0.006). No significant associations were found with age, body mass index (BMI), physical activity, or water intake, but an association with smoking habits was observed in SSc patients; non-smokers had higher foot hydration levels compared to former and current smokers (p = 0.06).

Conclusion

Patients with systemic sclerosis present reduced hydration in specific areas of the foot, particularly in the medial arch. Smoking may negatively influence foot skin hydration. Further research is needed to explore these findings and their implications for podiatric care in patients with SSc.

系统性硬化症（SSc）或硬皮病是一种结缔组织疾病，其特征是胶原蛋白产生过多，导致微血管损伤、纤维化以及皮肤和内脏功能障碍。足部皮肤由于其承重功能和受到机械力的影响，可能会发生变化，导致溃疡和其他足部并发症的发生。然而，对于SSc患者足部皮肤水合作用的了解甚少。本研究旨在评估SSc患者足部皮肤角质层的水合水平。材料和方法在Málaga（西班牙）地区大学医院临床风湿病科进行了一项病例对照研究。参与者包括47名诊断为SSc的患者和52名年龄和性别匹配的对照组。使用Corneometer 825®设备在足部的十个点进行水合作用测量。还收集了包括吸烟习惯在内的社会人口学和临床数据。结果SSc组与对照组的足部总水化程度无显著差异（右脚p = 0.254，左脚p = 0.835），但患者足部水化程度有降低的趋势。在足部的特定区域发现了差异，足弓和足跟内侧和外侧区域的水合水平较低。在右脚内侧弓，SSc组水合作用显著降低（p = 0.006）。年龄、体重指数（BMI）、体力活动或饮水量均未发现显著相关性，但在SSc患者中观察到与吸烟习惯相关；与以前和现在的吸烟者相比，不吸烟者的足部水合水平更高（p = 0.06）。结论：系统性硬化症患者在足部特定区域，尤其是内侧足弓，存在水合作用减少的现象。吸烟可能会对足部皮肤水合作用产生负面影响。需要进一步的研究来探索这些发现及其对SSc患者足部护理的意义。

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引用次数: 0

Corrigendum to “Exploring physiological differences in injury response by skin tone: A scoping Review” [J Tissue Viabil (2025) 100871] [J].中国生物医学工程学报（自然科学版），2011,(1):1 - 4。

IF 2.4 3区医学 Q2 DERMATOLOGY

Journal of tissue viability

Pub Date : 2025-05-07 DOI: 10.1016/j.jtv.2025.100896

Pinar Avsar , Zena Moore , Declan Patton , Tom O'Connor , Lone Skoubo Bertelsen , Desmond J. Tobin , Giulio Brunetti , Keryln Carville , Vignesh Iyer , Hannah Wilson

引用次数: 0

Effectiveness of a standardized skin care protocol in reducing incontinence-associated dermatitis among critical care patients: A clinical investigation 标准化皮肤护理方案在减少重症患者尿失禁相关性皮炎中的有效性：一项临床调查

IF 2.4 3区医学 Q2 DERMATOLOGY

Journal of tissue viability

Pub Date : 2025-05-03 DOI: 10.1016/j.jtv.2025.100924

Shimmaa Mohamed Elsayed , Mohamed Mahmoud Seweid , Samah Anwar , Sameer A. Alkubati , Sally Mohammed Farghaly Abdelaliem PhD, MSC, BSc, RN, FHEA , Nermine Mohamed Elcokany

Background

Incontinence-associated dermatitis (IAD) is a common yet preventable skin condition among critically ill patients. Implementing standardized skin care protocols may help reduce its incidence and severity.

Aim

This study aimed to investigate the effectiveness of implementing a standardized skin care protocol in preventing IAD among critically ill patients.

Materials and methods

A quasi-experimental research design adhering to the STROBE guidelines was used. The study was conducted in the intensive care units of a Governmental University Hospital, Egypt. A total of 100 adult critically ill patients were enrolled: 50 in the experimental group, who received the standardized skin care protocol, and 50 in the control group, who received routine skin care. Clinical and demographic data were collected. The study group followed the protocol for seven days. Two tools were used for data collection: Tool 1 involved demographic and clinical data, while Tool 2 included the Perineal Assessment Tool, the Incontinence-Associated Dermatitis Severity Instrument, and the Braden Scale for pressure ulcer risk assessment. Both groups were compared regarding the development of pressure ulcers, their locations, and the incidence of IAD.

Results

Application of the skin care protocol significantly reduced the incidence and severity of IAD in the study group compared to the control group. Significant predictors of increased risk for IAD included age, body mass index, fluid balance, and mean temperature (p ≤ 0.05). Serum albumin was not a significant predictor (p = 0.341).

Conclusion

Implementing a standardized skin care protocol effectively lowered the incidence and severity of IAD in critically ill patients and delayed its development. These findings highlight the importance of evidence-based skin care practices in intensive care settings.

背景：尿失禁相关性皮炎（IAD）是危重患者中一种常见但可预防的皮肤病。实施标准化的皮肤护理方案可能有助于减少其发病率和严重程度。目的本研究旨在探讨实施标准化皮肤护理方案在预防重症患者IAD中的有效性。材料与方法采用准实验研究设计，遵循STROBE准则。这项研究是在埃及一所政府大学医院的重症监护室进行的。共纳入100例成人危重患者：实验组50例，采用标准化皮肤护理方案；对照组50例，采用常规皮肤护理方案。收集临床和人口统计数据。研究小组遵循该方案7天。两种工具用于数据收集：工具1涉及人口统计学和临床数据，而工具2包括会阴评估工具、失禁相关性皮炎严重程度工具和用于压疮风险评估的Braden量表。比较两组患者压疮的发生情况、部位和IAD的发生率。结果与对照组相比，皮肤护理方案的应用显著降低了IAD的发生率和严重程度。年龄、体重指数、体液平衡和平均体温是IAD风险增加的重要预测因素（p≤0.05）。血清白蛋白不是显著的预测因子（p = 0.341）。结论实施规范的皮肤护理方案可有效降低重症患者IAD的发生率和严重程度，延缓其发展。这些发现强调了重症监护环境中循证皮肤护理实践的重要性。

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引用次数: 0

The ability of three pressure-ulcer prevention support-surfaces to maintain physiological transcutaneous gas tensions in the seated patient 三种压疮预防支持面在坐位患者中维持经皮气体张力的能力

IF 2.4 3区医学 Q2 DERMATOLOGY

Journal of tissue viability

Pub Date : 2025-05-03 DOI: 10.1016/j.jtv.2025.100920

Maegan Spiteri , Alexandros Christou , Colin Boyle , Louise Savine , Peter R. Worsley , Spyros Masouros

Aims

This study evaluates the effectiveness of three seating interventions—static foam (SF), alternating pressure (AP) cushion, and lateral pressure (LP) device—in reducing pressure ulcer (PU) risk among seated individuals by maintaining tissue perfusion levels in buttocks tissue.

Methods

Eight healthy participants were seated on each intervention for 30 min, followed by a 10-min standing recovery period. Transcutaneous tissue oxygen (TcPO₂) and carbon dioxide (TcPCO₂) were measured at the right ischial tuberosity to monitor tissue perfusion. Responses were recorded as a percentage change relative to each participant's unloaded baseline gas tensions and categorised into three levels of risk. Statistical analysis included paired, one-tailed t-tests to compare the impact of each seating intervention on transcutaneous gas tensions.

Results

Both AP and LP devices revealed a lower magnitude of ischemic carbon dioxide compared to the SF cushion, with mean TcPCO₂ increases of 13.8 % ± 12.0 % and 14.3 % ± 12.0 %, respectively, versus 96.5 % ± 106.5 % for SF. The corresponding TcPO₂ decrease was significantly less for AP (−29.2 % ± 15.7 %) and LP (−28.3 % ± 32.6 %) than for SF (−67.8 % ± 29.0 %). Participants spent significantly more time in the lowest risk category on the AP (17.5 min) and LP (18.2 min) devices than on the SF (2.2 min).

Conclusion

The AP and LP devices maintained favourable buttocks tissue perfusion more effectively compared to the SF, indicating their potential benefit in reducing PU risk for seated patients. These findings support the need for further research to confirm the efficacy of interventions across large sample sizes and longer durations.

目的：本研究评估了三种坐位干预措施——静态泡沫（SF）、交变压力（AP）缓冲垫和侧压（LP）装置——通过维持臀部组织灌注水平来降低坐位个体压疮（PU）风险的有效性。方法8名健康参与者在每次干预中坐下30分钟，然后站立10分钟恢复时间。在右侧坐骨结节处测定经皮组织氧（TcPO2）和二氧化碳（TcPCO2），监测组织灌注。反应被记录为相对于每个参与者卸载的基线气体张力的百分比变化，并分为三个风险级别。统计分析包括配对、单尾t检验，以比较每种座位干预对经皮气体张力的影响。结果与SF缓冲垫相比，AP和LP装置显示出较低的缺血性二氧化碳水平，TcPCO2平均分别增加13.8%±12.0%和14.3%±12.0%，而SF缓冲垫平均增加96.5%±106.5%。AP（- 29.2%±15.7%）和LP（- 28.3%±32.6%）相应的TcPO2下降明显小于SF（- 67.8%±29.0%）。参与者在最低风险类别中使用AP（17.5分钟）和LP（18.2分钟）的时间明显多于使用SF（2.2分钟）的时间。结论与SF相比，AP和LP装置更有效地维持了良好的臀部组织灌注，这表明它们在降低坐位患者PU风险方面具有潜在的益处。这些发现支持需要进一步研究，以确认大样本量和较长持续时间的干预措施的有效性。

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引用次数: 0

A discourse on skin tone assessment: The how, the why, and the path toward equitable pressure ulcer prevention 关于肤色评估的论述：如何，为什么，以及公平预防压疮的途径

IF 2.4 3区医学 Q2 DERMATOLOGY

Journal of tissue viability

Pub Date : 2025-05-01 DOI: 10.1016/j.jtv.2025.100897

Pinar Avsar, Zena Moore, Declan Patton, Hannah Wilson

引用次数: 0

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IF 2.4 3区医学 Q2 DERMATOLOGY

Journal of tissue viability

Pub Date : 2025-05-01 DOI: 10.1016/S0965-206X(25)00071-3

引用次数: 0

Exploration of current practice and context for the prevention and treatment of incontinence associated dermatitis for adults living in care homes and community settings: a qualitative study 探索目前的实践和背景，预防和治疗失禁相关性皮炎的成人生活在养老院和社区设置：一项定性研究

IF 2.4 3区医学 Q2 DERMATOLOGY

Journal of tissue viability

Pub Date : 2025-04-30 DOI: 10.1016/j.jtv.2025.100925

Sue Woodward , Tanya Graham , Sangeeta Sooriah , Christopher Chatterton , Mandy Fader , Joanne M. Fitzpatrick , Hilary Gadd , Ruth Harris , Farzana Kausir , Christine Norton , Peter R. Worsley

Aims

This study aimed to explore current practice and context for the prevention and treatment of incontinence associated dermatitis (IAD), identify challenges and solutions, current prevention and treatment strategies, and products used.

Materials and methods

Using a qualitative cross-sectional approach online focus groups were conducted with stakeholders including experts by experience of IAD (n = 5) and health/care professionals (n = 16). Verbatim transcripts were coded independently by two researchers and analysed using framework analysis.

Results

Four themes and two sub-themes were identified: (1) Impact of IAD: “significant” damage could occur in a short space of time; (2) Uncertainty, is it IAD? Correct diagnosis of IAD was challenging, especially in people with black skin. Uncertainty was underpinned by a lack of education and clear guidance on skin inspection. (3) Lack of resources (sub-themes human resources and product resources): Lack of human resources related to the number of staff available, deficiency of knowledgeable and skilled staff, and limited leadership. Lack of availability of pads was a challenge and carers reduced the number of pad changes to “conserve pads”; (4) Variation in practice, both for cleansing skin and applying a leave-on ‘barrier’ product.

Conclusion

Care for adults with incontinence to prevent and/or treat IAD is challenging in the social care sector. Wide variation in practice exists and there is a need for educational interventions in the sector, targeting an international and transient workforce.

本研究旨在探讨目前预防和治疗尿失禁相关性皮炎（IAD）的实践和背景，确定挑战和解决方案，当前的预防和治疗策略以及使用的产品。材料和方法采用定性横断面方法与利益相关者进行在线焦点小组讨论，包括经验丰富的IAD专家（n = 5）和卫生/保健专业人员（n = 16）。逐字记录由两名研究人员独立编码，并使用框架分析进行分析。结果确定了四个主题和两个副主题：(1)网络成瘾的影响：在短时间内可能发生“重大”损害；(2)不确定性，是IAD吗？对IAD的正确诊断具有挑战性，特别是对黑皮肤人群。缺乏对皮肤检查的教育和明确指导，加剧了不确定性。(3)资源缺乏（分主题人力资源和产品资源）：人力资源缺乏与现有员工数量、缺乏知识和技能的员工以及有限的领导有关。缺乏可用的护垫是一个挑战，护理人员减少了更换护垫的次数，以“保存护垫”；(4)实践上的差异，无论是清洁皮肤还是使用免洗“屏障”产品。结论对成人尿失禁进行预防和/或治疗在社会护理领域具有挑战性。在实践中存在着广泛的差异，需要在该部门进行教育干预，以国际和流动劳动力为目标。

{"title":"Exploration of current practice and context for the prevention and treatment of incontinence associated dermatitis for adults living in care homes and community settings: a qualitative study","authors":"Sue Woodward , Tanya Graham , Sangeeta Sooriah , Christopher Chatterton , Mandy Fader , Joanne M. Fitzpatrick , Hilary Gadd , Ruth Harris , Farzana Kausir , Christine Norton , Peter R. Worsley","doi":"10.1016/j.jtv.2025.100925","DOIUrl":"10.1016/j.jtv.2025.100925","url":null,"abstract":"<div><h3>Aims</h3><div>This study aimed to explore current practice and context for the prevention and treatment of incontinence associated dermatitis (IAD), identify challenges and solutions, current prevention and treatment strategies, and products used.</div></div><div><h3>Materials and methods</h3><div>Using a qualitative cross-sectional approach online focus groups were conducted with stakeholders including experts by experience of IAD (n = 5) and health/care professionals (n = 16). Verbatim transcripts were coded independently by two researchers and analysed using framework analysis.</div></div><div><h3>Results</h3><div>Four themes and two sub-themes were identified: (1) Impact of IAD: “significant” damage could occur in a short space of time; (2) Uncertainty, is it IAD? Correct diagnosis of IAD was challenging, especially in people with black skin. Uncertainty was underpinned by a lack of education and clear guidance on skin inspection. (3) Lack of resources (sub-themes human resources and product resources): Lack of human resources related to the number of staff available, deficiency of knowledgeable and skilled staff, and limited leadership. Lack of availability of pads was a challenge and carers reduced the number of pad changes to “conserve pads”; (4) Variation in practice, both for cleansing skin and applying a leave-on ‘barrier’ product.</div></div><div><h3>Conclusion</h3><div>Care for adults with incontinence to prevent and/or treat IAD is challenging in the social care sector. Wide variation in practice exists and there is a need for educational interventions in the sector, targeting an international and transient workforce.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100925"},"PeriodicalIF":2.4,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144090224","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

Influences of enteral nutritional enriched with n-3 polyunsaturated fatty acids on postoperative wound infection following gastrointestinal surgery: A meta-analysis 富含n-3多不饱和脂肪酸的肠内营养对胃肠道手术后伤口感染的影响：一项荟萃分析

IF 2.4 3区医学 Q2 DERMATOLOGY

Journal of tissue viability

Pub Date : 2025-04-28 DOI: 10.1016/j.jtv.2025.100919

Ming Zhang , Hui-Juan Xiao , Yue Li, Ping Zheng, Hua-Ying Yan

Background and aim

Postoperative wound infections remain a significant challenge in gastrointestinal surgery, with substantial implications for prolonged hospital stays and healthcare costs. Immunonutrition with n-3 polyunsaturated fatty acids (PUFAs) offers potential preventive benefits through modulation of inflammatory responses. This study aimed to explore the impact of enteral nutritional enriched with n-3 PUFAs on wound infection in patients undergoing gastrointestinal surgery.

Methods

A thorough search was carried out, from databases to December 2023, across Cochrane Library, Embase, CNKI, Google Scholar, Wanfang, and PubMed on randomized controlled trials (RCTs) examining the impacts of enteral nutritional enriched with n-3 PUFAs for treatment of patients with gastrointestinal surgery. Two independent researchers conducted literature screening, data extraction, and quality assessments. The primary outcome measures were wound infection and complications. Statistical analysis was conducted in Stata 17.0 and RevMan 5.4 software.

Results

Fifteen RCTs involving 1442 patients who underwent gastrointestinal surgery were included. The analysis revealed the application of enteral nutritional enriched with n-3 PUFAs markedly decreased the occurrence of complications (odds ratio [OR] = 0.56, 95 % confidence intervals [CI]: 0.44–0.71, P < 0.001) and wound infection (OR = 0.68, 95 %CI: 0.47–0.98, P = 0.04) in patients who underwent gastrointestinal surgery.

Conclusions

This study demonstrates that postoperative support with enteral nutritional enriched with n-3 PUFAs can effectively decrease the occurrence of wound infections and postoperative complications following gastrointestinal surgery. These findings suggest that n-3 PUFAs supplementation should be considered as a standard component of perioperative nutritional protocols to improve surgical outcomes in patients undergoing gastrointestinal procedures.

背景和目的术后伤口感染仍然是胃肠道手术的重大挑战，对延长住院时间和医疗费用有重大影响。含有n-3多不饱和脂肪酸（PUFAs）的免疫营养通过调节炎症反应提供潜在的预防益处。本研究旨在探讨富含n-3 PUFAs的肠内营养对胃肠手术患者伤口感染的影响。方法从Cochrane Library、Embase、CNKI、b谷歌Scholar、万方、PubMed等数据库中检索截至2023年12月的随机对照试验（RCTs），研究富含n-3 PUFAs的肠内营养对胃肠道手术患者治疗的影响。两位独立研究人员进行了文献筛选、数据提取和质量评估。主要观察指标为伤口感染和并发症。在Stata 17.0和RevMan 5.4软件中进行统计分析。结果纳入15项随机对照试验，共1442例接受胃肠手术的患者。分析显示，应用富含n-3 PUFAs的肠内营养可显著降低并发症的发生(优势比[OR] = 0.56, 95%可信区间[CI]: 0.44-0.71, P <；0.001)和伤口感染（OR = 0.68, 95% CI: 0.47-0.98, P = 0.04）。结论经n-3 PUFAs肠内营养支持可有效减少胃肠道手术后伤口感染和术后并发症的发生。这些发现表明，补充n-3 PUFAs应被视为围手术期营养方案的标准组成部分，以改善胃肠手术患者的手术结果。

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引用次数: 0

Healthcare workers' knowledge, attitudes, practices, and influencing factors in the prevention of medical device-related pressure injuries: A scoping review 卫生保健工作者在预防医疗器械相关压力伤害方面的知识、态度、做法和影响因素：范围综述

IF 2.4 3区医学 Q2 DERMATOLOGY

Journal of tissue viability

Pub Date : 2025-04-22 DOI: 10.1016/j.jtv.2025.100916

Yanling Hu , Hanmei Peng , Xia Li , Xuemei Guo , Ying-Xin Li , Xi Huang , Ru Yang , Zeyao Shi , Yuan Li

Objectives

Medical device-related pressure injuries (MDRPIs) represent a significant iatrogenic complication in healthcare settings. Healthcare workers' competency in device management is crucial for MDRPI prevention, yet evidence regarding their preventive knowledge, attitudes, and practices remains fragmented. This study aims to synthesize evidence on assessment methods, current status, and influencing factors of healthcare workers' knowledge, attitudes, and practices in MDRPI prevention.

Methods

A scoping review was conducted following the Arksey and O'Malley framework. We systematically searched Medline, Embase, Web of Science, Scopus, and CINAHL databases from inception to December 18, 2024. Studies were considered if they examined healthcare workers' knowledge, attitudes, practices, or influencing factors regarding MDRPI prevention. Two independent researchers performed study selection and data extraction, with narrative synthesis of findings.

Results

Analysis of 20 studies across nine countries revealed substantial methodological heterogeneity in assessment approaches. While healthcare workers maintained positive attitudes toward prevention, knowledge assessment identified significant deficits, particularly in MDRPI concepts, staging classification, and preventive measures. Practice implementation varies considerably, with notable gaps in device repositioning, protective dressing application, and prevention strategy documentation. Prevention competencies were significantly influenced by individual factors (e.g., age, education, clinical experience) and institutional characteristics (e.g., hospital grade, department type).

Conclusions

This review identified substantial heterogeneity in assessment methods for MDRPI prevention competencies. While healthcare workers demonstrated positive attitudes, significant knowledge deficits persisted, with practice implementation showing considerable variations. Prevention initiatives should focus on developing standardized assessment tools and implementing targeted educational interventions, while considering both individual and institutional factors that influence prevention competencies.

目的医疗器械相关压力损伤（mdrpi）是医疗机构中一个重要的医源性并发症。医疗保健工作者在设备管理方面的能力对于预防MDRPI至关重要，但有关他们的预防知识、态度和实践的证据仍然零散。本研究旨在对医护人员预防MDRPI的知识、态度和行为的评估方法、现状及影响因素进行综合研究。方法根据Arksey和O'Malley框架进行范围审查。我们系统地检索了Medline， Embase, Web of Science， Scopus和CINAHL数据库，从成立到2024年12月18日。如果研究调查了卫生保健工作者关于MDRPI预防的知识、态度、做法或影响因素，则考虑研究。两名独立研究人员进行了研究选择和数据提取，并对研究结果进行了叙述性综合。结果对9个国家的20项研究的分析揭示了评估方法的大量方法异质性。虽然卫生保健工作者对预防保持积极的态度，但知识评估发现了重大缺陷，特别是在MDRPI概念、分期分类和预防措施方面。实践实施差异很大，在器械重新定位、防护敷料应用和预防策略文件方面存在明显差距。预防能力受到个人因素（如年龄、教育程度、临床经验）和机构特征（如医院等级、科室类型）的显著影响。结论：本综述确定了MDRPI预防能力评估方法的实质性异质性。虽然卫生保健工作者表现出积极的态度，但显著的知识缺陷仍然存在，实践执行显示出相当大的差异。预防举措应侧重于开发标准化评估工具和实施有针对性的教育干预措施，同时考虑影响预防能力的个人和机构因素。

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引用次数: 0

Cognition and quality of life in patients with a diabetes-related foot ulcer 糖尿病相关性足部溃疡患者的认知和生活质量

IF 2.4 3区医学 Q2 DERMATOLOGY

Journal of tissue viability

Pub Date : 2025-04-18 DOI: 10.1016/j.jtv.2025.100913

Nada Bechara , Fiona Hawke , Jenny E. Gunton , Peta Ellen Tehan

Aim

This study aimed to compare cognitive function and quality of life (QoL) in individuals with diabetes and a diabetes-related foot ulcer (DFU) to a control group with diabetes and no active foot ulceration.

Materials & methods

A cross-sectional case-control study was conducted between December 2022 and August 2024. Forty-two adults with diabetes and an active DFU were compared to forty age- and sex-matched controls with diabetes but no DFU. Cognitive function was assessed using the Trail Making Test (TMT), and QoL was measured using the EuroQol EQ-5D-5L. Statistical analyses included Mann-Whitney U tests, logistic regression, and correlation analyses to evaluate differences and associations between cognitive function and QoL.

Results

Individuals with a DFU demonstrated significantly poorer cognitive function compared to controls, taking approximately twice as long to complete the TMT (p < 0.001). Both rote memory (TMT-A) and executive functioning (TMT-B) were significantly impaired in the DFU group. QoL scores were also significantly lower in the DFU group (p = 0.005), with a notable association between cognitive impairment and reduced QoL (p = 0.01, r = −0.29). Logistic regression indicated that longer TMT completion time was associated with 4.13 increased odds of DFU (p < 0.001).

Conclusions

Cognitive function is significantly impaired in individuals with DFU and is associated with poorer QoL. These findings highlight the need to integrate cognitive assessments into DFU management to optimise adherence and improve patient outcomes.

目的本研究旨在比较糖尿病和糖尿病相关性足溃疡（DFU）患者与无活动性足溃疡的糖尿病对照组的认知功能和生活质量（QoL）。材料,方法于2022年12月至2024年8月进行横断面病例对照研究。42名患有糖尿病且DFU活跃的成年人与40名年龄和性别匹配的糖尿病但没有DFU的对照组进行了比较。采用Trail Making Test （TMT）评估认知功能，采用EuroQol EQ-5D-5L测量生活质量。统计分析包括Mann-Whitney U检验、逻辑回归和相关分析，以评估认知功能与生活质量之间的差异和关联。结果：与对照组相比，患有DFU的个体表现出明显较差的认知功能，完成TMT所需的时间大约是对照组的两倍。0.001)。DFU组死记硬背记忆（TMT-A）和执行功能（TMT-B）均明显受损。DFU组患者的生活质量评分也显著降低（p = 0.005），认知功能障碍与生活质量降低之间存在显著相关性（p = 0.01, r = - 0.29）。Logistic回归分析显示，TMT完成时间越长，DFU发生率增加4.13 (p <；0.001)。结论DFU患者认知功能明显受损，与较差的生活质量相关。这些发现强调需要将认知评估整合到DFU管理中，以优化依从性并改善患者预后。

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引用次数: 0