Journal of tissue viability最新文献

{"title":"Study on the correlation between SINBAD system score and wound pH value in diabetic foot sarcopenia","authors":"Wang Hui , Yang Yaping , Gong Liqing , Mao Zhigang , Peng yinbo , Wang Jing","doi":"10.1016/j.jtv.2025.100915","DOIUrl":"10.1016/j.jtv.2025.100915","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the diagnostic value of the SINBAD system score combined with wound pH value in diabetic foot sarcopenia.</div></div><div><h3>Methods</h3><div>This is a cross-sectional observational clinical study. From June 2023 to June 2024, diabetic foot patients attending the outpatient clinic of Shanghai Yangpu hospital were consecutively enrolled. Data collected included skeletal muscle index, grip strength, 6-m walking speed, SINBAD system classification, and wound pH value. Based on the diagnostic criteria of the European Working Group on Sarcopenia, patients were classified into three groups: Non-sarcopenia group, pre-sarcopenia group, and sarcopenia group. Between-group comparisons were made using one-way ANOVA, Kruskal-Wallis H test, or Chi-square test. Spearman's correlation analysis was used to assess the correlation between the SINBAD system score and sarcopenia-related indicators. Pearson's correlation analysis was employed to evaluate the correlation between wound pH and sarcopenia-related indicators. Binary logistic regression was performed to analyze the factors influencing sarcopenia in diabetic foot patients. The diagnostic value of the SINBAD system score combined with wound pH value in diabetic foot sarcopenia was assessed using receiver operating characteristic (ROC) curves.</div></div><div><h3>Results</h3><div>A total of 71 diabetic foot patients were enrolled. Of these, 29 were in the Non-sarcopenia group, 13 in the pre-sarcopenia group, and 29 in the sarcopenia group. Compared with the Non-sarcopenia group and pre-sarcopenia group, the sarcopenia group had significantly longer diabetes duration and diabetic foot disease duration (P < 0.05). The sarcopenia group had lower grip strength compared to both the Non-sarcopenia group and pre-sarcopenia group (P < 0.05). The skeletal muscle index (SMI) of the sarcopenia group was significantly lower than that of the Non-sarcopenia group and pre-sarcopenia group (P < 0.05). Pearson correlation analysis showed that wound pH value was negatively correlated with SMI (r = −0.476, P < 0.001) and grip strength (r = −0.478, P < 0.05). Spearman correlation analysis revealed that the SINBAD system score was negatively correlated with SMI (r = −0.716, P < 0.05) and grip strength (r = −0.666, P < 0.05). Binary logistic regression analysis indicated that an increased wound pH value (OR = 29.126, 95 % CI 1.234–687.583) and higher SINBAD system score (OR = 5.271, 95 % CI 2.144–12.961) were significant factors influencing the presence of sarcopenia in diabetic foot patients. ROC curve analysis showed that the combination of wound pH value and SINBAD system score had a high diagnostic value for sarcopenia in diabetic foot patients, with an area under the curve (AUC) of 0.933.</div></div><div><h3>Conclusion</h3><div>The wound pH value and SINBAD system score are associated with the occurrence of sarcopenia in diabetic foot patients and have diagnosti","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100915"},"PeriodicalIF":2.4,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143858990","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":"Unveiling the hidden pain and daily struggles of individuals with a venous leg ulcer: a thematic analysis","authors":"Sebastian Probst ,&nbsp;Elisabeth Schobinger ,&nbsp;Camille Saini ,&nbsp;Philip Larkin ,&nbsp;Paul Bobbink","doi":"10.1016/j.jtv.2025.100906","DOIUrl":"10.1016/j.jtv.2025.100906","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to explore the experiences of pain among individuals living with venous leg ulcers (VLUs), focusing on how pain was described, its impact on daily living, and the coping strategies employed by them.</div></div><div><h3>Materials and methods</h3><div>A secondary qualitative analysis was conducted using data from a previous study on VLU self-management following nurse-led patient education. The original study employed a constructivist grounded theory approach, while this secondary analysis utilized Braun and Clarke's thematic analysis methodology. Semi-structured interviews from 22 participants were analyzed to identify emergent themes related to pain. MAXQDA® software was used to ensure traceability of coding, and rigor was ensured through triangulation and reflexive memos.</div></div><div><h3>Results</h3><div>Three themes emerged: (1) Description of Wound-Related Pain where participants described pain as persistent, multifaceted, and often excruciating, using terms such as “burning” and “stinging.” Pain intensity varied across individuals, with some comparing it to childbirth. (2) Impact on Daily Living where pain considerably affected emotional well-being, mobility, social interactions, and sleep. Many participants experienced emotional exhaustion, frustration, and social isolation due to their condition. (3) Pain Management Strategies where participants used both pharmacological (e.g., paracetamol, tramadol) and non-pharmacological methods (e.g., leg elevation, self-hypnosis) for pain relief. The role of healthcare providers was essential, though some participants felt their pain was inadequately addressed.</div></div><div><h3>Conclusion</h3><div>VLU-associated pain is a prevalent and debilitating aspect of individuals' lives, impacting both physical and psychological health. Comprehensive pain management strategies that integrate both pharmacological and psychosocial approaches should be enhanced to improve patient outcomes.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100906"},"PeriodicalIF":2.4,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844922","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":"Impact on management performance outcomes of standardizing wound care using integrated care bundles – results of a retrospective analysis","authors":"Theresa Hurd ,&nbsp;Sophie Berry ,&nbsp;Julie Murdoch","doi":"10.1016/j.jtv.2025.100914","DOIUrl":"10.1016/j.jtv.2025.100914","url":null,"abstract":"<div><h3>Aim</h3><div>Integrated care bundles (ICBs) are interventions that used together synergistically improve care outcomes through standardized care pathways and can help to optimize healthcare expenditure. For wound care, ICBs may need to incorporate low or non-adherent dressings for patients with fragile and/or sensitive skin to help reduce the risk of damage. This retrospective analysis of real-world data assessed the impact on wound management outcomes of an ICB where a specific non-adhesive foam dressing was selected for patients with fragile skin and appropriate wound types.</div></div><div><h3>Method</h3><div>A comprehensive wound care program using ICBs was implemented and tracked using a real-time electronic database at two large healthcare organizations in Ontario, Canada (December 2015 to March 2018). Anonymized patient data were analyzed retrospectively.</div></div><div><h3>Results</h3><div>4421 patients with chronic wounds received an ICB including a non-adhesive foam dressing; 2242 patients did not receive an ICB. With use of the ICB including a non-adhesive foam dressing versus no ICB: mean Bates-Jensen Wound Assessment Tool (BWAT) Score was lower (27.4 vs 33.2); mean time to healing was shorter (12.7 vs 25.5 weeks) and mean time between dressing changes was longer (3.1 vs 1.9 days). Mean labor costs were lower with use of the ICB including a non-adhesive foam dressing (CAD 1766 vs 6488; p &lt; 0.05). No adverse events related to the non-adhesive foam dressing were reported and the overall safety profile improved with use of the ICB.</div></div><div><h3>Conclusion</h3><div>Implementing ICBs can help to improve wound management outcomes and reduce labor costs compared with non-standardized care without an ICB.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100914"},"PeriodicalIF":2.4,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838515","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":"Evaluating alternating pressure air mattress effectiveness through the measurement of skin redness and blood perfusion","authors":"Sukhveer Singh Sandhu ,&nbsp;Dawn L. Denny ,&nbsp;Rhoda A. Owens ,&nbsp;Kristi L. Jean ,&nbsp;Bo Liang ,&nbsp;MD Hasib Fakir ,&nbsp;Victor Moreno Lozano ,&nbsp;Mina Molani ,&nbsp;Mary Labuhn ,&nbsp;Charisse Vetsch ,&nbsp;Darlene Hanson ,&nbsp;Prakash Parthiban Selvakumar ,&nbsp;Pantea Tavakolian","doi":"10.1016/j.jtv.2025.100904","DOIUrl":"10.1016/j.jtv.2025.100904","url":null,"abstract":"<div><div>This study presents a unique method to evaluate the effectiveness of Alternating Pressure Air Mattresses (APAMs) in preventing Pressure Injuries (PIs). We employed a Laser Speckle Blood Flow and Tissue Oxygenation Imager with color image gathering capabilities by Moor Instruments to quantify skin redness and blood perfusion (flux) in a research study involving 29 healthy participants across three surgical support surfaces: foam, gel, and APAM.</div><div>The methodology combined multimodal imaging with image segmentation and thresholding techniques to correlate visible skin redness with the underlying microcirculatory changes in perfusion (flux).</div><div>The results showed that APAMs exhibited the most significant initial increase in redness compared to baseline but also demonstrated the faster dissipation of concentrated redness and recovery of blood perfusion (flux) after offloading. A strong correlation (r = 0.63, P &lt; 0.001) was observed between concentrated redness and blood flux for APAMs.</div><div>This approach goes beyond traditional incidence-based evaluations, providing insights into the dynamic tissue responses to different support surfaces. Our findings suggest that quantifying redness could be a practical and effective way to monitor individual patient responses to support surfaces, potentially leading to more personalized and effective PI prevention strategies.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100904"},"PeriodicalIF":2.4,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838512","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":"A discharge planning program to prevent infection among patients with diabetic foot ulcers in Taiwan: A randomized controlled trial study","authors":"Yen-Fan Chin ,&nbsp;Jiun-Ting Yeh ,&nbsp;Hsing-Yi Yu ,&nbsp;Brend Ray-Sea Hsu ,&nbsp;Yu-Jr Lin","doi":"10.1016/j.jtv.2025.100901","DOIUrl":"10.1016/j.jtv.2025.100901","url":null,"abstract":"<div><h3>Trial and protocol registration</h3><div>This study is registered with <span><span>ClinicalTrials.gov</span><svg><path></path></svg></span>, No. NCT04467606.</div></div><div><h3>Background</h3><div>Patients hospitalized for foot ulcers have a high readmission rate due to wound infections, and treating these infections is costly.</div></div><div><h3>Aims</h3><div>This study aimed to investigate the effect of a discharge planning program that uses a motivational interviewing strategy (MI) on infection prevention in patients with diabetes-related foot ulcers (DFUs).</div></div><div><h3>Methods</h3><div>A randomized controlled trial was conducted at a hospital in Taiwan from August 2020 to October 2022. A total of 132 hospitalized adult patients with DFUs were recruited and randomized into either MI or control group in a 1:1 ratio by block randomization, with 66 patients in each group. In the MI group, the interview was conducted at least one day before discharge, within three days after discharge, and then weekly for the first month and every one to three months thereafter. The control group received the usual care. The Diabetes Foot Self-Care Behavior Scale (DFSBS) and Diabetes-related Foot Ulcer Self-Management Behavior Scale (DFUSMB) were used to collect foot self-care and DFU self-management behaviors. Infectious status was determined according to the IWGDF/IDSA classification. Cox regression and generalized estimating equation (GEE) were used for data analysis.</div></div><div><h3>Results</h3><div>After adjusting for significant variables, the univariate Cox regression analysis results showed no statistically significant difference in foot infection or readmission rates between the two groups. In the GEE analysis, after adjusting for covariates, the results showed that the foot self-care behaviors of patients in the intervention group after discharge were better than those in the control group, reaching statistical significance. However, behaviors specific to DFU self-management were not statistically significant.</div></div><div><h3>Conclusions</h3><div>Although motivational interviewing has shown to be effective in promoting foot self-care behaviors, more research is needed on how to reduce post-discharge foot infections and hospitalizations.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100901"},"PeriodicalIF":2.4,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143864429","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":"Factors aggravating the stage of pressure injury in dyspneic patients","authors":"Jung Eun Hong ,&nbsp;Mi-Ock Shim ,&nbsp;Heejung Choi ,&nbsp;Yeongju Been ,&nbsp;Seungmi Park","doi":"10.1016/j.jtv.2025.100898","DOIUrl":"10.1016/j.jtv.2025.100898","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to identify the aggravating factors of pressure injuries and provide basic data for prevention and effective nursing interventions for patients with dyspnea.</div></div><div><h3>Materials and methods</h3><div>This secondary analysis using electronic medical records from patients with dyspnea who developed pressure injuries after admission to the general wards of five hospitals in Korea between March 2022 and May 2022. Data were collected using a standardized case report form to gather information on clinical characteristics and pressure injuries.</div></div><div><h3>Results</h3><div>The mean age of the 214 patients was 71.6 ± 10.99 years. Common comorbidities included diabetes mellitus (43.4 %) and cardiovascular diseases (21.5 %). Most patients (94.4 %) required oxygen therapy. At the time of pressure injury occurrence, the Braden scale scores ≤16 was 74.3 % at pressure injury occurrence. Pressure injuries were classified as stage 1 (25.5 %), stage 2 or higher (58.4 %), and unstageable (18.1 %). The multivariate analysis revealed that fecal incontinence (odds ratio [OR]: 0.12, 95 % confidence interval [CI]: 0.04–0.42), albumin ≥3.5 g/dl (OR: 0.57, 95 % CI: 0.34–0.95) and use of restraints (OR: 3.57, 95 % CI: 1.53–8.30) were significant predictive factors for advanced stage pressure injury.</div></div><div><h3>Conclusions</h3><div>This study identified fecal incontinence, albumin level, the use of restrains as a significant predictive factors for advanced stage pressure injury in dyspneic patients. These highlight the need for tailored preventive strategies and monitoring, particularly for patients requiring restraints, to reduce the incidence and severity of pressure injury in this population.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100898"},"PeriodicalIF":2.4,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143826458","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":"Pattern analysis of hospital nurses' knowledge, attitudes, and practices regarding incontinence-associated dermatitis","authors":"Weifang Xu ,&nbsp;Xujing Wu ,&nbsp;Shi Xu ,&nbsp;Yali Yan ,&nbsp;Chao Liu ,&nbsp;Yen-Ching Chuang ,&nbsp;Fuman Cai","doi":"10.1016/j.jtv.2025.100899","DOIUrl":"10.1016/j.jtv.2025.100899","url":null,"abstract":"<div><h3>Purpose</h3><div>To analyze hospital nurses' knowledge, attitudes, and practices regarding incontinence-associated dermatitis (KAP-IAD).</div></div><div><h3>Methods</h3><div>This study utilized responses from hospital nurses to the Knowledge, Attitudes, and Practices of Incontinence-Associated Dermatitis Questionnaire (KAP-IAD-Q). Three clustering methods, Hierarchical Clustering on Principal Components (HCPC), K-means, and Partitioning Around Medoids (PAM), were applied to analyze the correlations of KAP-IAD. A classification method was used to explain the underlying behavioral patterns behind these correlations.</div></div><div><h3>Results</h3><div>Two clusters were found to be most appropriate. Decision attributes (D) were generated for the KAP-IAD data using the three clustering methods: HCPC, K-means, and PAM. Three datasets with categorical labels were generated, and predictive models and decision rules were established for each dataset using the Rough Set (RS) method. The PAM method demonstrated the highest accuracy among the three datasets. After five rounds of stochastic modeling, 57 decision rules were generated. Additionally, patterns or rules with a support threshold of 50 or more, as discussed by domain experts, were considered the primary behaviors or rules.</div></div><div><h3>Conclusions</h3><div>Our study suggests clear decision rules for KAP-IAD nursing practice, which have been absent in previous research. The key variables and rules identified can serve as a guide for KAP-IAD nursing practice, as well as for recognizing the etiology, risk factors, and key influences of dermatitis associated with KAP-IAD in nursing practice. This study provides an important management approach for the prevention and treatment of incontinence-associated dermatitis.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100899"},"PeriodicalIF":2.4,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143826459","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":"Comparative effects of epidermal and fibroblast growth factor-infused collagen patches on wound healing in a full-thickness rat model","authors":"Fahri Sabanciogullarindan ,&nbsp;Mehmet Bozkurt ,&nbsp;Nilsen Yildirim Erdogan ,&nbsp;Yasar Samet Gokceoglu ,&nbsp;Percin Karakol","doi":"10.1016/j.jtv.2025.100903","DOIUrl":"10.1016/j.jtv.2025.100903","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the effects of Epidermal Growth Factor (EGF)- and Fibroblast Growth Factor (FGF)-infused collagen patches on wound healing in an experimental rat model. The focus was on acute and chronic inflammation, granulation tissue formation, fibroblast maturation, re-epithelialization, neovascularization, and collagen remodeling.</div></div><div><h3>Methods</h3><div>Full-thickness cranial wounds (12 mm) were created on the dorsal regions of 21 male Wistar rats and divided into four groups: Group 1 (collagen patch alone), Group 2 (collagen + EGF), Group 3 (collagen + FGF). The kaudal defects served as a chronic wound model with secondary intention healing, monitored for 21 days. Tissue biopsies were collected on days 3, 7, and 21. Histopathological evaluation included inflammation scores, granulation tissue formation, fibroblast maturation, re-epithelialization, neovascularization, and Type 1/Type 3 collagen ratio. Data were analyzed using one-way ANOVA, Kruskal–Wallis test, and other appropriate post hoc tests. Statistical significance was set at p &lt; 0.05.</div></div><div><h3>Results</h3><div>Acute inflammation significantly decreased in Group 3 on day 7 (p = 0.001), while chronic inflammation was minimal by day 21 in Groups 1 and 3. Group 2 showed the highest granulation tissue formation on day 21 (p &lt; 0.05). Fibroblast maturation peaked in Group 3 on day 21 (p = 0.004). Re-epithelialization was complete in Groups 1 and 3 by day 21, significantly outperforming Group 2 (p &lt; 0.005). Group 3 demonstrated superior collagen deposition and the highest Type 1/Type 3 collagen ratio (p &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>FGF-infused collagen patches significantly improved fibroblast maturation, epithelialization, and collagen remodeling, outperforming EGF and standalone collagen patches. These findings highlight the potential of FGF as a therapeutic agent in wound healing.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100903"},"PeriodicalIF":2.4,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143850543","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":"Factors influencing Patient engagement in preventing pressure injuries: A cross-sectional study in Orthopedic inpatients","authors":"Ying Liu ,&nbsp;Rong Hu ,&nbsp;Peifang Li ,&nbsp;Lin Zhang ,&nbsp;Liqun Wang ,&nbsp;Junhong Qu ,&nbsp;Xingcui Pu ,&nbsp;Ning Ning ,&nbsp;Jiali Chen","doi":"10.1016/j.jtv.2025.100902","DOIUrl":"10.1016/j.jtv.2025.100902","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to explore the level of patients’ engagement behaviours in preventing pressure injury (PI) and the influencing factors related to it.</div></div><div><h3>Background</h3><div>The importance of “Patient and Family Engagement” was recognized as one of the key components in the outline of the 2023 Global Patient Safety Report. PIs were common and concerning patient safety events in Orthopaedics department. Active patient participation behaviour can effectively prevent the occurrence of PIs.</div></div><div><h3>Method</h3><div>This was a cross-sectional study involving 366 participants from Orthopaedics in China who has high level of risk in PI. The behavioural level of patients' participation in PI prevention was measured using a research tool designed by the research team. Based on the theory of planned behaviour, the possible influencing factors were determined, and the corresponding research tools were selected for evaluation. Univariate analysis, correlation analysis and multiple stepwise regression were used to determine the influencing factors of patients’ participation behaviour with SPSS 25.0.</div></div><div><h3>Results</h3><div>The total score of orthopaedic inpatients participating in PI preventive behaviour was 89.45 ± 10.64, with a scoring rate of 85.19 % (actual score/maximum possible score × 100 %), indicating relatively high adherence. Multiple regression analysis revealed that social support showed the strongest positive association (β = 0.291, P &lt; 0.001), suggesting enhanced support networks facilitate engagement. Participation attitude (β = 0.211, P &lt; 0.001) and health literacy (β = 0.233, P &lt; 0.001) were key cognitive facilitators. Unexpectedly, cohabitation with children exhibited negative correlation (β = −0.141, P = 0.001), potentially indicating caregiving role transfer. Inter-hospital transfers (β = −0.120, P = 0.004) and medium-length stays (4–7 days, β = −0.089, P = 0.010) were inversely related, possibly reflecting care continuity challenges. Social Security recipients demonstrated greater participation (β = 0.108, P = 0.009), highlighting socioeconomic influences.</div></div><div><h3>Conclusion</h3><div>Our findings may guide clinical healthcare providers to develop more targeted interventions to promote patient engagement in self-care, including encouraging family members to involve in PI prevention with patients, improving patients’ attitude of participation, and supporting more health education of PI prevention. It was a potential suggestion for patient participation behaviour in medical services to prevent other types of adverse events as well.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100902"},"PeriodicalIF":2.4,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143799889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Review of the effects of far infrared radiation on muscle injury caused by centrifugal exercise","authors":"Lin Ren ,&nbsp;Ran He","doi":"10.1016/j.jtv.2025.100900","DOIUrl":"10.1016/j.jtv.2025.100900","url":null,"abstract":"<div><h3>Objective</h3><div>Explore the recovery effect of FIR on high-intensity centrifugal contraction or lower limb muscle fiber injury caused by long-term endurance exercise.</div></div><div><h3>Methods</h3><div>Collect and organize relevant literature on FIR, and explore the recovery effect and possible mechanism of FIR intervention on subtle muscle fiber damage caused by exercise.</div></div><div><h3>Result</h3><div>FIR can reduce COX-2, inhibit PGE₂, accelerate hydrogen peroxide clearance, alleviate pain caused by various conditions, promote cell proliferation, and increase blood flow; Among the two main processing tools of FIR, FIR lighting fixtures that are exposed to radiation for 30 min a day after exercise can effectively alleviate the human induced DOMS condition, while FIR clothing needs to be worn for 9 h a day to have the effect of slowing down DOMS.</div></div><div><h3>Conclusion</h3><div>FIR may be developed into one of the auxiliary strategies for warm-up before competitions and after intermission in the future.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"34 3","pages":"Article 100900"},"PeriodicalIF":2.4,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838514","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}