Pub Date : 2024-11-01DOI: 10.1016/j.jtv.2024.07.012
Juhong Pei , Yuting Wei , Lin Lv , Hongxia Tao , HongYan Zhang , YuXia Ma , Lin Han
Pressure injuries (PIs) are a common healthcare problem worldwide and are considered to be the most expensive chronic wounds after arterial ulcers. Although the gross factors including ischemia-reperfusion (I/R) have been identified in the etiology of PIs, the precise cellular and molecular mechanisms contributing to PIs development remain unclear. Various forms of programmed cell death including apoptosis, autophagy, pyroptosis, necroptosis and ferroptosis have been identified in PIs. In this paper, we present a detailed overview on various forms of cell death; discuss the recent advances in the roles of cell death in the occurrence and development of PIs and found much of the evidence is novel and based on animal experiments. Herein, we also state critical evaluation of the existing data and future perspective in the field. A better understanding of the programmed cell death mechanism in PIs may have important implications in driving the development of new preventive and therapeutic strategies.
{"title":"Preliminary evidence for the presence of programmed cell death in pressure injuries","authors":"Juhong Pei , Yuting Wei , Lin Lv , Hongxia Tao , HongYan Zhang , YuXia Ma , Lin Han","doi":"10.1016/j.jtv.2024.07.012","DOIUrl":"10.1016/j.jtv.2024.07.012","url":null,"abstract":"<div><div>Pressure injuries (PIs) are a common healthcare problem worldwide and are considered to be the most expensive chronic wounds after arterial ulcers. Although the gross factors including ischemia-reperfusion (I/R) have been identified in the etiology of PIs, the precise cellular and molecular mechanisms contributing to PIs development remain unclear. Various forms of programmed cell death including apoptosis, autophagy, pyroptosis, necroptosis and ferroptosis have been identified in PIs. In this paper, we present a detailed overview on various forms of cell death; discuss the recent advances in the roles of cell death in the occurrence and development of PIs and found much of the evidence is novel and based on animal experiments. Herein, we also state critical evaluation of the existing data and future perspective in the field. A better understanding of the programmed cell death mechanism in PIs may have important implications in driving the development of new preventive and therapeutic strategies.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"33 4","pages":"Pages 720-725"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141840666","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 : 2024-11-01DOI: 10.1016/j.jtv.2024.06.013
Liang Q. Liu , Rachel Deegan , Hester Dunne , Sarah L. Knight , Helen T. Allan , Angela Gall
Background
This pilot study assessed text messaging as an early intervention for preventing pressure ulcers (PrUs) in individuals with spinal cord injury (SCI) post-hospital discharge.
Method
Thirty-nine wheelchair-users discharged after acquiring a SCI, underwent randomisation into an intervention group (n = 20) with text messages and a control group (n = 19). All participants received standard post-discharge care and completed a skincare questionnaire before and 6-month after discharge. Primary outcomes included feasibility and acceptability of early intervention using text messaging, alongside performance, concordance, and attitudes toward skincare. Secondary outcomes measured perception and the incidence of PrUs.
Results
Baseline demographics were comparable between the intervention and control groups. Eight of 20 participants completed 6-month follow-up questionnaires in the intervention group, six participants completed the 6-month questionnaires in the control group,. Participants expressed high satisfaction with text messages, understanding of content, and increased confidence in preventing PrUs. At 6-month post-discharge, the intervention group showed improved prevention practices, heightened awareness of PrU risks, and increased perceived importance of prevention, which were not observed in the control group. However, there were no significant differences in PrU incidence, possibly due to the small sample size and short follow-up.
Conclusion
The study demonstrates that using text messaging as an early intervention for PrU prevention in individuals with SCI is feasible and well-received. Preliminary results suggest a positive impact on participants' attitudes and practices, indicating the potential of text messaging to reduce PrU incidence. However, further research with larger samples and extended follow-up is crucial to validate these promising initial findings.
{"title":"A pilot study for testing feasibility and preliminary influence of early intervention using text messaging for pressure ulcer prevention in individuals with spinal cord injury","authors":"Liang Q. Liu , Rachel Deegan , Hester Dunne , Sarah L. Knight , Helen T. Allan , Angela Gall","doi":"10.1016/j.jtv.2024.06.013","DOIUrl":"10.1016/j.jtv.2024.06.013","url":null,"abstract":"<div><h3>Background</h3><div>This pilot study assessed text messaging as an early intervention for preventing pressure ulcers (PrUs) in individuals with spinal cord injury (SCI) post-hospital discharge.</div></div><div><h3>Method</h3><div>Thirty-nine wheelchair-users discharged after acquiring a SCI, underwent randomisation into an intervention group (n = 20) with text messages and a control group (n = 19). All participants received standard post-discharge care and completed a skincare questionnaire before and 6-month after discharge. Primary outcomes included feasibility and acceptability of early intervention using text messaging, alongside performance, concordance, and attitudes toward skincare. Secondary outcomes measured perception and the incidence of PrUs.</div></div><div><h3>Results</h3><div>Baseline demographics were comparable between the intervention and control groups. Eight of 20 participants completed 6-month follow-up questionnaires in the intervention group, six participants completed the 6-month questionnaires in the control group,. Participants expressed high satisfaction with text messages, understanding of content, and increased confidence in preventing PrUs. At 6-month post-discharge, the intervention group showed improved prevention practices, heightened awareness of PrU risks, and increased perceived importance of prevention, which were not observed in the control group. However, there were no significant differences in PrU incidence, possibly due to the small sample size and short follow-up.</div></div><div><h3>Conclusion</h3><div>The study demonstrates that using text messaging as an early intervention for PrU prevention in individuals with SCI is feasible and well-received. Preliminary results suggest a positive impact on participants' attitudes and practices, indicating the potential of text messaging to reduce PrU incidence. However, further research with larger samples and extended follow-up is crucial to validate these promising initial findings.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"33 4","pages":"Pages 666-671"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141534697","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}
Incontinence-associated dermatitis (IAD) poses a significant challenge for individuals experiencing incontinence, characterized by irritative contact dermatitis due to prolonged exposure to urine and/or faeces.
Objective
This study aimed to culturally adapt the Ghent Global IAD Monitoring Tool – GLOBIAD-M to Brazilian Portuguese and to assess the adapted version's measurement properties quality.
Method
A clinimetric study was conducted, comprising cultural adaptation and psychometric assessment. Cultural adaptation followed international guidelines, while psychometric properties were evaluated for content validity, inter-rater reliability, and correlation with other variables (thermography). Inter-rater reliability was assessed through clinical and photographic evaluations. The study samples included linguists and, IAD specialists, nurses, and adult patients with IAD according to the cultural adaptation or psychometric evidence assessment.
Result
The process of cultural adaptation resulted in a cumulative coefficient of variation ratio (CVR) of 0.66. Subsequently, the study included 57 patients and 57 nurses for clinical assessments, totalling 166 evaluations of IAD. The inter-rater reliability among nurses was deemed satisfactory, with a Gwet coefficient of 0.77. Moreover, out of 215 photographic assessments conducted by 54 nurses, there was a 92.1 % concurrence in the categorization of IAD. Furthermore, thermography analysis revealed significant temperature differences between healthy individuals and those with IAD, particularly in patients categorized under IAD Cat. 1B, showing a difference of 1.90 °C.
Conclusion
and Impact on Clinical Practice: The results confirm the availability of the GLOBIAD-M in its Brazilian Portuguese version. This tool will allow health professionals to obtain a standardized IAD classification and monitoring in Brazil, enhancing its diagnostic accuracy and aiding clinical decision-making.
背景：尿失禁相关皮炎（IAD）是尿失禁患者面临的一项重大挑战，其特点是由于长期接触尿液和/或粪便而引起刺激性接触性皮炎：本研究旨在将根特全球尿失禁监测工具（GLOBIAD-M）进行文化改编，使其适用于巴西葡萄牙语，并评估改编版本的测量特性质量：方法：进行了一项临床研究，包括文化适应和心理测量评估。文化改编遵循国际准则，而心理测量学特性则评估了内容效度、评分者之间的可靠性以及与其他变量（热成像）的相关性。评分者之间的可靠性则是通过临床和照片评估进行的。研究样本包括语言学家、IAD 专家、护士以及根据文化适应性或心理测量学证据评估的 IAD 成年患者：结果：文化适应过程的累积变异系数（CVR）为 0.66。随后，研究纳入了 57 名患者和 57 名护士进行临床评估，共评估了 166 例 IAD 患者。护士之间的互评可靠性令人满意，Gwet 系数为 0.77。此外，在 54 名护士进行的 215 次摄影评估中，对 IAD 分类的一致性达到 92.1%。此外，热成像分析显示，健康人与 IAD 患者的体温差异显著，尤其是被归类为 IAD Cat.结论：以及对临床实践的影响：结果证实了巴西葡萄牙语版 GLOBIAD-M 的可用性。这一工具将使医疗专业人员能够在巴西获得标准化的 IAD 分类和监测，从而提高诊断准确性并帮助临床决策。
{"title":"Cultural adaptation and validation of the Ghent global IAD monitoring tool (GLOBIAD-M) for Brazilian Portuguese","authors":"Laís Del'Moro Cespedes Wojastyk , Dimitri Beeckman , Vera Lúcia Conceição Gouveia Santos","doi":"10.1016/j.jtv.2024.08.003","DOIUrl":"10.1016/j.jtv.2024.08.003","url":null,"abstract":"<div><h3>Background</h3><div>Incontinence-associated dermatitis (IAD) poses a significant challenge for individuals experiencing incontinence, characterized by irritative contact dermatitis due to prolonged exposure to urine and/or faeces.</div></div><div><h3>Objective</h3><div>This study aimed to culturally adapt the Ghent Global IAD Monitoring Tool – GLOBIAD-M to Brazilian Portuguese and to assess the adapted version's measurement properties quality.</div></div><div><h3>Method</h3><div>A clinimetric study was conducted, comprising cultural adaptation and psychometric assessment. Cultural adaptation followed international guidelines, while psychometric properties were evaluated for content validity, inter-rater reliability, and correlation with other variables (thermography). Inter-rater reliability was assessed through clinical and photographic evaluations. The study samples included linguists and, IAD specialists, nurses, and adult patients with IAD according to the cultural adaptation or psychometric evidence assessment.</div></div><div><h3>Result</h3><div>The process of cultural adaptation resulted in a cumulative coefficient of variation ratio (CVR) of 0.66. Subsequently, the study included 57 patients and 57 nurses for clinical assessments, totalling 166 evaluations of IAD. The inter-rater reliability among nurses was deemed satisfactory, with a Gwet coefficient of 0.77. Moreover, out of 215 photographic assessments conducted by 54 nurses, there was a 92.1 % concurrence in the categorization of IAD. Furthermore, thermography analysis revealed significant temperature differences between healthy individuals and those with IAD, particularly in patients categorized under IAD Cat. 1B, showing a difference of 1.90 °C.</div></div><div><h3>Conclusion</h3><div>and Impact on Clinical Practice: The results confirm the availability of the GLOBIAD-M in its Brazilian Portuguese version. This tool will allow health professionals to obtain a standardized IAD classification and monitoring in Brazil, enhancing its diagnostic accuracy and aiding clinical decision-making.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"33 4","pages":"Pages 871-876"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142126086","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 : 2024-11-01DOI: 10.1016/j.jtv.2024.10.003
Linda Coventry , Amanda Towell-Barnard , Joelle Winderbaum , Nicole Walsh , Mark Jenkins , Dimitri Beeckman
Background
Pressure injuries are associated with significant clinical complications with negative effects on the patient's emotional, psychological, social and physical wellbeing. However, in Australia little is known about the knowledge and attitudes of nurses towards hospital-acquired pressure injuries.
Objective
To determine nurse knowledge and attitudes towards hospital-acquired pressure injuries and to identify barriers towards prevention.
Methods
A cross-sectional study following the STROBE statement was conducted between May to July in 2017. All nurses at a major metropolitan teaching hospital in Western Australia were invited to participate. Nurse knowledge and attitude to pressure injury were assessed using validated Pressure Ulcer Knowledge Assessment tool, and Attitude towards Pressure Ulcer Prevention tool. An open-ended question asked about the barriers to pressure injury prevention. Quantitative data were analysed using descriptive and inferential statistics and answers for the open-ended question were analysed using thematic analysis.
Results
Data from 224 nurses (response rate 19.0 %) were analysed. While nurses displayed a satisfactory attitude towards hospital-acquired pressure injury prevention, most nurses lacked adequate knowledge of the stages, causes and prevention of pressure injuries. Thematic analysis of responses to the open-ended question yielded two main themes: modifiable barriers to pressure injury prevention were lack of knowledge, attitude of pressure injury prevention and the scarcity of resources. Non-modifiable barriers to pressure injury prevention were the nursing environment and patient characteristics.
Conclusion
Most nurses have satisfactory attitude towards pressure injury prevention, but inadequate knowledge about pressure injuries. Barriers to pressure injury prevention are attributed to nurse working environments, particularly impeded by staffing, time constraints and resources.
{"title":"Nurse knowledge, attitudes, and barriers to pressure injuries: A cross-sectional study in an Australian metropolitan teaching hospital","authors":"Linda Coventry , Amanda Towell-Barnard , Joelle Winderbaum , Nicole Walsh , Mark Jenkins , Dimitri Beeckman","doi":"10.1016/j.jtv.2024.10.003","DOIUrl":"10.1016/j.jtv.2024.10.003","url":null,"abstract":"<div><h3>Background</h3><div>Pressure injuries are associated with significant clinical complications with negative effects on the patient's emotional, psychological, social and physical wellbeing. However, in Australia little is known about the knowledge and attitudes of nurses towards hospital-acquired pressure injuries.</div></div><div><h3>Objective</h3><div>To determine nurse knowledge and attitudes towards hospital-acquired pressure injuries and to identify barriers towards prevention.</div></div><div><h3>Methods</h3><div>A cross-sectional study following the STROBE statement was conducted between May to July in 2017. All nurses at a major metropolitan teaching hospital in Western Australia were invited to participate. Nurse knowledge and attitude to pressure injury were assessed using validated Pressure Ulcer Knowledge Assessment tool, and Attitude towards Pressure Ulcer Prevention tool. An open-ended question asked about the barriers to pressure injury prevention. Quantitative data were analysed using descriptive and inferential statistics and answers for the open-ended question were analysed using thematic analysis.</div></div><div><h3>Results</h3><div>Data from 224 nurses (response rate 19.0 %) were analysed. While nurses displayed a satisfactory attitude towards hospital-acquired pressure injury prevention, most nurses lacked adequate knowledge of the stages, causes and prevention of pressure injuries. Thematic analysis of responses to the open-ended question yielded two main themes: modifiable barriers to pressure injury prevention were lack of knowledge, attitude of pressure injury prevention and the scarcity of resources. Non-modifiable barriers to pressure injury prevention were the nursing environment and patient characteristics.</div></div><div><h3>Conclusion</h3><div>Most nurses have satisfactory attitude towards pressure injury prevention, but inadequate knowledge about pressure injuries. Barriers to pressure injury prevention are attributed to nurse working environments, particularly impeded by staffing, time constraints and resources.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"33 4","pages":"Pages 792-801"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502892","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}
Pub Date : 2024-11-01DOI: 10.1016/j.jtv.2024.11.001
Ma'en Aljezawi , Mohammad Al Qadire , Omar Al Omari , Sulaiman Al Sabei , Salam Bani Hani , Mohammad Suliman , Fawwaz Alaloul , Hanan Abdelrahman
Background
Pressure Injuries are a prevalent and concerning issue in critical care settings, impacting patient well-being and healthcare systems.
Purpose
Measure the point prevalence of acquired pressure injuries in Omani critical care units and assess the adequacy of preventive measures.
Methods
A multicenter cross-sectional survey was conducted in four major Omani hospitals, encompassing various geographical regions and health sectors. A convenient sample of 156 adult patients in critical care units was examined using the European Pressure Ulcer Advisory Panel methodology. Data on prevalence, risk assessment, and prevention measures were collected and analyzed.
Results
The study revealed a prevalence rate of 21.8 % for hospital-acquired pressure injuries (including stage I) and 19.2 % (excluding stage I) in Omani critical care units. The sacrum was the most affected area, with stage II being predominant. Alarmingly, some at-risk patients did not receive appropriate preventive equipment, while low-risk patients received unnecessary measures. Approximately 73.3 % of at-risk patients received adequate prevention.
Conclusion
This pioneering study in Oman addresses the prevalence of Pressure Injuries, revealing rates that are higher than international norms. Additionally, the research underscores deficiencies in preventive measures, such as inadequate prevention for at-risk patients and unnecessary measures for low-risk individuals.
背景：目的：测量阿曼重症监护病房获得性压伤的发病率，并评估预防措施的充分性：方法：在阿曼的四家大型医院开展了一项多中心横断面调查，这些医院涵盖了不同的地理区域和卫生部门。采用欧洲压力溃疡顾问小组的方法，对重症监护病房的 156 名成年患者进行了抽样调查。收集并分析了有关患病率、风险评估和预防措施的数据：研究结果表明，在阿曼重症监护病房中，医院获得性压力损伤（包括 I 期）的患病率为 21.8%，I 期以外的患病率为 19.2%。骶骨是受影响最严重的部位，主要是第二阶段。令人担忧的是，一些高危病人没有得到适当的预防设备，而低危病人则接受了不必要的措施。约 73.3% 的高危患者接受了适当的预防措施：这项在阿曼进行的开创性研究探讨了压伤的发生率，发现其发生率高于国际标准。此外，研究还强调了预防措施的不足之处，如对高危患者的预防不足，以及对低危患者采取不必要的措施。
{"title":"Hospital acquired pressure injuries prevalence and preventive measures in Omani critical care units: A multicenter cross-sectional study","authors":"Ma'en Aljezawi , Mohammad Al Qadire , Omar Al Omari , Sulaiman Al Sabei , Salam Bani Hani , Mohammad Suliman , Fawwaz Alaloul , Hanan Abdelrahman","doi":"10.1016/j.jtv.2024.11.001","DOIUrl":"10.1016/j.jtv.2024.11.001","url":null,"abstract":"<div><h3>Background</h3><div>Pressure Injuries are a prevalent and concerning issue in critical care settings, impacting patient well-being and healthcare systems.</div></div><div><h3>Purpose</h3><div>Measure the point prevalence of acquired pressure injuries in Omani critical care units and assess the adequacy of preventive measures.</div></div><div><h3>Methods</h3><div>A multicenter cross-sectional survey was conducted in four major Omani hospitals, encompassing various geographical regions and health sectors. A convenient sample of 156 adult patients in critical care units was examined using the European Pressure Ulcer Advisory Panel methodology. Data on prevalence, risk assessment, and prevention measures were collected and analyzed.</div></div><div><h3>Results</h3><div>The study revealed a prevalence rate of 21.8 % for hospital-acquired pressure injuries (including stage I) and 19.2 % (excluding stage I) in Omani critical care units. The sacrum was the most affected area, with stage II being predominant. Alarmingly, some at-risk patients did not receive appropriate preventive equipment, while low-risk patients received unnecessary measures. Approximately 73.3 % of at-risk patients received adequate prevention.</div></div><div><h3>Conclusion</h3><div>This pioneering study in Oman addresses the prevalence of Pressure Injuries, revealing rates that are higher than international norms. Additionally, the research underscores deficiencies in preventive measures, such as inadequate prevention for at-risk patients and unnecessary measures for low-risk individuals.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"33 4","pages":"Pages 808-813"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693197","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 : 2024-11-01DOI: 10.1016/j.jtv.2024.07.015
Rong Hu , Xiaoying Zhong, Xiaoya Li , Yanfei Ma, Huilin He, Chunyan Wang, Fang He
Aim
To determine the level of knowledge about skin tears among geriatric ward nurses and identify associated factors.
Methods
In this cross-sectional study in Southwest China, 1172 geriatric ward nurses from 10 hospitals participated. Data were collected using Sojump, a Chinese web-based platform, and the Skin Tear Knowledge Assessment Instrument was used to assess their knowledge. The analysis involved descriptive statistics, correlation analysis, and multiple linear regression.
Results
The study involved participants with an average age of 36.73 (SD = 6.54) years. More than half of the participants had less than 10 years of experience in geriatric wards. 27 % specialized in wound care, and 68.1 % lacked specific training in skin tear (ST) knowledge. Additionally, 82.7 % of geriatric nurses had never been exposed to guidelines on ST prevention and management. In the geriatric ward, 36.6 % of nurses received training in ST prevention. The average knowledge score about Skin Tears (STs) was 9.52 (SD = 2.39) out of 18. 'Treatment' had the lowest mean score, while 'Specific patient groups' had the highest. The multiple linear regression analysis found that nurses' knowledge of STs was influenced by sex(β = 0.096, P < 0.001), educational level(β = 0.062, P < 0.001), participation in ST (β = −0.193, P < 0.001 and wound care training(β = −0.120, P = 0.004), and specialization as a wound care nurse(β = −0.350, P = 0.001). These factors explained 61.3 % of the variance in knowledge about STs among the participants.
Conclusion
The geriatric ward had limited knowledge of STs. To improve their skills in dealing with STs, managers should provide tailored training to nurses and establish a standardized, evidence-based nursing process.
{"title":"The skin tears knowledge among geriatric ward nurses and associated factors: A cross-sectional study","authors":"Rong Hu , Xiaoying Zhong, Xiaoya Li , Yanfei Ma, Huilin He, Chunyan Wang, Fang He","doi":"10.1016/j.jtv.2024.07.015","DOIUrl":"10.1016/j.jtv.2024.07.015","url":null,"abstract":"<div><h3>Aim</h3><div>To determine the level of knowledge about skin tears among geriatric ward nurses and identify associated factors.</div></div><div><h3>Methods</h3><div>In this cross-sectional study in Southwest China, 1172 geriatric ward nurses from 10 hospitals participated. Data were collected using Sojump, a Chinese web-based platform, and the Skin Tear Knowledge Assessment Instrument was used to assess their knowledge. The analysis involved descriptive statistics, correlation analysis, and multiple linear regression.</div></div><div><h3>Results</h3><div>The study involved participants with an average age of 36.73 (SD = 6.54) years. More than half of the participants had less than 10 years of experience in geriatric wards. 27 % specialized in wound care, and 68.1 % lacked specific training in skin tear (ST) knowledge. Additionally, 82.7 % of geriatric nurses had never been exposed to guidelines on ST prevention and management. In the geriatric ward, 36.6 % of nurses received training in ST prevention. The average knowledge score about Skin Tears (STs) was 9.52 (SD = 2.39) out of 18. 'Treatment' had the lowest mean score, while 'Specific patient groups' had the highest. The multiple linear regression analysis found that nurses' knowledge of STs was influenced by sex(β = 0.096, <em>P</em> < 0.001), educational level(β = 0.062, <em>P</em> < 0.001), participation in ST (β = −0.193, <em>P</em> < 0.001 and wound care training(β = −0.120, <em>P</em> = 0.004), and specialization as a wound care nurse(β = −0.350, <em>P</em> = 0.001). These factors explained 61.3 % of the variance in knowledge about STs among the participants.</div></div><div><h3>Conclusion</h3><div>The geriatric ward had limited knowledge of STs. To improve their skills in dealing with STs, managers should provide tailored training to nurses and establish a standardized, evidence-based nursing process.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"33 4","pages":"Pages 1012-1016"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141844863","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}
Pub Date : 2024-11-01DOI: 10.1016/j.jtv.2024.06.010
Shenbi Yang , Xiaoli Liang , Jian She , Jing Tian , Zhifei Wen , Yanmin Tao , Hongyan Wang , Xiangeng Zhang
Background
Skin tear (ST) is a public health problem in older adults; they substantially increase the risk of complications and cause serious adverse consequences and health care burden.
Aim
To estimate the pooled prevalence and incidence of ST among older adults.
Methods
Ten databases were systematically searched from their inception to July 27, 2023. Two researchers performed a systematic review independently according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. All inconsistencies were resolved by a principal researcher. The pooled prevalence and incidence of ST were estimated in R 4.3.1 program.
Results
Thirteen studies were included in this review. The pooled prevalence of ST was 6.0 % (95 % confidence interval (CI): 3.0%–11.0 %, I2 = 98 %), and the pooled incidence was 11.0 % (95 % CI: 5.0%–19.0 %, I2 = 94 %). The prevalence of ST was 11.0 % (95 % CI: 5.0%–19.0 %, I2 = 95 %) in long-term care facilities, 5.0 % (95 % CI: 3.0%–9.0 %, I2 = 86 %) in Europe, and 7.0 % (95 % CI: 1.0%–16.0 %, I2 = 82 %) in the Skin Tear Audit Research classification system (STAR). It has stabilized at 6.0 % since 2021. The incidence of ST was 15.0 % (95 % CI: 11.0%–20.0 %, I2 = 66 %) in long-term care facilities in Japan and 4.0 % (95 % CI: 2.0%–6.0 %) in Canada.
Conclusions
Older adults are at a high risk for ST. Our findings emphasize the importance of epidemiologic studies and further exploring assessment tools for ST. Healthcare professionals should pay attention to ST, identify high-risk individuals and associated factors, and implement targeted prevention strategies for older adults.
{"title":"Prevalence and incidence of skin tear in older adults：A systematic review and meta-analysis","authors":"Shenbi Yang , Xiaoli Liang , Jian She , Jing Tian , Zhifei Wen , Yanmin Tao , Hongyan Wang , Xiangeng Zhang","doi":"10.1016/j.jtv.2024.06.010","DOIUrl":"10.1016/j.jtv.2024.06.010","url":null,"abstract":"<div><h3>Background</h3><div>Skin tear (ST) is a public health<span> problem in older adults; they substantially increase the risk of complications and cause serious adverse consequences and health care burden.</span></div></div><div><h3>Aim</h3><div>To estimate the pooled prevalence and incidence of ST among older adults.</div></div><div><h3>Methods</h3><div>Ten databases were systematically searched from their inception to July 27, 2023. Two researchers performed a systematic review independently according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. All inconsistencies were resolved by a principal researcher. The pooled prevalence and incidence of ST were estimated in R 4.3.1 program.</div></div><div><h3>Results</h3><div>Thirteen studies were included in this review. The pooled prevalence of ST was 6.0 % (95 % confidence interval (CI): 3.0%–11.0 %, I<sup>2</sup> = 98 %), and the pooled incidence was 11.0 % (95 % CI: 5.0%–19.0 %, I<sup>2</sup> = 94 %). The prevalence of ST was 11.0 % (95 % CI: 5.0%–19.0 %, I<sup>2</sup> = 95 %) in long-term care facilities, 5.0 % (95 % CI: 3.0%–9.0 %, I<sup>2</sup> = 86 %) in Europe, and 7.0 % (95 % CI: 1.0%–16.0 %, I<sup>2</sup> = 82 %) in the Skin Tear Audit Research classification system (STAR). It has stabilized at 6.0 % since 2021. The incidence of ST was 15.0 % (95 % CI: 11.0%–20.0 %, I<sup>2</sup> = 66 %) in long-term care facilities in Japan and 4.0 % (95 % CI: 2.0%–6.0 %) in Canada.</div></div><div><h3>Conclusions</h3><div>Older adults are at a high risk for ST. Our findings emphasize the importance of epidemiologic studies and further exploring assessment tools for ST. Healthcare professionals should pay attention to ST, identify high-risk individuals and associated factors, and implement targeted prevention strategies for older adults.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"33 4","pages":"Pages 1017-1024"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141544981","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 : 2024-11-01DOI: 10.1016/j.jtv.2024.09.009
Ayişe Karadaǧ , Vildan Çakar , Ayşe Sılanur Demir
Background
The first step in effective management of pressure injuries (PIs) is to assess, categorize and stage correctly.
Purpose
This study aims to examine the agreement regarding the classification and staging of PIs among nurse academicians working on chronic wounds and with different stage of expertise.
Methods
Three nurse academicians were assigned as assessors according to Benner's stages of clinical competence (Competent, Proficient, and Expert). The assessors independently evaluated PIs photographs (n = 694). The assessors then met for the wounds where there was disagreement, and a Consensus agreement was reached. Kappa Statistics analysed the agreement between two assessors; Fleiss Kappa Statistics analysed the agreement between Competent, Proficient, Expert, and Consensus.
Results
Statistically, almost perfect agreement was obtained between Competent, Proficient, Expert, and Consensus assessments, respectively (Ƙ = 0.871; p < 0.001, Ƙ = 0.842; p < 0.001, Ƙ = 0.937; p < 0.001). The highest agreement between the assessors were Unstageable PIs, Deep Tissue PIs, and Stage 3 PIs respectively. The most common disagreements were between Deep Tissue PIs and Stage 1 PIs, and between Deep Tissue PIs and Stage 2 PIs.
Conclusion
In the study, it was found that the categorization, and staging of PIs had varying degrees of reliability among the assesors, although at a statistically acceptable level.
背景：目的：本研究旨在考察从事慢性伤口工作的不同专业阶段的院士级护士对压力性损伤（PIs）的分类和分期的一致意见：方法：根据 Benner 的临床能力阶段（胜任、精通和专家），指派三名院士护士担任评估员。评估员独立评估 PIs 照片（n = 694）。然后，评估人员针对存在分歧的伤口进行会诊，并达成一致意见。Kappa 统计法分析了两名评估员之间的一致性；Fleiss Kappa 统计法分析了胜任、熟练、专家和共识之间的一致性：从统计学角度看，胜任评估、熟练评估、专家评估和共识评估之间几乎完全一致（Ƙ = 0.871；p 结论：从统计学角度看，胜任评估、熟练评估、专家评估和共识评估之间几乎完全一致（Ƙ = 0.871；p 结论）：研究发现，尽管在统计学上处于可接受的水平，但评估者对 PI 的分类和分期具有不同程度的可靠性。
{"title":"An inter-assessor reliability study on the categorization and staging of pressure injuries","authors":"Ayişe Karadaǧ , Vildan Çakar , Ayşe Sılanur Demir","doi":"10.1016/j.jtv.2024.09.009","DOIUrl":"10.1016/j.jtv.2024.09.009","url":null,"abstract":"<div><h3>Background</h3><div>The first step in effective management of pressure injuries (PIs) is to assess, categorize and stage correctly.</div></div><div><h3>Purpose</h3><div>This study aims to examine the agreement regarding the classification and staging of PIs among nurse academicians working on chronic wounds and with different stage of expertise.</div></div><div><h3>Methods</h3><div>Three nurse academicians were assigned as assessors according to Benner's stages of clinical competence (Competent, Proficient, and Expert). The assessors independently evaluated PIs photographs (n = 694). The assessors then met for the wounds where there was disagreement, and a Consensus agreement was reached. Kappa Statistics analysed the agreement between two assessors; Fleiss Kappa Statistics analysed the agreement between Competent, Proficient, Expert, and Consensus.</div></div><div><h3>Results</h3><div>Statistically, almost perfect agreement was obtained between Competent, Proficient, Expert, and Consensus assessments, respectively (Ƙ = 0.871; p < 0.001, Ƙ = 0.842; p < 0.001, Ƙ = 0.937; p < 0.001). The highest agreement between the assessors were Unstageable PIs, Deep Tissue PIs, and Stage 3 PIs respectively. The most common disagreements were between Deep Tissue PIs and Stage 1 PIs, and between Deep Tissue PIs and Stage 2 PIs.</div></div><div><h3>Conclusion</h3><div>In the study, it was found that the categorization, and staging of PIs had varying degrees of reliability among the assesors, although at a statistically acceptable level.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"33 4","pages":"Pages 786-791"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142391512","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 : 2024-11-01DOI: 10.1016/j.jtv.2024.09.003
Tuğba Ege , Elif Ok , Vesile Ünver
Background
The aim of this study was to determine the effect of itching on sleep quality and comfort in hemodialysis (HD) and renal transplant (Tx) patients with itching.
Methods
This descriptive, correlational seeking and cross-sectional study was conducted in four hospitals affiliated with a private health group in Istanbul between April and June 2021. The sample of the study consisted of 42 patients receiving HD treatment and 49 patients with renal transplantation. Data were collected using the Patient Information Form, 5-D Itch Scale, Richards-Campbell Sleep Questionnaire and General Comfort Questionnaire.
Results
There was a significant difference between the HD and renal transplantation groups in the Direction (p = 0.01) and Disability dimension (p = 0.002) of the 5- D Itch scale in favor of the renal transplant group. The mean sleep quality and comfort scores of the groups were similar and moderate. Itching negatively affects sleep quality in patients receiving HD treatment, and 22 % of the change in sleep quality is explained by disability of itching (R2 = 0.22; p = 0.002). Itching negatively affects comfort in both groups. Itching explains 27 % of the change in comfort level in the HD group (R2 = 0.27; p = 0.002) and 25 % of the change in comfort level in the renal transplantation group (R2 = 0.25; p = 0.001).
Conclusions
According the study results during the hemodialysis treatment process, itching is more intense in terms of distribution and disability and affects the quality of sleep of patients. Itching has a significant impact on patients' perception of comfort. Patients experience itching both during HD treatment and after renal transplantation, which significantly impairs their comfort. Therefore, itching should be carefully monitored during renal replacement therapy and its effects on patients should be evaluated.
{"title":"The effect of itching on sleep quality and comfort in patients with hemodialysis and renal transplantation: A multi-center cross-sectional study","authors":"Tuğba Ege , Elif Ok , Vesile Ünver","doi":"10.1016/j.jtv.2024.09.003","DOIUrl":"10.1016/j.jtv.2024.09.003","url":null,"abstract":"<div><h3>Background</h3><div>The aim of this study was to determine the effect of itching on sleep quality and comfort in hemodialysis (HD) and renal transplant (Tx) patients with itching.</div></div><div><h3>Methods</h3><div>This descriptive, correlational seeking and cross-sectional study was conducted in four hospitals affiliated with a private health group in Istanbul between April and June 2021. The sample of the study consisted of 42 patients receiving HD treatment and 49 patients with renal transplantation. Data were collected using the Patient Information Form, 5-D Itch Scale, Richards-Campbell Sleep Questionnaire and General Comfort Questionnaire.</div></div><div><h3>Results</h3><div>There was a significant difference between the HD and renal transplantation groups in the Direction (p = 0.01) and Disability dimension (p = 0.002) of the 5- D Itch scale in favor of the renal transplant group. The mean sleep quality and comfort scores of the groups were similar and moderate. Itching negatively affects sleep quality in patients receiving HD treatment, and 22 % of the change in sleep quality is explained by disability of itching (R<sup>2</sup> = 0.22; p = 0.002). Itching negatively affects comfort in both groups. Itching explains 27 % of the change in comfort level in the HD group (R<sup>2</sup> = 0.27; p = 0.002) and 25 % of the change in comfort level in the renal transplantation group (R<sup>2</sup> = 0.25; p = 0.001).</div></div><div><h3>Conclusions</h3><div>According the study results during the hemodialysis treatment process, itching is more intense in terms of distribution and disability and affects the quality of sleep of patients. Itching has a significant impact on patients' perception of comfort. Patients experience itching both during HD treatment and after renal transplantation, which significantly impairs their comfort. Therefore, itching should be carefully monitored during renal replacement therapy and its effects on patients should be evaluated.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"33 4","pages":"Pages 903-908"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142349133","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 : 2024-11-01DOI: 10.1016/j.jtv.2024.11.002
Deniz İnan , Filiz Ogce Aktas , Tülay Yavan
Surgical patients are at risk for pressure injuries throughout the entire surgical process. Prevalence and incidence studies are critical to determine risk groups in surgical patient groups. This study was conducted to determine the incidence of pressure injury development in patients hospitalized in surgical clinics and to examine the effects of risk factors on it. The sample of this descriptive study consisted of 138 patients hospitalized in surgical wards. Data collection tools included a patient information questionnaire, The National Pressure Injury Advisory Panel (NPIAP) Pressure Injury and Stages Form, and the Munro Perioperative Pressure Ulcer Risk Assessment Scale. Data were analyzed on the SPSS 24.0 software package by using descriptive statistical tests such as frequency and percentage distribution, chi-square test, independent groups t-test, and univariate logistic regression analysis. The incidence of surgery-related pressure injuries was found to be 18.8 %. Patients’ mean scores on the Munro scale were 10.23 ±0 .2.95 before surgery, 12.80 ± 2.57 during surgery, and 23.03 ± 5.07 following surgery, with the mean total score being 24.47 ± 5.44. The mean score on the total Munro scale was statistically significantly higher in patients who developed pressure injuries than in those who did not. Patients' age, blood albumin level, body mass index, presence of oedema, use of medical equipment, mobility status, type of anaesthesia used in surgery, and duration of surgery were determined as effective risk factors in pressure injury development. In conclusion, it was found that pressure injuries developed at a considerable rate in patients undergoing surgical operations. It is recommended that surgical nurses should take the necessary precautions in time.
{"title":"Determination the incidence of surgery related pressure injury and to examine the effects of risk factors on pressure injury formation","authors":"Deniz İnan , Filiz Ogce Aktas , Tülay Yavan","doi":"10.1016/j.jtv.2024.11.002","DOIUrl":"10.1016/j.jtv.2024.11.002","url":null,"abstract":"<div><div>Surgical patients are at risk for pressure injuries throughout the entire surgical process. Prevalence and incidence studies are critical to determine risk groups in surgical patient groups. This study was conducted to determine the incidence of pressure injury development in patients hospitalized in surgical clinics and to examine the effects of risk factors on it. The sample of this descriptive study consisted of 138 patients hospitalized in surgical wards. Data collection tools included a patient information questionnaire, The National Pressure Injury Advisory Panel (NPIAP) Pressure Injury and Stages Form, and the Munro Perioperative Pressure Ulcer Risk Assessment Scale. Data were analyzed on the SPSS 24.0 software package by using descriptive statistical tests such as frequency and percentage distribution, chi-square test, independent groups <em>t</em>-test, and univariate logistic regression analysis. The incidence of surgery-related pressure injuries was found to be 18.8 %. Patients’ mean scores on the Munro scale were 10.23 ±0 .2.95 before surgery, 12.80 ± 2.57 during surgery, and 23.03 ± 5.07 following surgery, with the mean total score being 24.47 ± 5.44. The mean score on the total Munro scale was statistically significantly higher in patients who developed pressure injuries than in those who did not. Patients' age, blood albumin level, body mass index, presence of oedema, use of medical equipment, mobility status, type of anaesthesia used in surgery, and duration of surgery were determined as effective risk factors in pressure injury development. In conclusion, it was found that pressure injuries developed at a considerable rate in patients undergoing surgical operations. It is recommended that surgical nurses should take the necessary precautions in time.</div></div>","PeriodicalId":17392,"journal":{"name":"Journal of tissue viability","volume":"33 4","pages":"Pages 814-819"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751293","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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