《伤口、造口与失禁护理》2016年9/10月总第43卷5期
Wound, Ostomy, and Continence Nursing
September/October 2016 - Volume 43 -Issue 5
pp: 450-558,E1-E1
Editorial
Context for Practice: Unavoidable Pressure Injuries, Adaptation to a Urinary Diversion, LUTS in Women With Diabetes Mellitus
执业背景：糖尿病妇女不可避免的压力性损伤、尿流改道术的适应及LUTS
Letter to the Editor
Incontinence-Associated Dermatitis (IAD)
失禁相关皮炎
Treated with great interest the View From Here article, “Incontinence-Associated Dermatitis; Progress, Promises, and Ongoing Challengers,” by Mikel Gray, Laurie McNichol, and Denise Nix in the Match/April 2016 edition of JWONG, pp. 188-192. I thoroughly enfoyed the excellent historical review, the detailed current understanding of incontinence-associated dermatitis pathology, as well as the challenges of building the evidence for the concept of IAD.
Wound Care
The VCU Pressure Ulcer Summit: The Search for a Clearer Understanding and More Precise Clinical Definition of the Unavoidable Pressure Injury
VCU压力性溃疡峰会：寻找更清楚的理解及不可避免性压力性损伤的更准确临床定义
This article reports the findings of the Unavoidable Pressure Ulcer Committee (of the VCU Pressure Ulcer Summit) that was tasked with addressing key issues associated with pressure injuries that are unavoidable or unpreventable. Our goals were (1) to clarify nomenclature and descriptions surrounding “terminal ulceration,” (2) to describe the medical complications and comorbid conditions that can lead to skin failure and/or terminal ulceration, (3) to describe the variable possible causes of unavoidable pressure injuries, and (4) to present clinical cases to exemplify pressure injuries considered to be unavoidable.
Full-Thickness and Unstageable Pressure Injuries That Develop in Nursing Home Residents Despite Consistently Good Quality Care
老人院居住者尽管始终有良好的质量护理但仍出现全层不可避免性压力性损伤
The purpose of this study was to determine whether stage 3, 4, and unstageable pressure injuries develop despite consistently good quality care (CGQC); ascertain whether these wounds occur without prior recognition of a lower-stage pressure injury; and to describe and analyze characteristics of nursing home residents and their higher-stage pressure injuries.
Sleep Quality: A Pilot Study Comparing Patients With and Without Injection-Related Venous Ulcers
睡眠质量：对有无注射相关静脉曲张性溃疡患者进行比较的初步研究
The purposes of this study were to (a) compare sleep quality of persons with and without injection-related venous ulcers (VU) and (b) examine associations between global sleep quality with age, sex, comorbidities, pain, nutrition, physical health rating, fatigue, emotional problems, health-related quality of life, attitude toward physical activity, and number of ulcers.
Reducing Pressure Injury Incidence Using a Turn Team Assignment: Analysis of a Quality Improvement Project
通过翻身小组任务分配减少压力性损伤发生率：质量改善方案分析
The purpose of this study was to analyze outcomes of a quality improvement project that evaluated a turning intervention for prevention of facility-acquired pressure injuries.
CE Test
The VCU Pressure Ulcer Summit: The Search for a Clearer Understanding and More Precise Clinical Definition of the Unavoidable Pressure Injury
VCU压力性溃疡峰会：寻找更清楚的理解及不可避免性压力性损伤的更准确临床定义
Professional Practice
The Impact of Smoking and Smoking Cessation on Wound Healing in Spinal Cord–Injured Patients With Pressure Injuries: A Retrospective Comparison Cohort Study
吸烟和戒烟对脊髓损伤的压力性损伤患者的影响：回顾性对比队列研究
The purpose of this study was to evaluate the impact of implementing evidence-based guidelines on smoking cessation in persons with spinal cord injuries and pressure injuries. We also evaluated the impact of smoking on pressure injury healing in this population.
Ostomy Care
Prevalence of Parastomal Hernia and Factors Associated With Its Development
造口旁疝发病率及与其发展相关的因素
The purpose of this study was to identify risk factors for development of a parastomal hernia (PH).
Adolescent Perspectives Following Ostomy Surgery: A Grounded Theory Study
造口术青少年的想法：扎根理论研究
This purpose of this study was to provide a theoretical account of how adolescents aged 13 to 18 years process the experience of having an ostomy.
Factors Related to Adaptation to Cystectomy With Urinary Diversion: An Integrative Review
与尿流改道膀胱切除适应相关的因素：综合回顾
Patients with bladder (urothelial) cancer undergoing urinary diversion (UD) experience physical changes that require important adjustments in their daily lives. This integrative review aims to identify factors that influence adult adaptation to life after cystectomy with the creation of a UD. A review of primary research articles published between 1990 and 2014 was conducted using the PubMed and CINAHL Plus electronic databases.
Continence Care
Urinary Incontinence in Pregnant Women: Prevalence, Associated Factors, and Its Effects on Health-Related Quality of Life
妊娠妇女的尿失禁：发病率、相关因素及其对健康相关生活质量的效应
The purpose of this study was to determine the prevalence of and risk factors for urinary incontinence (UI) during pregnancy and to evaluate its effect on health-related quality of life.
Prevalence of Fecal Incontinence in the Acute Care Setting
急诊保健机构大便失禁发病率
The aim of this study was to determine the prevalence of fecal incontinence (FI) and its associated risk factors in acutely ill adult hospitalized patients.
Lower Urinary Tract Symptoms in Women With Type 2 Diabetes Mellitus
T2D妇女的下泌尿道症状
The aim of the study was to compare lower urinary tract symptoms (LUTS) in women with and without type 2 diabetes mellitus (DM).
Feasibility of a Web-Based Self-management Intervention for Intermittent Urinary Catheter Users With Spinal Cord Injury
脊髓损伤间断性导尿管使用者网络基自我管理干预的可行性
The purpose of this study was to evaluate the feasibility of a new Web-based intermittent catheter self-management intervention.
Barriers to Communication With a Healthcare Provider and Health Literacy About Incontinence Among Informal Caregivers of Individuals With Dementia
痴呆个体非正式照护者有关对失禁的健康素养及与医疗保健提供者的沟通障碍
The purpose of this study was to examine barriers to communicating with healthcare professionals and health literacy about incontinence among different types of informal caregivers of individuals with Alzheimer disease (AD).
Getting Ready for Certification
Preparing for Success on the APRN WOC Examination
APRN WOC考试备考
The Wound, Ostomy and Continence Nursing Certification and Advanced Practice (AP) certification in wound, ostomy and continence nursing. As healthecare increases in complexity, consumer confidence and comfort in their provider’s ability to meet their unique and specialized needs continue to grow.
Challenges in Practice
Efficacy of Dialkylcarbamoylchloride-Coated Dressing in Management of Colonized or Infected Neonatal and Pediatric Wounds
二烷氨基甲酰氯管理集群或感染性新生儿和小儿伤口的效应
Wound healing is a dynamic process that normally follows a predictable cascade of events. A common cause of delayed wound healing or wound dehiscence is increased colonization with microbes, often leading to infection. Infection may impede the healing process by inducing an undesirable inflammatory response. Systemic antibiotics and topical antiseptics are mainstays of treatment, but their adverse side effects and the potential for emergence of resistant microbial strains have led to a search for alternative approaches for control of bioburden.
Use of a Moisture Wicking Fabric for Prevention of Skin Damage Around Drains and Parenteral Access Lines
使用湿灯芯织物预防引流及非经口入径导管周围皮肤损伤
Skin damage under various drainage tubes and parenteral access lines occurs frequently in pediatric patients. Our team sought an alternative to the use of gauze or foam for prevention and management of peritubular skin damage.
WOCN Links
WOCN®-Accredited Professional Education Programs
WOCN认证职业教育课程
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