To evaluate the impact of a nurse-led, multidisciplinary education programme on wound healing, patient knowledge, and adherence to compression therapy, physical activity, and nutrition in individuals with venous leg ulcers (VLU). In this randomised controlled trial, 87 patients with VLU from three outpatient clinics in Western Switzerland were allocated to an intervention group (IG) receiving structured education plus standard care, or a control group (CG) receiving standard care alone. The 12-month intervention included in-person education, counselling, and follow-ups.
View Article and Find Full Text PDFBMC Med Inform Decis Mak
August 2025
Background: Chronic wounds (CWs) represent a significant and growing challenge in healthcare due to their prolonged healing times, complex management, and associated costs. Inadequate wound assessment by healthcare professionals (HCPs), often due to limited training and high clinical workload, contributes to suboptimal treatment and increased risk of complications. This study aimed to develop an artificial intelligence (AI)-powered wound assessment tool, integrated into a mobile application, to support HCPs in diagnosis, monitoring, and clinical decision-making.
View Article and Find Full Text PDFZ Gerontol Geriatr
July 2025
Background: International associations advocate the care model of person-centered care (PCC) that focuses on people with chronic illnesses rather than on disease patterns.
Objective: To present the concept and its legitimacy concerning the care of people with chronic wounds.
Material And Method: A narrative review, identification and analysis of review articles as well as conceptual foundations, practical examples and discussion of implementation.
Empathy plays an important role in delivering healthcare, influencing both patient outcomes and satisfaction. However, its role, impact, and barriers to implementation in wound care remain underexplored. This scoping review aims to synthesise existing literature on empathy in wound care, highlighting its contributions to person-centred healing.
View Article and Find Full Text PDFJ Tissue Viability
August 2025
Aim: This study explores the impact of healthcare providers' empathy on patients' healing outcomes and satisfaction in chronic wound care.
Materials And Methods: A qualitative descriptive approach was used. Ten adults with chronic wounds were recruited through purposive sampling.
J Tissue Viability
August 2025
Aim: This study aimed to investigate health professionals' perceptions of the impact of empathy on healing outcomes, patient satisfaction and delivery of wound care.
Materials And Methods: A descriptive qualitative approach was used, employing semi-structured face-to-face interviews with 10 healthcare professionals specializing in wound care in Australia. Participants were purposively sampled, and interviews lasted between 22 and 47 min.
Aim: 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.
Materials And Methods: 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.
Wound infections are still an interdisciplinary and interprofessional challenge, because of numerous complications, particularly in people with chronic wounds. There are many different concepts and approaches in this field today. Therefore, WundDACH, the umbrella organization of the German-speaking wound healing societies, wrote a position paper on this important topic.
View Article and Find Full Text PDFBackgroundWounds are a significant national health concern, impacting individuals, healthcare systems, and the environment. Despite efforts by organizations to promote evidence-based practices, gaps persist between theory and nurse practice in wound care. Mobile apps show promises in enhancing wound care delivery, but their rapid evolution, including adaptations into different languages such as French, raises concerns about reliability and regulation.
View Article and Find Full Text PDFJ Imaging Inform Med
January 2025
Accurate wound segmentation is crucial for the precise diagnosis and treatment of various skin conditions through image analysis. In this paper, we introduce a novel dual attention U-Net model designed for precise wound segmentation. Our proposed architecture integrates two widely used deep learning models, VGG16 and U-Net, incorporating dual attention mechanisms to focus on relevant regions within the wound area.
View Article and Find Full Text PDFVenous leg ulcers (VLUs) provoke multiple symptoms and impact individuals and society as a whole. Their treatment and prevention strategies require individual's involvement in self-management strategies. Insufficient knowledge with regard to prevention, management, and treatment has been identified as a critical factor related to VLUs and their recurrence.
View Article and Find Full Text PDFChronic wounds are a growing concern due to aging populations, sedentary lifestyles and increasing rates of obesity and chronic diseases. The impact of such wounds is felt worldwide, posing a considerable clinical, environmental and socioeconomic challenge and impacting the quality of life. The increasing complexity of care requires a holistic approach, along with extensive knowledge and skills.
View Article and Find Full Text PDF: Chronic leg ulcers present a global challenge in healthcare, necessitating precise wound measurement for effective treatment evaluation. This study is the first to validate the "split-wound design" approach for wound studies using objective measures. We further improved this relatively new approach and combined it with a semi-automated wound measurement algorithm.
View Article and Find Full Text PDFBackground: Wound care represents a considerable challenge, especially for newly graduated nurses. The development of a mobile application is envisioned to improve knowledge transfer and facilitate evidence-based practice. The aim of this study was to establish expert consensus on the initial content of the algorithm for a wound care mobile application for newly graduated nurses.
View Article and Find Full Text PDFBackground: The benefits of nurse-led therapeutic patient education regarding wound healing and the prevention of recurrences for individuals living with a venous leg ulcer remain unclear. Obtaining the individuals perspective could offer an in depth understanding of why and how they engage or not, in self-management strategies following nurse-led patient education. Despite strong evidence indicating the need for further investigation into the benefits of therapeutic patient education in this population there is a lack of research into how individuals cope with chronic venous insufficiency or resulting ulceration.
View Article and Find Full Text PDFObjective: There are several methods of treating hard-to-heal (chronic) wounds, each differing in terms of efficiency, selectivity, speed, cost and pain. The objective is to activate a wound to initiate the healing cascade. For this pilot study we assessed the feasibility of a new microjet wound therapy technology compared to standard sharp debridement in wound outcomes.
View Article and Find Full Text PDFEffective exudate management is key for optimal ulcer healing. Superabsorbent dressings are designed to have high fluid handling capacity, reduced risk of exudate leakage, fluid retention under compression, and to sequester harmful exudate components. This study aimed to systematically identify existing evidence for the clinical efficacy and cost-effectiveness of superabsorbent dressings for the treatment of moderate-to-highly exudating chronic ulcers of various etiologies.
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