Research advances in periwound skin management_West China Medical Journal

Authors：

MA Yanfei ,  NING Ning , CHEN Jiali , HOU Ailin

Department of Orthopedic Surgery and Orthopedic Research lnstitute, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

NING Ning, Email: gkningning@126.com

Keywords：

Wound; wound exudate; wound assessment; periwound skin; nursing

DOI：

10.7507/1002-0179.202207094

Video：

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Periwound skin, as an indicator of the wound healing monitoring process, is one of the most important components of wound management. Effective management of periwound skin is a major professional challenge. In practice, healthcare professionals usually focus on the wound site and pay little attention to the periwound skin. Inappropriate management of periwound skin will delay the wound healing process, increase the economic costs of the patients, and decrease the patients’ satisfaction with medical care. This article summarizes the clinical symptoms, assessment tools, and management strategies of periwound skin, aiming to provide new ideas and references for clinical wound management.

Citation： MA Yanfei, NING Ning, CHEN Jiali, HOU Ailin. Research advances in periwound skin management. West China Medical Journal, 2023, 38(9): 1435-1439. doi: 10.7507/1002-0179.202207094 Copy

1.	Bianchi J. Protecting the integrity of the periwound skin. Wound Essent, 2012, 1: 58-64.
2.	Ousey K, Stephenson J, Barrett S, et al. Wound care in five English NHS trusts: results of a survey. Wounds UK, 2013, 9(4): 20-28.
3.	蔣琪霞, 王建東, 董珊, 等. 兩種皮膚保護方法在負壓治療慢性傷口中的應用研究. 中華護理雜志, 2020, 55(1): 39-44.
4.	McNichol L, Lund C, Rosen T, et al. Medical adhesives and patient safety: state of the science: consensus statements for the assessment, prevention, and treatment of adhesive-related skin injuries. Orthop Nurs, 2013, 32(5): 267-281.
5.	Holloway S. Skin considerations for older adults with wounds. Br J Community Nurs, 2019, 24(Suppl 6): S15-S19.
6.	Stephen-Haynes J. The outcomes of barrier protection in periwound skin and stoma care. Br J Nurs, 2014, 23(5): S26, S28-S30.
7.	Aydin C, Donaldson N, Stotts NA, et al. Modeling hospital-acquired pressure ulcer prevalence on medical-surgical units: nurse workload, expertise, and clinical processes of care. Health Serv Res, 2015, 50(2): 351-373.
8.	Bonifant H, Holloway S. A review of the effects of ageing on skin integrity and wound healing. Br J Community Nurs, 2019, 24(Suppl 3): S28-S33.
9.	Dowsett C, Allen L. Moisture-associated skin damage made easy. Wounds UK, 2013, 9(4): 1-4.
10.	Dissemond J, Assenheimer B, Gerber V, et al. Moisture-associated skin damage (MASD): a best practice recommendation from Wund-D. A. CH. J Dtsch Dermatol Ges, 2021, 19(6): 815-825.
11.	Gray M, Black JM, Baharestani MM, et al. Moisture-associated skin damage: overview and pathophysiology. J Wound Ostomy Continence Nurs, 2011, 38(3): 233-241.
12.	Young T. Back to basics: understanding moisture-associated skin damage. Wounds UK, 2017, 13(4): 1.
13.	Woodward S. Moisture-associated skin damage: use of a skin protectant containing manuka honey. Br J Nurs, 2019, 28(6): 329-335.
14.	Voegeli D. Prevention and management of moisture-associated skin damage. Nurs Stand, 2019, 34(2): 77-82.
15.	安俊紅, 韓雪, 張春萍. 基于傷口評估三角的干預方案在 3 期及以上壓力性損傷病人延續護理中的應用. 護理研究, 2021, 35(24): 4475-4477.
16.	韓雪. 基于傷口評估三角的整體干預方案在 3 期以上壓力性損傷患者延續護理中的應用研究. 太原: 山西醫科大學, 2021.
17.	徐洪蓮, 郝建玲. 2014 版壓瘡預防和治療臨床實踐指南的更新及解讀. 上海護理, 2018, 18(6): 5-8.
18.	李佩芳, 寧寧, 陳佳麗, 等. Bates-Jensen 傷口評估與效果評價量表在治療慢性傷口中的應用. 華西醫學, 2015, 30(10): 1835-1837.
19.	Nair HKR, Chong SS, Othman AM. Validation of harikrishna periwound skin classification for wound assessment. J Wound Care, 2020, 29(Suppl 4): S44-S48.
20.	陳佳麗, 寧寧, 李佩芳. 智能化傷口評估和傷口數據管理現狀及研究進展. 中華現代護理雜志, 2019, 25(16): 1981-1984.
21.	Mufti A, Somayaji R, Coutts P, et al. Infrared skin thermometry: validating and comparing techniques to detect periwound skin infection. Adv Skin Wound Care, 2018, 31(1): 607-611.
22.	Lin YH, Chen YC, Cheng KS, et al. Higher periwound temperature associated with wound healing of pressure ulcers detected by infrared thermography. J Clin Med, 2021, 10(13): 2883.
23.	Holmes J, Schuh S, Bowling FL, et al. Dynamic optical coherence tomography is a new technique for imaging skin around lower extremity wounds. Int J Low Extrem Wounds, 2019, 18(1): 65-74.
24.	Matsumoto M, Nakagami G, Kitamura A, et al. Ultrasound assessment of deep tissue on the wound bed and periwound skin: a classification system using ultrasound images. J Tissue Viability, 2021, 30(1): 28-35.
25.	Pramod S. A soft silicone foam dressing that aids healing and comfort in oncology care. Br J Nurs, 2021, 30(1): 40-46.
26.	Adderley UJ. Managing wound exudate and promoting healing. Br J Community Nurs, 2010, 15(3): S15-S16, S18, S20.
27.	Forder R, Burns R. Post-market clinical evaluation of the safety and performance of ActivHeal^? silicone foam and ActivHeal^? silicone foam lite dressings. Wounds UK, 2020, 16(3): 1.
28.	項紅梅, 楊木香, 楊禮鳳. 皮膚保濕劑護理皮膚浸漬的效果分析. 河北醫藥, 2019, 41(11): 1753-1755.
29.	Chamanga E. Effectively managing wound exudate. Br J Community Nurs, 2015: S8, S10.
30.	Liu X, Zhang H, Cen S, et al. Negative pressure wound therapy versus conventional wound dressings in treatment of open fractures: a systematic review and meta-analysis. Int J Surg, 2018, 53: 72-79.
31.	蔣琪霞. 負壓封閉傷口治療理論與實踐. 北京: 人民衛生出版社, 2018: 44, 47, 91, 102, 119-122.
32.	Wang PH, Huang BS, Horng HC, et al. Wound healing. J Chin Med Assoc, 2018, 81(2): 94-101.
33.	侯銀萌, 李碩, 王泠. 潮濕相關性皮炎病理特征及護理研究進展. 護理學雜志, 2020, 35(19): 105-109.
34.	Nair HKR. Fifty-patient study evaluating the efficacy of modified collagen with glycerin in periwound skin management. Int J Low Extrem Wounds, 2018, 17(1): 54-61.
35.	黃祖鋒, 黃海生, 鄧東明, 等. 紅光照射聯合外用藥物治療麻風潰瘍的臨床觀察. 實用醫學雜志, 2018, 34(16): 2813-2815.
36.	杜培欣, 梅祖兵, 楊巍. 紅光治療聯合紅油膏換藥在低位單純性肛瘺術后的療效評價. 東南國防醫藥, 2019, 21(1): 26-29.
37.	呂菊英, 王俊興, 徐雪雁, 等. 濕性愈合理論聯合紅藍光治療在慢性傷口患者中的價值. 國際護理學雜志, 2021, 40(19): 3553-3556.
38.	Wongkietkachorn A, Surakunprapha P, Titapun A, et al. Periwound challenges improve patient satisfaction in wound care. Plast Reconstr Surg Glob Open, 2019, 7(3): e2134.

1. Bianchi J. Protecting the integrity of the periwound skin. Wound Essent, 2012, 1: 58-64.
2. Ousey K, Stephenson J, Barrett S, et al. Wound care in five English NHS trusts: results of a survey. Wounds UK, 2013, 9(4): 20-28.
3. 蔣琪霞, 王建東, 董珊, 等. 兩種皮膚保護方法在負壓治療慢性傷口中的應用研究. 中華護理雜志, 2020, 55(1): 39-44.
4. McNichol L, Lund C, Rosen T, et al. Medical adhesives and patient safety: state of the science: consensus statements for the assessment, prevention, and treatment of adhesive-related skin injuries. Orthop Nurs, 2013, 32(5): 267-281.
5. Holloway S. Skin considerations for older adults with wounds. Br J Community Nurs, 2019, 24(Suppl 6): S15-S19.
6. Stephen-Haynes J. The outcomes of barrier protection in periwound skin and stoma care. Br J Nurs, 2014, 23(5): S26, S28-S30.
7. Aydin C, Donaldson N, Stotts NA, et al. Modeling hospital-acquired pressure ulcer prevalence on medical-surgical units: nurse workload, expertise, and clinical processes of care. Health Serv Res, 2015, 50(2): 351-373.
8. Bonifant H, Holloway S. A review of the effects of ageing on skin integrity and wound healing. Br J Community Nurs, 2019, 24(Suppl 3): S28-S33.
9. Dowsett C, Allen L. Moisture-associated skin damage made easy. Wounds UK, 2013, 9(4): 1-4.
10. Dissemond J, Assenheimer B, Gerber V, et al. Moisture-associated skin damage (MASD): a best practice recommendation from Wund-D. A. CH. J Dtsch Dermatol Ges, 2021, 19(6): 815-825.
11. Gray M, Black JM, Baharestani MM, et al. Moisture-associated skin damage: overview and pathophysiology. J Wound Ostomy Continence Nurs, 2011, 38(3): 233-241.
12. Young T. Back to basics: understanding moisture-associated skin damage. Wounds UK, 2017, 13(4): 1.
13. Woodward S. Moisture-associated skin damage: use of a skin protectant containing manuka honey. Br J Nurs, 2019, 28(6): 329-335.
14. Voegeli D. Prevention and management of moisture-associated skin damage. Nurs Stand, 2019, 34(2): 77-82.
15. 安俊紅, 韓雪, 張春萍. 基于傷口評估三角的干預方案在 3 期及以上壓力性損傷病人延續護理中的應用. 護理研究, 2021, 35(24): 4475-4477.
16. 韓雪. 基于傷口評估三角的整體干預方案在 3 期以上壓力性損傷患者延續護理中的應用研究. 太原: 山西醫科大學, 2021.
17. 徐洪蓮, 郝建玲. 2014 版壓瘡預防和治療臨床實踐指南的更新及解讀. 上海護理, 2018, 18(6): 5-8.
18. 李佩芳, 寧寧, 陳佳麗, 等. Bates-Jensen 傷口評估與效果評價量表在治療慢性傷口中的應用. 華西醫學, 2015, 30(10): 1835-1837.
19. Nair HKR, Chong SS, Othman AM. Validation of harikrishna periwound skin classification for wound assessment. J Wound Care, 2020, 29(Suppl 4): S44-S48.
20. 陳佳麗, 寧寧, 李佩芳. 智能化傷口評估和傷口數據管理現狀及研究進展. 中華現代護理雜志, 2019, 25(16): 1981-1984.
21. Mufti A, Somayaji R, Coutts P, et al. Infrared skin thermometry: validating and comparing techniques to detect periwound skin infection. Adv Skin Wound Care, 2018, 31(1): 607-611.
22. Lin YH, Chen YC, Cheng KS, et al. Higher periwound temperature associated with wound healing of pressure ulcers detected by infrared thermography. J Clin Med, 2021, 10(13): 2883.
23. Holmes J, Schuh S, Bowling FL, et al. Dynamic optical coherence tomography is a new technique for imaging skin around lower extremity wounds. Int J Low Extrem Wounds, 2019, 18(1): 65-74.
24. Matsumoto M, Nakagami G, Kitamura A, et al. Ultrasound assessment of deep tissue on the wound bed and periwound skin: a classification system using ultrasound images. J Tissue Viability, 2021, 30(1): 28-35.
25. Pramod S. A soft silicone foam dressing that aids healing and comfort in oncology care. Br J Nurs, 2021, 30(1): 40-46.
26. Adderley UJ. Managing wound exudate and promoting healing. Br J Community Nurs, 2010, 15(3): S15-S16, S18, S20.
27. Forder R, Burns R. Post-market clinical evaluation of the safety and performance of ActivHeal^? silicone foam and ActivHeal^? silicone foam lite dressings. Wounds UK, 2020, 16(3): 1.
28. 項紅梅, 楊木香, 楊禮鳳. 皮膚保濕劑護理皮膚浸漬的效果分析. 河北醫藥, 2019, 41(11): 1753-1755.
29. Chamanga E. Effectively managing wound exudate. Br J Community Nurs, 2015: S8, S10.
30. Liu X, Zhang H, Cen S, et al. Negative pressure wound therapy versus conventional wound dressings in treatment of open fractures: a systematic review and meta-analysis. Int J Surg, 2018, 53: 72-79.
31. 蔣琪霞. 負壓封閉傷口治療理論與實踐. 北京: 人民衛生出版社, 2018: 44, 47, 91, 102, 119-122.
32. Wang PH, Huang BS, Horng HC, et al. Wound healing. J Chin Med Assoc, 2018, 81(2): 94-101.
33. 侯銀萌, 李碩, 王泠. 潮濕相關性皮炎病理特征及護理研究進展. 護理學雜志, 2020, 35(19): 105-109.
34. Nair HKR. Fifty-patient study evaluating the efficacy of modified collagen with glycerin in periwound skin management. Int J Low Extrem Wounds, 2018, 17(1): 54-61.
35. 黃祖鋒, 黃海生, 鄧東明, 等. 紅光照射聯合外用藥物治療麻風潰瘍的臨床觀察. 實用醫學雜志, 2018, 34(16): 2813-2815.
36. 杜培欣, 梅祖兵, 楊巍. 紅光治療聯合紅油膏換藥在低位單純性肛瘺術后的療效評價. 東南國防醫藥, 2019, 21(1): 26-29.
37. 呂菊英, 王俊興, 徐雪雁, 等. 濕性愈合理論聯合紅藍光治療在慢性傷口患者中的價值. 國際護理學雜志, 2021, 40(19): 3553-3556.
38. Wongkietkachorn A, Surakunprapha P, Titapun A, et al. Periwound challenges improve patient satisfaction in wound care. Plast Reconstr Surg Glob Open, 2019, 7(3): e2134.

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Research advances in periwound skin management

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