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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Abstract Full text Figures/Tables Video References Cited by

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.	蒋琪霞, 王建东, 董珊, 等. 两种皮肤保护方法在负压治疗慢性伤口中的应用研究. 中华护理杂志, 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.	安俊红, 韩雪, 张春萍. 基于伤口评估三角的干预方案在 3 期及以上压力性损伤病人延续护理中的应用. 护理研究, 2021, 35(24): 4475-4477.
16.	韩雪. 基于伤口评估三角的整体干预方案在 3 期以上压力性损伤患者延续护理中的应用研究. 太原: 山西医科大学, 2021.
17.	徐洪莲, 郝建玲. 2014 版压疮预防和治疗临床实践指南的更新及解读. 上海护理, 2018, 18(6): 5-8.
18.	李佩芳, 宁宁, 陈佳丽, 等. Bates-Jensen 伤口评估与效果评价量表在治疗慢性伤口中的应用. 华西医学, 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.	陈佳丽, 宁宁, 李佩芳. 智能化伤口评估和伤口数据管理现状及研究进展. 中华现代护理杂志, 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.	项红梅, 杨木香, 杨礼凤. 皮肤保湿剂护理皮肤浸渍的效果分析. 河北医药, 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.	蒋琪霞. 负压封闭伤口治疗理论与实践. 北京: 人民卫生出版社, 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.	侯银萌, 李硕, 王泠. 潮湿相关性皮炎病理特征及护理研究进展. 护理学杂志, 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.	黄祖锋, 黄海生, 邓东明, 等. 红光照射联合外用药物治疗麻风溃疡的临床观察. 实用医学杂志, 2018, 34(16): 2813-2815.
36.	杜培欣, 梅祖兵, 杨巍. 红光治疗联合红油膏换药在低位单纯性肛瘘术后的疗效评价. 东南国防医药, 2019, 21(1): 26-29.
37.	吕菊英, 王俊兴, 徐雪雁, 等. 湿性愈合理论联合红蓝光治疗在慢性伤口患者中的价值. 国际护理学杂志, 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. 蒋琪霞, 王建东, 董珊, 等. 两种皮肤保护方法在负压治疗慢性伤口中的应用研究. 中华护理杂志, 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. 安俊红, 韩雪, 张春萍. 基于伤口评估三角的干预方案在 3 期及以上压力性损伤病人延续护理中的应用. 护理研究, 2021, 35(24): 4475-4477.
16. 韩雪. 基于伤口评估三角的整体干预方案在 3 期以上压力性损伤患者延续护理中的应用研究. 太原: 山西医科大学, 2021.
17. 徐洪莲, 郝建玲. 2014 版压疮预防和治疗临床实践指南的更新及解读. 上海护理, 2018, 18(6): 5-8.
18. 李佩芳, 宁宁, 陈佳丽, 等. Bates-Jensen 伤口评估与效果评价量表在治疗慢性伤口中的应用. 华西医学, 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. 陈佳丽, 宁宁, 李佩芳. 智能化伤口评估和伤口数据管理现状及研究进展. 中华现代护理杂志, 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. 项红梅, 杨木香, 杨礼凤. 皮肤保湿剂护理皮肤浸渍的效果分析. 河北医药, 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. 蒋琪霞. 负压封闭伤口治疗理论与实践. 北京: 人民卫生出版社, 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. 侯银萌, 李硕, 王泠. 潮湿相关性皮炎病理特征及护理研究进展. 护理学杂志, 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. 黄祖锋, 黄海生, 邓东明, 等. 红光照射联合外用药物治疗麻风溃疡的临床观察. 实用医学杂志, 2018, 34(16): 2813-2815.
36. 杜培欣, 梅祖兵, 杨巍. 红光治疗联合红油膏换药在低位单纯性肛瘘术后的疗效评价. 东南国防医药, 2019, 21(1): 26-29.
37. 吕菊英, 王俊兴, 徐雪雁, 等. 湿性愈合理论联合红蓝光治疗在慢性伤口患者中的价值. 国际护理学杂志, 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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