Integrating factors associated with complex wound healing into a mobile application: Findings from a cohort study.

Autor:	Marques, Raquel, de Lopes, Marcos Venícios Oliveira, Neves‐Amado, João Daniel, Ramos, Paulo Alexandre Silva, de Sá, Luís Octávio, da Oliveira, Irene Maria Silva, da Amado, João Manuel Costa, de Vasconcelos, Maria João Medeiros, Salgado, Pedro Miguel Faria, Alves, Paulo Jorge Pereira
Předmět:	WOUND healing RESEARCH CHRONIC kidney failure OBESITY SCIENTIFIC observation MOBILE apps PRESSURE ulcers ANTI-inflammatory agents MANN Whitney U Test HEALTH information systems RISK assessment COMPARATIVE studies HOSPITAL wards HOSPITAL nursing staff DESCRIPTIVE statistics RESEARCH funding LEG ulcers DECISION making in clinical medicine WOUND care LONGITUDINAL method PROPORTIONAL hazards models
Zdroj:	International Wound Journal; Jan2024, Vol. 21 Issue 1, p1-14, 14p
Abstrakt:	Complex, chronic or hard‐to‐heal wounds are a prevalent health problem worldwide, with significant physical, psychological and social consequences. This study aims to identify factors associated with the healing process of these wounds and develop a mobile application for wound care that incorporates these factors. A prospective multicentre cohort study was conducted in nine health units in Portugal, involving data collection through a mobile application by nurses from April to October 2022. The study followed 46 patients with 57 wounds for up to 5 weeks, conducting six evaluations. Healing time was the main outcome measure, analysed using the Mann–Whitney test and three Cox regression models to calculate risk ratios. The study sample comprised various wound types, with pressure ulcers being the most common (61.4%), followed by venous leg ulcers (17.5%) and diabetic foot ulcers (8.8%). Factors that were found to impair the wound healing process included chronic kidney disease (U = 13.50; p = 0.046), obesity (U = 18.0; p = 0.021), non‐adherence to treatment (U = 1.0; p = 0.029) and interference of the wound with daily routines (U = 11.0; p = 0.028). Risk factors for delayed healing over time were identified as bone involvement (RR 3.91; p < 0.001), presence of odour (RR 3.36; p = 0.007), presence of neuropathy (RR 2.49; p = 0.002), use of anti‐inflammatory drugs (RR 2.45; p = 0.011), stalled wound (RR 2.26; p = 0.022), greater width (RR 2.03; p = 0.002), greater depth (RR 1.72; p = 0.036) and a high score on the healing scale (RR 1.21; p = 0.001). Integrating the identified risk factors for delayed healing into the assessment of patients and incorporating them into a mobile application can enhance decision‐making in wound care. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
Externí odkaz:	Zobrazit plný text záznamu Plný text