Wound care during the COVID-19 pandemic: improving outcomes through the integration of telemedicine

Oropallo, Alisha; Lantis, John C.; Martin, Alexander; Rubaiay, Ammar Al; Wang, Na

doi:10.12968/jprp.2021.3.sup4.s14

Cited by 4 publications

(9 citation statements)

References 18 publications

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“…Os juízes que concordaram em participar receberam os esclarecimentos sobre a pesquisa por e-mail, que contemplavam uma carta de apresentação, o Termo de Consentimento Livre e Esclarecido e o Formulário Eletrônico para validade do instrumento. Desse modo, atendeu-se à recomendação que define como amostra ideal, àquela que contém entre 6 a 10 avaliadores (7) .…”

Section: Métodosunclassified

“…Procedeu-se à análise por meio do Coeficiente de Validade de Conteúdo (CVC). Foi realizado, ainda o cálculo do erro (Pe) resultando no cálculo do coeficiente de validade de conteúdo total do instrumento (CVCt) (7) . Considerando que o erro padrão calculado no estudo obteve valor muito baixo (Pe=0,000021), o CVCt foi equivalente ao CVC.…”

Section: Métodosunclassified

“…Considerou-se adequado o CVC ≥0,8, efetuando-se modificações das questões que não atingiram esse valor (7) . As questões que obtiveram índices abaixo desse valor foram excluídas ou reformuladas, de acordo com a sugestão dos juízes.…”

Section: Métodosunclassified

“…No contexto do cuidado às pessoas com feridas crônicas, o enfermeiro é responsável pela avaliação holística do usuário, tratamento tópico da lesão e educação em saúde, realizando a consulta de enfermagem, orientações para o autocuidado, atividades educativas coletivas, visita domiciliar, entre outros (6) . Durante a pandemia, a efetivação dessas práticas pode ter sido prejudicada pela interrupção de procedimentos classificados erroneamente como eletivos (7) .…”

Section: Introductionunclassified

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Validity of an instrument on Nursing care for people with chronic wounds

et al. 2022

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Objective: to build and validate the content of an instrument to investigate changes in the Nursing care provided to people with chronic wounds. Methods: methodological study, consisting of the stages of development and content validity, according to the criteria of clarity and relevance, by six judges, using the Delphi technique in two rounds. A Coefficient of Content Validity ≥ 0.8 was considered adequate. Results: the first version of the instrument contained 15 questions and after the judges’ evaluation it was reduced to 11, addressing the periods before and during the pandemic. In the second round of evaluation, it was verified that the instrument showed a total content validity coefficient equal to 0.96. Conclusion: the instrument showed evidence of content validity and can be used to investigate possible changes resulting from the pandemic of COVID-19 in the Nursing care of people with chronic wounds in Primary Care.

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Section: Métodosunclassified

Section: Introductionunclassified

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Validity of an instrument on Nursing care for people with chronic wounds

et al. 2022

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“…Menurut Oropallo et al (2020) Sistem Triase dilakukan sesuai dengan kondisi pasien. Kelompok prioritas satu : pasien dengan Infeksi parah harus mendapatkan perawatan dirumah sakit, kelompok prioritas dua: Pasien dengan infeksi ringan harus mendapatkan perawatan di klinik rawat jalan, Kelompok prioritas ketiga : pasien dengan ulkus kaki yang membaik dapat dirawat di rumah atau melalui telemedicine[16]. Sedangkan menurut penelitian Meloni et al (2020) Jalur Triase spesifik yang di digunakan di unit kaki diabetik menunjukkan hasil jangka awal yang baik dengan penurunan kasus amputasi dan mortalitas mayor, dan tidak ada infeksi COVID-19 yang diakibatkan oleh rumah sakit[6].Kelahmetoglu et al (2020) menyebutkan bahwa Skrining dan pemeriksaan COVID-19 untuk Pasien Diabetic foot Ulcer dilakukan dengan menanyakan secara cermat tentang demam, batuk, dan gangguan pernapasan atau apakah terinfeksi COVID-19, mengevaluasi tandatanda vital pasien (demam, nadi, tekanan darah,dan pernapasan).…”

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Health service for diabetic foot ulcer patients during covid-19 pandemic

Hermawati¹,

Tiranda

Sukron

2021

mki

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In early 2020, the whole world was shocked by the COVID-19 pandemic, which impacted all aspects of life. One was changes in the service system and health care for patients with diabetic foot ulcers (DFU). Wound care in DFU patients should be routine but while minimizing hospital visits to reduce the risk of exposure to COVID-19. The objective of this study was to explore the health services provided to DFU patients during the COVID-19 pandemic at the hospital. This study used a literature review approach with six electronic databases, namely National Library, PubMed, Science Direct, ProQuest, Springer Nature, and Wiley, in 2019-2021. The keyword used were health service, diabetic foot ulcer and COVID-19. around 669 articles identified, 12 articles met the inclusion. The articles reviewed were obtained from the result of discussion and validations between researcher and supervisors following the Prisma Guideline. Health services for DFU patients during the COVID-19 pandemic may be conducted through several stages including a) online consultation or telemedicine as the first stage, b) continued with triage process, and c) screening for individual patients needs. Health services for DFU patients during the COVID-19 pandemic have changed according to the following conditions. The first procedure was to conduct an online consultation (telemedicine) to assess the client’s condition related to complaints, then proceed with the triage process to prioritize care and service needs. The health of each patient and screening to check for symptoms of COVID-19 as well as carried out additional screening, CT Thorax and Swab if the patient had to go to the hospital.

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Covid‐19 lockdown showed a likely beneficial effect on diabetic foot ulcers

Bonnet

Macioce

Jalek

et al. 2022

Diabetes Metabolism Res

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Aims During the Covid‐19 epidemic, many countries imposed population lockdown. This study aimed to analyse diabetic foot ulcer (DFU) evolution of outpatients between the lockdown period and 1 month after its end. Materials and Methods We conducted a prospective, observational, single‐centre study without modification of care. All patients who followed up for a DFU in the study centre between 15 April 2020 and 11 May 2020 were included. The baseline assessment occurred 4 weeks after the beginning of lockdown and the follow‐up visit 4–6 weeks after easing of lockdown. The primary analysis was based on the Site, Ischaemia, Neuropathy, Bacterial infection, Area, Depth (SINBAD) classification. Results Twenty‐seven patients were included, median 69.4 years, and 25 were followed‐up at easing of lockdown. The median SINBAD score was 2 (interquartile range 1; 3) at inclusion and 1 (1; 2) at easing of lockdown, with a mean change of −0.32 (95% confidence interval −0.93; 0.29). Seventy‐two percent of the population had a stable or improved score between the two visits. The proportion of patients using off‐loading footwear was higher among those whose SINBAD score improved compared to those whose score worsened or remained stable (72%, 44% and 28%, respectively). Diabetes type was linked to DFU prognosis. Five patients (20%) were hospitalized during the follow‐up period. Conclusion Lockdown appears to have had a positive effect on DFU if patients remain under the care of their expert wound centre. We believe this effect is related to better compliance with offloading. The wide use of tele‐medicine seems relevant for the follow‐up of DFU.

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Wound care during the COVID-19 pandemic: improving outcomes through the integration of telemedicine

Cited by 4 publications

References 18 publications

Validity of an instrument on Nursing care for people with chronic wounds

Validity of an instrument on Nursing care for people with chronic wounds

Health service for diabetic foot ulcer patients during covid-19 pandemic

Covid‐19 lockdown showed a likely beneficial effect on diabetic foot ulcers

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