{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T21:34:23Z","timestamp":1767908063846,"version":"3.49.0"},"reference-count":14,"publisher":"Mark Allen Group","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wound Care"],"published-print":{"date-parts":[[2005,4]]},"abstract":"<jats:sec><jats:title>Objective:<\/jats:title><jats:p> To determine whether the use of a skin cleanser on the skin surrounding pressure ulcers helps to promote healing. <\/jats:p><\/jats:sec><jats:sec><jats:title>Method:<\/jats:title><jats:p> The study was conducted over a two-year period in patients with stage II or more pressure ulcers. All subjects were at least 65 years of age and resident in a long-term care hospital. During the first year, skin was cleansed with normal saline. In year two, a pH-balanced cleanser was used. The healing times for the two methods were then compared. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> Healing time was shorter in the group using the cleanser for every stage of ulcer, with an especially significant difference for stage II ulcers (p=0.002). Analysis using the Cox proportional hazards model found a 1.79-fold improvement in the healing rate of stage II ulcers when the surrounding skin was washed with the cleanser. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> Cleaning the surrounding skin with a cleanser rather than normal saline promotes the healing of pressure ulcers. <\/jats:p><\/jats:sec><jats:sec><jats:title>Declaration of interest:<\/jats:title><jats:p> None. <\/jats:p><\/jats:sec>","DOI":"10.12968\/jowc.2005.14.4.26758","type":"journal-article","created":{"date-parts":[[2014,5,23]],"date-time":"2014-05-23T15:58:52Z","timestamp":1400860732000},"page":"169-171","source":"Crossref","is-referenced-by-count":12,"title":["Does the use of a cleanser on skin surrounding pressure ulcers in older people promote healing?"],"prefix":"10.12968","volume":"14","author":[{"given":"C.","family":"Konya","sequence":"first","affiliation":[{"name":"School of Health Sciences, Faculty of Medicine, Kanazawa University, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Sanada","sequence":"additional","affiliation":[{"name":"Division of Health Sciences and Nursing, Graduate School of Medicine, University of Tokyo, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Sugama","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Faculty of Medicine, Kanazawa University, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Okuwa","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Faculty of Medicine, Kanazawa University, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Kitagawa","sequence":"additional","affiliation":[{"name":"Division of Health Sciences and Nursing, Graduate School of Medicine, University of Tokyo, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5130","reference":[{"key":"p_3","unstructured":"Management of Pressure Ulcers. WOCN, 2003."},{"key":"p_4","volume-title":"Pressure Ulcers in Adult: Prediction and prevention","author":"AHCPR.","year":"1994"},{"key":"p_6","volume-title":"Faculty of Medicine","author":"Sanada D, RN, WOCN"},{"key":"p_18","unstructured":"\u25cf Patients whose ulcers and skin were cleansed with normal saline only (NS group) between April 2000 to March 2001)"},{"key":"p_19","unstructured":"\u25cf Patients whose ulcers and surrounding skin were cleansed with a pH-balanced cleanser (CL group) between April 2001 to March 2002."},{"key":"p_32","unstructured":"Nurses who undertook the pressure-ulcer care were taught the cleansing technique at both time points - April 2000 and April 2001. An independent dermatologist assessed ulcer healing."},{"key":"p_52","volume-title":"Health and Welfare Bureau for the Elderly. Prevention and Healing Guideline for Pressure Ulcers","author":"Ministry","year":"1998"},{"key":"p_53","first-page":"50","volume":"51","author":"Konya C.","year":"2005","journal-title":"Ostomy Wound Manage"},{"key":"p_55","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.1996.5.6.277"},{"key":"p_56","doi-asserted-by":"publisher","DOI":"10.1093\/milmed\/134.1.19"},{"key":"p_57","volume-title":"et al. Evaluation of factors influenced by soap cleaning at the surrounding skin of the pressure ulcers in the elderly patients. Jap J Pressure Ulcers 2000","author":"Sanada H."},{"key":"p_58","first-page":"96","volume":"7","author":"NPUAP","year":"1989","journal-title":"Care: Sci Practice"},{"key":"p_60","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-198705000-00025"},{"key":"p_62","first-page":"35","volume":"9","year":"1994","journal-title":"Can J Infect Control"}],"container-title":["Journal of Wound Care"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/jowc.2005.14.4.26758","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,24]],"date-time":"2022-05-24T02:49:12Z","timestamp":1653360552000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/jowc.2005.14.4.26758"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,4]]},"references-count":14,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2005,4]]}},"alternative-id":["10.12968\/jowc.2005.14.4.26758"],"URL":"https:\/\/doi.org\/10.12968\/jowc.2005.14.4.26758","relation":{},"ISSN":["0969-0700","2052-2916"],"issn-type":[{"value":"0969-0700","type":"print"},{"value":"2052-2916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,4]]}}}