Cellulose Dressing Versus Rayon Dressing in Skin Graft Donor Sites: Aspects of Patients' Health-related Quality of Life and Self-esteem

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Ferreira, Lydia Masako [UNIFESP]
Blanes, Leila [UNIFESP]
Gragnani, Afredo [UNIFESP]
Veiga, Daniela Francescato [UNIFESP]
Veiga, Frederico
Nery, Gilka B.
Rocha, Gustavo H.
Gomes, Heitor Carvalho [UNIFESP]
Rocha, Mario Guilherme Cesca [UNIFESP]
Okamoto, Regina Hayami [UNIFESP]
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Objective. The aim of this study was to compare the health-related quality of life (HRQoL) and self-esteem of patients who underwent split-thickness skin grafting, when either cellulose dressings or rayon dressings were applied to the donor sites. Methods. A total of 25 patients, who were enrolled at five participant hospitals and required split-thickness skin grafting for various clinical reasons, were randomized into two treatment groups, the rayon dressing group (n = 13), or the cellulose dressing group (n = 12). All patients were assessed preoperatively and 60 days postoperatively. The HRQoL was assessed with the Short Form-36 (SF-36) health survey questionnaire, an self-esteem was evaluated using the Rosenberg Self-Esteem Scale (RSE)/UNIFESP-EPM (Brazillian versions). There were no surgery-related complications during the study period. Results. In both treatment groups, SF-36 scores for emotional role, mental health, vitality, and general health decreased from baseline. RSE scores increased from baseline in both treatment groups, showing a reduction in self-esteem after treatment. There was a statistical difference (P = 0.024) in the SF-36 bodily pain domain for the rayon group. Conclusion. There was no significant differences in HRQoL and self-esteem between treatment groups. In the rayon-dressing group, there was a significant decrease in bodily pain from baseline.
Wounds-a Compendium Of Clinical Research And Practice. Malvern: H M P Communications, v. 21, n. 6, p. 144-149, 2009.