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

• Main Author: Ferreira, Lydia Masako [UNIFESP]
• Publication Date: 2009
• Other Authors: 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]
• Format: Article
• Language: eng
• Source: Repositório Institucional da UNIFESP
• Download full: https://repositorio.unifesp.br/11600/45752; https://www.hmpgloballearningnetwork.com/site/wounds/content/cellulose-dressing-vs-rayon-dressing-skin-graft-donor-sites-aspects-patients-health-related

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.