| Summary: | 碩士 === 弘光科技大學 === 護理研究所 === 95 === The purpose of this study is to compare the split-thickness skin graft (S.T.S.G.) donor site treatment outcome including frequency of changing dressing, and the time spent for each dressing change during the healing process, pain relief, healing time and wound infection with different dressing materials. The study was designed as case control-study which recruited sixty patients totally who received S.T.S.G. and postoperative care in hospital at least seven days in the plastic surgery department of a medical center in Taichung area from September 1, 2005 to September 15, 2006. Every donor site of skin graft was distributed into two areas which were dressed dividedly with Aquacel (designed as group A) and Opsite (designed as group B). The patients were observed for 10 times at day 1, 2, 3, 4, 5, 6, 7, 14 and 21 after surgery. The results indicated that (1) there was no significant difference between the two groups in the frequency of dressing changes(p > 0.05)；(2) the total dressing time of using Aquacel-treat area took 2.3 minutes less time than Opsite-treat area (p < 0.05); (3) the magnitude of pain in group A was 1.3 grades higher than in group B during the initial three postoperative days. However, on the fourth post-op day, group A showed more distinguishable pain relief than group B (p<0.001); (4) in comparison between the two groups with wound healing time, group A revealed a significant improvement than group B on the 14th post-op day (p<0.001); (5) there was no significant difference in the the probability of wound infection between these two groups (p >0.05).
The result of this study provides a guideline for the selection of dressing materials in the donor-site wound of S.T.S.G..
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