Long-term patient satisfaction with their split-thickness skin graft donor site and the need for improved preoperative counselling.

IF 1.5 4区医学 Q3 DERMATOLOGY

Journal of wound care Pub Date : 2025-03-02 DOI:10.12968/jowc.2023.0037

Daniëlle Rijpma, Annebeth Meij-de Vries, Annika Reuvers, Tsjitske Haanstra, Paul van Zuijlen, Anouk Pijpe

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引用次数: 0

Abstract

Objective: There is a lack of studies on patient-reported outcomes of split-thickness skin graft (STSG) donor sites, especially on patient satisfaction. Donor site counselling could contribute to realistic patient expectations, which could improve postoperative patient satisfaction. Therefore, this study aimed to investigate donor site counselling and patient satisfaction with the final donor site outcome.

Method: Preoperative consultations were observed and given donor site information reviewed by means of a checklist. Next, a dual survey on donor site satisfaction and patient-reported donor site scar quality (measured using the patient scale of the Patient and Observer Scar Assessment Scale 3.0 adapted for this study to cover the donor site) was sent to patients who received STSG surgery 12±3 months prior to the study start. A backward linear regression analysis was used to identify potential satisfaction predictors.

Results: A total of 35 preoperative consultations were observed (19 adult and 16 paediatric consultations) and 36 patients (mean age: 41 years) responded to the survey. For the adults, 'location options' was the most discussed item and 'size' was the least discussed. Of the patients, 83% were satisfied with the donor site in general and 50% were dissatisfied with postoperative complaints, such as pain or itching. Most (92%) patients experienced colour differences, which was also a negative predictor for satisfaction with donor sites in general and their appearance. Being male was a positive predictor for satisfaction with donor sites in general, size and colour differences.

Conclusion: The majority of patients in the study were satisfied with their donor sites. Dissatisfaction was observed with size, appearance and postoperative complaints. Unrealistic expectations could play a role in dissatisfaction; information tools as illustrations and animations may help in managing patient expectations. Future research should focus on improvement of patient satisfaction with donor site aspects such as size and colour.

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来源期刊

Journal of wound care DERMATOLOGY-

CiteScore

2.90

自引率

10.50%

发文量

215

期刊介绍： Journal of Wound Care (JWC) is the definitive wound-care journal and the leading source of up-to-date research and clinical information on everything related to tissue viability. The journal was first launched in 1992 and aimed at catering to the needs of the multidisciplinary team. Published monthly, the journal’s international audience includes nurses, doctors and researchers specialising in wound management and tissue viability, as well as generalists wishing to enhance their practice. In addition to cutting edge and state-of-the-art research and practice articles, JWC also covers topics related to wound-care management, education and novel therapies, as well as JWC cases supplements, a supplement dedicated solely to case reports and case series in wound care. All articles are rigorously peer-reviewed by a panel of international experts, comprised of clinicians, nurses and researchers. Specifically, JWC publishes: High quality evidence on all aspects of wound care, including leg ulcers, pressure ulcers, the diabetic foot, burns, surgical wounds, wound infection and more The latest developments and innovations in wound care through both preclinical and preliminary clinical trials of potential new treatments worldwide In-depth prospective studies of new treatment applications, as well as high-level research evidence on existing treatments Clinical case studies providing information on how to deal with complex wounds Comprehensive literature reviews on current concepts and practice, including cost-effectiveness Updates on the activities of wound care societies around the world.