Comparison of Different Dressing Materials for Skin Graft Donor Site in Taiwan

Tuesday, 14 July 2009

Meei-Haw Yan, RN, MSN
Department of Nursing, Plastic and Reconstructive Surgery, Taichung Veterans General Hospital, Taichung, Taiwan
Man-Hsi Wang, RN, MSN
Deputy Director, Department of Nursing, Taichung Veterans General Hospital, Taichung, Taiwan
Yu-Ling Ho, PhD
Graduate Institue of Nursing, College of Nursing, Hungkung University, Taichung, Taiwan

Learning Objective 1: present the outcome of donor site morbidity in post-skin graft patients.

Learning Objective 2: Provides a guideline for the selection of dressing materials in the donor-site wound of S.T.S.G..

Purpose: The purpose of this study was to present the outcome  between Aquacel and the Opsite, that donor site morbidity in post-skin graft patients. It including different dressing materials, frequency of dressing change, time spend, painful degree, wound healing speed and possible infection.

Methods: The study was designed as case control study, which recruited sixty patients. Each donor site was divided to two areas that were dressed individually with Aquacel (experiment) and Opsite(control). All cases were observed at day 1,2,3,4,5,6,7,10,14 and 21 day after surgery and recorded.

Results: Our results showed that (1) there was no significant difference in the frequency of dressing change(2.4 vs 2.2) ;(2)the dressing time showed Opsite group took 2-3 minutes less than Aquacel group( p<0.05);(3)Aquacel group showed mush pain than Opsite group in the initial 3 post-surgical days.However, it was relieved significantly since 4th post-surgical day(p<0.001);(4)Aquacel group has shorter wound healing time(p<0.001);(5)The infection rate was same(p>0.05).

Conclusion:Aquacel coverage provides more rapid wound healing for donor site of skin graft. However, it increases pain magnitude during the initial three post-op days.