A retrospective analysis of the effects of silver ion antibacterial gel combined with meticulous nursing on postoperative recovery and psychological status in patients undergoing scar reconstruction after burn injury

回顾性分析银离子抗菌凝胶联合精细护理对烧伤后瘢痕重建患者术后恢复及心理状态的影响

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Abstract

Burn patients often face challenges such as delayed wound healing, high risk of postoperative infection, and poor psychological status. Accelerating the recovery process, improving scar quality, and reducing complications have become key issues in modern burn treatment. This study aimed to evaluate the overall effect of silver ion antibacterial gel combined with meticulous nursing on postoperative recovery in patients undergoing scar reconstruction after burn injury. In this retrospective study, 102 patients who underwent scar reconstruction after burn injury between January 2021 and December 2023 were enrolled. Patients were divided into an experimental group (n = 52) and a control group (n = 50) according to their treatment protocol. The experimental group received general treatment with meticulous nursing care plus silver ion antibacterial gel, while the control group received general treatment with meticulous nursing only. Evaluation indicators included postoperative recovery time, scar healing quality, postoperative infection rate, psychological status (depression and anxiety), and patient satisfaction. The experimental group had a significantly shorter postoperative recovery time than the control group (5.6 ± 1.1 months vs 6.3 ± 1.2 months, P < .05). In terms of scar healing, the VSS scores were significantly higher in the experimental group (8.7 ± 1.2 vs 6.5 ± 1.3, P < .05). The postoperative infection rate in the experimental group was 1.9%, significantly lower than 8.0% in the control group (P < .05). Scores for depression (Hamilton Depression Scale) and anxiety (Hamilton Anxiety Scale) were also significantly lower in the experimental group (P < .05). Patient satisfaction in the experimental group was 94.2%, notably higher than 86.0% in the control group (P < .05). Silver ion antibacterial gel combined with meticulous nursing can significantly shorten recovery time, improve scar healing quality, reduce infection rates, enhance psychological well-being, and increase overall patient satisfaction after burn surgery. This treatment approach offers an innovative strategy for postoperative recovery in burn patients and holds broad clinical application prospects.

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