title: ﻿﻿﻿﻿﻿﻿﻿﻿﻿Cellulose Dressing Versus Rayon Dressing in Skin Graft Donor Sites: Aspects of Patients' Health-related Quality of Life and Self-esteem ﻿﻿﻿﻿﻿﻿﻿﻿.
abstract: ﻿﻿ ﻿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, and self-esteem was evaluated using the Rosenberg Self-Esteem Scale (RSE)/UNIFESP-EPM (Brazilian 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.
  
  
  CONCLUSIONS
  There were 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 ﻿﻿﻿.
authors.affiliation: Federal University of Sao Paulo-UNIFESP, Division of Plastic Surgery, Sao Paulo, Brazil; Email: lydia.dcir@unifesp.epm.br.
authors.forename: Lydia M
authors.initials: LM
authors.lastname: Ferreira
authors.forename: Leila
authors.initials: L
authors.lastname: Blanes
authors.forename: Alfredo
authors.initials: A
authors.lastname: Gragnani
authors.forename: Daniela F
authors.initials: DF
authors.lastname: Veiga
authors.forename: Frederico
authors.initials: F
authors.lastname: Veiga
authors.forename: Gilka B
authors.initials: GB
authors.lastname: Nery
authors.forename: Gustavo H
authors.initials: GH
authors.lastname: Rocha
authors.forename: Heitor C
authors.initials: HC
authors.lastname: Gomes
authors.forename: Mario G
authors.initials: MG
authors.lastname: Rocha
authors.forename: Regina
authors.initials: R
authors.lastname: Okamoto